Brief therapies Flashcards
IPT founders
Klerman and Weissman
IPT view of maladaptive behavior
related to problems in social roles and interpersonal relationships that are traceable to lack of strong early attachments
IPT used for
depression, bpd, bulimia, substance abuse
IPT problem areas
unresolved grief, interpersonal role disputes, role transitions, interpersonal deficits
IPT influences
Meyer’s psychobiological
Sullivan’s interpersonal theory
Bowlby’s attachment
IPT therapy stages
initial: assessment of diagnosis and interpersonal context
middle: strategies including encouragement of affect, communication analysis, modeling, role-play to establish new ways of interacting
end: review progress, discuss termination, relapse prevention
Solution-focused therapy assumption
you get more of what you talk about - focus on solutions
Solution-focused view of maladaptive behavior
understand etiology is irrelevant, focus on solutions
Solution-focused goals
client is expert, use questions to assist client in recognizing strengths to achieve goals
Solution-focused techniques
miracle question, exception question, scaling question
Transtheoretical model - 10 change processes
consciousness raising self liberation social liberation dramatic relief self-reevaluation counterconditioning environmental reevaluation reinforcement management stimulus ontrol helping/supportive relationships
Transtheoretical view of maladaptive bx
no etiology or characteristics, instead focus on facilitation of behavior change
Transtheoretical stages of change
PCPAMT: politically correct people are message troublemakers precontemplation contemplation preparation action maintenance termination
precontemplation stage
little insight into need for change, no intention; denial about problem, uninformed
contemplation stage
aware of need for change, intends to take action within 6 months, but not committed; aware of pros and cons; remain here for extended time
preparation stage
intends to take action in immediate future, realistic plan of action
maintenance stage
maintained change for at least 6 months, taking steps to prevent relapse
termination stage
can resist temptation and confident no risk for relapse
Interventions for precontemplation and contemplation stage
consciousness raising, dramatic relief, environmental reevaluation
interventions for action/maintenance stages
helping relationships, counterconditioning, reinforcement management, stimulus control
Transtheoretical mediating variables
decisional balance, self-efficacy, temptation
decisional balance
strength of pros/cons of problem behavior, important in contemplation stage
self-efficacy
confidence of ability to cope with high-risk situations, important for move from contemplation to preparation and preparation to action
temptation
intensity of urges to engage, inversely related to self-efficacy; high during initial, lower in later stages
Brief therapies?
IPT, solution-focused, transtheoretical, MI
Motivational interviewing view of maladaptive bx
no focus on etiology but instead on factors that impede ability to change behavior
Motivational interviewing goal
enhance client’s intrinsic motivation to alter behavior by examining ambivalence
Motivational interviewing strategies
express empathy
develop discrepancies between current behavior and personal goals/values
roll with resistance
support self-efficacy
MI microskills
OARS:
open-ended questions
affirmations to express understanding and empathy
reflective listening: restatements, paraphrasing, reflection of feeling
summaries
