ASWB LCSW- Development, Theories & Treatment Modalities Flashcards
Units I & II
Salient
Powerful / not diluted
Evidence Based Social Work
Decision making based on the conscious, explicit and judicious use of research knowledge clinical expertise social work values and client wishes
Stages of Change
precontemplation, contemplation, preparation, action, maintenance, and relapse
Ethical Problem Solving Steps (6)
Identify what is compromised Determine the problem weigh ethical issues suggest modifications, implement modifications monitor for new issues All while not relying on supervisor
Delusion
false, fixed belief despite evidence to contrary (believing something that is not true)
Formative Study
Handing out surveys about service delivery to those participating in trx currently allowing for feedback
Summative Study
Handing out surveys about outcomes to those who have completed trx previously
Stratification
Structured inequility, entire categories of people in society with unequal access to social rewards
Danger to Self (Risks)
Hx of self harm/ SI, Lack of Support, Presence of Psychiatric Dis. Substance use, exposure to SI behaviors, access to lethal means
Danger to Self (Protective)
Clinical Care, access to clinical support, no access to lethal means, family/ friend support, coping skills, cultural / religious beliefs discouraging SI
Category of medications for Social Anxiety Disorder
SSRI’s are prescribed first used to treat depression medications like: Zoloft
Valuim
Benzodizapine: treat anxiety but are normally PRN as they are habit forming
Mellaril
Antipsychotic Medications for psychosis
Thorazine
Antipsychotic Medications for psychosis
Trust VS. Mistrust (Erickson)
1st Stage: children learn the ability to trust other based upon the consistency of their caregivers
Autonomy VS. Shame Doubt
2nd Stage: Toddlers assert independence, if supported they become confident. If they are critized, overly controlled they feel inadequate, dependent on others
Initative VS. Guilt
3rd Stage: Children start to play and initiate with others, if squeled through critism or control they develop guilt lack self initiative and feel like a nuisance
Industry VS. Inferiority
4th Stage: Children entering puberty, develop pride in accomplishments, confidence in taking initiative, if not they become followers, feel like they are inferior not reaching potential.
Identity VS. Role Confusion
5th Stage: Adolesence time for exploration on who they are creating identity and figuring out what their future may look like: School/ Career/ relationships etc.
Intimacy VS. Isolation
6th Stage: Early Adulthood creating and maintening longer more meaningful relationships outside family OR becoming mistrusting, fearing and isolated.
Generativity VS. Stagnation
7th Stage: Middle Adulthood, generating family, work and productivity in community OR feeling of unproductivity or stagnation
Ego Integrity VS. Despair
8th Final Stage: Elderly look upon their life with a sense of accomplishment and satisfaciton in their life’s productivity OR they are unsatisfied and feeling time wasted.
S.O.A.P
Subjective, Objective, Assessment and Plan
Aphasia
Difficulty using language to speak or write.
Cultural Changes DSM 5
there is recognition that every disorder is inherity culture-bound. DSM 5 now has cultural syndromes, cultural idioms, and cultural explanations to help diagnosis
In the event you must give court / legal client information you should
Attempt to contact the client about the disclosure of the information.
In the event you share information after using a client consent form you should also
Attempt to contact the client about the sharing of the information.
Paradoxical Intent or directive
Strategic Family Therapy: When Counselor prescribes or tells client to continue symptomatic behavior so they realize their control over it.
Differation
Bowenian Family Trx- Differentiation is theprocess of freeing yourself from your family’s processes to define yourself. This means being able to have different opinions and values than your family members, but being able to stay emotionally connected to them.
Emotional Fusion
SFT
Counter to Differentiation, when family members share a emotional response, result of poor interpersonal boundaries. No room for emotional autonomy.
Relabeling Paradigm
STF
Renaming the problem or person so situation can be viewed differently
First Order Changes
“Strategic Family Trx”
Strategic Family Trx- superficial behavior changes within system that do not change the structure
Second Order Changes
SFT
Strategic Family Trx - Changes to system pattern to reorganize and function more effectivily
Pretend Technique
SFT
Strategic Family Trx- encouraging family members to pretend, voluntery control over behavior
Strategic Family Therapy
Can be active, brief and direct. More interested in changing behavior not understanding. Alters the cycle that keeps symptomatic behavior
Advance Directives (Medicare & Medicaid) for health care facilities (REDD)
Inform clients of & allow clients to Rights Educate Decision making Documentation ...all in regards to Advanced directives
Partializing Techniques
Assisting client to break down problem or goals into less complex issues into simpler ones.
Inhibit
Hinder or restrain
Universalism
Based on ONLY ONE acceptable norm or standard for everyone. Hinders Therapeutic relationship because it will not accept the many valid norms / standards of clients.
Psychoanalytic Theory
Client is seen as product of past, believe that personality/behavior derive from constant unique interactions between levels of awareness conscious, pre-conscious and unconscious AND that personalities are made from Id, Ego and Super Ego
Social Exchange
Based on totaling benefits and losses to determine behavior. (i.e battered client will leave abusive relationship when alt is seen better) Rewards outweigh costs.
Covert Modeling
Clients are asked to use imagination, visualize the desired behavior.
Self-modeling
when clients are videotaped demonstrating the behavior and this tape is watched and discussed
Live Modeling
Watching a live person performing the desired behavior
Symbolic Modeling
Watching others who have been video tapped perform the desired behavior.
DSM - “Other Specified”… used when
…When the social worker provides a reason why a condition does not qualify for a disorder.
Reintegration for SUD High Risk
- Regular assessment / service determination 2. Natural / Peer supports 3. F/U on success of discharge plan
Displacement
Directing feeling toward a person or situation that is not the source of the emotion. (man angry with boss kicks his dog)
Projection
Placing one’s own disowned attitudes, behaviors, wishes and feelings onto another external object or person
Reaction formation
When a person takes on affect, behaviors and attitudes which are not congruent of how they actual feel ( Mary is angry but speaks very sweetly to mask her anger)
Conversion
repressed urge transforming into physical distrubance (pain, blindness, paralysis)
Devaluation
When a person attributes exagerrated negative qualities onto self or another
Repression
Banishing or forgetting impluses which are thought to be unnacceptable from consciousness
Regression
resorting to previous behaviors learned in infancy
Splitting
When a client (Normally Boarderline) will percieve people and self as all bad or all good
Sublimation
Channeling maladaptive behaviors into sociall acceptable and adaptive activities ( angry person channels into atheltics)
Transference
The redirection of feelings for a significant person onto the social worker (manifests in attraction, rage, dependence, etc)
Counter Transference
When a social worker transfers their own feelings onto a client due to past connection or trigger (feeling familiar with client, or situation)
Freud’s Sexual Stages
- Oral (1yrs) 2. Anal (2yrs) 3. Phallic (3-5yrs) 4. Latency (5-puberty) 5. Genital (begins at puberty)
Projective Test
Psychoanalytical approach seeking unconscious thoughts, using scenes word and images
Dichotomous Thinker
Spirituality: Last stage where people come to a deeper understanding of good and evil and integrate their beliefs into their worldview and behavior