Brief Therapies Flashcards
Brief Therapies
goals of this brief therapy are to reduce symptoms & improve interpersonal functioning
treatment explores current roles & relationships while focusing on role disputes, role transitions, interpersonal deficits, and/or unresolved grief
goals,
Interpersonal Process Therapy (IPT)
Brief Therapies
list 6 interventions used in IPT
- psychoed
- psychiatric medication
- encouragement of affect
- communication analysis
- decision analysis
- role playing
Brief Therapies
focus of the initial stage of IPT
determine the interpersonal context of client’s symptoms & diagnosis
* this info informs treatment focus & identifies the primary problem area
Brief Therapies
focus of the middle stage of IPT
address identified problem area using IPT interventions
Brief Therapies
focus of the final stage of IPT
address issues related to termination & relapse prevention
Brief Therapies
this brief therapy approach incorporates 6 stages of change; name the approach & list these stages
Transtheoretical or Stage Model of Change
Stage 1: precontemplation
Stage 2: contemplation
Stage 3: preparation
Stage 4: action
Stage 5: maintenance
Stage 6: termination
Brief Therapies
a person in Stage 2 of the Transtheoretical/Stage Model of change is likely to start changing their behavior within what timeframe?
6 months
Brief Therapies
a person in stage 3 of the Transtheoretical/Stage Model of change is likely to start changing their behavior within what timeframe?
1 month
Brief Therapies
a person in Stage 5 of the Transtheoretical/Stage Model of change has maintained changes in their behavior for what timeframe?
6 months
Brief Therapies
a person in Stage 6 of the Transtheoretical/Stage Model of change has maintained changes in their behavior for what timeframe?
5 years
Brief Therapies
list interventions used in Stage 1 of the Transtheoretical/Stage Model
- consciousness raising
- dramatic relief (experiencing & expressing emotions)
- environmental reevaluation (examining how the environment affects behavior)
Brief Therapies
list interventions used in Stage 2 of the Transtheoretical/Stage Model
self-reevaluation (evaluating how they feel about a situation)
Brief Therapies
list interventions used in Stage 3 of the Transtheoretical/Stage Model
self-liberation (believing change is possible & committing to it
Brief Therapies
list interventions used in Stage 4 of the Transtheoretical/Stage Model
- contingency management
- stimulus control
- counterconditioning
Brief Therapies
the Transtheoretical/Stage Model of change assumes what 3 factors affect motivation to change?
1) decisional balance
2) self-efficacy
3) termination
Brief Therapies
in the Transtheoretical/Stage Model of change, what is the most important determinant of motivation during Stage 2, contemplation?
decisional balance
Brief Therapies
in the Transtheoretical/Stage Model of change, what is the most important determinant of whether a person transitions from the contemplation stage (stage 2) to the preparation stage (stage 3) and then to the action stage (stage 4)?
self-efficacy
Brief Therapies
goal of this brief therapy approach is to help find solutions to problems
Solution-Focused Therapy
Brief Therapies
characteristics of Solution-Focused Therapy
collaborative
goal-directed
Brief Therapies
list interventions used in Solution-Focused Therapy
- miracle question
- scaling questions
- providing feedback to client
- assigning tasks for client to complete between sessions
Brief Therapies
this brief therapy approach is often paired with the Transtheoretical/Stage Model of Change approach and goals include helping clients overcome ambivalence and resistance
Motivational Interviewing (MI)
Brief Therapies
Motivational Interviewing is an integration of these 4 theories/concepts
Roger’s Person-Centered approach
Prochaska & DiClemente’s Transtheoretical/Stages of Change Model
Bandura’s notion of self-efficacy
Festinger’s cognitive dissonance
Brief Therapies
Motivational Interviewing is considered most effective for reducing the resistance & ambivalence of clients in what stage(s) of change?
precontemplation OR contemplation
Brief Therapies
list 5 interventions used in Motivational Interviewing
evoking hope & confidence
eliciting & strengthening change talk
reducing sustain talk
resolving discord
decisional balance
Brief Therapies
this MI intervention refers to developing discrepancy by helping clients see differences between their behaviors & their values & goals
evoking hope & confidence
Brief Therapies
this MI intervention refers to statements that favor change (e.g., I’d probably feel a lot better if I stopped smoking”)
eliciting & strengthening change talk
Brief Therapies
this MI intervention refers to statements that maintain the status quo (e.g., “I’m not ready to stop smoking” or “I don’t know why everyone else wants me to stop smoking. It doesn’t effect them.”)
reducing sustain talk
Brief Therapies
this MI intervention refers to statements that signal dissonance in the therapist-client relationship (e.g., “You just don’t understand what I’m going through.”)
resolving discord
Brief Therapies
this MI intervention is most useful when the clinician’s goal is to maintain a neutral position about the direction of change while assessing client’s readiness for change and refers to making a pros & cons list of behavior change
decisional balance (DB)
Brief Therapies
when is using the intervention decisional balance contraindicated and why?
to **resolve ambivalence **
because identifying the negative consequences of a behavior may lead client to be less willing to take steps to change
Brief Therapies
list 3 ways that the versions of Brief Psychodynamic Psychotherapy differ
- their explanations for development of psychological problems
- their focus in therapy (unconscious conflicts VS dysfunctional interactional patterns)
- their specific techniques
Brief Therapies
list 3 similarities between all versions of Brief Psychodynamic Psychotherapy
- all assume change can occur during brief therapeutic process
OR
that therapy can begin a change process that will continue after therapy ends - collaboratively develop & focus on limited goals
- all believe that this approach is only appropriate for clients who:
a) can benefit from insight-oriented therapy
b) are able to form a therapeutic relationship
Brief Therapies
characteristics of practitioners across all versions of Brief Psychodynamic Psychotherapy
- all adopt an active role to quickly establish rapport & goal-oriented
- all emphasize development of positive (vs. negative) transference
- all may rely more on exploration or education than on interpretation
- all address issues related to termination early in treatment (e.g., loss, separation)
