Clinical Psych Flashcards

1
Q

Belief that all behavior serves some psych function

A

psychic determinism

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2
Q

List the processes and associated conscious levels in psychoanalytic therapy

A

1) Clarification = conscious
2) Confrontation = preconscious
3) Interpretation = Unconscious

All of it is working through

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3
Q

Adlerian individual psychology pays more attention to social, physical, or intimacy factors?

A

social factors

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4
Q

A teleological approach is closely associated with?

A

Adlerian therapy

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5
Q

When maladaptive behavior is ascribed to a mistaken style of life with inadequate social interest

A

Adler’s individual psychology,

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6
Q

As per Adler, how one chooses to compensate for inferiority is ______, which is comprised of _____ and _____?

A

Style of life

1) unhealthy - self-centeredness, competitivenes, power
2) healthy - optimism, confidence, and care for others

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7
Q

Primary characteristic that distinguishes a healthy vs unhealthy style of life

A

1) pampered as a child - no social feelings

2) neglected - need for revenge

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8
Q

fictional (hidden) goals

A

Adlerian individual psychology

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9
Q

Name a type of Adlerian group therapy

A

Systematic training for effective teaching

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10
Q

Behaviors are determined by past and future goals…this was said by

A

Jung

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11
Q

Was Jung concerned with future, present, or past?

A

The here and now…past only useful if it helps understand the present

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12
Q

What are the 2 attitudes and 4 basic psychological functions in Jungian therapy

A

attitudes=extraversion and introversion

functions=thinking, feeling, sensing, intuiting

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13
Q

Describe lifespan through Jungian perspective

A

Saw development as continuing through life and was interested mostly after mid 30s

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14
Q

Symptoms are unconscious messages that something is awry and tasks need to be fulfilled

A

Jung

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15
Q

Transference (crucial)

A

Jung

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16
Q

According to Mahler, what are the phases by which infants assume an identity

A

1) normal infantile autism (0-1 month)

2) normal symbiotic phase (1-5 months)

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17
Q

Describe how the development of object relations occurs according to Mahler

A

separation-individuation (5-24 months)…consists of 4 overlapping stages:

1) differentiation
2) practicing
3) reapproachment
4) object constancy

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18
Q

Focus is on splitting

A

Object relations

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19
Q

Taking on someone else’s attitude without adopting it

A

introjection

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20
Q

Goal of person-centered therapy

A

achieving congruence

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21
Q

person-centered therapy’s 3 facilitation conditions

A

unconditional positive regard, genuineness, and empathy

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22
Q

Gestalt therapy is attributed to

A

Fritz pearls

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23
Q

Define gestalt

A

Perceptions as parts of wholes

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24
Q

we seek closure and ____ reflect needs. Behaviors can only be understood in context.

A

gestalts

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25
Q

The self and and the self-image are associated with ____ therapy. The one that dominates depends on experiences with the ______.

A

gestalt - environment

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26
Q

What is maladaptive behavior considered in Gestalt theory?

A

“Growth disorder” - lack of integration by abandoning self or self-image

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27
Q

Describe Gestalt’s 4 boundary disturbances

A

1) Introjection - accepting external standards w/o internalizing them
2) Projection
3) Retroflection - doing to onseself what one wants to do to others
4) Confluence - absence of boundary between the self and environment

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28
Q

Become a unified whole - integrate parts of self

A

goal of gestalt

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29
Q

Primary curative factor as per Gestalt

A

awareness

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30
Q

dream work

A

gestalt

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31
Q

Reality therapy is based on _____ theory.

A

Choice

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32
Q

List Reality therapy’s 5 basic needs

A

1) Survival
2) Love and belonging (most important)
3) Power
4) Freedom
5) Fun

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33
Q

Living our lives responsibly results in _____ as per _____ therapy….in contrast, living our lives irresponsibly results in ____

A

Success identiy
Failure identity
As per reality therapy

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34
Q

Reality therapy states that maladaptive behavior is a result of?

A

One’s choices - a person depresses self because believes it will get him attention and allow to avoid unpleasant activities

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35
Q

Development of a success identity is ___ therapy’s goal

A

reality

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36
Q

Stresses conscious processes

A

reality therapy

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37
Q

What are the ultimate concerns of existence, as per existential therapy

A

death, freedom, isolation, and meaninglessness

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38
Q

Personal Construct therapy’s explanation of maladaptive behavior

A

Discrepancy between personal constructs and events falling outside of the range of those constructs

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39
Q

______ therapy assumes people choose the way they deal with the world and there are alternatives for doing so

A

Personal construct therapy

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40
Q

personal constructs develop in _____ and can operate on ______ or ______levels

A

infancy, conscious, unconscious

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41
Q

Repertory grid - evaluating people in pt’s life and how they’re different/similar

A

Personal construct

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42
Q

Interpersonal therapy is attributed to

A

Klerman and Weissman

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43
Q

Interpersonal therapy focuses on what two areas?

A

symptom reduction and interpersonal relationships

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44
Q

IPT highlights 4 problem areas:

A

1) Interpersonal deficits
2) Interpersonal role disputes
3) Role transitions
4) Unresolved grief

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45
Q

Solution focused therapy is attributed to

A

de Shazar

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46
Q

1) Scaling
2) Miracle
3) Exception

These are types of questions in _____ therapy

A

solution-focused

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47
Q

In ______ therapy, each session has several steps or strategies

A

solution-focused

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48
Q

The transtheoretical model highlights 3 factors that can affect motivation in different stages…What are they and what’s their relevance to the stages?

A

1) Decisional balance - perceived pros and cons - most important in contemplation stage
2) Self-efficacy - important in early stage transitions
3) Temptation - higher in earlier stages and lowers in later stages

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49
Q

General systems theory is attributed to

A

von Bertalanffy

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50
Q

General systems theory states that a family is a(n) ______, always trying to maintain_____

A

open system, homeostasis

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51
Q

Briefly highlight the following’s contribution to family therapy:

Ackerman
Bateson
Bowen

A

Ackerman - grandfather of fam ther

Bateson - double bind comm

Bowen - tri-generational interaction theory of schizophrenia

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52
Q

Structural family therapy is attributed to

A

Minuchin

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53
Q

Structural family therapy says what leads to distress

A

too diffuse or to rigid family boundaries

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54
Q

too diffuse =

too rigid =

A

enmeshed, disengaged

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55
Q

Detouring - all child’s fault

A

boundary issues as per structural family therapy

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56
Q

Three overlapping steps in structural family therapy

A

1) Join - in a position of leadership
2) Evaluate the structure
3) Restructure

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57
Q

Communication-interaction family therapy is attributed to

A

Jackson et al

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58
Q

Communication-interaction says that issues arrive when ______ styles are in conflict

A

interaction

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59
Q

Communication-interaction family therapy highlights two types of communication

A

1) Symmetrical

2) Complementary

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60
Q

Communication-interaction family therapy says that symptoms are and include?

A
The cause and effect of communication issues and they include: 
Blaming
Mind-reading
Criticizing
Overgeneralizing
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61
Q

Differentiation of self - separating one’s own intellectual/emotional functioning - the lower this is the more fused one is with emotions that dominate family

A

Extended family therapy

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62
Q

How does Extended Family Systems theory describe maladaptive behavior?

A

Through the Multigenerational Transmission Process

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63
Q

Increase differentiation of all family members

A

goal of extended family therapy

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64
Q

Genogram (three gens)

A

Technique in extended famil therapy

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65
Q

In extended family therapy, partners talk to ____ and not to ____

A

Partners talk to therapist and not each other

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66
Q

Strategic Family Therapy is attributed to

A

Haley

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67
Q

Strategic Family Therapy says that maladaptive behavior is a sympton that is?

A

A transactional pattern that is Interpersonal, adaptive, and inherent - becomes a problem when someone denies it

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68
Q

Stages described in Strategic Family Therapy (SPIG)

A

1) Social - family converses naturally
2) Problem - Therapist identifies issues
3) Interaction - Fam discusses issues while therapist observes
4) Goal Setting - Ther and fam set goals

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69
Q

Describe Paradoxical Intentions often used in Strategic Family Therapy (PORRS)

A

1) Positioning - exaggerate sxs
2) Ordeals - Unpleasant tasks (give you enemy a gift)
3) Reframing - Relabel Sx to more positive
4) Restraining - Encourage not to change
5) Subscribe the Sx - Engage in in Sx deliberately

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70
Q

social exchange theory, operant conditioning, and contingency contracts, to increase positive reinforcements between partners

A

Stuart’s Operant Interpersonal Therapy

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71
Q

Intrapsychic and interpersonal factors are reasons for maladaptive behavior in _____ family therapy

A

object relations

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72
Q

Describe projective identification

A

Project old introjects onto someone, react as if they have those traits, or provoke them into behaving in accordance with those traits

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73
Q

Milan Systemic Family Therapy is attributed to

A

Selvini-Palazzoli

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74
Q

Maladaptive behavior is due to circular patterns of action/reaction - become too fixed w/o room for creativity, as per ______ family therapy

A

Milan Systemic family therapy

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75
Q

According to Yalom, the first few months of group therapy involves 3 formative stages:

Which is the most important curative factor?

A

1) Orientation, meaning
2) Conflict, dominance
3) Cohesiveness - most important

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76
Q

Strategy Conference (1 way mirror with certain fam members)

A

A technique in Milan Systemic family therapy

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77
Q

The goal of _____ family therapy is to highlight prerogative of choosing different options and seeing problems in different ways

A

Milan Systemic family therapy

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78
Q

Yalom described 3 therapist tasks:

A

1) Creation and maintenance

2) Culture Binding
a. Technical expertise (mass group interpretation)
b. Participant/model

3) Focus on here-and-now (process illumination)

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79
Q

Striving for egalitarianism is a technique in

A

Technique in feminist therapy

80
Q

Etic is to ______ therapy as

____ is to nosexist therapy

A

etic-feminist

emic-nonsexist

81
Q

Feminist Object Relations highlights two contributors to gendered behaviors:

A

1) Sexual division of labor -parenting primarily a female task resulting from gender norms

2) Mother-child relationship
- Self-Relation theory - males taught to separate from mother and females to attach to mothers

82
Q

How does Acupuncture view illness

A

Illness=blockage of qi (vital life energy) along pathways (meridians)

83
Q

What is Reflexology’s assumption and how does it work

A

Assumes there are reflex areas in hands/feet that correspond to vital body functions

Applying pressure re-establishes balance by affecting blood and lymph circulation and promoting relaxation

84
Q

Health belief model

A

health behaviors can be modified by targeting knowledge and motivation

85
Q

Health Locus of Control

A

enhance pt’s behaviors by promoting sense of responsibility and control

86
Q

Organizational consultation adopts what approach and views which entity as the consultee?

A

System approach…the organization is the consultee

87
Q

Advocacy Consultation requires what from the consultant?

A

To adopt an explicit value orientation to foster goals via 4 stages:

1) Entry
2) Dx
3) Implementation
4 Disengagement

88
Q

Working with the consultee to assist in working with the client is which form of consultation

A

Client-Centered

89
Q

Who is dose-dependent effects attributed to and briefly describe it

A

Howard - Outcome of therapy levels off at about 26 sessions (75% show improvement)…85% show improvement at 52 sessions

90
Q

What are the three stages as per the Phase Model of Therapy

A

1) Remoralization - Sense of hopefulness
2) Remediation - Better due to symptom relief
3) Rehabilitation - Better due to global effects

91
Q

quasi-experimental and correlational and better for assessing utility, generalizability, cost

A

Effectiveness study

92
Q

Describe the relationship to the use of mental health services for each of the following:

1) Whites
2) African-Americans
3) Asian Americans

A

1) Whites - Use of MH services overall
2) Afr-Amer - More use of ERs and Inpatient
3) Under-represented in both out/inpatient

93
Q

What ethnicity’s are prominent in the following:

1) Depression
2) Illicit drugs

A

1) Whites > Afr-Amer and Hispanics

2) Afr-Amer > Whites

94
Q

Mack states that couples therapy is appropriate/inappropriate in domestic violence when what?

A

Yes, when abuse it’s expressive

No, when abuse is instrumental

95
Q

Describe acculturation

A

degree to which one identifies with minority and majority groups

96
Q

Identify the 4 levels of acculturation (IAS-M) and the degree to which each identifies with minority and majority groups

A

1) Integration - High in both - best predictor of good MH outcome
2) Assimilation - low minority, high majority
3) Separation - High minority, low majority
4) Marginalization - low in both - best predictor of poor MH outcome

97
Q

Cultural competence entails ___, ___, and ___.

Culture specific approaches to indigenous healing include:

A

Awareness, knowledge, and skills

Curanderismo
Ho’oponopono
Sweat lodge ceremony

98
Q

Mental illness is higher among the ______ gender but the ______ gender has higher admissions rates, which changed the emphasis from psychopathology to ______ _______ ?

A

Female, male, perceived dangerousness

99
Q

Schizophrenia is most common in which age range?

65+ year olds are mostly at risk for which disorders?

A

schiz - 18-44

65 - organic, then affective

100
Q

Herek believe homophobia is too broad and can be explained by three terms:

A

Sexual stigma, heterosexism, and sexual prejudice

101
Q

4 types of disclosers regarding paranoia - highlight their level of cultural and functional paranoia

A

1) Intercultural Nonparanoiac Discloser - Low in both
2) Functional - Low in cultural, high in functional
3) Healthy Cultural - Low in functional, high in cultural
4) Confluent Paranoiac - High in both

102
Q

Consequences of oppression

CUSPI

A

1) Conceptual Incarceration
2) Uncle Tom Syndrome
3) Split-Self Syndrome
4) Playing it Cool
5) Internalized Oppression

103
Q

List the 5 stages of the Race/Cultural Id Developmental Model

A

1) Conformity
2) Dissonance
3) Resistance and Immersion
4) Introspection
5) Integrative Awareness

104
Q

List the 4 stages of the Black Racial Identity Developmental Model

A

1) Pre-encounter
a. Assimilation
b. anti-black

2) Encounter
3) Immersion-Emersion

4) Internalization
a. Pro-black, non-racist
b. Biculturist
c. Multiculturalist

105
Q

Regarding the White Racial Developmental Model….

How many phases is it divided into?

Each stage has a difference in what kind of strategy?

List the stages.

A

Two phases:
A. Abandoning (1-3)
B. Developing a non-racist White identity (4-6)

Each has a different info-processing strategy

1) Contact Status
2) Disintegration Status
3) Reintegration Status
4) Pseudo-Independence Status
5) Immersion-Emersion Status
6) Autonomy Status

106
Q

Homosexual Identity Developmental Model

A

1) Sensitization/Feeling different
2) Self-Recognition/Identity Confusion
3) Identity Assumption
4) Commitment/Identity Integration

107
Q

Describe the levels of understanding between therapist and pt in Helms’ interaction model of counseling.

Which are the worst and best ones?

A

1) Crossed - Opposite attitudes - the worst one
2) Regressive - Therapist is 1 level below pt - early termination
3) Parallel - On same level but can be issue if both in less advanced stages
4) Progressive - Therapist 1 level above pt - best one

108
Q

Three types of prevention:

A

1) Primary - before the outbreak (vaccines)
2) Secondary - People are identified as having an issue (walk-in clinics, suicide hotlines)
3) Tertiary - After tx, trying to prevent a relapse or reduce chronicity of an issue (AA, halfway houses)

109
Q

Preferred approaches among diverse populations

A

Asian - directive, structured - avoid emotion expression

African - multisystems - extended family - gender roles are flexible

Hispanic - active, directive, solution-focused - problems may be somaticized

American Indians - Networks, tradition - illness viewed as disharmony with nature

110
Q

Sue and worldview

A

How people perceive their relationships with others - depends on locus of responsibility and of control

111
Q

In solution focused therapy, the client is viewed as _____ and the therapist is the _____?

A

Expert

consultant/collaborator

112
Q

High vs low-context communication

A

High - shared cultural understanding and nonverbal cues - slow to change - good with unifying a culture

Low - focuses more on verbal message, less unifying, changes rapidly/easily (anglos)

Differences in styles can lead to miscommunications in cross-cultural therapy

113
Q

Issues for LGBT include _____ and _____ . Research shows coming out is _____ for gays and lesbians.

A

internalized homophobia and coming out

the same

114
Q

Triangular model of supervision emphasises? (POS)

A

Professional knowledge
Organizational policies
Supervisory relationship

115
Q

Attempts to compensate for feelings of inferiority, achieving personal power, and a lack of social interest

A

Adlerian

116
Q

In Adler’s style of life, the following describe which style

1) self-centeredness, competitivenes, power
2) optimism, confidence, and care for others

A

1) unhealthy

2) healthy

117
Q

Awareness of inner world

A

Jung

118
Q

Goal is to bring maladaptive unconscious relationship dynamics into consciousness

A

object relations

119
Q

Fixed role therapy- “trying on” alternative personal constructs

A

Personal construct

120
Q

Family Projection Process - Two spouses project onto child - - usually first born, “favorite”, or child born in time of distress

A

Extended family therapy

121
Q

guided fantasy (imagery)

A

gestalt

122
Q

Family constellation

A

adlerian

123
Q

Projective identification

.

A

object relations

124
Q

Development of wisdom which occurs in later years

A

Jung

125
Q

Self-characterization technique-describing self from others’ POVs

A

Personal construct

126
Q

Lifestyle investigation

A

Adler

127
Q

Joe is depressed because of his past and believes he has a chemical imbalance leading to depression. A reality therapist would emphasize what as part of his SXs?

A

he has the choice to be depresed and his past/chemicals have nothing to do with it

128
Q

emphasize value judgments

A

reality therapy

129
Q

Neutrality is a stance often taken in _____ family therapy

A

Milan systemic

130
Q

Distorted beliefs and attitudes in Adlerian therapy are referred to as

A

basic mistakes

131
Q

Involvement in social actions if often encouraged in ___ therapy

A

feminist

132
Q

We experience the world in accord with figure/ground

A

gestalt

133
Q

Report function (content)

A

Communication-interaction family therapy

134
Q

problems in social roles and interpersonal relationships traceable to a lack of strong attachments in early life

A

interpersonal therapy

135
Q

Avoiding re-victimization is stived for in ___ therapy

A

feminist

136
Q

Circular Questions are often used in _____ family therapy

A

Milan systemic

137
Q

Dreams (unconscious in symbolic form)

A

Jung

138
Q

Stable coalition - child + parent against parent

A

Boundary issues in structural family therapy

139
Q

Emotional triangle - Two members in distress recruit another to stabilize - the less differentiated the fam the more likely

A

Extended family therapy

140
Q

This is often used in _____ family therapy
Paradox
a. Counterparadox (therapeutic double bind)
b. Positive Connotation (reframing)

A

Milan systemic

141
Q

The ____, as per gestalt therapy, is the tendency for _____. In contrast, the ____, is the darker side that hinders growth by imposing _____.

A

self - self-actualization

self-image - external standards

142
Q

Use of questioning and encouragement to commit to a realist plan of action is an approach of

A

reality therapy

143
Q

Sessions are educative, cognitive, and controlled, in _____ family therapy

A

Extended family therapy

144
Q

Two important qualities to work with diverse populations are ___ and ___.

A

credibility and giving

145
Q

Interpretation of each member’s attachment to family introjects and resolving multiple transferences is the goal of ____ family therapy

A

Goal of Object Relations Family Therapy

146
Q

helping adminstrators improve their functioning for future effectiveness is what kind of consultation

A

Consultee-Centered Administrative -

147
Q

Command function (nonverbal) is associated with

A

Communication-interction family therapy

148
Q

Triangulation (unstable coalition) - child forced to choose a parent

A

Boundary issues in structural family therapy

149
Q

Hypnosis does OR does not enhance accuracy of memories, and may produce more ______ .

A

does not…pseudomemories

150
Q

Avoiding labels is often done in ____ therapy

A

Feminist therapy

151
Q

empty chair

A

gestalt

152
Q

____ has been used as an adjunct to many therapy modalities and has been found to be effective for a variety of conditions

A

hypnosis

153
Q

Operting on an unconscious level and serving to distort reality are two traits of

A

defense mechanisms

154
Q

_____ consultation is vulnerable to _______, which is like transference

A

consultee-centered - theme interference

155
Q

Send fam to visit family-of-origin to help de-triangle members

A

Technique in extended family therapy

156
Q

Although hypnosis may elicit ____ memories, they reflect issues and experience that are relevant to tx which can lead to _____ in symptoms

A

inaccurate, improvement

157
Q

in psychoanalysis, the pt gradually assimiliates new insights into his personality aka

A

working through

158
Q

Working with several administrators to address issues in an existing program is what kind of consultation?

A

Program-Centered Administrative

159
Q

____ therapy rejects medical conceptualization

A

reality

160
Q

Hypothesizing is often used in _____ family therapy

A

Milan systemic

161
Q

_____ transference is more important than ____ transference by practitioners of brief psychodynamic therapy

A

positive > negative

162
Q

type of study which includes clinical trials and better for seeing if tx has an effect

A

Efficacy study

163
Q

the id, ego, and supergo, are explained by freud’s ____ theory

A

structural

164
Q

The archetypes are:

A
Self
Persona (public mask)
Animus
Anima
Sahdow
165
Q

Focusing on ____ transference will minimize the chance of a _____ neurosis

A

positive, transference neurosis

166
Q

Working with the consultee to enhance consultee’s performance is which kind of consultation

A

Consultee-Centered - enhance consultee’s performance

167
Q

a ____ family therapist would purposely unbalance or stress the family’s homeostasis and relabel aka ____ behaviors to be viewed in a more positive way

A

structural

reframe

168
Q

Jung labeled the integration of the conscious and unconscious as _____, which results in a unique _____.

A

individuation results in a unique identity

169
Q

_____ therapies incorporate the assumptions/traits of several approaches and emphasize the pt’s perceived ____.

A

constructivist, reality

170
Q

Adler said children misbehave for one of four goals, which are driven by a need to _____, accompanied by faulty _____ about what is needed to do so.

A

attention, power, revenge, to display deficiency

need to belong, faulty beliefs

171
Q

Mahler would agre that issues as adults reflect issues we had during :

A

separation-individuation

172
Q

According to _____, a person with BPD never _____ the negative and positive aspects of her experiences with others, so she shifts between contradictory image.

A

Kernberg, integrated

173
Q

Humanistic therapies share a _____ approach, which assumes that one must understand his or her subjective experience

A

Phenomenological

174
Q

As per ____, dreams are unconscious messages revealed in ____ form.

A

Jung, symbolic

175
Q

in evaluating a family, the therapist might recomend a family structural map. the therapist is likely practicing

A

structural family therapy

176
Q

“What’s better since the last time we met?” - this might be the opening to a follow-up session for a _____ therapist.

A

solution-focused

177
Q

techniques of _____ include education about the disorder, instillation of hope, and if necessary, medication

A

interpersonal therapy

178
Q

living a genuine, self-aware, and meaningful life

A

existential therapy

179
Q

A ____ therapist would have his client role play dreams

A

Gestalt

180
Q

maladaptive behavior is due to incongruence

A

person-centered (rogerian)

181
Q

In _____ therapy, when the client is given a _____ task , he’s required to identify something he wants to continue

A

Solution-focused therapy- Formula task

182
Q

power hierarchies and subsystems are important in ___ family therapy

A

structural

183
Q

The transtheoretical model was originally developed for

A

smoking cessation

184
Q

In extended family therapy the therapist assumes the role of an ____ and clients are encouraged to communicate with ______ rather than ______.

A

active expert

the therapist rather than each other

185
Q

blending, which includes tracking and mimesis, is part of ___ family therapy

A

structural

186
Q

In _____ families, wherein some condition threatens the life of a child, there’s often a high degree of _____.

A

psychosomatic families - high defree of enmeshment

187
Q

pt’s are guided to recognizing their freedom to choose their destinies and accept responsibilit for changing their own lives

A

existential

188
Q

struggles are inherent in any relationship but issues arise when both parties ____ the intent to control the other person. this is the view of ___ family therapy

A

deny

strategic

189
Q

transference is viewed as a ______in Gestalt therapy

A

fantasy

190
Q

Archetypes are _______ that cause people to experience and understand certain things in a ______ way.

A

primordial images, universal

191
Q

as per _____ family therapy, a symptom is an interpersonal phenomenon that is seen as adaptive to a current social situation for controlling a situation.

A

strategic

192
Q

tracking and mimesis encompass the concept of _____ and mean:

A

blending
tracking = identifying/using family’s values
mimesis=adopting the familys affective and communication style

193
Q

altering a famiy’s transactions and organization by asuming that behavior change results in changes perception and emotion…this is a goal of ____ family therapy

A

strategic

194
Q

Each member of the family is asked, “who was more upset mom or dad?” What therapy uses this techinque and what is it called?

A

circulr questions in Milan systemic family therapy

195
Q

focus on here-and-now and processes occuring in the present were referred to as ______ by _____

A

process illumination - yalom

196
Q

_____ theory proposes that many gender differences can be traced to differences in the mother-child relationship, as per ____ therapists

A

self-in-relation - feminist