Application of theoretical concepts Flashcards
LMSW exam
Physical development involves?
Child development
Growth and motor development
Cognitive development involves?
Child development
Learning, remembering, using symbols and problem solving.
Language development involves?
Child development
Competence of using correct, sound (phonology), encoding messages (semantics), understanding the way words are combined (syntax), and using language in different context (pragmatics).
What stage is Childhood psychopathology- autism is first noticed?
Child development
Language development
What does social and emotional development include?
Child development
- Newborns do not seem to express fear or preference for specific people
- Around 8- 12 mnths, young children rapidly change and begin to show fear of perceived threats, preference for familiar people, and separation anxiety.
- Beginning in pre-school and continuing into adulthood, individuals develop the capacity for empathy and the understanding of social rules.
What age does Self-image in children begin?
Child development
Early childhood.
Self-image can be based on genetic training, modeling of others, social and cultural experiences and other environmental factors.
What is behavioral deviations?
Child development
Can be seen in problems in school, disregard for the rights of others, violations of laws, and other mental and social problems
Sexual development includes?
Child development
- Each child develops differently, inquisitiveness is usually a natural part of child developing.
- Some child may not exhibit obvious sexual behaviors, while some, may “play doctor” or masturbate.
Sexual abuse and changes?
Child development
Sudden changes in behavior, such as aggressiveness, withdrawal, sexual acting-out, fear of strangers, or problems in school can be indicators of sexual abuse.
Milestones of human development includes?
- Birth- 2 mnths- Responds to faces and bright objects
- 2 mnths- appearance of social smile; follows moving objects with eyes
- 4 mnths- Recognize familiar objects, coos, enjoys ppl more
- 5 mnths- Grasps objects
- 6 mnths- Teething begins; turns over
- 7 mnths- Picks things up
- 8 mnths- Sits alone; stranger anxiety
- 9 mnths- Crawls
- 10 mnths- Pays attentions; plays
- 11 mnths- Stands with support
- 12 mnths- Leafs thru books looking at pictures
- 10- 12 mnths- Walks with support; shows a greater variety of emotions
- 15 mnths- Walks alone; can name some familiar things
- 18 mnths- Runs
- 2 yrs- Can speak in short sentences
- 6 yrs- Well- developed speech; well- developed ability to use imagination
11 mnths- 6 yrs average development.
What is the Adolescent developmental period?
- Between 12- 18 yrs.
- Physical, psychological, or cultural expression may begin earlier or end later.
- Strongly influenced by genetics, culture, socioeconomic conditions, gender and disabilities.
What does the Cognitive development entail?
Adolescent development
- Significant brain growth.
- Transitioning from concrete operations (Piaget- logical thinking) to the development of abstract thinking skills.
- Developing skills of deductive reasoning, problem solving, and generalizing.
- Adolescent experiment with “trying on” different personalities as their self-image begins to take form.
Social development includes?
Adolescent development
- Adolescent shift attention from family relationships toward peer relationships
- These social network provide support, comfort, and guidance.
Sexual maturation?
Adolescent development
- Occurs in a typical sequence
- Age of onset and speed of sexual development are variable
- Influenced by individual’s genetic inheritance (physical size, intelligence, and disability) and by factors in the environment ( lack of proper nutrition, abuse, and living conditions)
- Physical changes as early as 10yrs along with sexual feelings
- Interest in opposite sex or the same sex occurs and the desire to date or engage in social activities become more prominent.
What is Normal sexual development?
Adolescent development
- Include physical and emotional responses such as masturbation, kissing, touching, sexual experimentation, romantic fantasies and exclusive dating.
- Adolescents who experience gender identity or sexual orientation issues are at higher risk for depression, abuse and suicide.
What is Positive youth development?
Adolescent development
Describe efforts of communities, schools, government agencies, and adults to create supportive communities for young ppl, and to encourage youth to contribute in a positive way to the larger community.
What is Adult development and learning process?
A state of normal physical development, although some growth can still occur. And social development focuses on dating, career choice, mating and forming a new home and family life.
What is the Learning process?
Adult development and learning process
- May continue in further formal education or work training.
- Individual learn visually, auditorily, and/or experientially.
What does David Kolb- Experiential learning style include?
Adult development and learning process
- Doing- which describes active experimentation.
- Watching- which describes reflective observation.
- Feeling- which describes concrete experience.
- Thinking- which describes abstract conceptualization ( is the process of making sense of what has happened and involves interpreting the events and understanding the relationship between them.)
Sexual development includes?
Adult development and learning process
- May be affected by factors such as, stress, pregnancy, illness, and the normal aging process.
- Both men and woman experience physical, psychological and hormonal changes as they age, which can affect sexuality and sexual relationships.
- If partners maintain open communication with one another this may help keep intimacy an important part of life.
Parenting skills and capabilities.
Adult development and learning process
- Context of family support and child protection, sensitivity of, the capacity of parents to prevent their children from harm.
- Parents knowledge of appropriate development levels of their children and their ability to meet those developmental milestones.
- The parents ability to provide consistent physical care of the child.
- The parents ability to be sensitive to the child’s needs and be emotionally available.
Stress in adulthood is seen as?
Adult development and learning process
- Adults who are rearing their own children while taking care of aging parents, i.e. the “Sandwich Generation” may feel overwhelming pressure.
- Adults caring for children with disabilities face multiple problems- medical care, extra financial burden, day care etc.
- Adults with economic difficulties or who live in poverty may have increased stress.
- Adults dealing with their own aging process may require help to obtain good medical care, protection and outside services, and to find mental stimulation.
Stress on the family entails?
Adult development and learning process
- Impact on the family dynamics- splitting up, children withdraw or act out, emotional or physical problems may emerge, abuse may increase, financial strain may become more prominent and the need for professional help may become critical.
Sexual intimacy and senior development?
- Does not have to necessarily cease however it may take on a different way of expression.
- Closeness, touching, remembering happy times, respecting one another, and engaging in mutually satisfying activities can be as meaningful as sexual intercourse for some couples.
Aging and the challenges?
- Stressing over loss of jobs due to retirement, reduction of independence, decrease of ability to perform daily activities, loss of friends and relatives due to death, uncertainty of importance, impending loss of their own lives.
- Stress due to unfinished business- goals.
- Depression is common and higher risk of suicide.
- Integrity Vs. Despair- Erick Erikson
Symbosis/ Bonding stage is?
Couples Development- Bader & Pearson (1988)
- The honeymoon period (closeness, falling in love, bonding over similarities).
- Passionate, nurturing, and selflessly strive to please the other (Difference minimized).
- Challenge of this stage, each individual’s idealistic views toward the other person and the relationship.
Differentiation stage is?
Couples Development- Bader & Pearson (1988)
- Couples address their difference and find ways to resolve conflict.
- Negotiating differences and supporting each other’s needs when the couple doesn’t agree is an important challenge.
- There is an ongoing process of defining the self and managing the anxiety of intimacy and separation or loss resulting from self-expression.
- Enmeshment can also occur by becoming hostile and dependent.
- When the couple cannot separate and resolve difference, conflict escalates into constant arguing and bickering.
- Breakups are common during this stage.
Practicing stage is?
Couples Development- Bader & Pearson (1988)
- Couples explore independence, nurture outside relationship, and develop self-esteem and competence separate from the relationship.
- Characterized by the redirection of a person’s attention, time, activities away from the partner and towards self.
- Difficulties of this stage include- controlling each other’s individual interests/ activities.
Rapprochement stage is?
Couples Development- Bader & Pearson (1988)
- Reestablishing intimacy.
- Partners are able to show openness and vulnerability and seek to comfort and support one another.
- Sex life usually deepens during this stage.
Synergy/ Mutual Interdependence stage is?
Couples Development- Bader & Pearson (1988)
- Couples embraces intimacy, recognizes that they can come together and be stronger than each member is alone.
- Constancy is the hallmark of this stage.
- Able to value and respect the separateness of other.
- Experience the wholeness and intimacy that comes from the ability to trust and from the knowledge that one is loved.
- Foundation of the relationship is the appreciation and love of the other and support and respect for mutual growth.
What is Systems theory?
Family systems and life cycle.
- The notion that ppl do not exit in a vacuum.
- The essential elements of the social structure created w/in a family do more to shape a person’s life
- Family system theory is a philosophy that looks at interaction of members in the family system rather than individual etiology (cause or manner of causation of a disease or condition) to account for causes of behaviors.
What is Homeostasis?
Family systems and life cycle.
- Homeostasis refers to maintaining balance and, in a sense, what is normal for a particular family.
- A systems attempt to maintain the status quo
- Is comfortable in maintaining at its present level even if one considers the family to be extremely dysfunctional.
- A change in the family system means that the family must readjust to accommodate that change.
- Changes perceived to be positive can have stressful consequences on the family system.
What are the Elements of a Family system?
Family systems and life cycle.
- External boundary- separates the family “inside” from the neighborhood and community surrounding. Boundary can range from being fluid to extremely rigid. The nature of the external boundary will impact the functioning of that family system.
- Family subsystems- includes internal boundaries such as siblings groups, family members of the same sex, or of the same generation. The communication and interaction of the subsystems will trigger changes in the larger family system.
- Alignments- Are similar to subsystems but may occur across subsystems. And often serve to carry out developmental tasks or to meet emotional needs of the system.
- Roles- all family members have roles w/in the family. While some roles may not be individually functional, the roles, rigid or fluid are a part of the overall functioning of the family system.
- Rules- Family members establish rules that dictate how family members relate to the external environment and each other. Can be implied or implicit, such as the ‘unwritten rule”, that you do not talk about the mental illness of an aunt or uncle. Can be explicit and clearly delineated, such as a parent’s conscious decision to never argue in front of the children.
- Power distribution- The ability to make decisions and resolve conflicts is instrumental in the functioning of a family. Family members have certain patterns of power and influence w/in the family, which create order when critical family decisions require action.
- Communication- All behavior is communicative. Body language, eye contact and even silence portray a message. Communication is a critical element of the family system
Family life cycle stages include?
Family systems and life cycle.
- Independence- This phases starts when a young adult starts out on his or her own. The primary task of this stage is the differentiation of the young adult from his or her family of origin and the establishment of intimate peer relationship.
- Coupling- selecting a partner and adjusting to the life as a couple is an important part of this stage. A great challenge for many in this phase is the negotiating of family origins issues into the new family system. In a functional relationship, both partners will understand the importance of their own family of origin issues and will create new family system based on a joint agreement.
- Parenting (Infants- Adolescent)- Families with children spend much of the family life cycle in this state. Parenting infants and young children; parenting school aged children; parenting adolescents. Regardless of the uniqueness of this stage relates to meeting the needs of each child as his or her developmental age. Parents are in a specific phase in which much of their time, energy, and resources are focused on nurturing and supporting the growth of their children.
- Launching Adult children- This stage commonly referred to as the Empty nest. Parents in this stage focus on re-establishing the marital relationship as well as career needs and goals.
- Retirement/ Senior years- This family life cycle is often marked with the addition of members into the family system whether they are spouses of grown children or grandchildren. This stage also marks the time when the family prepares to lose members (spouses, friends, and siblings)
What are the Diversity and Cultural implications of family system?
Family systems and life cycle.
- Family life cycles, and even the issues encountered by families, can vary greatly depending on cultural and ethnic differences. For example- the number of “three generational” families in Mexican-American culture is significantly more prevalent than that of Anglo-Americans. It is always important to consider the unique nature of each family.
What are normal life crises?
- Events such as marriage, birth of a child, and divorce. Moving into a new home, which typically involves packing and changing schools is a normal life crisis. Leaving a job and accepting a new position also results in a normal crisis. Death of a loved one is considered a normal life crisis. Grief is not a disease; it is a normal part of losing a loved one. Grief is a long, difficult process, but in time becomes more manageable.
The Holms and Rahe stress scale includes?
What are normal life crises?
- Stressful life events can contribute to illness.
- Death of a spouse or child
- Divorce
- Marital separation
- Detention in jail or other institution
- Death of an immediate family member
- Major personal injury or illness
- Marriage
- Being fired from work
- Marital reconciliation
- Retirement
The Holms and Rahe stress scale includes?
What are normal life crises?
- Major change in health or behavior of family member
- Pregnancy of spouse/ partner
- Sexual difficulties
- Gaining a new family member
- Major business readjustment
- Major change in financial state (significant increase or decrease in income)
- Death of a close friend
- Changing to a different type of work
- Major change in the number of argument with spouse (i.e. increase or decrease)
- Taking on a significant mortgage
The Holms and Rahe stress scale includes?
What are normal life crises?
- Foreclosure on a mortgage or loan
- Major change in responsibility at work
- Son or daughter leaving home
- In-law troubles
- Outstanding personal achievement
- Partner beginning or ceasing work outside of the home
- Beginning or ceasing formal schooling
- Major change in living conditions (e.g. new house, renovating)
- Revision of personal habits (e.g. dress, exercise)
- Troubles with the boss
The Holms and Rahe stress scale includes?
What are normal life crises?
- Change in residence
- Changing to a new school
- Major change in usual type and/or amount of recreation
- Major change in church or spiritual activities
- Major change in social activities (e.g. number of social events)
- Taking on a small loan (e.g. car, home remodel)
- Major change in sleeping habits
- Major change in number of family get-together (i.e. increase or decrease)
- Major change in eating habits (e.g. a lot more or less food intake)
- Holiday or vacation
- Minor violations of the law (e.g. traffic or parking infringement)
The Wainrib and Bloch Psychological responses to crisis or traumatic events.
What are normal life crises?
- Disbelief
- emotional numbing
- nightmares and other sleep disturbances
- anger, moodiness, irritability
- forgetfulness
- flashbacks
- survivor guilt
- hypervigilance
- loss of hope
- social withdrawal
- increased use of alcohol and drugs
- isolation from others
Roberts- several characteristics of a crisis or traumatic event.
What are normal life crises?
- People first begin to recognize that there is a threat.
- Next, these individuals discover that the stress and trauma of the event cannot be dealt with using existing coping skills.
- Ppl then begin to experience fear, confusion, and stress.
- Those facing a crisis begin to exhibit symptoms of distress and discomfort.
- Finally, ppl enter a state of imbalance where crisis situation seems insurmountable.
What are the Social Roles?
The Impact of Environment on Individuals
- Are expectations of behavior in the presence of others and are often governed by social and cultural norms.
- If a person’s behavior in a social role is reinforced, self-image is likely to be enhanced.
- If behavior in the social role is punished or negatively viewed, self image may suffer.
What is Impact of out-of-home placement?
The Impact of Environment on Individuals
- Usually the result of family services organizations removing children from their biological parents due to abuse, neglect, drugs, problems with the law, severe emotional and behavioral problems, and parents’ inability to care for their children.
- Children are usually placed in foster care, residential facilities or with other relatives.
- Some research findings indicate that displaced children experience psychological and emotional risks, disruptive emotional bonds with parents, poor school adjustment, decreased academic achievement, higher levels of suspensions from school, rage, grief, sadness, and despair.
What is Abuse and Neglect?
- Of a child can result in significant, long-lasting problems, including: mental health problems, behavioral problems, substance abuse, relationship difficulties, increased likelihood of developing Reactive attachment disorder- RAD.
- RAD- individuals are unable to form normal and needed emotional bonds with caregiver or others.
- Adults who are abused as children are more likely to abuse their own children- perpetuation the cycle of abuse.
- Typical perpetrators- child’s parents, or primary caregiver.
- Children of an economically disadvantaged, young, single parent are most at risk to be abused.
- Other factors that contribute to child abuse- family stress, social isolation, medical problems of the child, family violence, alcohol and drug abuse, parental personality (eg. low tolerance or low empathy), and crises
What does Physical abuse entail?
Abuse and Neglect
- Obvious effects- welts, broken bones, burns, and internal injuries. Hand mark or belt mark.
- Wearing inappropriate clothes.
- Some injuries may result in permanent physical and mental damage and sometimes results in death.
- Children can exhibit fear, withdrawal, anxiety, anger, behavioral problems, aggression, poor social skills, and poor problem solving skills.
- The most common perpetrator of physical abuse of a child under 14 is the female parent.
- SW’s, and other mental health wrkrs, teachers, healthcare professionals, and doctors are required by law in all states to report child abuse.
What is Sexual abuse?
Abuse and Neglect
- Can result in significant emotional/psychological and behavioral problems for a child being abuse and often times the child will became a perpetrator him/herself, sexually abusing other children.
- Perpetrators are usually men and known by their victims.
- Life-long problems with intimacy, self-image, sexual acting out, aggression, withdrawal, phobias, sleep disorders, and eating disorders may require professional help to overcome.
- Sexual abuse may result in physical injuries and the transmission of STD.
What are the Signs of sexual abuse?
Abuse and Neglect
- Trouble walking or sitting
- sexual inappropriateness
- avoidance of a specific person w/o reason
- running away from home
- reluctance to change clothing in front of others
- sexually transmitted diseases or pregnancy under the age of 14
What can Neglect cause a child to experience?
Abuse and Neglect
- slower than normal physical development as a result of malnourishment
- delayed mental development due to lack of stimulation
- illnesses and medical problems that are a result of lack of medical attention
- poor school performance due to frequent absences
- poor social skills and lack of friends resulting from the child’s dirty and unkempt appearance and lack of proper clothing
- emotional problems resulting from the aforementioned problems
- lack of parental supervision and improper living conditions
- death as a result of starvation and exposure
What can emotional cause a child to experience?
Abuse and Neglect
- poor self esteem
- insecurity and anxiety
- relationship problems
- inability to trust or predict the future
- delays in speech and language skills
- fearfulness, withdrawal, distrust, anxiousness to please
- involvement in criminal behavior
- substance abuse
What is Elder abuse?
Abuse and Neglect
- Is typically inflicted by family members and occurs in a variety of forms including verbal, emotional and physical, the wrongful taking of assets or exploitation, and neglect (the most commonly reported form of abuse).
- Factors that may contribute to abuse include poverty, substance addictions, and difficulty holding down a job.
- Middle- aged caretakers may become abusive in response to the challenge of juggling work, care of dependent children and care of an elderly parent.
- Elder abuse occur in nursing homes and other institutional settings.
- SW’s should report elder abuse to police or adult protective services.
What are the risk for Elder abuse with the Elderly individual?
Abuse and Neglect
- argumentative, non-compliant or resistive with care
- hostile, verbally abusive, aggressive/combative behavior
- cognitive impairment
- mute
- manipulative or intrusive
- history of substance abuse
- incontinence
What are the risk for Elder abuse with the Caregiver?
Abuse and Neglect
- alcohol/ drug abuse, untreated mental illness
- financial problems
- excessive absenteeism
- poorly trained
- family problems
- power conflicts
- role reversal: looking for the elder to fill caregiver needs
What are the risk for Elder abuse with Housing?
Abuse and Neglect
- elder needs cannot be met by the service provider
- frequent “reorganizations” poor communication between administration and staff
- high personnel turnover, insufficiently paid staff, high overtime demands laced on the paid caregivers
- crowding of vulnerable adults
- inadequate or uniformed response to abuse when initially reported
- inconsistent and unclear expectations of caregiver, lack of adequate training for caregivers, absence of clear role definitions for caregivers
What are the signs of Elder abuse, neglect, self-neglect and exploitations?
Abuse and Neglect
- unexplained bruises or welts
- multiple bruises in various stages of healing
- unexplained fractures, abrasions, and lacerations
- low self-esteem or loss of self-determination
- withdrawn, passive, fearful
- reports or suspicions of sexual abuse
- social isolation
- malnourishment or dehydration
- unkempt appearance
- lack of glasses, dentures, or hearing aides, if needed
- failure to keep medical appointments
- inappropriate or soiled clothes
- disappearance of possessions
- forced to sell house or change one’s will
- overcharged for home repair
- inadequate living environment
- forced to sign over control of finances
- no money for food or clothes
What are the characteristics of perpetrators of abuse?
Abuse and Neglect
Characteristics that link to different forms of abuse:
- In most cases, the perpetrator is known to the victim
- Most sexual abusers are male and their victims are female. the perpetrator seek out or exploit opportunities to have unsupervised contact with potential victims. They “groom” the potential victim by spending time with them, buying gifts or doing special favors.
- Physical or emotional abuse or neglect is more likely to be unplanned and influenced by features of the care environment.
- Perpetrators of financial abuse are often opportunistic, but some cases are predatory, seeking out vulnerable people and situations in which theft is not likely to be discovered or hard to prove.
What is Resilience?
- Is an individual’s ability to adapt to adverse conditions (such as disasters).
- Individuals have developed coping skills that allow them to effectively navigate around or through crises.
- A resilient person have an optimistic attitude and positive emotions and are able to balance negative emotions with positive ones.
What are the factors of resilience?
Resilience
- Resilience is a process, not a trait.
- Factors are: the ability to make realistic plans and taking steps to follow through with them; a positive self- concept and confidence in one’s strength and abilities; communication and problem-solving skills; the ability to manage strong impulses and feelings; supportive and caring relationships both within and outside the family
According to the American psychological association what do they suggest is the 10 ways to build resilience?
Resilience
- Maintain good relationships with family members, friends, and others
- Avoid seeing crises or stressful events as unbearable problems
- Accept circumstances that cannot be changed
- Develop realistic goals and move towards them
- Take decisive actions in adverse situations
- Look for opportunities of self-discovery after a struggle with loss
- Develop self-confidence
- Keep a long-term perspective and consider stressful event in a broader context
- Maintain a hopeful outlook, expecting good things and visualizing what is desired
- Take care of one’s mind and body, exercising regularly, paying attention to one’s needs and feelings.
What is Crisis Intervention theory?
Provides the basis for treatment of individuals, group, and families confronted with stressful events that exceed their coping abilities.
What is a Crisis?
Crisis Intervention theory
- Hazardous event- an “upset in a steady state (state of equilibrium) that poses an obstacle, usually important to the fulfillment of important life goals or to vital need satisfaction, and the individual (of family) cannot overcome through usual methods of problem solving.” (Caplan in Hepworth, Rooney, and Larsen, 1997)
- A crisis is generally defined as short-term and overwhelming.