Brief therapies Flashcards

1
Q

IPT founders

A

Klerman and Weissman

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2
Q

IPT view of maladaptive behavior

A

related to problems in social roles and interpersonal relationships that are traceable to lack of strong early attachments

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3
Q

IPT used for

A

depression, bpd, bulimia, substance abuse

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4
Q

IPT problem areas

A

unresolved grief, interpersonal role disputes, role transitions, interpersonal deficits

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5
Q

IPT influences

A

Meyer’s psychobiological
Sullivan’s interpersonal theory
Bowlby’s attachment

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6
Q

IPT therapy stages

A

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

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7
Q

Solution-focused therapy assumption

A

you get more of what you talk about - focus on solutions

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8
Q

Solution-focused view of maladaptive behavior

A

understand etiology is irrelevant, focus on solutions

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9
Q

Solution-focused goals

A

client is expert, use questions to assist client in recognizing strengths to achieve goals

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10
Q

Solution-focused techniques

A

miracle question, exception question, scaling question

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11
Q

Transtheoretical model - 10 change processes

A
consciousness raising
self liberation
social liberation
dramatic relief
self-reevaluation
counterconditioning
environmental reevaluation
reinforcement management
stimulus ontrol
helping/supportive relationships
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12
Q

Transtheoretical view of maladaptive bx

A

no etiology or characteristics, instead focus on facilitation of behavior change

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13
Q

Transtheoretical stages of change

A
PCPAMT: politically correct people are message troublemakers
precontemplation
contemplation
preparation
action
maintenance
termination
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14
Q

precontemplation stage

A

little insight into need for change, no intention; denial about problem, uninformed

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15
Q

contemplation stage

A

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

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16
Q

preparation stage

A

intends to take action in immediate future, realistic plan of action

17
Q

maintenance stage

A

maintained change for at least 6 months, taking steps to prevent relapse

18
Q

termination stage

A

can resist temptation and confident no risk for relapse

19
Q

Interventions for precontemplation and contemplation stage

A

consciousness raising, dramatic relief, environmental reevaluation

20
Q

interventions for action/maintenance stages

A

helping relationships, counterconditioning, reinforcement management, stimulus control

21
Q

Transtheoretical mediating variables

A

decisional balance, self-efficacy, temptation

22
Q

decisional balance

A

strength of pros/cons of problem behavior, important in contemplation stage

23
Q

self-efficacy

A

confidence of ability to cope with high-risk situations, important for move from contemplation to preparation and preparation to action

24
Q

temptation

A

intensity of urges to engage, inversely related to self-efficacy; high during initial, lower in later stages

25
Q

Brief therapies?

A

IPT, solution-focused, transtheoretical, MI

26
Q

Motivational interviewing view of maladaptive bx

A

no focus on etiology but instead on factors that impede ability to change behavior

27
Q

Motivational interviewing goal

A

enhance client’s intrinsic motivation to alter behavior by examining ambivalence

28
Q

Motivational interviewing strategies

A

express empathy
develop discrepancies between current behavior and personal goals/values
roll with resistance
support self-efficacy

29
Q

MI microskills

A

OARS:
open-ended questions
affirmations to express understanding and empathy
reflective listening: restatements, paraphrasing, reflection of feeling
summaries