Clinical Psych Flashcards
Hereck and likelihood to discriminate on sexual minorities
High sexual prejudice and heterosexual identity = most likely to discriminate against sexual minorities
Greatest source of stress for psychotherapists
lack of therapeutic success
Emphasis of triangular model of supervision
Service to client (Organizational policies and professional knowledge make up the base of the triangular model, while the supervisory relationship is at the core, however, the primary emphasis is on providing service to the clients.)
Yalom’s therapeutic factors for group work
altruism, cohesion, universality, interpersonal learning output and input, guidance, catharsis, identification, family re-enactment, self-understanding, installation of hope, existential factors
Berry’s model of acculturation
- Integration: The person maintains his/her own (minority) culture but also incorporates many aspects of the dominant culture. (Some authors refer to this as a biculturalism.)
- Assimilation: The person accepts the majority culture while relinquishing his/her own culture.
- Separation: The person withdraws from the dominant culture and accepts his/her own culture.
- Marginalization: The person does not identify with his/her own culture or with the dominant culture.
A U.S. study of WWI era German immigrants found that those who experienced discrimination were more likely to:
Fouka (2019) conducted a study that concluded that when faced with increased discrimination, Germans often increased their efforts to assimilate (ex. by Americanizing their names).
According to past research, matching a therapy client to his/her therapist in terms of race:
most studies have found that it has a greater impact on premature termination from therapy than on its outcomes.
During the first session with a woman who is the victim of spousal abuse, a feminist therapist would most likely:
help the woman identify and rehearse an “escape plan” to use when her husband becomes abusive
When considering concurrent individual and group therapy for a client it is important to keep in mind that:
individual therapy may decrease participation and involvement in group therapy
Consultation is distinct from supervision in that supervision involves:
administrative responsibility
A family therapist instructs a family member to continue performing the target behavior and to do so in an exaggerated way. This technique is referred to as:
Prescribing (In this situation, the therapist is prescribing the symptom. Prescribing involves instructing the client to maintain and/or exaggerate the target symptom. )
In an enmeshed family in which an over-controlling father constantly nags and yells at his 18-and 15-year old sons, a structural family therapist is most likely to do which of the following?
Manipulate the family’s mood by mimicking the father’s behavior in an exaggerated manner.
The Racial/Cultural Identity Development Model proposed by Atkinson, Morten, and Sue (1993)
Stage 1: Conformity. This stage is characterized by positive attitudes toward and a preference for dominant cultural values and depreciating attitudes toward one’s own culture. A client in this stage is likely to prefer a therapist from the majority group.
* Stage 2: Dissonance. The dissonance stage is marked by confusion and conflict over the contradictory appreciating and depreciating attitudes that one has toward the selfand toward others of the same and different groups. People in this stage are likely to prefer a therapist from a racial/cultural minority group and usually perceive their personal problems as being related to racial/cultural identity issues.
* Stage 3: Resistance and Immersion. People in this stage actively reject the dominant society and exhibit appreciating attitudes toward the self and toward members of their own group. A person in this stage prefers a therapist from the same racial/cultural group and is likely to perceive personal problems as the result of oppression.
* Stage 4: Introspection. This stage is characterized by uncertainty about the rigidity of beliefs held in Stage 3 and conflicts between loyalty and responsibility toward one’s group and feelings of personal autonomy. People in this stage continue to prefer therapists from their own group but are more open to therapists who share a similar worldview.
* Stage 5: Integrative Awareness. At this stage, people experience a sense of self-fulfillment with regard to their cultural identity and have a strong desire to eliminate all forms of oppression. They also adopt a multicultural perspective and objectively examine the values, beliefs, etc. of their own group and other groups before accepting or rejecting them. In terms of therapist preference, clients in this stage place greater emphasis on similarity in worldview, attitudes, and beliefs than on ethnic, racial, or cultural similarity
Types of prevention
- Primary preventions are aimed at reducing the prevalence of mental and physical disorders by decreasing the incidence of new cases.
- Secondary preventions attempt to decrease the prevalence of mental and physical disorders by reducing their duration through early detection and intervention.
- Tertiary preventions are designed to reduce the duration and consequence of mental and physical disorders.
Yalom’s curative factors most important to group members
Cohesion, interpersonal learning, catharsis, self-understanding
the therapist’s role is to bring unconscious issues that exist within a family to a conscious level
Object Relations family therapy
therapist effects
collective impact that a clinician has on client outcome independent of the treatment modality or therapeutic technique utilized
According to Ridley, when working with an African American client exhibiting “healthy cultural paranoia”, an Anglo therapist would be best advised to:
Ridley recommends that therapists confront the meaning of the client’s cultural paranoia by bringing his/her feelings into conscious awareness and then help the client clarify when it is appropriate or inappropriate to self-disclose.
