Clinical Evaluation Flashcards
3 Principle impacts of substance dependence
Physiological impact
Loss of control
Social problems as result of use
Patterns of Couple Interaction
-Complementary
Specializing, or one partner yields to another
Some need for this in any couple
-Symmetrical
Both partners respond to each other in similar ways
Boundaries
- enmeshed/diffuse
- disengaged/rigid
Erikson: Birth-12 Months
Trust vs Mistrust
Learn whether world, people are fundamentally safe
Erikson: 1-3 y.o.
Autonomy vs Shame & Doubt
Learning to make decisions as autonomous person
Erikson: 3-6 y.o.
Initiative vs Guilt
Planning, achieving goals through social interaction
Effective parents let child explore, support choices
Erikson: 6-11ish
Industry vs Inferiority
Children compare, see whether they measure up
Understand how things work, how things are made
Erikson: 11ish-18ish
Identity vs Role Confusion
Developing sense of self, place in world
Exploring potential selves, setting long term goals
Erikson: Early Adulthood(18-40s)
Intimacy vs Isolation
Cognitive development
Move from acquiring knowledge to applying knowledge
Move from absolutist to more flexible thinking
Erikson: Middle Adulthood (40s-65ish)
Generatively vs Stagnation Physical decline Cognitive development crystallized intelligence continues to increase fluid intelligence begins to decrease
Erikson: Late Adulthood(65ish onward)
Integrity vs Despair Physical decline
Cognitive Development
processing speed, memory decline
Piaget: Birth-2 years
Sensorimotor Stage Learning sensations Gaining physical control basic social interaction object permanence
Piaget: 2-6 y.o.
Preoperational Stage
Egocentric
Learning words, images, imagination
Lack logical reasoning
Piaget: 6-11ish
Concrete Operational Thought
Apply logical thinking to concrete examples
Long-term memory, critical thinking improve
Piaget: 11ish-18ish
Formal Operational Thought
Ability for abstract reasoning emerges
Thinking in terms of principles
Freud: Birth-1.5 y.o.
Oral Stage
Eating/learning is oral
Freud: 1.5-3 y.o.
Anal Stage
potty training
Freud: 3-6 y.o.
Phallic Stage
dealing with incestuous feelings toward parent
Freud: 6-11ish
Latent Stage
sexual feelings dormant
Freud: 11ish-18ish
Genital Stage
emergence of sexual interests
understanding sexual activity as source of pleasure
Freud: Early Adulthood(18-40s)
Genital stage continues, “love and work well”
Kohlberg: Before 3
Moral reasoning not yet established
Kohlberg: 3-6 y.o.
Preconventional moral reasoning
Kohlberg: 6-11ish
Conventional moral reasoning
children begin to apply moral standards
use the standards of others(parents, religion)
Kohlberg: 11ish-18ish
Post Conventional moral reasoning
recognize alternative morals, choose moral code
Collecting Family History
- Satir - Bowen - Psychodynamic and Experiential - Narrative
- Satir: Family Life Chronology
- Bowen: Genogram
- Psychodynamic and Experiential: Attachment Patterns
- Narrative: Assessing dominant social discourses in which problems are embedded
Mood vs Affect
- Mood(what a client reports about how they are feeling)
- Affect(what does clinician see about how the client seems to be feeling)
Other specified vs unspecified
Other specified(explain why don’t quality for that dx) vs unspecified(don’t explain why)
Sexual orientation and gender identity development
-Identity development models have some general stages in common:
- Exploration
- Acceptance
- Consolidation
