chapter 1 - Therapeutic factors Flashcards
does experience mean effectiveness
no
what 5 qualities lead to an effective therapist
practice, reflection, feedback, empathy, and attunement to relationship
what do therapeutic factors cause
they are the source of change in therapy
what are the 11 primary therapeutic factors
hint: huiarsiicce
1- hope 2- universality 3- imparting info/psychoeducation 4- altruism 5- recapitulation of the primary family group. 6- developing socializing techniques. 7- imitative behavior 8 - interpersonal learning 9 - group cohesion . 10 - catharsis 11- existential factors.
are these factors independent of one another
no, they are interdependent.
is interpersonal learning more affective or cognitive
cognitive
is the development of socialization techniques a matter of affect, cognition, or behavioral change
behavioral change
is catharsis cognitive, emotional or behavioral
emotional/affective
what is the allegiance effect
bias towards one’s school of thought or theory
whose experience matters the most in terms of research and growth in the field
the client’s experience matters the most.
what strategy of research is best used to study therapeutic factors
systematic research
how does systematic research work
relating in therapy variables to the outcomes.
are these 11 factors considered definitive
no. there are many others but these are the primary ones.
what is a high expectation of help from a client correlated with
positive outcome.
where does the instillation of hope start
in the prescreening whereas the goals and abilities and motivations of the group can be shared.
what kind of continuum could group members be seen in regarding their coping capabilities
they are on a spectrum of coping - collapse.
how can hope be instilled by the group
demonstrating succcesses of past groups and current/past group members through their work in the group.
how can hope be instilled by the therapist?
by believing in themselves and the efficacy of the group (you make hope by being hopeful)
how does univerality bring about change
before group, a person can feel deeply isolated by their issue(s), by seeing that others suffer the same, they can find a sense of peacefulness and decrease in isolation/estrangement.
also, it brings about validation of experience, intimacy/closeness/connection/acceptance.
should universality be present in the early or late stages of group
early stages
when clients are asked to share what they are fearful of in groups in secret, what is the most common theme? 2nd most common? 3rd?
1- the fear of not being enough/inadequate. 2- interpersonal alienation - they are incapable of caring for another. 3- sexuality secret.
what are 2 universal concerns for clients
their sense of self-worth and their ability to relate to others (we prize others above ourselves - as a form of validating our own worth - it is a kind of esteem that we cannot give ourselves, hence why it is so prized).
what therapeutic factor work well against shame and stigma
universality (especially victims of sexual assault support groups).
what kind of instruction is given in group therapy
didactic info (one person teaches, others listen - like a teacher in a classroom - 2 separate entities)
what kind of intelligence is increased from using group therapy in clients
emotional intellgience
is psychoeducation used in the early or late stages
early.
how does imparting info/psychoeducation promote change
knowledge promotes mastery which increases self-efficacy
what kind of coping assists with anxiety/fear in terms of time and space
active coping - coping in the here and now/immediacy/living experience.
what is the difference between didactic instruction and direct advice
didactic instruction comes from the therapist, and direct advice comes from group members.
is direct advice seen more in early or late stages
early stages
why might advice giving reflect a lack of intimacy
it is a problem solving step, not a processing or exploration step.
what is a yes…but client
a client that seeks advice or assistance but counters every beneficial suggestion.
what form of advice is the least effective
direct suggestion: “You should do x” as it can be seen as judgemental, controlling, demeaning, etc.
what is the most effective form of direct advice?
list of possible alternative choices/suggestions for a person to make.
how does altruism bring about change
a person can see themselves as a force that can offer benefit to another and there is a give and take to altruism which causes role versaitlity (one must be a person that is capable of playing the role of someone receiving, and also giving help).
what is a person really saying when they think a group cannot offer them any benefit
that they feel like they have nothing to offer, so why would group have anything to offer them? hence, why altruism is so vital.
how does meaning in life manifest
not in the purposeful approach, but when we are lost in something outside of ourselves (transcension of hte self). giving of ourselves to others
why are therapy groups often led by a male and female therapist
to simulate the mother-father presence.
how does recapitulation of the primary family in group therapy cause change
the group becomes a pseudo-family that allows for them to heal through the trauma of their actual primary family. unfinished business involving their family can be revisisted, safely, and healed through the experience.
how does development of socialization bring about change
a person learns about their interpersonal impact, which brings about knowledge to make changes, should they so choose.
what is vicarious or specter therapy
witnessing another work through similar problems in group
how does imitating behavior cause change
it is is similar to social learning theory as well as operant conditioning. we can adapt the techniqes of others to our own life to bring about change.
is imitation of behavior seen more in early or late stages
early stages
