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Clinical Psych > Ch. 8 Lec > Flashcards

Ch. 8 Lec Flashcards

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1
Q

have to … a client/… them when you first meet them to understand the form of treatment you will be providing

A

assess;

diagnose

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2
Q

assessment:
- …
- …
- …

A

reliability;
validity;
clinical utility

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3
Q

assessment:
- reliability: a test that can give us …
- validity: test should measure …

A

consistent results of a diagnosis;

what it’s supposed to

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4
Q

assessment:
clinical utility: can improve delivery of services through a … –> therapists can only work within scope of … and practice and must be …

A

competent licensed professional;
training;
licensed

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5
Q

have to appreciate … of clients, and understand and know our culture first, as well as what we think/feel and what we like/dislike about our own culture
- if something bothers you about someone else’s culture, you have to look … and figure out what it is that makes you uncomfortable with that culture. May also be an … like racism that you were raised with. Must work with that on your own.

A

cultural context;
inward;
unconscious force;

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6
Q

it’s ok to acknowledge …, even openly, with client

A

cultural differences

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7
Q

most frequently used tool by psychologist is the …. Involves specific skills and specific behaviors

A

clinical interview

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8
Q 
(clinical interview - skills and behaviors)
general skills: 
- ...
- being ...
- develop ... (i.e. ...)
A

quieting yourself;
being self-aware;
positive working relationship; therapeutic rapport

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9
Q

(clinical interview - skills and behaviors)
general skills - quieting yourself:
- must … when in therapy with client
- can’t allow … to interfere with client –> must focus on client

A

quiet your mind;

inner voice

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10
Q

(clinical interview - skills and behaviors)
general skills - being self-aware;
- being aware of one’s own …
- this is partly why therapists should be …
- recognizing how you felt when you were … can help understand how the client is feeling

A

unique traits;
in therapy as well;
in therapy

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11
Q

(clinical interview - skills and behaviors)
general skills - being self-aware
- also have to know how we … How do other people generally …? what is it about us that can impact how others …?

A

affect others;
react to you;
react to us

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12
Q

(clinical interview - skills and behaviors)
develop positive working relationship
- must be …, … –> this is why therapists …

A

attentive;
active listener;
take notes (occasional notes)

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13
Q

(clinical interview - skills and behaviors)
develop positive working relationship:
- have to demonstrate … - trying to feel what client feels
- genuine … - must be … with clients and respect them and their …

A

respect;
genuine;
culture

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14
Q 
(clinical interview - skills and behaviors)
specific behaviors: 
- ... 
- ... 
- ... 
- ...
A

eye contact;
body language;
vocal qualities;
verbal tracking

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15
Q

(clinical interview - skills and behaviors)
specific behaviors - eye contact:
- some cultures view eye contact as a sign of …
- it’s ok if client doesn’t want to …
- eye contacts shows that we are …

A

disrespect;
look them in the eye;
listening

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16
Q

(clinical interview - skills and behaviors)
specific behaviors - eye contact:
- if it’s not cultural, lack of eye contact can be due to …/…, they could be on … (specifically …)

A

embarrassment/shame;
autism spectrum;
Asperger’s

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17
Q

(clinical interview - skills and behaviors)
specific behaviors - body language:
- …
- appearing …
- using appropriate …
- therapists can … too (can’t deny …)

A 
facing client; 
attentive; 
facial expressions; 
express their emotions; 
humanity
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18
Q

(clinical interview - skills and behaviors)
specific behaviors - vocal qualities:
- how our words …
- … is calming

A

sound to the client;

quiet talking

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19
Q

(clinical interview - skills and behaviors)
specific behaviors - vocal qualities:
- sometimes clients yell/escalate - responding in a … fashion can be helpful
- clients may be sensitive to …
- want to have a …/… voice when talking to them

A

quieter;
loud talking;
calm/soothing

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20
Q

(clinical interview - skills and behaviors)
specific behaviors - verbal tracking:
- shows client that we are following …
- … what client says - don’t …, though

A

their train of though;
paraphrase;
mechanically repeat

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21
Q

components of the interview:

  • ….
  • …
A

rapport;

technique

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22
Q

(components of the interview)

rapport:
- relationship with clients –> should be …, …, characterized by …/….

A

positive;
calming;
trust/genuineness

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23
Q

(components of the interview)

rapport:
- relationship with clients –> extremely important for …
- therapist must …

A

positive therapeutic outcomes;

create that therapeutic relationshp

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24
Q

(components of the interview)

rapport:
- good rapport = … and need to connect with clients in a …

A

good connection;

positive way

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25
Q

(components of the interview)
how to build rapport?:
- need to put client …. –> openly recognize if they’re showing signs of …
- can acknowledge … of the situation

A

at ease;
distress;
weirdness

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26
Q

(components of the interview)
how to build rapport?:
- can acknowledge weirdness of situation –> e.g. clients getting uneasy when asked about sexual abuse, therapist can say “this question seems very uncomfortable for you and we don’t have to answer it right now” –> recognizing … of situation
- pay attention to how client … as well

A

uniqueness;

uses language

27
Q

(components of the interview)
how to build rapport?:
pay attention to how client uses language as well
-… as best we can
- can’t use … with clients
- follow their lead
- it’s ok to acknowledge if you don’t … (e.g. if they’re using slange, pop culture references, etc) –> can ask for …

A

speak their language;
psychological jargon;
know what they mean;
clarification

28
Q

(components of the interview)

technique:
- what we do with client
- … vs … styles

A

directive;

nondirective

29
Q

(components of the interview)

technique:
- directive: asks clients specifically … –> questions that are …

A

yes or no questions;

closed-ended

30
Q

(components of the interview)

technique:
nondirective: allows clients to …. –> questions that are …

A

determine the course of the interview;

open-ended

31
Q

(specific interview responses):

  • … vs … questions
  • ….
  • ….
A

open ended; closed ended;
clarification;
confrontation

32
Q

(specific interview responses):

  • …
  • …
  • …
A

paraphrasing;
reflection of feeling;
summarizing

33
Q

(specific interview responses):
open ended vs closed ended questions:
- open ended = … –> allow for …, … responses

A

nondirective;

individualized; spontaneous

34
Q

(specific interview responses):
open ended qs:
- can use these to ask some questions in a more … way (e.g. instead of asking if you have delusions/hallucinations, can ask do you see/hear other things that other people don’t)

closed ended qs = … –> less …., less …

A

“user-friendly”;
elaboration;
self-expression

35
Q

(specific interview responses):

clarification:
- have to make sure we understand what the client is saying, that we have an accurate understanding of their … and …
- can ask them to … if there’s a missing gap with anything too

A

comments; experiences;

clarify

36
Q

(specific interview responses):

confrontation:
- when clients either … or …
- confronting ….

A

lie to you;
contradict themselves;
contradictory info

37
Q

(specific interview responses):

paraphrasing:
- not used to …/…
- communicates to clients that we ….

A

new ground; get new ideas;

understand what they are saying

38
Q

(specific interview responses):

paraphrasing:
- …, not …, what they said
- helps build …

A

summarizing;
repeating;
positive working relationship

39
Q

(specific interview responses):
reflection of feeling:
- reflects feelings of their …
- “you seem angry. did you recognize that you were angry?” –> some people don’t …

A

emotions;

recognize their emotions

40
Q

(specific interview responses):

summarizing:
- tying everything together and talking about …
- typically happens at …

A

what you want to follow up with;

end of session

41
Q

pragmatics of the interview:

  • …
  • …. and …
  • the …
  • …
A

note-taking;
audio; video recording;
interview room;
confidentiality

42
Q

pragmatics of the interview:
note-taking:
- depends on therapist –> some remember everything, some ….
- taking notes profusely the whole time can be a …; might make you miss … if not looking at client
- others write … until session is over

A

write a lot;
barrier;
nonverbal cues;
nothing

43
Q 
pragmatics of the interview: 
audio and video-recording: 
- generally, you don't do this 
- if you have to record, which is usually only for ..., must get ... from client and you have to explain to them what the recording is being used for 
- afterward, have to ...
A

training purpose;
written permission;
destroy the recording

44
Q

pragmatics of the interview:
audio and video-recording:
- being recorded might cause …. - someone acting differently bc they know they’re being watched –> can hinder client’s … and willingness to …

A

reactivity;
openness;
disclose certain info

45
Q 
pragmatics of the interview: 
the interview room: 
- must strike a balance between ... and ... 
- earth tones/warm, ... tones on wall 
- not too many ..., etc
A

professional formality;
casual comfort;
neutral;
pictures

46
Q

pragmatics of the interview:
the interview room:
- don’t want to have … in office –> these can interfere with therapy and may make the client …

A

personal things;

uncomfortable

47
Q

pragmatics of the interview:
confidentiality –> have to inform clients of this
- explaining that confidentiality will be broken if they’re …/…, …/…

A

abusing someone/being abused;

suicidal/homicidal

48
Q

pragmatics of the interview:
confidentiality:
explaining that confidentiality will be broken if they’re abusing someone/being abused, suicidal/homicidal:
- but also explaining that having … is normal and talking about it is ok –> it’s about having the … and …

A

suicidal/homicidal thoughts;
intent;
means to do so

49
Q

pragmatics of the interview:
confidentiality
- but also explaining that having suicidal/homicidal thoughts is normal and talking about it is ok
- it’s about having the intent and means to do so (i.e. when ideations become …, there’s a … and a …)

A

too serious;
plan;
means to do it

50
Q

types of interviews:

  • … interview
  • … interview
  • … vs … interviews
  • …
  • … interview
A 
intake; 
diagnostic; 
structured; unstructured; 
mental status exam; 
crisis interview
51
Q

(types of interviews)
intake interview:
- determine if client needs … and which is best based on diagnosis
- sometimes patients may need to be …

A

treatment;

committed

52
Q

(types of interviews)
intake interview:
sometimes patients may need to be committed:
- not only for …, but also for …/…
- determining if they’re appropriate to be in … or if they need to be in …

A

suicidality;
severe drugs/alcohol problems;
office;
hospital

53
Q 
(types of interviews) 
diagnostic interview: 
- includes questions related to ....
- determines ...
- diagnostic and intake interview are ... bc intake interview is what you use to ...
A

criteria of diagnoses;
diagnosis;
interchangeable;
form diagnosis

54
Q

(types of interviews)
structured interviews:
- for … purposes
- … set of questions
- give us a … which can be reliable (i.e. two different therapists would arrive at the same one)
- give cue to further explore things along a diagnosis

A

diagnostic;
pre-determined;
diagnosis;

55
Q 
(types of interviews) 
unstructured interviews: 
- can use ... 
- no ... 
- interviewer decides ...
A

improvisation;
set questions;
what’s relevant

56
Q 
(types of interviews) 
mental status exam: 
- mostly used in ... settings
- quickly assess how client is ... at the time of evaluation 
- like a ...
A

medical;
functioning;
quick mental snapshot

57
Q

(types of interviews)
mental status exam:
- doesn’t give you a …
- just to ensure that they are … –> …, …, …

A

diagnosis;
oriented x 3;
time; place; person

58
Q

(types of interviews)
mental status exam:
- paying attention to …
- …

A

facial affect;

general mood

59
Q

(types of interviews)

  • how’s their speech - do they speak …, …, etc
  • testing … (e.g. what year did you graduate hs?)
  • judgment/insight into their …
A

too fast;
too slow;
memory;
problems

60
Q

(types of interviews)
crisis interview:
- things that need …, like …
- get ….

A

immediate intervention;
suicide;
a lot of info really quick

61
Q 
(types of interviews) 
crisis interview: 
- assessing how ... someone is, for instance
- more depression = higher risk of ... 
- talking about/processing ...
A

depressed;
suicide;
suicidal ideation

62
Q

(types of interviews)
crisis inteview:
- how … do they think of suicide/how … are the thoughts
- how much … does the client have. are they very …?

A

frequently;
intense;
self-control;
impulsive

63
Q

(types of interviews)
crisis interview:
- looking if client has definite … or … –> are they preparing for …/preparing to …

A

suicidal; homicidal intentions;
death;
kill someone

Clinical Psych (35 decks)

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