Clinical Evaluation

Question 1

3 Principle impacts of substance dependence

Answer 1

Physiological impact
Loss of control
Social problems as result of use

Question 2

Patterns of Couple Interaction

Answer 2

-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

Question 3

Boundaries

Answer 3

• enmeshed/diffuse

- disengaged/rigid

Question 4

Erikson: Birth-12 Months

Answer 4

Trust vs Mistrust

Learn whether world, people are fundamentally safe

Question 5

Erikson: 1-3 y.o.

Answer 5

Autonomy vs Shame & Doubt

Learning to make decisions as autonomous person

Question 6

Erikson: 3-6 y.o.

Answer 6

Initiative vs Guilt
Planning, achieving goals through social interaction
Effective parents let child explore, support choices

Question 7

Erikson: 6-11ish

Answer 7

Industry vs Inferiority
Children compare, see whether they measure up
Understand how things work, how things are made

Question 8

Erikson: 11ish-18ish

Answer 8

Identity vs Role Confusion
Developing sense of self, place in world
Exploring potential selves, setting long term goals

Question 9

Erikson: Early Adulthood(18-40s)

Answer 9

Intimacy vs Isolation
Cognitive development
Move from acquiring knowledge to applying knowledge
Move from absolutist to more flexible thinking

Question 10

Erikson: Middle Adulthood (40s-65ish)

Answer 10

Generatively vs Stagnation
Physical decline
Cognitive development
	crystallized intelligence continues to increase
	fluid intelligence begins to decrease

Question 11

Erikson: Late Adulthood(65ish onward)

Answer 11

Integrity vs Despair Physical decline
Cognitive Development
processing speed, memory decline

Question 12

Piaget: Birth-2 years

Answer 12

Sensorimotor Stage
	Learning sensations
	Gaining physical control
	basic social interaction
	object permanence

Question 13

Piaget: 2-6 y.o.

Answer 13

Preoperational Stage
Egocentric
Learning words, images, imagination
Lack logical reasoning

Question 14

Piaget: 6-11ish

Answer 14

Concrete Operational Thought
Apply logical thinking to concrete examples
Long-term memory, critical thinking improve

Question 15

Piaget: 11ish-18ish

Answer 15

Formal Operational Thought
Ability for abstract reasoning emerges
Thinking in terms of principles

Question 16

Freud: Birth-1.5 y.o.

Answer 16

Oral Stage

Eating/learning is oral

Question 17

Freud: 1.5-3 y.o.

Answer 17

Anal Stage

potty training

Question 18

Freud: 3-6 y.o.

Answer 18

Phallic Stage

dealing with incestuous feelings toward parent

Question 19

Freud: 6-11ish

Answer 19

Latent Stage

sexual feelings dormant

Question 20

Freud: 11ish-18ish

Answer 20

Genital Stage
emergence of sexual interests
understanding sexual activity as source of pleasure

Question 21

Freud: Early Adulthood(18-40s)

Answer 21

Genital stage continues, “love and work well”

Question 22

Kohlberg: Before 3

Answer 22

Moral reasoning not yet established

Question 23

Kohlberg: 3-6 y.o.

Answer 23

Preconventional moral reasoning

Question 24

Kohlberg: 6-11ish

Answer 24

Conventional moral reasoning
children begin to apply moral standards
use the standards of others(parents, religion)

Question 25

Kohlberg: 11ish-18ish

Answer 25

Post Conventional moral reasoning

recognize alternative morals, choose moral code

Question 26

Collecting Family History

- Satir
- Bowen
- Psychodynamic and Experiential
- Narrative

Answer 26

• Satir: Family Life Chronology
  
  • Bowen: Genogram
  • Psychodynamic and Experiential: Attachment Patterns
  • Narrative: Assessing dominant social discourses in which problems are embedded

Question 27

Mood vs Affect

Answer 27

• Mood(what a client reports about how they are feeling)

- Affect(what does clinician see about how the client seems to be feeling)

Question 28

Other specified vs unspecified

Answer 28

Other specified(explain why don’t quality for that dx) vs unspecified(don’t explain why)

Question 29

Sexual orientation and gender identity development

-Identity development models have some general stages in common:

Answer 29

• Exploration
• Acceptance
• Consolidation