Brief Therapies Flashcards

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1
Q

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,

A

Interpersonal Process Therapy (IPT)

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2
Q

Brief Therapies

list 6 interventions used in IPT

A
  1. psychoed
  2. psychiatric medication
  3. encouragement of affect
  4. communication analysis
  5. decision analysis
  6. role playing
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3
Q

Brief Therapies

focus of the initial stage of IPT

A

determine the interpersonal context of client’s symptoms & diagnosis
* this info informs treatment focus & identifies the primary problem area

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4
Q

Brief Therapies

focus of the middle stage of IPT

A

address identified problem area using IPT interventions

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5
Q

Brief Therapies

focus of the final stage of IPT

A

address issues related to termination & relapse prevention

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6
Q

Brief Therapies

this brief therapy approach incorporates 6 stages of change; name the approach & list these stages

A

Transtheoretical or Stage Model of Change
Stage 1: precontemplation
Stage 2: contemplation
Stage 3: preparation
Stage 4: action
Stage 5: maintenance
Stage 6: termination

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7
Q

Brief Therapies

a person in Stage 2 of the Transtheoretical/Stage Model of change is likely to start changing their behavior within what timeframe?

A

6 months

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8
Q

Brief Therapies

a person in stage 3 of the Transtheoretical/Stage Model of change is likely to start changing their behavior within what timeframe?

A

1 month

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9
Q

Brief Therapies

a person in Stage 5 of the Transtheoretical/Stage Model of change has maintained changes in their behavior for what timeframe?

A

6 months

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10
Q

Brief Therapies

a person in Stage 6 of the Transtheoretical/Stage Model of change has maintained changes in their behavior for what timeframe?

A

5 years

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11
Q

Brief Therapies

list interventions used in Stage 1 of the Transtheoretical/Stage Model

A
  • consciousness raising
  • dramatic relief - experiencing & expressing emotions
  • environmental reevaluation (examining how the environment affects behavior)
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12
Q

Brief Therapies

list interventions used in Stage 2 of the Transtheoretical/Stage Model

A

self-reevaluation (evaluating how they feel about a situation)

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13
Q

Brief Therapies

list interventions used in Stage 3 of the Transtheoretical/Stage Model

A

self-liberation (believing change is possible & committing to it

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14
Q

Brief Therapies

list interventions used in Stage 4 of the Transtheoretical/Stage Model

A
  • contingency management
  • stimulus control
  • counterconditioning
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15
Q

Brief Therapies

the Transtheoretical/Stage Model of change assumes what 3 factors affect motivation to change?

A

1) decisional balance
2) self-efficacy
3) termination

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16
Q

Brief Therapies

in the Transtheoretical/Stage Model of change, what is the most important determinant of motivation during Stage 2, contemplation?

A

decisional balance

17
Q

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)?

A

self-efficacy

18
Q

Brief Therapies

goal of this brief therapy approach is to help find solutions to problems

A

Solution-Focused Therapy

19
Q

Brief Therapies

characteristics of Solution-Focused Therapy

A

collaborative
goal-directed

20
Q

Brief Therapies

list interventions used in Solution-Focused Therapy

A
  • miracle question
  • scaling questions
  • providing feedback to client
  • assigning tasks for client to complete between sessions
21
Q

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

A

Motivational Interviewing (MI)

22
Q

Brief Therapies

Motivational Interviewing is an integration these theories/characteristics

A

Roger’s Person-Centered approach
Prochaska & DiClemente’s Transtheoretical Model
Bandura’s notion of self-efficacy
Festinger’s cognitive dissonance

23
Q

Brief Therapies

Motivational Interviewing is considered most effective for reducing the resistance & ambivalence of clients in what stage(s) of change?

A

precontemplation OR contemplation

24
Q

Brief Therapies

list 5 interventions used in Motivational Interviewing

A

evoking hope & confidence
eliciting & strengthening change talk
reducing sustain talk
resolving discord
decisional balance

25
Q

Brief Therapies

describe the intervention evoking hope & confidence

Motivational Interviewing

A

developing descrepancy by helping clients see difference between their behaviors & their values & goals

26
Q

Brief Therapies

describe and give an example of the intervention eliciting & strengthening change talk

Motivational Interviewing

A

statements that favor change

“I’d probably feel a lot better if I stopped smoking.”

27
Q

Brief Therapies

describe and give an example of the intervention reducing sustain talk

Motivational Interviewing

A

statements that maintain the status quo

“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.”

28
Q

Brief Therapies

describe and give an example of the intervention resolving discord

Motivational Interviewing

A

statements that signal dissonance in the therapist-client relationship

“You just don’t understand what I’m going through.”

29
Q

Brief Therapies

describe the intervention decisional balance (DB) & when it’s most useful to use DB

Motivational Interviewing

A

making a pros and cons list of behavior change

when the clinician’s goal is to maintain a neutral position about the direction of change while assessing client’s readiness for change

30
Q

Brief Therapies

when is using the intervention decisional balance contraindicated and why?

Motivational Interviewing

A

to resolve ambivalence
because identifying the negative consequences of a behavior may lead client to be less willing to take steps to change

31
Q

Brief Therapies

list 3 ways that the versions of Brief Psychodynamic Psychotherapy differ

A
  • their explanations for the developmentn of psychological problems
  • their focus in therapy (unconscious conflicts VS dysfunctional interactional patterns)
  • their specific techniques
32
Q

Brief Therapies

list 3 similarities between all versions of Brief Psychodynamic Psychotherapy

A

all assume change can occur during the brief therapeutic process OR that therapy can begin a change process that will continue after therapy ends
all agree that therapy should have limited goals that are agreed on by client & therapist
all believe that this approach is only appropriate for clients who can benefit from insight-oriented therapy & who are able to form a therapeutic relationship

33
Q

Brief Therapies

characteristics of practitioners across all versions of Brief Psychodynamic Psychotherapy

A

all adopt an active role to quickly establish rapport & ensure therapy stays focused on major issues so goals can be met within time limits

all emphasize the development of positive (vs. negative) transference

all may rely more on exploration or education than on interpretation

all address loss, separation, & other concerns related to termination early in treatment