chapter 11 - Week 7

Question 1

the majority of clinical psychologists time is spent in

Answer 1

interventions

Question 2

T/F: Many forms of therapy offered by mental health professionals have NOT
been empirically evaluated

Answer 2

true

Question 3

what does Norcross define psychotherapy as?

Answer 3

the INFORMED AND INTENTIONAL application of CLINICAL METHODS and INTERPERSONAL STANCES

derived from established psychological principles

for the purpose of assisting people to modify their behaviors, cognitions, emotions, and/or other personal characteristics in directions that the participants deem desirable.

Question 4

what does psychotherapy not address?

Answer 4

if it’s services are evidence based

Question 5

psychotherapy puts an emphasis on ______ ______

Answer 5

psychological principles

Question 6

psychotherapy is broad: ____ _____ _____

Answer 6

affect, behaviour, cognition

Question 7

psychotherapy acknowledges client/patient

Answer 7

goals

Question 8

different between psychological treatment and psychotherapy

Answer 8

psychological treatment: should be used to define the growing number of specific, evidencebased interventions designed to treat clinically significant DSM disorders.

psychotherapy: – should be used to describe interventions that address difficulties of a
subclinical intensity such as relationship problems.

Question 9

best practice is based on the

Answer 9

best available evidence.

best research evidence+clinical expertise + patient preferences and values

Question 10

What gets in the way of adoption of an

intervention that will save lives?

Answer 10

• Don’t know about the research
• Disagree with the research
• Don’t think it is important
• Costs of adopting it (e.g. training therapists)
• Not got the infrastructure or power/authority to adopt
• Scientific process itself!!!

Question 11

T/F: psychotherapy is controlled in all jurisdictions in canada

Answer 11

FALSE: Not controlled in many jurisdictions

Question 12

what are the ethical duties for interventions?

Answer 12

1) you are monitored by regulated professionals (people can complain about you)
2) informed consent
3) confidentiality
4) monitor effectiveness of treatment
5) evidence-based practice

Question 13

benefits of using a regulated professional in interventions is….

Answer 13

• They required by law to deliver services competently and ethically
• Accountable to the public through the regulatory body
• Must meet rigorous entry requirements, adhere to standard
• Participate in quality assurance activities to continually update their
knowledge and skill

Question 14

is psychotherapy a legally controlled title in BC??

Answer 14

no. Anyone can be a psychotherapist.

Question 15

Psychologist cannot proceed with any psychological services without the

Answer 15

client’s agreement to receive services

Question 16

when a client agrees to receive psychological services, the agreement must be based on a REASONABLE UNDERSTANDING of…

Answer 16

what the services will entail and what the likely outcomes will be of receiving or not receiving treatment

Question 17

prior to starting treatment, clients have a right to know about ______-_______ treatments.

Answer 17

evidence-based treatments.

They need to know about;
• Medication options
• Psychological treatments the psychologist can provide
• Psychological treatments the psychologist is NOT trained to provide and for
a which a referral to another psychologist could be made

Question 18

informed consent: children can give

Answer 18

assent

Question 19

a child who may not be able to give consent still has a right to have

Answer 19

procedures explained in a simple manner

Question 20

civil commitment:

Answer 20

involuntary admission of people who;

1. Have a mental disorder
2. Pose a risk of safety to themselves or others
3. Are unwilling or unable to consent to treatment on a voluntary basis

Question 21

T/F: civil commitment criteria is the same across jurisdictions

Answer 21

FALSE. differences across jurisdictions in the definition of mental disorder and harm

Question 22

Temporary substitute decision maker is

Answer 22

an appointee of the state in BC (physician,

director of the psychiatric unit, or court or tribunal)

Question 23

compulsory treatment orders

Answer 23

for OUTPATIENT treatment and you don’t require admission first (not applicable to BC)

Question 24

limits to confidentiality need to be made known at ________

Answer 24

assessment

Question 25

What if there is no evidence-based treatment

that matches client needs exactly?

Answer 25

1) ADOPT the one
that is closest
2) ADAPT if
necessary
3) ABANDON if
evidence it
does not fit and
replace with
another EBP

Question 26

give examples of discredited psychotherapies

Answer 26

• Rebirthing
• DARE
• Scared Straight

Question 27

Do the client characteristics affect the relevance of available research?

Answer 27

yes. Example, having a translator for someone that doesnt speak therapists language. There is not the same effect or same connection since it is now 3

Question 28

what are 4 main theoretical approaches

Answer 28

• Short-term psychodynamic therapies(STPT)
• Interpersonal psychotherapy (IPT)
• Process experiential therapy (P-ET)
• Cognitive-behaviour therapy (CBT)

Question 29

how many sessions in Short-term Psychodynamic Therapies (STPP)?

Answer 29

1-2 face-to-face sessions a week for 16-30 sessions

Question 30

In STPP, therapists are…

Answer 30

active, engaging in dialogue and challenge the client

Question 31

explain the 3 phases of STPP

Answer 31

Phase 1: (Developing a positive transference relationship)
• Identify themes important to the patient
Phase 2: (Analyzing the transference relationship)
• Exploring themes through clarification and confrontation
Phase 3: (Terminating therapy)
• Dealing with loss
• Dealing with
expectable
challenges in life