Clinical Flashcards

1
Q

(…) is an approach developed for ambivalent clients combining the (…) of change model with client-center therapy.

A

Motivational interviewing, stages

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2
Q

Motivational interviewing techniques include (OARS): (…)

A

Open-ended questions, affirmations, reflective listening, and summaries.

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3
Q

Psych Inpatients vary based on (…) status, race, and (…).

A

relationship status, age

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4
Q

Psych Inpatients are more often (…) versus married or widowed, mostly (…) thought minorities are over-represented, and between (…) to 44.

A

never married, white, 25

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5
Q

(…) counselors interpret everyone’s reality through their own (…) and stereotypes, (…) cultural differences and their own biases.

A

Culturally encapsulated, assumptions, disregarding

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6
Q

(…)-context communication relies on shared cultural understanding and (…) cues. (…)-context communication relies mostly on the (…) message and is produced mostly by whites.

A

High, non-verbal, Low, verbal

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7
Q

Boyd-Franklin’s (…) model for African Americans incorporates extended family, community, and social services to address (…), multiple levels, and empowerment.

A

Multisystems, multiple systems

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8
Q

The (…) (…) model states behaviors are influenced by 1) person’s (…) based on perceived susceptibility, 2) person’s (…) of pros and cons, and 3) internal/external “(…)” that trigger response.

A

Health Belief, readiness, evaluation, “cues to action”

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9
Q

Berry describes (…) in four categories of adopting new culture: (…), assimilation, (…), or marginalization.

A

acculturation, integration, separation

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10
Q

Paranoia can be (…) or functional. Ridley said (…) is a healthy reaction to racism and fear of being hurt or misunderstood. (…) is due to pathology, non-disclosure regardless of therapist race, with suspicion and mistrust.

A

cultural, cultural, functional

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11
Q

Eysenck reviewed psychotherapy lit and found (…)% of people improved without therapy, 66% with eclectic, and (…)% with psychoanalysis. Apparent benefit is due to (…).

A

72%, 44%, spontaneous remission

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12
Q

Howard et. al found dose dependent effect: (…)% of patients show improvement after (…) sessions; at 52 sessions, it only increases to 85%.

A

75%, 26

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13
Q

Howard et. al described three phases of therapy: (…), remediation, and (…).

A

remoralization, rehabilitation

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14
Q

Mahler’s separation-individuation is object-relations theory, infant assumes her own (…) and psychological (…). This happens at (…) months of age. Psychopathology can be traced to this phase.

A

physical, identity, 4-5

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15
Q

Prochaska’s Transtheoretical Model includes 6 stages: (…). Interventions should be chosen to match client phase. Two factors that determine change of phases include: (…) and (…).

A

pre-contemplation, contemplation, preparation, action, maintenance, and termination; self-efficacy and decisional balance

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16
Q

Outcome research: (…) studies are clinical trials and (…) studies are correlational/quasi-experimental.

A

efficacy, effectiveness

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17
Q

Contrary to Eysenck, Smith et. al conducted a meta-analysis and found average effect size of (…), indicting typical patient 80% better off than untreated folks.

A

.85

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18
Q

Sue’s “worldview” involves a combination of two variables: (…) and (…). White middle-class folks are typically (…) and (…).

A

internal/external locus of control and internal/external locus of responsibility, IC-IR

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19
Q

Therapist-client matching may reduce (…) for members of some minority groups. More important factor is shared (…) and (…).

A

premature termination, values, worldview

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20
Q

The belief that all cultures share similar values is an (…) orientation, versus an (…) orientation that views cultures uniquely through their members’ perceptions.

A

etic, emic (me, my uniqueness)

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21
Q

Yalom believed groups have formative stages, to include: (…), (…), and development of cohesiveness. The (…) is most important for + outcome.

A

orientation, conflict, cohesiveness

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22
Q

Caplan had 4-types of mental health consultation: (…), consultee-centered, (…), and consultee-centered administrative.

A

client-centered, program-centered

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23
Q

Prevention methods include three types: (…). (…) go to (…) members of target group (…) developing disease. (…) go to (…) individuals with (…) signs of disease. (…) are designed to (…) the duration and consequences of disease.

A

Primary, Secondary, Tertiary, Primary, all, before, Secondary, at-risk, Tertiary, reduce

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24
Q

(…) is the tendency to attribute all symptoms to mental retardation. Can happen with other diagnoses.

A

Diagnostic overshadowing

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25
Q

Hypnosis may produce more (…) memories and may (…) confidence in validity of uncertain memories.

A

pseudomemories, exaggerate

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26
Q

(…) occurs in clinical supervision when the supervisee behaves toward supervisor mirroring therapeutic processes.

A

parallel process

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27
Q

(…) occurs when LGBT folks (…) negative stereotypes. Consequences include: (…), self-doubt, and (…) behavior. For men and women, coming out happens (…).

A

Internalized homophobia, internalize, low self-esteem, self-destructive, about the same time.

28
Q

Interventions can be (…) or (…). (…) interventions focus on changing the (…) to fit the (…). (…) interventions are the other way around.

A

alloplastic, autoplastic, autoplastic, individual, environment, alloplastic

29
Q

(…) communication is associated with schizophrenia and involves conflicting (…).

A

Double-bind, negative injunctions (“do that you’ll be punished” and “don’t do that and you’ll be punished”)

30
Q

General systems theory suggests that systems are best understood as a whole. Family therapists view family as an (…) system. The concept of (…) describes this.

A

open, homeostasis

31
Q

(…) refers to the shared knowledge of society’s negative regard for non-heterosexual everything.

A

sexual stigma

32
Q

(…) refers to cultural ideologies that promote antipathy and violence against homosexuals.

A

heterosexism

33
Q

(…) refers to negative attitudes based on sexual orientation. There are higher levels of heterosexist biases in these four demographics: (…).

A

sexual prejudice, men, older, less education, and rural folks.

34
Q

Cultural competence involves 3 competencies: 1) a therapist’s (…) of cultural assumptions, 2) (…) about client’s world views, and 3) (…) to provide appropriate interventions.

A

awareness, knowledge, skills

35
Q

Three psychodynamic therapies include: (…).

A

Freudian psychoanalysis, Jung’s analytical psychotherapy, Adler’s individual psychology

36
Q

Freudian Psychoanalysis believes pathology occurs when the ego is unable to ward off (…) and (…) prop up the psyche (e.g. repression). They serve to (…) or (…) reality. Interventions include 4 types: (…) to analyze 4 things: free associations, dreams, (…) and (…).

A

anxiety, defense mechanisms, deny, distort, confrontation, clarification, interpretation, working through, resistance, and transferences

37
Q

Jung views behavior as determined by (…) factors, including the (…) which is a repository of (…) passed down through the generations. The CU includes (…). His theory includes (…), the integration of conscious and unconscious aspects and the development of (…).

A

conscious and unconscious, collective unconscious, latent memory traces, archetypes, individuation, wisdom

38
Q

Key concepts of Adlerian individual psychology, include: inferiority feelings, striving for superiority, and (…) - unifies aspects of personality. Px come from a mistaken (…) reflecting inadequate (…). Teological approach concerns motivation from (…) goals.

A

styles of life, styles of life, social interest, future

39
Q

Gestalt therapy emphasizes (…) in the (…). Introjections are (…) disturbances. Transferences are (…) and focus is more on reality.

A

awareness, here-and-now, boundary, counterproductive

40
Q

(…) therapy is effective for American Indians. It is a (…) treatment that incorporates (…) and contextualizes problems in the (…). Also include (…) and (…) approaches.

A

Network, multimodal, family/community, social network (e.g. family, community, work); client-centered, behavioral

41
Q

(…) therapy focuses on personal choice and (…). Maladaptive behavior is a result of inability to (…) with the ultimate (…).

A

Existential, responsibility, cope, concerns of existence (e.g. death, freedom, isolation, and meaninglessness

42
Q

Glasser’s (…) therapy is based on (…) theory, assuming people are responsible for their (…). People have 5 needs: (…), power, freedom, and fun.

A

reality, choice, choices, survival + love and belonging

43
Q

Solution-focused therapy utilizes 3 questions: (…).

A

miracle, exception, scaling questions

44
Q

IPT involves address 4 problem areas: (…)

A

unresolved grief, interpersonal role disputes, role transitions, and interpersonal deficits

45
Q

Five family therapies are: (…).

A

Communication/interaction, extended family systems (Bowen), structural (Minuchin), strategic (Haley), and object relations.

46
Q

Communication/interaction family therapy distinguishes between 2 communication patterns: (…).

A

Symetrical - between two equals with competitive one-upsmanship and Complimentary - between unequals and emphasizes their differences

47
Q

Bowen’s (…) family therapy key terms are (…) and emotional triangles. The first is the ability to keep from becoming (…) with dominate family emotions. The goal is to (…) of all family members.

A

Extended family systems, differentiation, fused, increase the differentiation

48
Q

Minuchin’s (…) alters the family’s (…) to change behavioral patterns. (…) are rules about contact between members. There are 3 types: (…).

A

structural family therapy, structure, boundaries; detouring, stable coalition, and triangulation.

49
Q

Haley’s (…) focuses on (…) patterns. It uses specific strategies to produce (…) versus insight. They include (…) like ordeals, prescribing the symptom, and reframing to see the symptom in a new way.

A

strategic family therapy, communication, symptom relief, paradoxical interventions

50
Q

Object Relations family therapy sees primary source of dysfunction as (…), which is the projection of (…). Goal is to resolve attachment to these (…) and involves addressing multiple (…).

A

projective identification, old introjects, introjects, transferences

51
Q

Racial development models include (…)’s racial identity model, (…)’s White, and (…)’s Black.

A

Atkinson, Helms, Cross

52
Q

Helm’s (…) racial identity model involves two phases: (…) and (…). 6 statuses include: contact, (…), reintegration, (…), immersion-emersion, and (…).

A

White, abandoning racism, developing nonracist white identity, disintegration, pseudo-independence, autonomy

53
Q

Cross’s (…) racial identity model has 4 stages: (…), encounter, (…), and internalization. The (…) involves greater racial awareness and interest in developing a Black identity.

A

Black, preencounter, immersion-emersion, encounter

54
Q

Atkinson’s (…) has 5 stages: (…), dissonance, resistance and immersion, (…), and (…).

A

racial identity model, conformity, introspection, and integrative awareness

55
Q

Troiden’s Gay identity model has 4 stages: feeling different, (…), identity assumption, and (…).

A

self-recognition/identity confusion, commitment

56
Q

Atkinson’s Dissonance stage is characterized by (…) and conflict.

A

confusion

57
Q

Atkinson’s third stage, (…), involves active (…) of the dominant group.

A

Resistance and Immersion, rejection

58
Q

Atkinson’s final stage, (…), is the adoption of a multicultural perspective.

A

integrative awareness

59
Q

During Cross’s initial (…) stage, racial identity has low salience.

A

Preencounter

60
Q

Helm’s white identity model includes a third stage, (…), in which the individual resolves internal conflict by accepting (…).

A

Reintegration, denigrating views of minority groups

61
Q

Bowen and Minuchin family therapies both talk about relational boundaries, however Bowen only uses the term (…) and becoming (…) while Minuchin uses (…) and becoming (…).

A

differentiation, fused, boundaries, enmeshed

62
Q

Someone planning to take action within six months is in the (…) stage, one month is in the (…) stage.

A

contemplation, preparation

63
Q

The right of parents to inspect school records was established by the (…) Amendment.

A

Buckley

64
Q

Self-in-relation theory applies (…) to (…) relations theory, tracing (…) differences back to (…)-(…) and (…)-(…) relationships. Nonsexist therapy focuses more on (…) causes of behavior and (…) change.

A

feminism, object-relations, gender, mother-daughter and mother-son, personal x 2

65
Q

Ridley’s (…) paranoiac is when therapist ethnicity is the MOST important.

A

confluent