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Clinical Flashcards

1
Q

When a family has a high degree of fusion but one member is more differentiated than the others, what should the therapist do?

A

Work with the most differentiated member

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2
Q

Patient in preparation phase will plan to change when?

A

Immediate future (within next month)

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3
Q

Patient in contemplation phase will plan to change in the next _____ months?

A

6

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4
Q

BDI Score: 0-13

A

Minimal depression

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5
Q

BDI score: 14-19

A

Mild depression

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6
Q

BDI score: 20-28

A

Moderate depression

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7
Q

BDI score: 29+

A

Severe depression

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8
Q

Distortion:

Focusing solely on a detail that is taken out of context

A

Selective abstraction

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9
Q

When working with Native American clients, a therapist using Network Therapy would act primarily as?

A

A catalyst

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10
Q

According to Heinz Kohut, what should a therapist use when working with a narcissistic client?

A

Empathy

He posited a lack of parental empathy is what led to narcissism in the child

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11
Q

The primary goal of Gestalt therapy

A

Increase awareness

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12
Q

Which form of therapy helps clients find meaning in life?

A

Logotherapy

Created by Victor Frankl - Man’s Search for Meaning

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13
Q

The strongest bond among Hispanic-American families is typically between?

A

Parent and child

especially mother-son/father-son

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14
Q

Emphasis on contact, awareness, and experimentation is central to what type of therapy?

A

Gestalt

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15
Q

Which population yields better treatment outcomes from being matched with a therapist from the same race?

A

Hispanic clients

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16
Q

alloplastic vs. autoplastic approach

A

allo: changing environment
auto: changing oneself

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17
Q

Stages of Helms’ White Racial Identity Development Model

A
  1. Contact
  2. Disintegration
  3. Reintegration
  4. Pseudo-independence
  5. Immersion/Emersion
  6. Autonomy
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18
Q

Black American Racial Identity Model

(Cross)

A
  1. Pre-encounter
  2. Encounter
  3. Immersion/Emersion
  4. Internalization/Commitment
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19
Q

Triangulation

A

Child’s loyalty to one parent leads to rejection of the other parent

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20
Q

Individuation (Jung)

A

Integrating all parts of self to create a unique identity

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21
Q

What does Boyd-Franklin’s Multisystems Model emphasize?

A

Strengths

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22
Q

Detouring

A

When tension between husband and wife is reduced by paying extra attention to the child

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23
Q

Behavioral interventions + nicotine replacement is most effective in terms of short-term or long-term effects?

A

Long-term

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24
Q

What type of therapy focuses on the connection between the presenting problem and the client’s current relationships?

(Including the client/therapist relationship)

A

Interpersonal therapy

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25
Most important factor in culturally sensitive therapy
Credibility!
26
Prerequisite for restructuring families (Minuchin)
Joining
27
Jay Haley is associated with which type of therapy?
Strategic Family Therapy
28
Adler’s Individual Psychology
Style of life! Healthy style of life = personal achievement and care for others Unhealthy style of life = overcompensating for inferiority and no care for others Tx goal: move from unhealthy > healthy style of life
29
Troiden’s Homosexual Identity Development Model
1. Sensitization 2. Confusion 3. Assumption 4. Integration
30
Atkinson’s Racial/Cultural Identity Development Model
1. Conformity 2. Dissonance 3. Resistance/Immersion 4. Introspection 5. Integrative Awareness
31
The 3 typical stages of group therapy development
1. Orientation 2. Conflict 3. Cohesion
32
Strongest predictor of positive outcome in group therapy
Cohesion
33
Id
Have to satisfy needs
34
Superego
Rejects id’s impulses | You can’t be an animal
35
Ego
Tries to satisfy both id and superego by resolving the id’s needs realistically
36
Defense mechanism: sublimation
Turning an impulse into acceptable behavior
37
Interjection (Gestalt)
Adoptions values of the society as our own
38
Reality Therapy (Glasser)
People have basic needs and how they fulfill them either leads to a success or duality identity Tx goal: help client take responsibility for actions and adopt appropriate ways to meet needs W - current wants D - what client is currently doing E - evaluating behavior P - plan of action
39
WDEP is associated with which type of therapy?
Reality therapy (Glasser)
40
Stages of moving from unconscious to conscious (CCIW)
Confrontation, clarification, interpretation, working through
41
Selligman is associated with which type of psychology?
Positive psychology
42
Which type of family therapy focuses on boundaries?
Structural Family Therapy
43
Which type of family therapy focuses on differentiation of self?
Extended Family Systems Therapy
44
Bowen is associated with which type of family therapy?
Extended systems
45
Minuchin is associated with which type of family therapy?
Structural
46
Which type of family therapy proposes that maladaptive behavior is the result of trying to gain control?
Strategic Family Therapy (Haley)
47
3 phases of Stress Inoculation Training
1. Education 2. Rehearsal 3. Application
48
Cognitive distortion: arbitrary inference
Drawing a conclusion with no evidence Ex. “Everyone hates me”
49
Cognitive distortion: selective abstraction
Only focusing on negative details of an event
50
Cognitive distortion: personalization
Attributing external events to self
51
Cognitive distortion: overgeneralization
Drawing a conclusion from ONE event and generalizing it to other events Ex. “No one really talked to me at the party so all parties will be that way.”
52
Pleasure principle
Tension is avoided through immediate gratification (Id)
53
Freud’s 5 Pyschosexual Stages
1. Oral 2. Anal 3. Phallic 4. Latent 5. Genital
54
Transference Neurosis
A transference reaction that becomes very intense during analysis
55
What is the view of transference in psychoanalytic therapy?
It is a sign that treatment is working
56
Adler’s Individual Psychology focuses on what factors?
Social
57
Self-actualization is associated with which type of therapy?
Humanistic
58
3 facilitators conditions for a parting tent to achieve self-actualization (Person-Centered Therapy)
1. Unconditional positive regard 2. Genuineness (warmth) 3. Empathy
59
Phenomenology (subjective experience) is a focus of which type of therapy?
Person-centered
60
Interpersonal Therapy stresses interpersonal problems in what 4 domains?
1. Grief 2. Role transitions 3. Interpersonal role disputes 4. Interpersonal deficits
61
According to Interpersonal Therapy, distress is the result of what?
Lack of strong attachments in childhood
62
T/F: Reframing is used in Strategic Family Therapy to increase treatment compliance
True
63
Self-in-relation theory
(Derived from object-relations theory) Gender differences are due to mother/child relationship
64
Nonsexist therapy differs from feminist therapy in what way?
It emphasizes individual factors for behavior change
65
Eysenck (1952) outcome study
Psychotherapy isn’t any more helpful than no treatment
66
Smith, Glass, & Miller (1980 meta-analysis) challenged Eysenck’s study by coming to what conclusion?
The average patient in therapy is better off than 80% of those not receiving treatment
67
Effect size of Smith, Glass, & Miller’s meta-analysis
.85
68
Howard et al. (1986) established a dose-dependent effect that showed _____% of patients showed marked improvement in 26 sessions.
75%
69
3 stages of Howard’s (1986) phase model
``` 1. Remoralization (hope responds in first sessions) 2. Remediation (focus on symptoms) 3. Rehabilitation ```
70
Efficacy
Establishes if a treatment has an effect | Clinical trials
71
Effectiveness
Is treatment generalizable?
72
What is now considered the “fourth force” in psychology?
Multiculturalism
73
Who are the most frequent callers to suicide hotlines?
Young White females
74
What is the single most stressful aspect of a therapist’s work?
Lack of therapeutic respect
75
Who has the highest premature termination rates?
Black clients
76
Multicultural competence requires what 3 things?
Awareness, knowledge, skills
77
Who typically overutilizes mental health services?
Black individuals
78
Black families usually adhere to what type of family system?
Egalitarian
79
According to psychoanalytic theory, what is the function of defense mechanisms?
To keep impulses or wishes from reaching consciousness

EPPP (11 decks)

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