Areas of Clinical Focus Flashcards
Self Efficacy
an individual’s belief that he or she can perform some necessary task, frequently affects the career decision-making process
Psychosexual Stage: Oral
birth - 1 year old
Orally aggressive: chewing gum and the ends of pencils, etc.
Orally passive: smoking, eating, kissing, oral sexual practices[4]
Oral stage fixation might result in a passive, gullible, immature, manipulative personality.
Psychosexual Stage: Anal
1 - 3 years old
Anal retentive: Obsessively organized, or excessively neat
Anal expulsive: reckless, careless, defiant, disorganized, coprophiliac
Psychosexual Stage: Phallic
3 - 6 years old
Oedipus complex (in boys and girls); according to Sigmund Freud. Electra complex (in girls); according to Carl Jung. Promiscuity and low self-esteem in both sexes.
Psychosexual Stage: Latency
6 - puberty
Immaturity and an inability to form fulfilling non-sexual relationships as an adult if fixation occurs in this stage.
Psychosexual Stage: Genital
puberty - death
Frigidity, impotence, sexual perversion, great difficulty in forming a healthy sexual relationship with another person
John Holland
Career theory that career choice is an expression of personality
John Holland: Realistic Type
doers (explicit tasks requiring physical work, e.g., mechanic)
John Holland: Investigative Type
thinkers (intellectual and prefers systematic, creative activities)
John Holland: Artistic Type
creators
John Holland: Social Type
helpers (enjoys interacting with and helping others)
John Holland: Enterprising Type
persuaders (prefers leadership roles)
John Holland: Conventional Type
organizers (practical and ordered)
World-of-Work-Map
a tool developed by ACT that organizes occupations based on primary tasks involvingpeople, data, things, and ideas.
Ego-syntonic
refers to instincts or ideas that are acceptable to the self; that are compatible with one’s values and ways of thinking. They are consistent with one’s fundamental personality and beliefs.
ego-Dysntonic
Ego-dystonic refers to thoughts, impulses, and behaviors that are felt to be repugnant, distressing, unacceptable or inconsistent with one’s self-concept.
Prevalence
refers to how many, or what percent, of a population is affected by something. In this situation, there is an 8% prevalence rate of depression.
Incidence
is the number of new cases that occur within a given time frame.
Prognosis
is the anticipated course of a disorder, and etiology refers to the factor(s) that cause a disorder.
What does a mental status exam include?
typically includes appearance and behavior, thought processes, mood and affect, intellectual functioning, and sensorium
Sensorium
refers to the client’s ability to be aware of the location, the time, and their identity.
H B Gelatt presentsa five-step process for making decisions about careers:
recognize the need to make a decision, collect data, examine potential outcomes, attend to your value system, and make a temporary or permanent decision.
How can we change the amount of neurotransmitters in the brain?
Counseling:
through counseling with various techniques and approaches, the rate and amounts of neurotransmitters in the brain can change.
through participation in cognitive behavioral therapy the levels of these neurotransmitters can be increased, resulting in alleviation of symptoms.
Linda Gottfredson
is known for her career development theory “Circumscription and Compromise,” which focuses on children’s vocational development processes.
Mark Savickas’
theory of career counseling is based on career construction theory, and he believes career counselors assist clients in making sense of their life and work.
Prognosis
hey are referring to the likelihood that the individual will recover, stabilize, or otherwise be able to function in the future.
Etiology
refers to the cause of a disorder.
Prevalence
is what proportion of the population has a disorder.
Incidence
is how many new cases occur within a given time frame.
Five Categories of Behavioral Disruption DSM-5
feeding and eating disorders, elimination disorders, sleep-wake disorders, sexual dysfunctions, and paraphilic disorders.
Linda Gottfredson “Circumscription and Compromise.”
vocational self-concept develops in childhood and influences occupational selection
4 Stages:
- orientation to size and power (ages 3-5)
- orientation to sex roles (ages 6-8)
- orientation to social valuation (ages 9-13)
- orientation to internal unique self (ages 14 and up)
Linda Gottfredson: orientation to size and power (ages 3-5)
When children think concretely and begin thinking about occupations they might like
Linda Gottfredson: orientation to sex roles (ages 6-8)
when children learn that occupations are sex-typed and performed primarily by one sex or the other
Linda Gottfredson: orientation to social valuation (ages 9-13)
when children realize that occupations vary in social value and desirability
Linda Gottfredson: orientation to internal unique self (ages 14 and up)
when adolescents reflect on their own values and interests and use these to inform occupational decisions
Donald Super’s Vocational Development Stages
growth, exploratory, establishment, maintenance, and decline
Donald Super: growth
development of capacity and interests
Donald Super: exploratory
tentative choices made
Donald Super: establishment
trial and stabilization
Donald Super: maintenance
adjustment process
Donald Super: decline
retirement
Erikson: Trust vs. Mistrust
infant - 18 months
Virtue: hope
Can I trust the world?
Erikson: Autonomy vs. Shame
2 - 3 years
Virtue: will
Is it okay to be me?
Erikson: Initiative vs. Guilt
3 - 6 years
Virtue: purpose
Is okay for me to do, move, and act?
Erikson: Industry vs. Inferiority
6 - 11 years
Virtue: competence
Can I make it in the world of people and things?
Erikson: Identitiy vs. Confusion
12 - 18 years
Virtue: fidelity
Who am I? Who can I be?
Erikson: Intimacy vs. Isolation
19 - 40 years
Virtue: love
Can I love?
Erikson: Generativity vs. Stagnation
40 - 65 years
Virtue: care
Can I make my life count?
Erikson: Integrity vs. Despair
65 - death
Virtue: wisdom
Is it okay to have been me?
Career counselors often classify leisure activities as:
compensatory or spillover
Compensatory activities
are those that are very different than those done on the job; an example might be a history professor who spends his free time rock-climbing and running marathons.
Spillover activities
are the same types of activities that are done on the job; an example of spillover might be a psychologist who spends her free time reading books about cognitive development.
Outplacement counseling
is a form of career counseling offered to employees who are going to be terminated. Various components of outplacement counseling include assessment, career counseling, assistance with job-seeking skills, and help finding a new place of employment.
Career counselors who operate from a social cognitive perspective attempt to:
strengthen self-efficacy by exposing clients to learning experiences such as vicarious learning (modeling), social persuasion, personal performance accomplishments, and the client’s physiological states and reactions.
Multidimensional models typically are based on:
the belief that disorders are interrelated factors that affect the individual’s behaviors and feelings.
four dimensions: biology, which includes genetics and brain chemistry; cognition, which refers to how individuals learn and process information; emotions and mood; and sociocultural factors
Common issues for stay-at-home parents wishing to return to the workforce:
a lack of self-confidence in the job market, poor job-seeking skills, and, at times, no support system.
Learning theories
include behavioral theories, social learning theories, and information-processing theories. All of these concepts attempt to explain how humans grow and develop by observing and learning behaviors and responses from others.
Cognitive theories
include cognitive behavior therapy and other approaches that aim to change the individual’s thoughts.
Humanistic theories
are client-centered andemphasize an individual’s potential for self-growth.
Psychoanalytic theories
Feud
focus on the unconscious drives and feelings of individuals as the source of problematic behavior.
Ann Roe
believed that the parent-child relationship was a central determinant in careerselection. Ann Roe operated from a needs approach and believed that individuals choose careers to meet needs based on parental influences and early childhood experiences. However, there is not a significant base of research to support this theory.
Conduct disorder
is under the DSM-5 umbrella category of disruptive, impulse-control, and conduct disorders. These typically appear first in childhood or adolescence and include severe problems with emotional and/or behavioral regulation. Conduct disorder can be diagnosed when individuals meet certain criteria such as aggression toward people or animals, destruction of property, deception or theft, and/or serious violations of rules.
Occupational Outlook Handbook (OOH)
is published every other year and offers information about current salaries and projected trends. This would be the best way for this particular client to narrow down his options for an occupation based on salary, educational requirements, and future job projections.
Percentage of American that believe in a higher power?
90 percent of Americans believe in a higher power, counselors should be prepared to discuss issues of spirituality with their clients. This might require counselors to explore matters regarding their own spiritual beliefs, and counselors may have to work to familiarize themselves with a variety of spiritual issues.
What is a Mental status exam?
is to gather information about the client’s overall functioning. Components of the exam include appearance and behavior, mood and affect, thought processes, intellectual functioning, and sensorium. Mood and affect include the client’s facial expressions and other nonverbal expressions of emotion along with statements that reflect their feelings.
Organismic development
is the belief that the individual (or other organism) is involved in the development. This can lead to change or discontinuity depending on the individual. Ethical development and moral development are both regarded as organismic development.
Tested interests
are those measured by assessments or tests, such as an inventory that shows how a client’s strengths match those needed in the social work profession.
Manifested interests
are those that can be observed, such as a person’s course of study, past jobs held, and activities the person likes.
Expressed interests
are interests that an individual reports.
Trauma- and stressor-related disorders :
caused by being involved in, witnessing, or otherwise being exposed toone or moretraumatic events.
Clients with dissociative disorders
are those who experience disruptions in the normal integration of behavior, consciousness, identity, memory, body representation, and motor control.Dissociative disorders are common in individuals who have experienced trauma. They are often comorbid with depression, anxiety, and substance use as well as suicidal and self-injurious behavior
contextualist viewpoint
aim to assist individuals in making meaning of their own situations.
Gender-variant
individuals are those whose behavior and gender expression does not match feminine and masculine gender norms.
Daniel Goleman proposed
that intelligence includes emotional intelligence is seen in those who understand social cues, have empathy for others, develop positive interpersonal relationships, and are self-motivated. Emotional intelligence operates separately from cognitive intelligence, which includes reasoning and thinking processes.
Meta-analyses
compare research findings across studies in order to bring together as much information as possible about a specific question.
Urie Bronfenbrenner
is known for his ecological view of human development
important to examine all systems impacting an individual.
A school-aged child is not only affected by his family and school, but also by his neighborhood, peers, and other groups.
Albert Bandura
developed social learning theory, which combines social and cognitive factors.
William Perry
is known for his work in combining intellectual and ethical development.
Daniel Levinson
is known for his work in defining developmental tasks during major stages of life.
Tiedeman (on career developement)
believed that each stage of career decision making consists of two phases, either Anticipation or Preoccupation and Implementation or Adjustment. The individual’s task is to differentiate the ego, resolve psychosocial crises, and process developmental tasks in order to successfully navigate career development.
William Perry’s scheme
was used to explain college students’ journeys through intellectual and moral development, and has evolved to apply to other groups of people as well. Perry explains that there are three categories – dualism, discovery of relativism, and commitment torelativism – and nine positions spread across these categories. The final position is sometimes called post-commitment, when individuals realize that commitments are evolving and can sometimes be contradictory.
Freud describes five psychosexual stages of development:
Freud describes five psychosexual stages of development: the oral stage, which lasts from birth to 18 months; the anal stage, ages 2 to 3; the phallic stage, ages 3 to 5; the latency stage, from age 5 to puberty; and the genital stage, which begins at puberty and lasts through adulthood.
Career counseling process:
establishing a relationship, identifying the problem, conducting an assessment, providing information, making a decision, and implementing the plan
Rates of unemployment often depend on the
cultural/ethnic group. Black males experience the highest levels of unemployment, while white males have the lowest unemployment rates, followed by white females, Hispanic males, Hispanic females, and black females.
Donald Super Career Rainbow:
His life-career rainbow acknowledges the eight life roles that many people hold (homemaker, spouse, parent, worker, citizen, leisurite, student, and child) and helps people think about the work/life balance in their lives.
A positive-reinforcing stimulus:
is a reward that, sometimes unintentionally, maintains or increases a behavior.
A punishment, or negative-reinforcing stimulus:
results in weakening or termination of the undesired behavior. Classical conditioning is the process of forming an association between two stimuli, resulting in a learned response.
Gail Sheehy
is known for her claim that life stages are marked by transitional periods that are likely to be different for each individual. Sheehy saw these stages as opportunities for growth, because crises challenge individuals to make positive changes.
Projection:
a type of defense mechanism, occurs when a person attributes their own feelings and urges to another person. In this situation, the wife is so uncomfortable expressing her own feelings that she accuses her husband of not expressing his.
Denial:
is the inability to recognize significant factors in one’s life.
Repression:
occurs when someone forgets as a way of coping with uncomfortable feelings.
Reaction formation :
is when someone takes on feelings that are the opposite of what he or she actually feels.
Systematic desensitization:
is based on the theory of reciprocal inhibition, the belief that a person cannot be anxious and relaxed at the same time. The goal of systematic desensitization is to associate negative stimuli that cause anxiety with positive events. In this type of intervention, images that the client finds anxiety-provoking are paired with muscle relaxation and other techniques.
Changes to DSM 4 to 5:
The DSM-5 was published in 2013 and includes many changes to the previous version, the DSM-IV-TR. One of the most significant changes is the removal of the multiaxial classification system. Additional changes to the newest DSM include the expansion of the list of V codes, the replacement of Not Otherwise Specified with Unspecified Disorder or Other Specified Disorder, and many changes to the classification of disorders. There is a chapter on bipolar disorders in both the DSM-IV-TR and the DSM-5.
Career counseling
focuses on the individual’s career development, paying special attention to values and attitudes. Career counseling also focuses on self-understanding in the context of decision-making.
Career guidance
helps individuals learn what opportunities are available and typically focuses more on logistics than career counseling. Both approaches are important and relevant to finding rewarding and sustainable careers.
Regression:
is the return to a much younger psychological and emotional state due to overwhelming feelings. In this situation, the client is so overwhelmed by the feelings associated with her trauma that she retreats to amuch more immature state. If skilled, the counselor can use this defense as a way of helping the client through the trauma.
Introjection :
is the process of using fantasy to identify the expression of an impulse.
Repression :
is the act of forgetting or denying an idea that creates anxiety or other uncomfortable feelings.
Propinquity:
is often one of the main factors leading to romantic attraction between individuals. It refers to the proximity between people who live or work near each other. The propinquity effect, therefore, is the tendency for people to form relationships with others they encounter often.
Frank Parsons:
, also known as the “Father of Guidance,” developed the trait-factor approach to career counseling. This approach requires the career counselor to study the individual, survey the occupations, and then match the person with an occupation. The trait-factor approach was later refined by E. G. Williamson.
Ginzberg, Ginsburg, Axelrad, and Herma (also known as the Ginzberg group):
believed occupational choice moved through three different stages: fantasy , tentative , and realistic .
Neurocognitive disorders:
such as Alzheimer’s disease,and neurodevelopmental disorders, such as autism and intellectual disabilities, most likely have a biological basis. Neurocognitive disorders tend to appear later in life, while neurodevelopmental disorders begin in childhood.
Proponents of contextualism believe:
that career development results from constant interaction between the individual, the environment, and the dynamics between individual and environment. Contextualists assert that individuals cannot be separated from their environments and that reality is created by individuals’ perceptions and ways of organizing information. From a contextualism standpoint,the goal of career counseling is for the individual to make sense of his or her situation.
According to the DSM-5, depressive disorders include:
major depressive disorder, persistent depressive disorder, substance/medication-induced depressive disorder, disruptive mood dysregulation disorder (DMDD), and premenstrual dysphoric disorder.
Encore careers:
refer to those times when, for differentreasons, retired workers return to work. Most of the time encore workers do not return to their former employer but find some other kind of employment.
Jean Piaget
was a Swiss psychologist and developmental theorist known for his theory of cognitive development. His theory is based on the belief that children learn best through interactions with others, and it breaks down human development into sensorimotor, preoperational, concrete operational, and formal operational stages
Jean Piaget - Senosorimotor
Birth to 18–24 months old
Motor activity without use of symbols. All things learned are based on experiences, or trial and error.
Goal: Object Permanance
Jean Piaget - Preoperational
2 to 7 years old
Development of language, memory, and imagination. Intelligence is both egocentric and intuitive.
Goal: Symbolic thought
Jean Piaget - Concrete Operational
7 to 11 years old
More logical and methodical manipulation of symbols. Less egocentric, and more aware of the outside world and events.
Goal: Operational thought
Jean Piaget - Formal Operational
Adolescence to adulthood
Use of symbols to relate to abstract concepts. Able to make hypotheses and grasp abstract concepts and relationships.
Goal: Abstract concepts
Sigmund Freud is best known for:
his development of psychoanalysis and psychoanalytic theory.
John Bowlby is notable for:
hisdevelopment ofattachment theory and a focus on relationships in early childhood.
John Crites’ model of career counseling is:
a comprehensive approach that requires the counselor to make three diagnoses of the problem. These diagnoses include differential (what are the problems?), dynamic (why have the problems occurred?), and decisional (how are the problems being dealt with?). Crites also believed that once the career problem has been diagnosed, the counselor should provide client-centered counseling, psychodynamic techniques, and trait-factor and behavioral approaches.
John Krumboltz developed :
the learning theory of career counseling (LTCC), based on Bandura’s social learning theory. Because learning experiences over an individual’s lifetime influence career choice, the career counselor may need to challenge the individual’s beliefs and generalizations.
Jean Piaget is known for :
his work studying cognitive development in children and adults. Piaget used the term “schema” to refer to mental structures that process information, perceptions, and experiences.
The Dance of Intimacy(1990), Harriet Lerner:
presents the idea that women need to seek to establish a healthy balance between investment in others and investment in oneself. Lerner stresses the point that relationships should be based on mutual respect and appreciation, and that women should be independent and assertive.