Brief therapies Flashcards
Interpersonal psychotherapy (IPT) focuses on _____
interpersonal factors that contribute to current sx
ITP is based on the medical model - T/F?
TRUE
ITP goals?
sx relief, interpersonal fx
Who dev ITP?
Klerman, Weissman
ITP was created to treat what?
depression
ITP only treats depression
FALSE
ITP: 3 stages
1- T determines the C dx and interpersonal context of their sx to identify PRIMARY PROBLEM AREA
2-T uses strategies to address the problem area
3- T addresses issues related to termination and relapse
ITP: “sick role”?
in first phase of tx the client is in “sick role” to help them to externalize their problems rather than blame themselves
ITP: Strategies?
decision analysis, encouragement of affect, role play, communication analysis
Solution focused therapy focuses on solutions to problems rather than _____
etiology
SFT: Uses questions to help clients identify their goals/strengths and resources that will help them achieve goals -T/F
true
SFT: types of questions
miracle question, exception question, sclaing question
miracle question example
“if a miracle happened in the night and your problem was solved, how would you know the miracle happened?”
scaling question example
on a scale of 1-10, how stressed are you now?
exception questions
used to help clients identify times their problem did not exist - for example “can you remember a time you and your partner did not argue?
TRANSTHEORETICAL MODEL
Integrates concepts and strategies from multiple approaches and is based on the assumption that strategies are most effective when they match a person stage of change
Transtheoretical model - how many stages?
6
stage 1 of transtheoretical model?
precontemplation - no plan to take action within next 6 mo; might be in denial
what helps with precontemplation?
dramatic relief (expressing emotions) and thinking about how env effects them
stage 2 of transtheoretical model?
contemplation - plan to change but are ambivalent
what helps in contemplation stage
re-evaluating how they feel about the situation
stage 3 of transtheoretical model
preparation - plan to change/take action within the next month
stage 4 of transtheoretical model
action - taking actions to change
strategies for action stage?
stimulus control, counterconditioning
stage 5 of transtheoretical theory?
maintenance - when they have maintained this change for 6 months
what helps with maintenance stage?
focus is relapse prevention
termination stage is which # stage?
6th stage
transtheoretical model - 3 factors that affect motivation to change?
-decisional balance
-self-efficacy
-temptation
what is decisional balance (trantheoretical model)?
the strength of their beliefs about pros/cons of changing and it is most important determination of motivation during contemplation change
what is self-efficacy important for? moving from what stage to what?
transition from contemplation tot he preperation stage and then from preparation to action
how does temptation effect motivation for change?
intensity of urges - usually strongest in beginning
motivational interviewing (MI) was first developed for what disorder?
substance use
how is MI similiar to transtheoretical model?
assumes interventions are most effective when they match the clients change of stage
using transtheoretical model - when is MI most effective?
precontemplation and contemplation - helping ppl realize it’s time to change
MI consists of 4 processes. what are they?
engaging, focusing, evoking, planning
MI: engaging?
establishing a productive working therapist client relationship
MI: focusing?
process of identifying targets of change
MI: Evoking?
eliciting the clients own motivation for change
MI: Planning?
consolidating the clients commitment to change and developing a plan of action to accomplish desired change
Evoking strategies for MI
Brainstorming, reframing, reiewing past successes
MI: what is change talk?
statements that favor change (“I’d be healthier if i quit smoking”
MI: Sustain talk?
statements that favor maintaining the status quo (“i’m not ready to stop smoking”)
MI: Discord?
dissonance in therapist client relationship (“you don’t understand what I’m going through”)
T/F - You can only use MI as a standalone tx
FALSE
Brief psychodynamic psychotherapies assume that change can occur during a brief process or that therapy can begin a change process that will continue after therapy ends - T/F
TRUE
Brief psychodynamic psychotherapies agree therapy should have limited goals agreed upon in the initial stage of therapy
false - initial SESSION not stage
Brief psychoedynamic therapies - what kind of clients would benefit?
insight-oriented, have therapeutic alliance
brief psychodynamic psychotherapy believe in the development of positive transference and rely on education and exploration more than interpretation - T/F
true
