chapter 9 and 10

Question 1

T the helper looks to the six common therapeutic factors that we discussed in Chapter 2 as a way of fulfilling the client’s goals.

Answer 1

replan method

Question 2

what does REPLAN stand for

Answer 2

R strong relationship 
E enhance efficacy and self esteem
P Practice new behaviours 
Lowering and raising emotional arousal 
Aactivating hope 
N provide new learning experiences

Question 3

Treatment planning is

typically based on .. or ooo

Answer 3

medical model or theoretical orientation of helper

Question 4

replan states clients with the same diagnosis need the same treatment

Answer 4

f

Question 5

how many goals in replan

Answer 5

few

Question 6

T The REPLAN system is distinguishable from other forms of treatment planning because it focuses on relatively few client goals, using strategies associated with one or two common therapeutic factors

Answer 6

replan is brief

Question 7

once a plan is established it is not changed

Answer 7

f Regular evaluation and replanning

Question 8

replan Does not conflict with other models what does this mean

Answer 8

does not conflict with using theoretical models or making a DSM diagnosis: all about tailoring to clients goals

Question 9

3 steps in the treatment plan replan

Answer 9

1. form mutually agreed upon goals for an assessment
2. use therepudic factors to generate treatment strategies to achieve goals
3. replan every 6 weeks

Question 10

Raising … is a

fundamental task of helping

Answer 10

self-esteem

Question 11

5 disorders low self esteem is associated with

Answer 11

BPD, depression, anxiety, substance abuse

Question 12

2 parts of self esteem

Answer 12

efficacy (competence) and self-worth

Question 13

what can helper do to improve self esteem

Answer 13

efficacy (competence) and self-worth

Question 14

T right to exist, one is good good and worthy to live (self-approval approval); attitude about the self

Answer 14

self worth

Question 15

attitude that you are competent in some specific arena T

Answer 15

efficacy

Question 16

2 main drivers for low self esteem

Answer 16

irrational beliefs

poor body image

Question 17

T self-destructive ideas that lead to low

self esteem.

Answer 17

irrational beliefs

Question 18

e.g. of irrational beliefs

Answer 18

must be loved by all
must be achieving
catastrophizing
no control

Question 19

CBT technique to silence the inner critique

Answer 19

countering

Question 20

what is countering

Answer 20

Argue with self-disapproval to Decrease internal, negative voices`

Question 21

when is countering created

Answer 21

childhood

Question 22

problem with negative thoughts

Answer 22

Negative thoughts lead to negative emotions ▪ Anger
▪ Depression
▪ Lower self-expectations

Question 23

7 steps in role playing

Answer 23

1. warm up
2. set scene
3. selecting roles and role reversal
4. enactment
5. sharing and feedback
6. enactment
7. homework and follow up

Question 24

what is the empty chair technique

Answer 24

the client conducts an emotional dialogue with some aspect of himself or herself or some significant person who is imagined to be sitting in the empty chair

Question 25

6 steps on how to counter

Answer 25

1. brief self assessment
2. identify negative thoughts and core beliefs
3. identify effective counters
4. test counters and midday them
5. practice and report

Question 26

what is a variation to countering

Answer 26

thought stopping

Question 27

5 things you need before giving advice

Answer 27

have knowledge or experience about client issue

2. understand clients experience is Dif from ones own
3. outline risks and opportunities
4. understand their history
5. see advice as a 2 way interaction

Question 28

when is it appropriate to give advice

Answer 28

Avoid all together until you conduct sessions using basic skills- new set develops, becomes stronger/enforced: Given when client is in physical danger and helper’s directive may reduce risk.

Question 29

how to state advice

Answer 29

“Do you think something like that would work for you?”

Question 30

3 times giving advice is inappropriate

Answer 30

1. client dependant on helper
2. client asking for assurance on issues with unpredictable outcomes
3. client has not headed advice previously
4. purpose is to influence others

Question 31

Client has information available and capable of

solving problem without advice should you give advice

Answer 31

no

Question 32

what if the best thing for the client goes against their culture

Answer 32

if Advice conflicts with client’s upbringing, values, or culture don’t give

Question 33

T many ways to look at a problem

Answer 33

many ways to look at a problem

Question 34

2 ways we can frame things

Answer 34

Helpful ways or

❖ Self-defeating ways

Question 35

when is reframing most useful

Answer 35

when client is catastrophizing (client expects the event to be devastating before knowing what the outcome will be).

Question 36

4 steps to teach clients to use alternate interp

Answer 36

1. listens to problem of C and explains alternate explanations
2. client asked to make list of 3-4 other interpretations along with catastrophic conclusion
3. assign homework of developing 3-4 alternate explanations