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EPPP > Clinical > Flashcards

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
Q

Most important factor in culturally sensitive therapy

A

Credibility!

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26
Q

Prerequisite for restructuring families (Minuchin)

A

Joining

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27
Q

Jay Haley is associated with which type of therapy?

A

Strategic Family Therapy

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28
Q

Adler’s Individual Psychology

A

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

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29
Q

Troiden’s Homosexual Identity Development Model

A
  1. Sensitization
  2. Confusion
  3. Assumption
  4. Integration
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30
Q

Atkinson’s Racial/Cultural Identity Development Model

A
  1. Conformity
  2. Dissonance
  3. Resistance/Immersion
  4. Introspection
  5. Integrative Awareness
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31
Q

The 3 typical stages of group therapy development

A
  1. Orientation
  2. Conflict
  3. Cohesion
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32
Q

Strongest predictor of positive outcome in group therapy

A

Cohesion

33
Q

Id

A

Have to satisfy needs

34
Q

Superego

A

Rejects id’s impulses

You can’t be an animal

35
Q

Ego

A

Tries to satisfy both id and superego by resolving the id’s needs realistically

36
Q

Defense mechanism: sublimation

A

Turning an impulse into acceptable behavior

37
Q

Interjection (Gestalt)

A

Adoptions values of the society as our own

38
Q

Reality Therapy (Glasser)

A

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
Q

WDEP is associated with which type of therapy?

A

Reality therapy (Glasser)

40
Q

Stages of moving from unconscious to conscious (CCIW)

A

Confrontation, clarification, interpretation, working through

41
Q

Selligman is associated with which type of psychology?

A

Positive psychology

42
Q

Which type of family therapy focuses on boundaries?

A

Structural Family Therapy

43
Q

Which type of family therapy focuses on differentiation of self?

A

Extended Family Systems Therapy

44
Q

Bowen is associated with which type of family therapy?

A

Extended systems

45
Q

Minuchin is associated with which type of family therapy?

A

Structural

46
Q

Which type of family therapy proposes that maladaptive behavior is the result of trying to gain control?

A

Strategic Family Therapy (Haley)

47
Q

3 phases of Stress Inoculation Training

A
  1. Education
  2. Rehearsal
  3. Application
48
Q

Cognitive distortion: arbitrary inference

A

Drawing a conclusion with no evidence

Ex. “Everyone hates me”

49
Q

Cognitive distortion: selective abstraction

A

Only focusing on negative details of an event

50
Q

Cognitive distortion: personalization

A

Attributing external events to self

51
Q

Cognitive distortion: overgeneralization

A

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
Q

Pleasure principle

A

Tension is avoided through immediate gratification (Id)

53
Q

Freud’s 5 Pyschosexual Stages

A
  1. Oral
  2. Anal
  3. Phallic
  4. Latent
  5. Genital
54
Q

Transference Neurosis

A

A transference reaction that becomes very intense during analysis

55
Q

What is the view of transference in psychoanalytic therapy?

A

It is a sign that treatment is working

56
Q

Adler’s Individual Psychology focuses on what factors?

A

Social

57
Q

Self-actualization is associated with which type of therapy?

A

Humanistic

58
Q

3 facilitators conditions for a parting tent to achieve self-actualization (Person-Centered Therapy)

A
  1. Unconditional positive regard
  2. Genuineness (warmth)
  3. Empathy
59
Q

Phenomenology (subjective experience) is a focus of which type of therapy?

A

Person-centered

60
Q

Interpersonal Therapy stresses interpersonal problems in what 4 domains?

A
  1. Grief
  2. Role transitions
  3. Interpersonal role disputes
  4. Interpersonal deficits
61
Q

According to Interpersonal Therapy, distress is the result of what?

A

Lack of strong attachments in childhood

62
Q

T/F: Reframing is used in Strategic Family Therapy to increase treatment compliance

A

True

63
Q

Self-in-relation theory

A

(Derived from object-relations theory)

Gender differences are due to mother/child relationship

64
Q

Nonsexist therapy differs from feminist therapy in what way?

A

It emphasizes individual factors for behavior change

65
Q

Eysenck (1952) outcome study

A

Psychotherapy isn’t any more helpful than no treatment

66
Q

Smith, Glass, & Miller (1980 meta-analysis) challenged Eysenck’s study by coming to what conclusion?

A

The average patient in therapy is better off than 80% of those not receiving treatment

67
Q

Effect size of Smith, Glass, & Miller’s meta-analysis

A

.85

68
Q

Howard et al. (1986) established a dose-dependent effect that showed _____% of patients showed marked improvement in 26 sessions.

A

75%

69
Q

3 stages of Howard’s (1986) phase model

A 
1. Remoralization
    (hope responds in first sessions) 
2. Remediation
    (focus on symptoms)
3. Rehabilitation
70
Q

Efficacy

A

Establishes if a treatment has an effect

Clinical trials

71
Q

Effectiveness

A

Is treatment generalizable?

72
Q

What is now considered the “fourth force” in psychology?

A

Multiculturalism

73
Q

Who are the most frequent callers to suicide hotlines?

A

Young White females

74
Q

What is the single most stressful aspect of a therapist’s work?

A

Lack of therapeutic respect

75
Q

Who has the highest premature termination rates?

A

Black clients

76
Q

Multicultural competence requires what 3 things?

A

Awareness, knowledge, skills

77
Q

Who typically overutilizes mental health services?

A

Black individuals

78
Q

Black families usually adhere to what type of family system?

A

Egalitarian

79
Q

According to psychoanalytic theory, what is the function of defense mechanisms?

A

To keep impulses or wishes from reaching consciousness

EPPP (11 decks)

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