Clinical Psychology Flashcards
What is the most effective treatment for smoking cessation?
Nicotine replacement therapy AND Behavioral intervention
What clinical test was developed on the basis of empirical
criterion keying?
MMPI-2
What is empirical criterion keying?
Empirical criterion keying is a method of choosing
items for a test on the basis of the items ability to distinguish
between groups (i.e., depressed vs. nondepressed)
Diagnostic Overshadowing
Therapist tendency to attribute all of a patient’s problems to their diagnosis
What is the greatest risk factor for childhood depression?
Parental Depression
Directed Awareness
From Perls, the technique emphasizing increasing the client’s
awareness of psychological needs, feelings, and physical
processes. Awareness in and of itself is therapeutic.
Health Belief Model
Health s are influenced by: 1. Readiness to take action =
perceived susceptibility to the illness & perceived severity of
the consequences; 2. Evaluation of costs and benefits of
making a response; 3. Internal & external cues to action that
trigger response
Double-Bind Communication
Communication characterized by contradictory aspects of the
same message; e.g., a contradiction between verbal
communication and body language.
What is the most effective way for the police to deal with
domestic violence?
Arresting the perpetrator results in the lowest rate of
recidivism
4 stages of Homosexual Identity Development Model
Troiden
4 Stages: 1. Sensitization 2. Identity Confusion 3. Identity
Assumption 4. Identity Commitment
Relationship of psychology to cancer onset and recovery
Unrelated to onset but positively related to recovery and
quality of life
Effects of Psychotherapy Stages (Howard et al)
- Remoralization 2. Remediation 3. Rehabilitation
Dose Dependent Effect (Howard et al)
26 sessions = 75% show improvement 52 sessions = 85%
Stages of change
1.) Precontemplation - no change considered; 2.)
Contemplation - aware of need but not committed; 3.)
Preparation - clear intent to take action; 4.) Action
Maintenance
CBT approach to panic disorder
Identifying and modifying interpretation of attacks and
associated physical symptoms
Relationship between therapy and outcome
Moderate overall, but stronger when the symptoms are
severe
White Racial Identity Development Model (Helms)
6 Stages: 1. Contact 2. Disintegration 3. Reintegration 4.
Pseudo-independence 5. Immersion-Emersion 6. Autonomy
Sexual Prejudice & Heterosexism (Herek)
Sexual Prejudice = Homophobia (broader) Heterosexism =
degrades any nonheterosexual behavior
Humanistic Psychology
Sometimes referred to as the “third force,” humanistic
schools of psychology emphasize the individual’s inherent
capacity for growth, creativity, and self-actualization. The
focus is usually on the person’s here-and-now state.
Parallel Process
Parallel process is a phenomenon in clinical supervision
where the therapist in training behaves toward the
supervising therapist in ways that mirror how the client is
behaving toward the therapist in training.
Use: CPI (California Psychological Inventory)
Broad personality test for non-pathologic individuals
reaction formation
Defense in which an anxiety provoking impulse is replaced
by its opposite. Ex: hatred by oversolicitude. Typical of
obsessive disorders
In the symmetrical pattern of communication…
there is equality between the two parties (which can result in
competition and conflict)
Existential Therapy
Struggle between individual and “ultimate concerns” of
existence (death, meaninglessness, etc.) Two types of
anxiety: normal (existential) anxiety and neurotic anxiety
Primary Prevention
Interventions, usually on a community-wide scale, aimed at
preventing disorders by reducing the incidence of new cases
Projection
Defense attributing unacceptable wishes to another. Includes
prejudice and hypervigilance: the other person carries the
guilt
In the complimentary pattern of communication…
there is inequality between the partners, with one assuming
the dominant role
Fixation
Defense: Return to an earlier stage of development under
stress
projective identification
Defense: projection of unwanted aspects of self onto another
creating a sense of oneness
Transactional Analysis: Who, What, How
WHO = Eric Berne. WHAT = Ego States: child, parent,
adult. Interactions (transactions) are primarily between ego
states. Strokes: positive or negative recognition from others.
Scripts: person’s life plan, characteristic pattern of giving and
receiving strokes. 4 Life Positions: 1) I’m OK - You’re OK;
2) I’m OK - You’re not OK, etc. All children begin in 1st life
position, then modified by parenting. Transactions:
Complementary, Crossed (adult:child), Ulterior (dual
message) Games: Ulterior transactions (“Now I’ve Got You,
You SOB”). HOW = Alter maladaptive life positions and life
scripts and integrate three ego states.
According to psychotherapy outcome research, what
percentage of therapy clients shows measurable
improvement?
75%
The incidence of OCD is: A.) The same for males and
females across all ages. B.) About twice as common in males
than females. C.) Higher among boys but about equal among
adult males and females. D.) Higher among girls but about
equal among adult males and females.
C: Males: peak onset is between ages 6-15 Females: peak
onset is between 20-29.
A man is referred for psychotherapy by his physician after
ruling out sleep apnea and other medical conditions. The
patient reports having vivid frightening dreams, restless
sleep, chronic fatigue, and a history of alcohol abuse. His
diagnosis is likely: A.) Narcolepsy, B.) Insomnia, C.)
Alcohol-induced sleep disorder, D.) Persistent
alcohol-induced sleep disorder
C: Sleep can be disturbed as a result of both alcohol
intoxification and alcohol withdrawal. Initially, alcohol
produces a sedative effect with increased sleepiness.
However, after 3-4 hours of sleep, there is an increase in
wakefulness, restless sleep, and REM, often accompanied by
a vivid anxiety-laden dream for the remainder of the sleep
period. Primary insomnia is not due to the direct effects of a
substance and is not typically associated with vivid
frightening dreams. Choice D is not a DSM-IV diagnosis.
Although considered to be an effective treatment for severe
and treatment-resistant depression, ECT often produces
adverse side effects including: A.) temporary retrograde
amnesia B.) permanent retrograde amnesia C.) patchy
anterograde amnesia D.) patchy anterograde amnesia and
temporary retrograde amnesia
D: the anterograde amnesia can last up to 6 months and the
retrograde amnesia is usually limited to the events that
occurred several months prior to the ECT.
Research on Asians show the best predictor of higher
achievement is:
fear of failure
What do most psychotherapists report as the primary source
of stress from their work?
lack of therapeutic success
According to Kohlberg’s theory of moral development,
individuals who reach stage 5 base their moral judgments on:
A.) Empathy, B.) Autonomous morality, C.) Democratic
laws, D.) Universal ethical principles
C: Stage 5 begins the post-conventional level of moral devt.
A person in this stage seeks to uphold
democratically-determined laws, but recognizes that laws
can be ignored or changed for a valid reason. Choice D is
more characteristic of Stage 6 in Kohlberg’s model in which
morality transcends legal standards. Choice B (Autonomous
morality) is used by Piaget denoting the stage when children
recognize that rules are determined by agreement and are
alterable.
Kernberg’s account of BPD
Results from failure to develop appropriate introjects as a
result of parental psychopathology or abuse. Characterized
by splitting, aggression and unstable self-image
Types of Self-Control Techniques
1.) Self-Monitoring = (minor and short-term effects) & 2.)
Stimulus Control = modifying existing S-R relationship, or
creating a new one; examples: narrowing, cue strengthening,
competing responses. Most useful when implemented at the
beginning of a response chain.
Research shows that new immigrants to the US are most
likely to experience symptoms of psychiatric disorders at
what point:
About one or two years after they arrive in the US (related to
the “social displacement syndrome”)
Symmetrical vs. Complimentary Communication
Communication patterns can be characterized as either
symmetrical or complimentary. In symmetrical
communication there is equality between the partners,
however, this can result in competition and conflict. In the
complimentary communication pattern there is inequality,
with one partner taking a dominant role and the other a
subordinate role.
What are the 3 factors involved in Hypnotherapy?
Three factors involved: 1) absorption, 2) dissociation, 3)
suggestibility. Individuals have greater confidence in
memories retrieved under hypnosis, but memories are likely
to be distorted. Used for: dissociative disorders, PTSD, habit
or self control disorders (smoking, overeating, substance
use), phobias, and generalized anxiety. Contraindicated for:
psychotic disorders, paranoid and suspicious patients, OCD
traits. Also, severely depressed and manic patients are hard
to hypnotize. Few studies comparing with other treatments.
When is Biofeedback most successful?
Used for psychophysiological disorders (e.g., hypertension,
headaches, ulcers). For many problems, not much more
effective than relaxation training. However, it’s the treatment
of choice for fecal incontinence and Raynaud’s disease. EMG
biofeedback for tension headaches. Skin Temperature
biofeedback for migraines.
Tertiary Prevention
Elimination or amelioration of the residual disability after
the onset of the illness.
CBT techniques: Paradoxical Intention
Instructing clients to do or wish for the things they fear.
Prescribing the symptom. Purpose is to circumvent
anticipatory anxiety. Most commonly used to treat insomnia.
Results are mixed.
Therapy Outcome Studies
Research on the differences among various treatments for
specific disorders, and the interactive variables which predict
therapy success, such as the necessity for a working alliance,
therapist variables, patient variables, and the patient-therapy
interaction.
Weitz found in his research on therapy outcomes for children
& adolescents:
therapy is more beneficial for adolescents than children,
especially among girls
During an initial session with an adult client, you realize that
you are already treating her mother. The primary problem
with continuing to see this new client has to do with: A.)
Confidentiality, B.) Multiple relationships, C.) Conflict of
interest, D.) Countertransference
C: Conflict of interest. Multiple relationships refers to having
more than one type of relationship with the same person, for
example, if a psychologist were to see one of his current
students in psychotherapy.