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EPPP 2020 > Clinical Therapies > Flashcards

Clinical Therapies Flashcards

1
Q

Freud- stages of psychoanalysis

A

CCIW

Clarification
Confrontation
Integration
Working through

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2
Q

Adler

A

Teological
Inferiority feelings
Striving for superiority
Styles of life

Therapy is lifestyle investigation, encouragement

Systematic Training and Effective Parenting/Teaching - use natural and logical consequences

Concerned with birth order

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3
Q

Jung (birth- mid 30s)

A

Conscious governed by ego

Unconscious = personal + collective

Archetypes (anima/mus, self, shadow, persona)

Individuation- integration of conscious and unconscious

Tx - dreamwork, here and now, healthy aspects of person

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4
Q

Object Relations

A

Relationships are inborn drive

Maladaptive behavior comes from problems during separation-individuation and splitting self and others into good and bad

Tx - bring maladaptive relationships to consciousness
Supportive and accepting therapy

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5
Q

Mahler (Object Relations)

A

1 mon- infantile autism

2-3 mon - symbiotic - mom and me are the same

4-5 mon - separation individuation begins
Differentiation (5-1 mons)
Practicing/hatching (10-16 mons)
Reproachment - tentative move out (16-24 m)
Object constancy-separate from mom 24-36m

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6
Q

Anna Freud (Neo Freudian)

A

Acting out during play

Strong bond with kids

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7
Q

Klein - Objects Relations

A

Free associations in play

Splitting or all or none thinking/black and white thinking

Splitting mom into bad or good

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8
Q

Troiden -LGBT Identity development

A

Stage 1 - sensitization - pre puberty; Tomboy; gender differences

Stage 2- Self-recognition/Identity Confusion= sexual arousal at puberty leads to guilt, turmoil and anxiety

Stage 3 -Identity Assumption- know they are gay and may hide it or accept it

Stage 4- Commitment, identity pride, coming out

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9
Q

Humanistic

A

Phenomenological
Current behaviors

Inherent potential for self actualization and self determination

Constructivist- focus on making meaning and not on accuracy or rationality

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10
Q

Roger’s Person Centered Therapy

A

Maladaptive due to incongruence between self and experience
People alleviate I congruence with denial and distortions

Unconditional positive regard (nonjudgmental )
Genuineness (congruence)
Empathy (see world as client)

No transference, diagnosis or directive sss

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11
Q

Gestalt therapies

A

Maladaptive behavior is a growth disorder without homeostasis due to disturbance between self and environment

Self image reduces self actualization

Boundary disturbances

Tx -unified whole, here and now, past only when it impacts what functionality, no transference

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12
Q

Gestalt techniques

A

Empty chair

Top Dog

Dreamwork

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13
Q

Existential therapy

A

Emphasis on redo all choice for developing a meaningful life

Maladaptive behaviors comes from not being able to deal with ultimate concerns (death)

Existential anxiety leads to growth

Neurotic anxiety comes from avoidance of existential anxiety

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14
Q

Reality Therapy (Glasser)

A

People are responsible for the choices they make-prisoners/JJ

Innate needs= survival, power, love, freedom,fun

Success vs failure identity

Maladaptive behaviors are a choice

Tx- no medical model, current thoughts and behaviors, value judgments

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15
Q

George Kelly’s personal Constructivist therapy

A

People choose the way they deal with the world

People construe based on personal constructs, with bipolar dimensions

Maladaptive behavior is inadequate personal constructs

Therapy is focused on “co-experimentation”

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16
Q

Interpersonal Therapy (IPT)

A

Brief, originally used for depression

Maladaptive behavior comes from grief, social and relational problems that trace back to childhood

Focused on symptom reduction - meds, EBT
Stages of tx 1) diagnosis 2) interpersonal problems 3) progress and termination

Communication, modeling, role playing

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17
Q

Solutions focused therapy

A

You get more of what you talk about

No focus on problems

Miracle, exceptional and scaling questions

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18
Q

Gestalt boundary disturbances

A

Introjection- swallowing ideas whole

Projection- leads to paranoia

Retroflection- doing to yourself what you want to do to others

Confluence - no boundaries between self and other - leads to guilt and resentment

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19
Q

Transtheoretical model - 6 stages

A

Pre-contem- consciousness raising, dramatic relief, re-evaluation

Mediating vars- Decisional balance, self efficacy, temptation

Tx enhances intrinsic motivation 
Open questions
Affirmations
Reflective listening
Summary reflections
20
Q

Kohler

A

Insight learning with chimps and bananas

21
Q

Ellis

A

Rational Emotive Behavioral Therapy - ABC-DE

Activating event
Beliefs
Consequential emotions & behaviors

Dispute beliefs
E- new effect

22
Q

Michenbaum

A

Cognitive behavioral modification

Self instructional training (5 steps)

  1. Adult models
  2. Child imitates
  3. Child imitates out loud
  4. Child imitates whispers
  5. Child imitates thinking

Protocol analysis - verbalize steps to problem solve

Stress inoculation- PTSD tx
 (Gradual exposure)
1. Education/ cognitive preparation
2. Acquisition of coping skills
3. Application of skills (in vivo, imaginable)
23
Q

Rehm’s Self Control Model of Depression

A

Depression caused by
-Self-monitoring -selective attention to neg events and immediate consequences
-Self-evaluation -perfectionistic, critical
Self-reinforcement - low self reward and high self punishment

24
Q

Marlatt & Gordon

A

Addition is an overlearned habit

25
Q

Freud processes and personality traits

A

Primary process- dreams, hallucinations (id)
Secondary process - think, speak (ego)

Schizoid- intellectualize
Narcissists- rationalize bullshit
Paranoid - projections
Borderline- regress
Histrionic- dissociating 
Dependent - introjection
Antisocial - acting out
26
Q

Hartman

A

Believes that ego codevelops with the id

Ego defenses vs ego autonomous (learn, think, do)

27
Q

Kohut (Neo Freudian)

A

Self Psychology

Primary narcissism - focus on self as baby to get needs met

Idealizing
Mirroring
Twinship

Rx empathetic attunement

28
Q

Sullivan

A

Prototaxic mode- series of sensory experiences and nothing is related

Parataxic mode- temporal sequences of causality (one thing caused by another)
-transference is a parataxic distortion

IPT comes from Sullivan’s interpersonal deficits

29
Q

Biofeedback

A

Decreases sympathetic overarousal
Operant conditioning

Thermal -increase temperature
—>migraine (cold hands); Reynaurd’s disease (cold hands and feet)

EMG (muscles)—> tension headaches, TMJ, back pain

EEG (brain waves) —> ADHD, seizures

GSR (skin response, sweat)—> anxiety

30
Q

Feminist therapies

A

Promote independence and autonomy

Sexism cause of problems

Egalitarian relationship- self disclosing

Models for client

Advocates for socio-political change

31
Q

OCEAN (5 factors)

A 
Openness
Conscientiousness
Extraversion
Agreeableness
Neuroticism
32
Q

General systems theory

A

Open systems receive input and discharge output to environment

Tries to maintain homeostasis

Problem with homeostasis is that if one family member changes the disturbance will appear somewhere else

33
Q

Cyber kinetics

A

Describes family communications process

Neg feedback loop- halts change

Pos feedback loop- promotes change

34
Q

Communications/interaction family therapy

A

Communication has a report (informational) and command (nonverbal) function

Symmetrical communication- equity but results in “one up-manship”

Complementary communication - unequal but maximizes differences between communicators

Malad. Beh- symptoms are causes and effect of dysfunctional communication patterns

Treatment: confronting communication patterns, prescribing symptoms, reframing

35
Q

Extended Family Systems (Bowen)

A

Differentiation - ability to separate intellectual and emotional functioning

“emotional triangles”

Maladaptive beh. Multigenerational transmission of low differentiation

Treatment:
Joining
Genogram of family relationships
Go to family of origin to resolve issues

36
Q

Structural family therapy (Minuchin)

A

Boundary problems

Hi boundaries —> too diffuse
Lo boundaries —> enmeshed

Boundary problems
Detouring- overprotecting or blaming child to distract from marital problems
Stable coalition- parent and kid pairing up
Triangulation - child put in middle

Malad beh results from boundary issues and inflexible structure

Treatment:
Joining (mimesis and blending)
Evaluate the structure to change it
Restructure via enacting and reframing

37
Q

Behavioral Family Therapy

A

Maladaptive behavior maintained from antecedents and consequences

Treatment:
Focused on observational data
Use reinforcement
Communications and problem- solving skills
Use CBT approaches
38
Q

Objects Relations Therapy

A

Intrapsychic conflicts in family of origin

Projective identification - provoked a person to behave your projections

Treatment:
Interpret transferences and resistances
Resolve attachments to family introject

39
Q

Strategic Family Therapy (Haley)

A

Informed by communications, structural and Milton Erickson (hypnosis)

Malad. Beh caused by controlling communication patterns

Treatment:
Alter hierarchies and generational boundaries
1. Social stage
2. Problem stage
3. Interaction

Paradoxical intervention - alter behavior in order to see a symptom in a new way

40
Q

Systemic Therapy (Milan)

A

Circular patterns of action and reaction

Maladaptive beh caused by patterns being so fixed that people cant make new choices

Treatment:
Increase choices
Use therapeutic teams
One way mirror
Hypothesizing
Neutrality
Paradox
Circular questioning
41
Q

Feminist Objects Relations

A

Men and women’s division of labor

Mother-son/mother-daughter relationships

Girls—> define self in relation to others
Boys—> define self in separation

42
Q

Complementary Alternative Medicine (CAM)

A

Hypnosis—>alternations in memory, cognition, perception

Acupuncture- endorphins, flow of qi, relieves pain and chemotherapy side effects

Reflexology - restores energy flow and promotes relaxation

43
Q

Health Belief Model

A

Health impacted by

Perceived susceptibility to illness and consequences

Evaluation of cost benefits

Internal and external cues to action

44
Q

Caplan’s Mental Health Consultation

A

Client centered case- help therapist with patient problems

Consultee-centered - help consulted with their problems (theme interference can block progress, type of transference)

Consultee-centered administrative - improve professional functioning of staff

Program-centered administrative - help admin with program

45
Q

Howard Er al

A

Dose dependent response to treatment

26 sessions - 75% do better
52- 85% improved

Stages
Remoralization (hopefulness)
Remediation (symptoms improved)
Rehabilitation (live evaluation improved)

EPPP 2020 (12 decks)

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