Clinical Psychology Flashcards
What are the two dimensions of worldview (Sue)
Locus of control and Locus of Responsibility
Believe they are in control of their own outcomes and responsible for their success and failures (what kind of LOC and LOR)
Internal locus of control and internal locus of responsibility [IC-IR]
Believe they can determine their out outcomes if given the chance but others are responsible for keeping them from doing so (what kind of LOC and LOR)
Internal locus of control and external locus of responsibility [IC-ER]
Believe they have little/no control over their outcomes and they are not responsible for them (what kind of LOC and LOR)
External locus of control and external locus of responsibility [EC-ER]
Believe they have little control over their outcomes but tend to take responsibility for their failures (what kind of LOC and LOR)
External locus of control and internal locus of responsibility [EC, IR]
What kind of responsibility and locus of control is typical of American culture
Internal control and internal responsibility
According to Sue, clients with this kind of level of responsibility and control can be hard for white therapists with IC-IR
Clients with internal control and external responsibility [IC, ER]
What are the 4 acculturation strategies
Integration
Assimilation
Separation
Marginalization
When you retain your own culture and adopt majority culture
integration
When you reject your own culture and adopt majority culture
assimilation
When you retain your own culture and reject majority culture
Separation
When you reject your own culture and reject majority culture
Marginalization
When a person accepts society’s negative beliefs/stereotypes about their own racial group
Internalized Racism
Discrimination based on skin hue/color, hair texture, eye color, preference for lighter skin (can be a form of internalized racism)
Colorism
Brief or commonplace daily, verbal, behavioral, or environmental indignities and intentional or unintentional
microaggression
3 types of microaggressions
Micro assault
Micro insult
Micro invalidation
Explicit, usually intentional and meant to hurt; “old fashioned racism”
Micro assault (exp: name calling)
Verbal and nonverbal; insensitive or demeaning and pathologizing of culture, communication styles, and assuming race makes them dangerous/deviant
Micro insult (exp: believe Black people are hired because of affirmative action)
Exclude, negate thoughts, feelings or experiential reality of POC; assuming POC are foreigners, color blindness/not acknowledging race or impacts of race
Micro invalidation (exp: assuming Asian student wasn’t born in the US; complimenting them on their English)
This refers to the different perspectives that psychologists can take when working with clients from different cultural backgrounds about cultural interventions
Emic vs. Etic
Emic Perspective
Bx is affected by culture so psychological theories and interventions may not apply the same across cultures
Etic Perspective
Bx is similar across cultures and the same psychological theories and interventions are appropriate for everyone regardless of cultural background
This term explains the inability of some mental health professionals to work effectively with people of different cultural backgrounds; these mental health professionals are insensitive to cultural differences and believe their own cultural assumptions about mental health or normality applies to people from all cultural backgrounds
cultural encapsulation
Psychologist who’s work highlights White Privilege
Peggy McIntosh
These interventions focus on making changes in the client so they can adapt to the environment
Autoplastic interventions; strategies including gaining insight into problems or changing behaviors
These interventions focus on altering the environment/situation to fit client’s needs, desires, attributes
Alloplastic interventions; strategies including removing self from stressful situation (changing jobs)
What are tight cultures and what are some examples
Strong social norms
Decreased tolerance for deviant bxs
Greater conformity
Risk avoidant bxs
Preference for Stability
Lower openness to change
Higher conscientiousness
Exps: Mississippi, Alabama, Arkansas, Pakistan, Malaysia, India
Tight cultures tend to have high population densities, greater vulnerability to natural disasters & disease & scarcity of resources so strong norms and punishments are required for survival
What are loose cultures and what are some examples
Weak social norms
Increased tolerance for deviant bxs
Greater willingness to take risks
Greater openness to change and innovation
Exps: California, Oregon, Washington, Estonia, Hungary, Israel
This communication style relies on group understanding, non-verbal messages, and is characteristic of several minority groups
High context communication style (may be used by many African Americans)
This communication styles relies on the verbal message independent of context
Lox context communication style [characteristic of white (mainstream) cultural]
Diagnostic Overshadowing
tendency to attribute all of a person’s problems to a previous diagnosis or demographic factor without considering something else or overlooking other problems (exp: assuming presenting problem of gay people is due to sexual orientation and not something else)
Minority Stress Theory explains increased risk for mental health problems among which population
Sexual minorities due to chronic stress and stigma; has also been applied to other minority groups
Stress within the person including concealment, fear of rejection, and internalized heterosexism
Proximal stress (close)
What is ascribed status
It’s related to credibility and it’s the position or role assigned to therapists by client’s culture; for example, age and gender can contribute to this in certain cultures
What is achieved status
It’s related to credibility and is based on the therapist’s expertise and experience working with client’s of a particular culture
The fidelity adaptation dilemma is related to what
Evidenced Based Treatments and efforts to make them more culturally relevant. The concern is that doing so may impact standardization; but research has found that cultural adaptations benefit outcomes especially for adults and populations that need the modification (language and acculturation issues) and when adding to a protocol instead of taking away from it
With this population, eye contact may be seen as disrespectful and a firm handshake may be seen as aggressive
American indians
With this population, using a therapy network to provide support and engaging in collaborative problem solving that is client centered and not very directive is preferred
American Indian
These terms refer to male dominance and female submissiveness respectively in Spanish
Machismo and Marianismo
This population may find it effective to use folktales, proverbs, and idioms to present models of adaptive bxs and help express feelings
Hispanic/Latin Americans
For this population, fear of losing face and shame are motivators for bx and may keep them from expressing emotions and discussing personal problems
Asian American
This population may prefer the therapist to maintain a formal style and an expert role
Asian American
True or False, LGBTQ clients may be twice as likely as heterosexual clients to have mental disorders
true
True or False, bisexual clients may be more likely than gay and lesbian clients to have mental disorders
true
Who has higher therapy utilization, gay men or lesbian women
Gay men
Who has higher therapy utilization, bisexual men or bisexual women
they have similar utilization
Social disapproval that leads to discrimination and stigmatizes non-heterosexual identity, relationships, and behaviors
heterosexism
true or false, mental disorders are lower in older adults (besides neurocognitive disorders)
true
What diagnoses are most common among older adults
Anxiety and Depression (but most likely to complain of physical and cognitive sxs rather than sadness)
What is the integration paradox
higher status immigrants (more education and economically successful) are more likely than lower status immigrants to report experiences of discrimination and disrespect and are less likely to have positive attitudes about mainstream culture.
One explanation is that they have increased likelihood of experiencing discrimination because of their social standing. Another explanation is that they are more likely to see bxs as discrimination due to sophisticated cognitive abilities
What is the immigration paradox
For some immigrant groups, new immigrants tend to have better physical and mental health and educational outcomes compared to more established immigrants and non immigrants
This therapy developed by Glasser (1965) is based on choice theory which proposes that the ways a person chooses to fulfill his or her needs determines whether they have a success or failure identity
Reality Therapy
What are the 5 basic innate needs of Reality Therapy
love and belonging
power
fun
freedom
survival
According to Reality Therapy, when a person chooses to fulfill their needs responsibly (in a positive way that don’t infringe on the right of others), they have what kind of identity;
When they do it irresponsibly (negatively in a way that infringes upon the rights of others) they have a what kind of identity?
success identity
failure identity
What is the WDEP system intervention from reality therapy
- Ask clients about their WANTS and needs
- Determine what they are currently DOING to foster awareness of their behaviors
- Encourage the client to EVALUATE their behaviors
- Help the client create a PLAN of action
This therapy focuses on how people construe (perceive, interpret, and anticipate) events. People can change how they do this to alleviate undesirable behaviors and outcomes. What theory does this therapy come from?
Personal Construct Therapy
Humanistic/Existential
This type of therapy is about valued subjective experiences: well-being, contentment, and satisfaction (in the past); hope and optimism (for the future); and flow and happiness (in the present)
Positive Psychology
What is the state in positive psychology where people are so involved in an activity that nothing else seems to matter; they are most likely to experience this when there is a challenge-skill balance
Flow