Clinical Practice Flashcards
Assertive casework is a technique in which:
Within a very short time limit, the caseworker asks probing questions and provides direct interventions
Clients who are the most psychologically impaired benefit from what form of therapy?
Supportive therapy
Supportive therapy includes:
alliance building, esteem building, skills building, and enhancing ego function, such as frustration tolerance and coping skills
What theory posits that people grow and change across the entire lifespan, including adulthood into old age, that change can be gender related, unpredictable, driven by random events or luck, and that conflicts can be worked and reworked throughout the life-span
Life-span developmental theory
The difference between acute stress disorder and post-traumatic stress disorder in DSM-IVTR is:
That PTSD has more flashback symptoms and occurs over a period of at least one month
A social worker at a suicide hotline receives a call at 2:00am from someone who says he is depressed and contemplating suicide. The social worker should:
Send a crisis worker immediately or convince him to go to the hospital emergency room (bullshit)
When there is reason to believe someone is in danger of hurting themselves or others, social workers are required to act. Hotline services are designed to provide immediate responses to crisis situations. Therefore, the social worker’s task is to intervene in the most direct way possible.
This theory emphasizes unconscious relationships that have been internalized in childhood and which continue to influence adult relationships
Object Relations Theory
In Object Relations Theory, “object” is synonymous with:
person
According to Freud, the ego’s main function is to:
distinguish reality from fantasy
the act of the client unknowingly transferring feelings about someone from their past onto the therapist is called:
transference
In the initial phase of treatment, the primary task of a social worker is to
- Establish a relationship with the client
- Understand why the client is seeking help
- Engage the client in treatment
- Gather information for a psychosocial diagnosis
The correct answer is 2.
The key word here is “initial.” The worker must first find out why the client is seeking help before understanding the type of relationship to pursue.
The most appropriate technique to use with a new client who is decompensating is:
Ego support
A key element of Sigmund Freud’s work that is the basis of social casework is the idea of:
transference
Sigmund Freud asserted the basis of the psychoanalytic relationship was to analyze the way the client related to the therapist as a vehicle for understanding the client’s early important relationships and the unconscious conflicts they created, This is an important concept in social work. It is understood that the power of the client-workers relationship lies in providing opportunities for the client to have a different experience than in early relationships with important others. Anna Freud developed theory regarding ego defenses.
Using the technique of “modifying the environment” helps to diminish:
Objective anxiety
What distinguishes objective anxiety from superego, instinct, and anticipatory anxiety?
Objective anxiety is a response to external situations. The other types of anxieties are all thought of as products of the client’s internal conflicts.
A client wishes to pay for clinical social work services with her managed care health insurance. According to ethical standards of informed consent, the social worker may share confidential information with the managed care company with the client’s:
Written consent
On an unconscious level, according to ego psychology, a client seeks help for motives that differ from those on the conscious level. These unconscious motives include:
Keeping unconscious desires from consciousness
In rational behavior therapy, the difference between the “normal” adolescent and the adolescent who acts out is that the latter:
Needs more structure and resolves conflict with activity as opposed to thinking
Mr. and Mrs. Beech continuously argue and bicker, though they agree in one area: Mr. Beech’s beginning career as a college teacher. Both are pleased with his choice of the profession, the salary and the university that hired Mr. Beech. Mr. Beech is on the verge of an emotional collapse, however, due to his fears of starting a career and the stress involved in completing his dissertation and his work as an instructor. Mrs. Beech demands constant attention and interferes with his work. The social worker’s primary focus in treatment would be to:
Give support to Mr. Beech and help him work through the stresses involved in pursuing his academic career
what processes make up Erikson’s conceptualization of the human organism?
Somatic process, ego process, and societal process
Erikson explains his findings as:
The interpenetration of biological, cultural and psychological factors
A prognosis is:
a doctor’s prediction of how a patient’s illness or injury will progress and their likelihood of recovery
In social work the function of the contract is to:
Confirm the reciprocal role expectations and tasks to be achieved
The contract is an assertion that both parties clearly understand the reason for the relationship. It guides the work, but does not limit the relationship. The contract can be amended and changed as treatment progresses and conditions change.
