Clinical Psychology Flashcards
________ studies are based on clinical trials while ________ studies are correlational or quasi-experimental in nature.
Efficacy; Effectiveness
This is the theory that the “whole” can be understood only in terms of the organization and interactions of its components; it is the theoretical framework underlying family therapy.
General Systems Theory
In general systems theory,
________ interact with the environment by receiving input and discharging output, whereas ________ have no exchange with the environment and can lead a family to disorder and disorganization. Families in therapy are usually the former.
Open systems; closed systems
In general systems theory, this refers to the concept
that every part of a system
is interrelated, thus all parts are affected by a change in the system.
Wholeness
This property of a family system, according to general systems theory, suggests the whole is greater than the sum of its parts; hence, therapists view the family as a single unit rather than a collection of individuals.
Non-summativity
In general systems theory, this refers to the idea that the same end-result occurs for the whole family, regardless of where one enters the system.
Equifinality
A young girl who is molested by her father ends up becoming very sexually inhibited later in life. This is an example of ________ according to general systems theory.
Equipotentiality
From a general systems theory perspective, this refers to the tendency for a system to revert back to old ways amidst a change or disruption in the system. The system’s management of negative and positive feedback determines the degree to which it exists.
Homeostasis
In general systems theory, ________ refers to the maintenance of a family’s homeostasis by attempting to correct deviations in the status quo (e.g., dad yells at loud son and son quiets down), while ________ refers to the disruption of a family’s homeostasis by encouraging or creating deviations to the status quo (e.g., wife gets job and roles change for husband/children).
Negative feedback; positive feedback
Interpersonal Therapy was initially developed as a treatment for depression, though it has since been applied to other conditions. While it acknowledges early experience, biology, and personality, it focuses on 1 of what 4 areas of interpersonal functioning?
Grief, interpersonal
role disputes, role
transitions, and
interpersonal deficits
This phenomenon occurs in clinical supervision when the therapist (supervisee) behaves toward the supervisor in ways similar to how the client is behaving toward the therapist.
Parallel process
What approach to family therapy focuses on the
role of communication and
distinguishes between
symmetrical and complimentary communication?
Communication/Interaction Family Therapy
From the perspective of Communication/Interaction Family Therapy, ________ involves conflicting negative injunctions, with one injunction often being expressed verbally and the other non-verbally (e.g., father says “I love you” while spanking child). This usually results in a frustrating conflict in the person receiving the message.
Double-bind communication
According to Communication/Interaction Family Therapy, ________
communication occurs between equals
but may escalate into a competition for
control, whereas ________ communication occurs between participants who are unequal and emphasizes their differences (e.g., parent-child or employee-boss).
Symmetrical; Complimentary
What concept of Communication/Interaction Therapy suggests information is communication implicitly via nonverbal messages, which is also referred to as command-level communication?
Metacommunication (report-level communication refers to the intended verbal message)
Who is the British psychologist known for research suggesting that any apparent benefit of therapy is actually due to spontaneous recovery?
Eysenck performed outcome studies showing that 72% of untreated neurotics improved without therapy, while 66% of clients in eclectic therapy and 44% in psychoanalysis showed a substantial decrease in symptoms
Eysenck concluded, based on his research, that what single form of therapy is superior to placebo or no treatment at all?
Behavior therapy
While the impact of duration of therapy (number of sessions) on client outcome is positive at first, it typically lessens over time, though never becomes negative. Thus, it can be said that the relationship between duration of therapy and treatment outcome is what?
Negatively accelerated
An approach to the alleviation of mental disorders that is associated with both community mental health and public health is referred to as what?
Prevention
________ preventions make an intervention
available to all members of
a target group or population in order to keep
them from developing a disorder.
Primary
________ preventions identify at-risk individuals and offer them appropriate treatment.
Secondary
________ preventions are designed to reduce
the duration and consequences of an
illness that has already occurred.
Tertiary
Based on the research,
who are the most frequent callers and, consequently, receive the most benefit from suicide hotlines?
Young white females
Freudian psychoanalysis involves analyzing ________, ________, ________, and ________ and consists of a combination of ________, ________, ________, and ________.
Free associations;
dreams; resistances; transferences; confrontation; clarification; interpretation; working through
Freud posited that when
the ego is unable to ward
off danger (anxiety) through rational, realistic
means, it resorts to one of its ________.
Defense mechanisms
What 2 characteristics do all defense mechanisms share, according to Freud?
They (1) operate on an unconscious level and (2) serve to distort reality
Name the following defense mechanisms: ________ involves refusing to accept external reality because it’s too threatening; the gross reshaping of external reality to meet internal needs is called ________; _______ occurs when one attributes to others one’s own unacceptable thoughts/emotions.
Denial; distortion; projection
Name the following defense mechanisms: ________ refers to indirectly expressing aggression toward others; ________ is the direct expression of an unconscious impulse without conscious awareness; ________ is subconsciously viewing another person as more positive than they are.
Passive aggression; acting out; idealization
Name the following defense mechanisms: ________ involves shifting sexual or aggressive impulses to a more acceptable target; ________ is an extreme separation of emotion from ideas in order to distance oneself from anxiety; and ________ refers to converting unconscious inappropriate impulses into their opposites.
Displacement; intellectualization; reaction formation
Name the following defense mechanisms: ________ is the overt expression of ideas or feelings in such a way to give others pleasure; ________ occurs when one identifies so deeply with some idea that it becomes a part of that persons character; ________ refers to transferring/expressing negative emotions or instincts in positive, more acceptable ways.
Humor; introjection; sublimation
Name the following defense mechanisms: ________ is the rejection of painful or shameful experiences from consciousness and prevents unacceptable impulses/desires from reaching consciousness; ________ is the process of giving a socially acceptable reason to explain unacceptable thoughts or actions; ________ occurs when a person becomes stuck in a successfully completed developmental stage and returns to this stage in response to difficult life problems.
Repression; rationalization; fixation
The id, a completely unorganized reservoir of energy that includes all instincts and reflexes that are inherited at birth, operates according to what?
The pleasure principle
The ________ is that part
of the id that has been modified by its interaction
with the external world,
functions to suspend the pleasure principle, and represents the ________.
Ego; reality principle
What part of the ego acts as the conscience and is constructed largely from internalization of parental restrictions, prohibitions, and customs?
Superego
What unconscious mental process is characterized by limited logic, substitution of one idea with another, and by immediate discharge of energy?
Primary process
What conscious mental process, per psychoanalysis, is more logical and sequential in nature?
Secondary process
This is the term a psychoanalytic psychologist might use to describe a weakening of one’s defenses and the consequent breaking through of an impulse.
Signal anxiety
During ________, a client is
asked to attend to all thoughts and report them without suppressing or censuring them. Freud described ________ as a reluctance or inability to recall the traumatic memories that caused one’s symptoms.
Free association; resistance
What is the term used to describe a client’s projection of his own feelings, thoughts, wishes and attitudes about others in his past onto the therapist?
Transference
Freud used the term ________ to describe a transference reaction that became very intense during analysis.
Transference neurosis
Of the 2 transference reactions, a client’s feelings of love that are displaced from original objects (parents) onto the therapist are considered ________ transference and facilitates treatment; ________ transference involves displacement of aggressive drives from the original objects onto the therapist.
Positive; negative
What term is used to describe a relationship that allows the client to identify with the therapist as a person, one who can eventually help replace id with ego?
Therapeutic (working) alliance
This occurs when the therapist projects their emotions, thoughts, and wishes from the past onto the client’s personality, or some other material the client is presenting, thus expressing unresolved conflicts and/or gratifying their own personal needs.
Countertransference
In psychoanalytic terms, a client experiences ________ when the recall of unconscious material leads to emotional release, while ________ occurs when connections are made between current behaviors and unconscious material.
Catharsis; insight
What psychoanalytic
technique serves the purpose of gradually
increasing a client’s insight
into the reasons
underlying current feelings and behavior?
Interpretation
From a psychoanalytic perspective, a client
who reports they have
been thinking about
problems outside of therapy indicates what?
A good working
alliance has
been established
This personality theory and approach to therapy stresses the unity of the individual and the belief that behavior is purposeful and goal-directed. Therapy focuses on exploring lifestyle determinants, including family atmosphere, distorted beliefs and attitudes, and birth order.
Adler’s Individual Psychology
Adler posited that what types of childhood feelings motivated growth, domination, and striving for superiority?
Feelings of inferiority (also
called “inferiority complexes”)
What is another term Adler used instead of inferiority complex?
Masculine protest
According to Adler, if an inferiority complex
develops a connection
with a specific part of
the body, it is called what?
Organ inferiority
Adler believed children developed “compensatory behavior patterns” to defend against their feelings of inferiority. What did he refer to this to as?
Style of life
What is the most significant difference
between Freudian
and neo-Freudian therapists?
Neo-Freudians more
heavily emphasize
socio-cultural
determinants of personality
Horney defined ________ as feelings of helplessness and isolation in a hostile world, and believed it was caused by certain parental behaviors (e.g., indifference, overprotection, rejection).
Basic anxiety
According to Horney, what are the 3 modes of
relating to others that children use to defend against basic anxiety?
Movement toward others, movement
against others, and
movement away from others
Sullivan posited 3 modes of cognitive experience he believed played a role in personality development. The ________ mode involves discreet, unconnected momentary states and refers to experiences before language symbols are used; in the ________ mode, people see causal connections between events that are not actually related using private (autistic) symbols; and the ________ mode involves logical, sequential, and consistent thinking, and underlies language acquisition.
Prototaxic; parataxic; syntaxic
According to Sullivan, neurotic
behavior is caused by ________, which is characterized by a person dealing with others as if they were significant people from their past (similar to transference).
Parataxic distortion
Fromm, who was interested in
the role society plays in preventing people from realizing their true nature, identified what 5 character styles adopted by a person in response to societal demands?
The receptive, the exploitative, the hoarding,
the marketing, and the productive (the only one
that permits a person to realize their true nature)
What is the main
difference between
Freudian psychoanalysis and Ego-Analysis?
Ego-analysis places
greater emphasis on the
role of the ego, as opposed to the id, in personality development
From the perspective of
the ego-analysts, pathology occurs when
the ________ loses its autonomy from the ________.
Ego; id
Psychologists who primarily
emphasize the impact of early relationships on personality development and view maladaptive behavior as the result of abnormalities in early relationships use what approach to psychotherapy?
Object-Relations Theory
Margaret Mahler, an Object-Relations theorist and therapist, is most noted for her study of what process?
Separation-individuation,
which is the process by which internal
representations of the self and others are formed
In Object Relations Theory, this is the mental representation of a person that, when inappropriately developed, leads to pathology.
Object introject
What is the Object-Relations term used to describe a person’s tendency to separate object-representations into good and bad, usually leading to aggressive feelings, irrational thinking, and poorly regulated behaviors?
Splitting
What therapeutic approach refers to normal narcissism as a child’s natural self-love and views pathology as stemming from consistent un-empathic parental responses during childhood?
Self-Psychology (Kohut)
According to Self-Psychology, a child
develops a protective ________ when their narcissism is inevitably undermined by parental failure to satisfy all needs.
Grandiose self
This therapeutic approach believes the whole is greater than the sum of its parts,
adopts a here-and-now approach, views
awareness as the primary goal of treatment, and defines neurosis as a “growth disorder” reflecting certain boundary disturbances and involving an abandonment of the self for the self-image.
Gestalt Therapy
Identify the following boundary disturbances as defined by Gestalt Therapy: ________ refers to “swallowing” information without ever understanding or assimilating it; ________ involves displacing one’s own wishes onto another; in ________, a person does to herself what she wants to do to others (e.g., isolation, masturbation); ________ refers to avoidance of contact by being vague, indirect, or overly polite; ________ occurs when the self-environment boundary is too thin and self is not experienced as distinct, but merged into attitudes, beliefs, and feelings of others; and ________ is when the self-environment boundary becomes nonexistent.
Introjection; projection, retroflection, deflection, confluence; isolation
How does a Gestalt
therapist view transference in the
client-therapist relationship?
As a fantasy that hinders true self-awareness
What form of therapy views behavior as being determined by both conscious and unconscious factors, including collective unconscious, and is based on the theory that personality continues to develop throughout the lifespan?
Jung’s Analytical Psychotherapy
Jung contended that the ________ unconscious arises from repression, whereas ________ unconscious comes from universally inherited neural patterns and is described as the “reservoir of the experiences of our species.”
Personal (individual); collective
From Jung’s Analytic perspective, ________ are innate, universal prototypes for ideas that may be used to interpret observations. A group of memories and interpretations associated with one is termed a ________.
Archetypes; complex
________ is the disposition to find pleasure in external things; ________ reflects a turning inward of the libido.
Extraversion; introversion
Jung believed that at approximately 40 years old, people shift from the ________ of their youth to the ________ of adulthood, a time period referred to as ________.
Extroversion; introversion; mid-life crisis (transition)
Practitioners of what form of therapy hold the belief that people possess an inherent ability for growth and self-actualization and that maladaptive behavior occurs when incongruence between self and experience disrupts this natural tendency?
Person-Centered Therapy
In Person-Centered Therapy, what are the 3 facilitative conditions the therapist applies to enable clients to return to their natural tendency for self-actualization?
Empathic understanding (empathy), congruence (genuineness/authenticity), and unconditional positive regard
Therapists from this modality
view the client as expert while the therapist acts as a consultant/collaborator who poses questions designed to assist clients in recognizing and using their strengths and resources to achieve goals.
Solution-Focused Therapy
True or False: Solution-Focused therapists believe that understanding the etiology or attribute of a maladaptive behavior is irrelevant?
True- they prefer
rather to focus
on solutions to problems
What form of therapy that is focused on empowerment and social change, based on the premise that “the personal is political,” and attempts to demystify the client-therapist relationship?
Feminist Therapy
In Feminist Object Relations Therapy, what are the 2 contributors to gendered behaviors?
- Sexual division of labor and 2. Mother-child relationship (positing that many gender differences can be traced to differences in mother-daughter and mother-son relationships)
In contrast to Feminist Therapy, ________ therapy focuses more on personal causes of behavior and personal change.
Nonsexist
According to this theory, one’s sense of self is largely dependent on how they connect with others, thus psychopathology is viewed as resulting from disconnection with others.
Self-In-Relation Theory
What is a good technique to
use with clients who are ambivalent about changing their behaviors and combines the transtheoretical model with client-centered therapy and self-efficacy?
Motivational Interviewing
The goals of increasing a couple’s recognition and initiation of pleasurable
interactions, decreasing a couple’s aversive interactions (negative exchanges), teaching a couple effective problem-solving and communication skills, and teaching a couple to use a contingency contract to resolve persisting problems characterize what therapeutic approach?
Behavioral Family Therapy
This school of family therapy
extends General Systems Theory beyond the nuclear family and views dysfunction as part of an intergenerational process. Thus, therapy often starts with the construction of a genogram.
Extended Family Systems Therapy (Bowen; Bowenian)
The primary goal of Extended Family Systems
Therapy is to encourage
________, which is one’s ability to separate their
intellectual and emotional functioning.
Differentiation of self
According to Extended Family Systems Therapy, this occurs when two family members in conflict involve a third person, which usually immobilizes the third person.
Triangulation
A practitioner of Extended Family Systems Therapy often joins a dyad, creating a ________, in an attempt to reduce the original level of fusion and achieve higher self-differentiation.
Therapeutic triangle
What are the 3 formative stages therapy groups usually pass through, as proposed by Yalom?
(1) Hesitancy, search for meaning, and dependency; (2) conflict, dominance, and rebellion; and (3) cohesiveness
What characteristic of a therapy group does Yalom
believe is most important and is most similar to the
therapist-client relationship in individual therapy?
Cohesiveness
Yalom believes that ________ is inevitable
in a group and must be
resolved in a way that benefits the group.
Transference
Is it ever appropriate for co-therapists to openly disagree during a group session?
Yes, but not until
the group has developed some cohesiveness (6+ sessions)
Yalom ranks ________, ________, and ________ the most important
factors of group therapy. However,
higher-functioning group members rate ________ and ________, while
lower-functioning members believe ________ is most important.
Interpersonal learning, catharsis, cohesiveness; universality, interpersonal learning; instillation of hope
Since concurrent individual and group therapy allows for both extensive intrapersonal exploration and external support, it can be helpful for people presenting with what disorders?
Borderline and narcissistic personality disorder
One problem with concurrent
group and individual therapy is that a client may be more expressive and inclined to self-disclose in ________ therapy, thus limiting material that could be used for ________ therapy.
Individual; group
True or False: Regarding group therapy, Yalom contends that prescreening of potential group members and post-selection preparation is unnecessary?
False- Yalom states that prescreening and post-selection preparation can reduce premature termination from group therapy and enhance therapy outcomes
Of the many factors found to influence the behavior of a therapeutic group, which one do most experts believe is the most important for the therapist to consider?
Intelligence, arguing that clients should have similar intelligence levels to encourage greater group interaction
What is the ideal size of a therapy group?
7 to 10 members; 5 or less
limits learning and creates
too much client-therapist interaction, while more than 10 leads to alienation and lack of cohesiveness
Research by Guy, Poelstra, and Stark (1989) found that (1) therapists find
________ to be the most stressful client behavior; (2) therapists consider
________ to be the single most stressful
aspect of their work; and (3) issues related to ________ constitute the most
frequently encountered ethical/legal dilemma.
Suicidal statements; a lack
of therapeutic
success; confidentiality
What approach to family therapy focuses
on transactional patterns and views symptoms as interpersonal events that serve to control relationships, views therapy as a power struggle between the client/family and the therapist, and was influenced by structural family therapy, communication/interaction therapy, and Milton Erickson?
Strategic Family Therapy (Haley)
A strategic family therapist might instruct a client to engage in the symptomatic behavior in an attempt to harness the energy of resistance in the service of change, which is called what?
Paradoxical directive
According to Strategic
Family Therapy, this
involves relabeling a behavior to make it more
amenable to change and
giving a new or altered meaning to a situation.
Reframing
What Strategic Family Therapy “strategy” involves asking each family member to describe relationships within the family system and note the differences, the goal being to help family members view problems in a new light and make them more amenable to change?
Circular questioning
What approach to family therapy encourages couples to focus more on positive aspects of each other and use reciprocal reinforcement (quid pro quo)?
Operant Interpersonal Therapy
In a consultative relationship,
________ evaluations are periodically conducted to assess the consultation process, while ________ evaluations are conducted to assess the consultation product.
Formative; summative
It is the primary goal of what model of therapy to help clients identify responsible and effective ways of satisfying their needs and thereby develop a “success identity?”
Reality Therapy
Reality therapy (1) rejects the ________ and the concept of _______; (2) focuses on ________ behaviors and beliefs; (3) views transference as ________ to the therapy process; (4) stresses ________ processes; (5) emphasizes ________, especially the client’s ability to judge what is right/wrong in daily life; and (6) teaches specific behaviors that will enable clients to ________.
Medical model; mental illness; current;
detrimental; conscious;
value judgments; fulfill their needs
According to Glasser’s Reality Therapy, a
person who meets their
needs in an irresponsible manner adopts what?
A “failure identity”
In what therapeutic approach do therapists analyze a client’s child, parent, and adult ego states?
Transactional
Analysis (Berne)
Therapists of Transactional Analysis believe transactions
occur between ego states at 2
levels (social and covert) by way of ________, or
recognition from others. They
can be either positive or negative.
Strokes
Developed early in life through interactions with parents and others, practitioners of Transactional Analysis believe
________, or a person’s life plan,
reflect a characteristic pattern of
giving and receiving strokes; an unhealthy one leads to maladaptive behavior.
Scripts
What are the 4 life
positions according to Transactional Analysis?
I’m OK - you’re OK; I’m OK - you’re not okay; I’m not OK - you’re OK; I’m not OK - you’re not OK
According to Transactional Analysis, a ________ transaction is when the original communication is responded to appropriately; a ________ transaction occurs when the original communication is met with a response from an inappropriate ego state; and a ________ transaction occurs when confusion ensues due to the communicator giving a dual message.
Complimentary; crossed; ulterior
An orderly series of ulterior
transactions that is repeated over time and results in bad feelings for both people involved are called what in Transactional Analysis?
Games
Prochaska and DiClemente’s Transtheoretical Model of behavior change proposes that the change process involves what 5 stages of change?
Pre-contemplation, contemplation,
preparation, action, and maintenance
In this stage of change,
the person does not
exhibit the specified behavior and has not considered adopting the behavior.
Pre-contemplation
A person who is considering adopting a
new behavior but has not
dedicated any effort
towards enacting or preparing to enact it is in what stage of change?
Contemplation