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Comp Exam > Comp Exam > Flashcards

Comp Exam Flashcards

1
Q

periods of an irrepressible need to sleep, lapsing into sleep, or napping occurring within the same day

A

Narcolepsy

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2
Q

The assessment of couples and families has been influenced by the theoretical approach of many marriage and family therapists. This theoretical approach is

A

SYSTEMIC

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3
Q

Researcher things there is a difference between groups when there isn’t

false positive

A

Type I Error

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4
Q

Concept of Bowen

involvement of third person in a rx of a troubled dyad

A

Triangle

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5
Q

Stage of Group Formation

Intimacy stage; the group is beginning to build cohesion.

A

Norming stage

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6
Q

Concept of Bowen

1st born - power, authority, confidence/later born - oppression, rebellious, explorers, iconoclasts

A

Sibling Position

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7
Q

what an instrument measures & how well it does the task (including various forms)

A

Validity

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8
Q

Part of cluster B
pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity; manipulative; mood dysregulation; self-harm, suicide attempts

A

Borderling Personality D/O

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9
Q

degree to which the evidence indicated that the items adequately represent the intended behavior domain
E.g., does a test of a third-grade spelling contain words that educators would expect third graders to know how to spell

A

Content Related Validity

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10
Q

4 main categories of PTSD

A
  1. Intrusion Symptoms
  2. Avoidance Symptoms
  3. Alterations in Cognitions and Mood
  4. Alterations in Arousal and Reactivity
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11
Q

Severity based on number of symptoms for SUD

A

2-3 = Mild

4-5 = moderate

6+ = severe

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12
Q

Observational tasks and techniques in the assessment of couples and families tend to

A

Low reliability

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13
Q

Cluster A personality D/O (ODD/ECCENTRIC)

P S S

A
  • Paranoid
  • Schizoid
  • Schizotypal
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14
Q

One of the General Ethical Principles

Fairness to all, equality, minimal bias, recognition of boundaries

A

Justice

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15
Q

Intervention of _____
Impact q’s for problem description→ take curious/non-blaming stance to have family members describe the problem, its causes, and effects

Relational Reframing/normalizing→change meanings about the problem as relational

CBT interventions: communications/assertiveness trainings, anger management, parenting

Connecting family w/external resources to ensure continued success.

Finding noble intentions behind the each family members (ex. Mother nagging about client’s grade → Mother cares about client’s future or for client to have what she didn’t have).

A

Functional Family Therapy

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16
Q

ROT Structural

A

Expert, slightly MANIPULATIVE ,

DIRECT but caring.

Therapist’s bx becomes part of the system in therapy.

Facilitate the RESTRUCTURING of the system.

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17
Q

Systems dealing with EMOTIONAL INTENSITY

A
  • Smoke detector (amygdala)

- Watchtower (medial prefrontal cortex [MPC])

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18
Q

Principle of Group Dynamics: An informal leader generally arises when a team member shows leadership qualities that others see as critical for a specific situation.

A

Leadership Dynamic

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19
Q

Concepts of SFBT

A

Philosophy: If it isn’t broken, then don’t fix it.
Solutions are not necessarily related to the problem,
change is constant and inevitable

CLT’s are experts of their own lives

Problem vs. Solution talk

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20
Q

the increased probability that one partner’s negativity will instigate another’s negativity. This is the most consistent correlate of marital satisfaction and dissatisfaction.

A

Negative affect Reciprocity

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21
Q

Legal age of consent

A

12 years old

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22
Q

The parent is there sometimes but not all the time

Tries to get the parents attention and when they get the attention they don’t know how to calm down

“FEELING BUT NOT DEALING”

Constantly draw attention to themselves by crying, yelling, clinging or screaming.

They seem to have concluded thart unless they make a spectacle, nobody is going to pay attention to them

Are not comforted or relieved when their mother returns.

A

Anxious

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23
Q

Type of Group Leadership Style

the group leader’s efforts to facilitate group member’s expression of affect, values, and personal belief and attitudes

A

Emotional Stimulation

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24
Q

Interventions of Solution Focused

A
  • Goal setting
  • Exceptions
  • Miracle Question
  • Scaling questions
  • Highlight Strengths
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25
Q

How many people in phenomenology research

A

5-25 people

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26
Q

Part of cluster B

pattern of excessive emotionality/attention seeking

A

Histrionic Personality D/O

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27
Q

Basic coping mechanism to reduce anxiety by isolating and repressing undesirable features of caregivers

Concept associated with ____

A

Splitting

Object relations/psychodynamic

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28
Q

main premise of attachment theory

A

Goal: increasing or maintaining proximity to attachment figures to feel safe and/or comforted

Ex. Kid playing on the playground peeking over his shoulder to make sure mom is watching. Once mom is gossiping with her friend, kid will walk over to make sure mom is still paying attention to him.

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29
Q

Similar to PTSD; lasting 3 days to 1 month; 9+ sxs from ANY 5 categories (intrusion, negative mood, dissociation, avoidance, and arousal)

Exposure to traumatic event (experienced, witnessed, learn of someone else, and repeated exposure)
o not through media

A

Acute Stress D/O

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30
Q

o Specially the frontal lobe. Youngest part of our brain.
o Rational thinking, impulse control, abstraction, symbolic ideas, planning, coordination with others, language
o The most complex structure.
o Not as active in times of threat.
o The newest part of the brain

A

Neocortex

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31
Q

Interventions of Experiential

H, H and N, F, 5, EE

A
  • use of Humor
  • Her and Now experiences
  • Family Sculpting/ TOUCH
  • 5 freedoms/ingredients of interaction
  • Facilitating emotional expression
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32
Q

Conceptualization of Solution Focused

A

Focus on present/future except for the past in terms of exceptions

not focused on the past in terms of changing the past.

All clients have strengths and resources to change/cope with problems.

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33
Q

ROT of CBT

D C E

A

Directive, teaching family that emotional problems are caused by UNREALISTIC BELIEFS

coaching,

empathizing.

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34
Q

Type of delusion: the world is going to end tomorrow

A

Nihilistic

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35
Q

One of the General Ethical Principles

Do not harm

A

Nonmaleficence

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36
Q

Concept associated with EFT

How individuals process their experiences, their key attachment-oriented emotional responses

A

Intrapsychic

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37
Q

Stage of family life cycle

Exit of the first child/ dependent from intrafamilial world to larger world (school)

Shift from dependence to facilitation of beginning separations/ partial independence

A

Entrances

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38
Q

Stage of family life cycle

arrival and subsequent inclusion/incorporation of first child/ dependent member

Shift from interdependence to incorporation of dependence

A

Becoming 3

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39
Q
  • physical safety of private information that is collected
  • Maintain confidentiality of info & ensure integrity and availability of that info.
  • There must be two locked mechanisms protecting client files.
    Ex. Locked filing cabinet & locked office door.
    Ex. Phone with passcode and locked filing cabinet
A

Security

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40
Q

_____ Stressor

predictable and unpredictable current events.
Ex. life threatening illness, divorce, death, job loss, etc.

A

Horizontal

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41
Q

historical Figures of Object Relations/Psychodynamic

A

Freud, Erikson, Ackerman, Scharff, Schnarch, Siegel, Bowlby

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42
Q

ittle by little shutting down

Person doesn’t have a sense of will

Dissociation is more common in babies and infants

Dopamine, Endorphins

Dissociative D/0

Depression

More common in females

Lower than normal heart rate

A

Dissociative Continums

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43
Q

Mandated reporting for child abuse

A
  • Phone call immediately

- File report within 36 hours (including weekends)

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44
Q

Principle of Group Dynamics: Defined norms, established during the norming phase, assist the group in clarifying thinking and determining which behavior patterns are acceptable. Norms also keep the group functioning as a system and measure the performance of group members.

A

Group Norms

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45
Q

Type of Group Leadership Style

Concern for the well-being of group members and an investment in the leadership skills and interventions used

A

Caring

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46
Q

Clang

A

rhyming

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47
Q

Concept of Strategic

increasing family’s ability to love and nurture rather than dominate and control

A

Strategic Humanism

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48
Q

Neologisms

A

made up words

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49
Q

Oral Stage of Freuds PsychoSexual Stages

A

birth -18 mo. mouth is principal area of activity during infancy (weaning)

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50
Q

” Limbic system.
“ Thalamus, hypothalamus, amygdala, and hippocampus
“ Manages the emotions
“ Emotional Regulation, Emotional Functioning
“ Monitors danger, discriminates between pleasurable and scary (amygdala)
“ How do we respond?
“ Contributes to memory (hippocampus)

A

The mammalian brain

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51
Q

Erickson stages of development

TM, ASD, IG, II, IR, II, GSA, ID

A
  • trust & mistrust
  • autonomy vs. shame, doubt
  • initiative vs. guilt
  • industry vs. inferiority
  • identity vs. role confusion
  • intimacy vs isolation
  • generity vs. self absorption
  • integrity vs. dispair
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52
Q

Ecological model of human development

A
  • Microsystem (You)
  • Mesosystem (Family Peers School)
  • Exosystem (Society)
  • Macrosystem (beliefs, culture)
  • Chronosystem
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53
Q

o Doesn’t show social desire; focus on objects more so than people
o Deficits in social communication and social interaction across multiple context:
- Failure to initiate or respond to social interactions
“ Nonverbal communicative behaviors
- Developing, maintaining, and understanding relationships
- Restricted, repetitive patterns of behavior, interests, or activities, at least 2:
- Repetitive motor movements, use of objects, or speech
- Insistence on sameness
- Highly restricted, fixated interests that are abnormal
- Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment

A

Autism Spectrum D/O

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54
Q

Underlying of _________

Family members often perpetuate problems by their actions (attempted solutions)– the problem is the problem maintenance (positive feedback escalations). Directives tailored to specific needs of a family can sometimes bring sudden/decisive change. People can resist change. People are ALWAYS communicating→ look at the process.

A

Strategic

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55
Q

Alogia

A

Speech difficulties

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56
Q

Concept associated with EFT

nag/withdrawal, pursuer/distancer, criticize/defend

A

Negative Interaction Style

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57
Q

If a person is the hospital for an extended period of time (18+), they are considered . . .

A

A dependent adult

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58
Q

pattern of social/interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive/perceptual distortions and eccentricities of behavior
-Magical thinking, odd beliefs/thinking/speech/bx

A

Schizotypal Personality d/o

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59
Q

Concepts of Contextual

R L L L E D

A

-Relational Effects
Focuses on roles of connectedness

  • Legacy
    we behave in ways we have been programed to
    behave
  • Loyalty
    when attachment in a relationship is preferred over
    another
  • Ledgers
    accounting, who still owes
  • Entitlement
    amount of merit based on persons trustworthyness

-Destructive Entitlement
you were given a bad ledger so its okay for you to hand
it to the next person

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60
Q

Concept of Bowen

emotional/affective concept that refers to a person’s ability to separate intrapersonal and interpersonal distress

A

Differentiation

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61
Q

Concerns the ability to generalize the results of the research to the population of interest

A

External Validity

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62
Q

Underlying of ____
It is a contextually based behavioral treatment designed to help distressed couples achieve improved satisfaction and adjustment.

Behavior Exchange (BE) seeks to increase the ratio of positive to negative couple behaviors and is intended to produce rapid decreases in couple distress
"	Skills-based, change-oriented treatment that relies on two primary intervention components: (1) behavior exchange (BE) and (2) communication and problem-solving training (CPT).
"	Effective in short term, a humanistic component emphasizing acceptance of one's partner to improve long-term outcomes.
A

Integrative Behavioral Couples Therapy

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63
Q

ROT Solution Focused

A

Offers hope, cheerleader, non-directive, client-centered

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64
Q

Blind Agression

adrenaline

ADHD, PTSD, CONDUCT DISORDER,

More common in Males

Higher than Normal heart rate

A

Arousal continnums

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65
Q

Ethical decision making

A

Law Trumps Ethics Trumps Morals

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66
Q

What is the primary treatment goal when seeing a couple experiencing DV?

A

Violence Prevention

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67
Q

Stages of Group Formation and Treatment (FSNPM)

A
  • Forming
  • Storming
  • Norming
  • Performing
  • Mourning (Adjourning)
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68
Q

mental images of self/others built from experience/expectation

Concept associated with ____ theory

A

Internal Objects

Object relations/psychodynamic

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69
Q 
Erickson stages of development 
(young adult, 18-35) love
"	Care about someone without losing sense of self in the process
"	Acceptance of self → success 
"	Lack of self-acceptance → isolation
A

Intimacy vs. Isolation

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70
Q

Conceptualization of Experiential

A

Help individuals and families get a sense of their wholeness, become more fully evolved as human beings.

The problem is not the problem; the way people COPE with problems is the problem.

Expanding the individual’s experience opens them up to their experiences and helps to improve functioning of the family

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71
Q

Ordeal

A

Part of strategic
make sxs harder to keep than to give up
do something they dont want to do but will benefit them in the end

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72
Q

Concept associated with EFT

anger, frustration, withdrawal

A

Secondary Emotion

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73
Q

Part of Gottman’s 4 horseman

righteous indignation. Defensiveness usually leads to blaming.

A

Defensiveness

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74
Q

Independent Variable

A

cause, predictor, controlled, or manipulated by researcher
Ex. HOW LONG YOU SLEEP (IV) affects your test score (DV)

Researcher manipulated the participants hours of sleep

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75
Q

quickly assesses whether stimuli means danger (smoke detector)

A

Amygdala

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76
Q

Accelerator. Arousal, activates fight/flight response

A

Sympathetic Nervous System

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77
Q

giving the identical instrument twice to the same group of individuals and comparing the performance on both occasions

A

Test-retest reliability

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78
Q

Stages of family life cycle (C B En Ex Ex B En)

A
  • Coupling
  • Becoming Three
  • Entrances
  • Expansion
  • Exits
  • Becoming Smaller/Extended
  • Endings
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79
Q

Concept of ______

Decrease antisocial behavior and other clinical problems; improve family functioning in family relations; improve functioning in school/work; minimize out-of-home placements, including incarceration, residential tx, and hospitalization.

A

Multi Systemic

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80
Q

Historical figures of STRATEGIC

A

Jay Haley, Madanes

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81
Q

Type of Group Leadership Style

Manner is which group leader helps members develop understanding of not only themselves but also of one another in the group

A

Meaning-Attribution

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82
Q

ROT of Experiential

A
  • Therapist is the most important TOOL .
  • Be congruent with actions and self.
  • Uses own personality.
  • We grow as our clients do. Must be open/spontaneous, empathic, directive. INCREASE STRESS w/in family.
  • Teach family EFFECTIVE COMMUNICATION in order to CONVEY THEIR FEELINGS.
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83
Q

Conceptualization of ____ Listen for problem-saturated stories, dominant alternative and gender discourses, and unique and sparkling events. Help clients become aware of how these different discourses are impactful, increase sense of agency, and enact preferred realities.

A

Narrative

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84
Q

Conceptualization of ____
assess problem behavior and how it functions in the family, assess the function of the symptoms, the interdependence of family members, community and cultural contexts, relational hierarchy (parent/adolescent up/down)

A

Functional Family Therapy

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85
Q

When the ____ and ____ have been BLOCKED, implicit memories DO NOT become explicit

A

Hippocampus; Dorsal Lateral Prefrontal Cortex

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86
Q

Exceptions of Confidentiality

A
  1. Hurting Self
  2. Hurting Others
  3. Child Abuse
  4. Elder Abuse
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87
Q

If an instrument measures consistently but does not measure what it was designed to measure the instrument is

A

Reliable not valid

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88
Q

CBT Interventions

A
  • Creating contingency/token economies/Operant conditioning
  • reward behavior in the direction of the desired behavior
  • Parent training
  • use behavioral concepts of reinforcement and consistency to help improve parental efficiency
  • Compliments
  • coach families to increase expressions of appreciation to increase positive reinforcement
  • Challenging irrational beliefs, thought records
  • Behavioral homework tasks
  • Socratic questions
  • open ended questions to encouraged CLT to question own beliefs
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89
Q

Attachment quality effect on Information processing

A

Mediated by IWM

Secure attachment helps to have a better assessment of danger

Tendency to process information in a way that confirms IWM

For people with severe trauma history, the world is filled with danger

Emotional dysregulation (both excessive activation or detachment/dissociation) can affect processes like memory, planning, openness to new evidence, etc. (implicit memories, the abuse did happen)

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90
Q

Piagets Stages of Cognitive Development (SPCF)

A
  • Sensori-Motor
  • Pre Operational
  • Concrete Operational
  • Formal Operation
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91
Q

Conceptualization of Object Relations/Psychodynamic

A
  • increase autonomy by making unconscious processes conscious.
  • Decrease interactions based on projections.
  • Increase capacity for intimacy without loss of self (fusion w/ others).
  • All human beings have the capacity for self-actualization.
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92
Q

when parents show understanding and accepting

Concept associated with ____ theory

A

Mirroring

Object relations/psychodynamic

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93
Q

SEVERE, UNESCAPABLE

if we can’t get away, Unescapable, doesn’t make sense to fight

We feel as little as possible and spend little energy

Reduced metabolism, heart rate plunges, gut empties, low air, brain shuts down

Least present as possible

We are conserving energy to possible fight after the danger is over

Other people and ourselves cease to matter, awareness shuts down, and we might not even register pain.

Ex. Cat and mouse, the mouse gets caught and shuts down, but when the cat lets go he has the energy to run away

A

Freeze or collapse

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94
Q

Anal Stage of Freuds PsychoSexual Stages

A

18 mo. -3 /4 yrs. toilet training, restricting & expelling feces

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95
Q

What test can you administer with a masters degree?

A

Both A and B

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96
Q

Avolition

A

Lack of interest

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97
Q

Gottmans’s “Four Horsemen”

C D S C

A

Predictor of Divorce

  • Criticism
  • Defensiveness
  • Stonewalling
  • Contempt
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98
Q

Concept of Strategic

therapist takes hopeless stance to allow the client to be motivated to find hope

A

One-down stance

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99
Q

1 MANIC episode and NOT major depressive episode

  • Manic episode: elevated mood at least lasting 1 week, can include psychosis, micro depressions, can be preceded/followed by hypomanic episode (4 days)/major depressive episode (2 weeks)
  • Most popular delusion: GUILT
  • Mood disturbance is severe and causes social/occ fx impairment
  • rapid cycling: more than 4 episodes per year
A

Bipolar I

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100
Q

I know you are not going to come

Why am I going to cry if you’re not going to come?

They don’t cry when their mother goes away, and they ignore her when she comes back

Increase heart rate, constant state of hyperarousal.

DEALING BUT NOT FEELING”

A

Avoidant

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101
Q

Attachment quality effect on communication

A

Securely attached people are more able to:

o Read vocal and facial cues from others without being over sensitive or dismissive

oSending cues to others as
well
o Reach out
o Clearly communicate their needs

o Trust

o Be empathic, attune to others

o Be assertive,

o express themselves (opinions, interests)

o Problem-solve and collaborate with others

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102
Q

Stage of Group Formation
Separation stage; occurs when members terminate, especially long-term members; the facilitator gets a new job and the entire group ends; in substance abuse groups this phase needs to be handled well, as many clients relapse around issues of loss; the leader may need to be quite active in this phase-facilitating feelings around separation.

A

Mourning (adjourning) Stage

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103
Q

Conceptualization of Structural

A

Problems reside within a FAMILY STRUCTURE (not necessarily caused by the structure).

Changing the structure CHANGES the experience the client has.

Children’s problems are often related to the BOUNDARY between the parents (marital vs. parental subsystem) and the boundary between parents and children.

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104
Q

One of the General Ethical Principles

Commitment to keep promises, uphold truth, and maintain loyalty; confidentiality

A

Fidelity

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105
Q

What happens to the MPFC when the peritraumtic stress is high?

A

The MPFC is NOT activated and we CAN NOT take a second look at the info sent from the thalamus. We just continue in fight or flight mode

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106
Q

3 clusters of personality d/p
O/E
D/E/E
A/F

A

Cluster A: Odd/Eccentric

Cluster B: Dramatic/Emotional/Erratic

Cluster C: Anxious Fearful

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107
Q

1+ delusions from 1+months

  • No impairment in functioning
  • Delusion types: erotomanic, grandiose, jealous, persecutory, somatic
A

Delusion D/O

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108
Q

Concepts of _____
Dominant discourses→ beliefs, values, and practices based on dominant social culture

alternative/local discourses→ story that’s there but not noticed

Deconstruction→ take apart problem saturated story in order to externalize and reauthor it

problem-saturated stories→ bogs client down, allowing problem to exist

Unique outcomes→ exceptions; pieces of the deconstructed story

A

Narrative

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109
Q

Stage of Child Development

Babies begin to understand that other people share their thoughts and emotions with one another. Object permanency.

A

9-12 months

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110
Q

Starts at 18-24 when hippocampus starts developing

Conscious memory that we can recall or retrieve, more aware of it, different level of awareness

These memories include a sense of self and a sense of context

A

Explicit Memories

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111
Q

1 day to 1 month

-1 positive sx: Delusions, hallucinations, disorganized speech, or grossly disorganized/catatonic

A

Brief Psychotic D/O

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112
Q

Ethical decision making 8 steps

P I G P A C E D

A
  1. Describe the parameters (whats going on)
  2. define the potential ISSUES (what issue am i dealing with)
  3. Consult guidelines (legal, ethical, moral)
  4. Evaluate welfare of all PARTIES involved (who do i keep safe?)
  5. Generate ALTERNATIVES
  6. Enumerate CONSEQUENCES (PROS/CONS)
  7. Present any evidence
  8. make a decision
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113
Q

negative symptoms of Schizophrenia

(things it takes away) - 5 things

A
  • flat affect (lack of emotional expression)
  • Avolition (lack of interest/enthusiasm)
  • Anhedonia (seeming lack of interest in the world)
  • Alogia (speech difficulties)
  • Asociality (social/relational difficulties).
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114
Q

Bowen Intervention

stories about other families that are similar to the family - gives distance from problem to see more clearly

A

Displacement stories

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115
Q

o When amygdala gets info from thalamus it does a quick check for danger
“ Ex. Hear a loud noise, think it could be danger, first response is shock, comes from amygdala comes quickly from little information we have, but then we see outside and someone just dropped something

A

Low Road

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116
Q

Principle of Group Dynamics: Evidence shows that there is no quality of the group relationship for the therapist school of thought; “Presence of positive attachment to benevolent, supportive, and reassuring authority figure”.

Absence of a positive bond renders technical interventions ineffective or harmful.

_______broadly defined as; the result of all the forces acting on all the members such that they remain in the group.

A potent therapeutic force and considered a precondition for other therapeutic factors to function optimally.

Sharing one’s inner world and seeing acceptance by others

Assists with group members with reinforcing trust-self disclosure- empathy-acceptance-trust

Strengthens interpersonal skills that can be long lasting after group adjourning

A

Group cohesiveness

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117
Q

3 primary tasks of EFT

C M A
A F E
Rest Inter

A

Task 1: Creating and maintaining alliance
Task 2: Assessing and formulating emotion
Task 3: Restructuring interaction

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118
Q

Part of Ecological Model

Refers to the institutions and groups that most immediately and directly impact the child’s development including: family, school, religious institutions, neighborhood, and peers.

A

Microsystem

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119
Q

Freuds PsychoSexual Stages

O,A,P,L,G

A
  • oral
  • anal
  • phalic
  • latency
  • genital
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120
Q

Stage of family life cycle

Entrance of first child/dependent member into the community

Support of facilitation of continuing separations/ independence

A

Expansion

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121
Q

Historical figure of Contextual

A

Ivan Boszormenyi-Nagy: studied psychodynamic then made his own

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122
Q

Types of data

A
  • Nominal
  • Ordinal
  • interval
  • Ratio
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123
Q

What should be included in informed consent ?

A
  • treatment process and procedures (what im going to do to you)
  • potential risks and benefits of treatment
  • here freely and without influence
  • have power to withdraw
  • fees
  • Limits of confidentiality
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124
Q

contextual concept

you were given a bad ledger and it wasn’t fair so it’s ok to hand it to the next person by acting out/neglecting important others

A

Destructive Entitlement

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125
Q

Concept of Bowen

inability to separate emotions from cognition

A

Emotional Fusion

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126
Q

Two primary intervention components of Integrative behavioral couple therapy

A
  1. Behavioral Exchange

2. Communication and problem solving training (CPT)

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127
Q

Empathic attunement

A

ATTUNES to each partner’s emotions

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128
Q

Eating non-nutritional/nonfood substances.

A

Pica

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129
Q

Historical Figures of Bowen

A

Murry Bowen

Carter, Fogarty, Friedman, Guerin, Kerr, McGoldrick, Papero

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130
Q

Erickson stages of development

(middle adult-35-55/65) care
Working to establish stability → generativity

A

Generativity vs. Self-Absorption

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131
Q

Bowen Intervention

encourage clt to “go home” and experience their nuclear family w/out emotional reactivity by researching cutoffs, finding lost relatives, identifying triangles, and identifying habitual family interactions

A

Going home againg

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132
Q

Cluster A symptoms of Schizophrenia - 5 things

A
  • Delusions
  • Hallucination
  • Disorganized Speech
  • Abnormal Motor Bx
  • Negative sxs
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133
Q

Main concept of integrative behavioral couple therapy

A

Acceptance (EMOTIONAl acceptance)

Couples who succeed often make some CHANGE to accommodate the needs of the other

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134
Q

Bowen Intervention

therapist uses self in the face of family projecting process to dissolve dysfunctional triangles and reduce fusion

A

Detriangulation

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135
Q

ABC Model for assessment of Trauma

A

A: achieving rapport (following the client)

B: Boiling problem down to basics (identifying the problem)

B 1/2: Transition to coping

C: coping (resources and referrals)

136
Q
  1. Irritable behavior and angry outbursts (with little or no provocation).
  2. Reckless or self-destructive behavior.
  3. Hypervigilance.
  4. Exaggerated startle response.
  5. Problems with concentration.
  6. Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep)
A

Alteration in arousal and reactivity

137
Q

Law and ethics: fees

A

Required to disclose in informed consent

Tx with minors: parents are NOT responsible for payment

138
Q

Principle of Group Dynamics: “ Clients will communicate differently from one another in group settings: monopolizer, quiet, advice-giver,etc..

A

Communication styles within formal or informal groups

139
Q

Key concepts of EFT

SE, RISSSC, I, I, P, S, NIS

A
  • Softening Emotions
  • Expression of RISSC
  • Intrspsychi
  • Interpersonal
  • Primary Emotions
  • Secondary Emotions
  • Negative Interaction Style
140
Q

Historical Figures of Functional Family Therapy

A

Thomas L. Sexton, James F. Alexander

141
Q
  1. Inability to remember an important aspect of the event(s) (due to dissociative amnesia and not to head injury, alcohol, or drugs).
  2. Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world.
  3. Persistent, distorted cognitions about the cause or consequences of the event(s) that lead to blame self or others.
  4. Persistent negative emotional state (fear, horror, anger, guilt, or shame).
  5. Markedly diminished interest or participation in significant activities.
  6. Feelings of detachment or estrangement from others.
  7. Persistent inability to experience positive emotions.
A

Alterations in Cognition and Mood

142
Q

Dependent Variable

A

effect of outcome, measure of the effect

Ex. how long you sleep (IV) AFFECTS YOUR TEST SCORE

Test score is what is being mesaured

143
Q

Roberts 7 stage of crisis intervetion

A
  1. Crisis and Biopsychosocial assessment
  2. build rapport
  3. Identify major problems and crisis precipitants
  4. Explore feelings and emotions
  5. Generate alternatives
  6. develop and implement action plan
  7. agreement and follow up
144
Q

Part of Ecological Model

Describes the culture in which individuals live. Cultural contexts include developing and industrialized countries, socioeconomic status, poverty, and ethnicity. A child, his or her parent, his or her school, and his or her parent’s workplace are all part of a large cultural context. Members of a cultural group share a common identity, heritage, and values.
The ___ evolves over time, because each successive generation may change the ___, leading to their development in a unique ___.

A

Macrosystems

145
Q

Stage of family life cycle

Starts with the death of one spouse/partner and continues up to the death of the other partner

Facilitation of family mourning; working through final separation

A

Endings

146
Q

Exceptions for elder abuse

A
  • Elder tells you about the abuse
  • There’s no evidence
  • Diagnosed with dementia or mental illness
  • Therapist does not believe it happened

Child can NOT stop the investigation but an adult CAN!

147
Q

Concept associated with EFT

Expression of RISSSCw

A

Repeat, Images, Simple, Slow, Soft, Clients’ words

148
Q

Concept associated with EFT

stem from attachment fears and needs (sad, helplessness)

A

Primary Emotion

149
Q

Memories from birth and even before “ Memories we store but we are not conscious about
“ Emotions, perceptions, bodily actions, bodily sensations, schemas (mental models of experiences), priming (the nervous system gets ready to respond in a certain way)

A

Implicit memories

150
Q

Encoding of EXPLICIT memories

A

Hippocampus

151
Q

Interventions of Object Relations/Psychodynamic

Listen, dont add anything, interpretation, FA

A
  • LISTENING and empathy:
  • the objective of the therapist is to listen to the client’s story WITHOUT offering advice, reassurance, validation, or confrontation
  • INTERPRETATION and promoting INSIGHT:
  • encourage insights into interpersonal dynamics by offering INTERPRETATIONS to the client, such as by analyzing self-object relations or analyzing ledgers of entitlement and indebtedness
  • Working through:
  • translating insight into new action in family and other relationships. Changing one’s behavior.
    • FREE ASSOCIATION , analytic neutrality.
152
Q

Concepts of Structural

B R H

A
  • BOUNDARIES (rigid-chaotic/closed, diffuse-enmeshed, clear, disengaged) → targeting over- or under involvement to help families soften rigid boundaries or strengthen diffuse boundaries.
  • ROLES, family rules (who interacts with whom, how, when, etc)
  • HIERARCHY alliances, cross-generational coalitions, subsystems, parentified child.
153
Q

One of the General Ethical Principles

one must actively attempt to benefit another in a positive manner

A

Beneficence

154
Q

depressed mood most of the day for 2 years

A

Persistent Depressive D/O (Dysthymia)

155
Q

Historical Figures of Structural

A

Minuchin, Fishman

156
Q

part of cluster B
pattern of disregard for and violation of the rights of others; need signs of conduct d/o before age 15; impulse control problems

A

Anti-Social Personality D/0

157
Q

Historical figures of Narrative

A

Michael White and David Epston, Freedman, Combs

158
Q

to project the bad object (not onto) another person so it becomes a part of that person.

associated with ___ theory

A

Projective ID

Object relations/psychodynamic

159
Q

One of the General Ethical Principles

all human beings have the right to make decisions and act independently

A

Autonomy

160
Q

Advertising how do you display your name and license number

A

Full name, license #, supervisor’s license #, complete title

161
Q

type of road
o The neocortex gets engaged, conscious awareness.
“ Not too high peritraumatic stress
o Ex. After you scram and gasp, you realize its fake rat and you calm down and then talk it out
o Medial prefrontal cortex (MPFC), the watchtower further assesses if it is false alarm, takes a second look at what the thalamus sent

A

Medical Pre frontal cortex

162
Q

Interventions for narrative

A
  • Externalizing

- Mapping the influence of the Problem on the Person

163
Q

Cluster B (DRAMATIC,EMOTIONAL ERRATIC)

A H N B

A
  • Antisocial
  • Histrionic
  • narcissistic
  • borderline
164
Q

Latency Stage of Freuds PsychoSexual Stages

A

5 /7 yrs - puberty, quieted sexual needs, child puts energy into learning

165
Q

Erickson stages of development
(aging 55/65+) wisdom
Looking back on life with satisfaction → integrity
Regrets –> despair

A

Integrity vs. Despair

166
Q

Founder of Ecological Model of Human Development

A

Brofenbrenner

167
Q

Erickson stages of development
(4-6) purpose, bodily control, learning social skills
“ If child is told their activities are senseless/futile → guilt

A

Initiative vs. Guilt

168
Q

Concept of Bowen

when people cut off from their FOO to reduce discomfort created by being in emotional contact with family

A

Emotional Cutoff

169
Q

Erickson stages of development
(adolescents 12-18) fidelity
“ Stage of maturity, need to establish ID & require good role models
“ Identity is not found → preoccupation with appearance in the eyes of others, conforming, feeling of failure

A

Identity vs. Role Confusion

170
Q

Concepts of Object Relations/Psychodynamic

S, Io, A , Si, M, C, T, F and R

A
  • Splitting
  • Internal Objects
  • Attachment
  • Seperation-individuation
  • Mirroring
  • Countertransference
  • Transference
  • Fixation and Regression
171
Q

Most couples criticize, defend, and stonewall to a certain extent but the diff btwn those who stay together and those who do not lies in the ratio of positive to negative interactions during conflict interactions. Stable couples have 5 times as many positive interactions as negative during conflicts.

A

Gottman 5:1 ratio

172
Q

Part of Ecological Model

Involves links between a social setting in which the individual does not have an active role and the individual’s immediate context. For example, a parent’s or child’s experience at home may be influenced by the other parent’s experiences at work. The parent might receive a promotion that requires more travel, which might increase conflict with the other parent and change patterns of interaction with the child.

A

Exosystem

173
Q

Conceptualization of ____

Therapist considers risks and protective factors in the individual, family, peer, school, and neighborhood/community domains

A

Multi systemic

174
Q

Underlying of _____ Theory “ integrates individual psychotherapy, interpersonal, existential, systemic, and intergenerational dimensions of individual and family life and development.

  • Values/ethics are transmitted across generations.
  • Relational ethics fundamental in holding families and communities together.
  • Relationships naturally create conflict. Dimensions, all are intertwined and drive people’s bxs/relationships.
A

Contextual

175
Q

part of cluster c

pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation; extremely shy (ie, wallflower)

A

AVOIDANT personality d/o

176
Q

Criterion A for substance use

A
  • Impaired control (Criteria 1-4)
  • Social Impairment (Criteria 5-7)
  • Risky Use (Criterion 8-9)
  • Pharmacological Criteria (Criteria 10-11)
177
Q
  • Depressed mood majority of menstrual cycles for 1 year; 5 sxs present in week before onset of menses, then goes away during/post menses
A

Premenstrual Dysphoric D/O

178
Q

Tarasoff v. Regents of CA established a therapist’s _______ an intended victim of a client when the client communicates a serious threat of violence against a reasonably identifiable victim. This duty is discharged by making a reasonable effort to warn the victim and a law enforcement agency.

A

Duty to Protect

179
Q

Concept of Bowen

2 counterbalancing life forces - if not balanced person becomes polarized

A

Togetherness and Individuality

180
Q

o Perception-like experiences w/out stimulus. (ex. Bugs crawling on me)
o False sensory experience (seems real); worse when alone.
o Can be involve any of the senses (i.e. tactile, auditory, olfactory, visual, taste)
o Auditory most common in schizophrenia

A

Hallucinations

181
Q

Piagets Stages of Cognitive Development

(11+): Can think logically about abstract propositions & test hypotheses. Concerned with hypothetical, future & ideological problems. Can accurately draw conclusions, distinguish between realistic & unrealistic possibilities.

A

formal operational

182
Q

Part of Gottman’s 4 horseman

attacking the character of your partner

A

Criticism

183
Q

ROT integrative behavioral couple therapy

A

Active
Directive
Expert: helping the partners COMMUNICATE more OPENLY, directly, and clearly, helping them identify the PATTERNS that get them stuck, and assisting them finding ALTERNATIVE ways of interacting

184
Q

Reasons for attachment activcation

A
  1. Distance from caregiver
  2. External Cues for danger
    Ex. A dog is coming, I need to run to my mom from
    protection
  3. Internal cues of discomfort (e.g., getting sick, hunger)
    Feeling hungry or pain, get moms attention to help
    Can you attend to me?

If not activated, child would explore and engage with others. Secure dependence complements autonomy

185
Q

Structural Interventions

E R B R I M C

A
  • Enactments
  • Reframes
  • Boundary Making
  • Restructuring
  • Raising intensity
  • Mimesis
  • Compliments
186
Q

Stage of family life cycle

Starts with first complete exit of a dependent member from the family by establishment of an independent household

Shift from partial separations to first complete independence

A

Exits

187
Q

Concepts of Bowen Theory

A
  • Differentiation of self
  • Triangles
  • Sibling Placement
  • Emotional Cutoff
188
Q

PART OF CLUSTER A

distrust/suspiciousness of others such that their motives are interpreted as malevolent

A

Paranoid

189
Q

ROT Functional Family Therapy

A

Provide hope/support

collaborative

don’t allow negativity,

acknowledge FUNCTION of problem bxs,

motivate to find more EFFECTIVE bxs,

TEACH skills

190
Q

Interventions of EFT

RoE, V, Evo Res, H, EC, T and R, E, R

A
  • Reflection of Emotions
  • Validation
  • EVOCATING RESPONDING -reflection and questions
  • Heightening
  • Empathetic conjecture
  • TRACKING and reflecting interaction patterns
  • Enactments, restructuring
191
Q

_____ Stressor

emotion norms and rules transmitted down generations.
Ex. family secrets, attitudes, myths, SES, beliefs

A

Vertical

192
Q

Stage of Child Development

Tremendous exploration for babies. Discovering new ways to express and share feelings.

A

6-8 months

193
Q

Piagets Stages of Cognitive Development

(7-11): learns to use reason & deductive logic to arrive at conclusions. Child is able to imagine what people think/feel → their thinking becomes more flexible. However, this must involve concrete objects or real life situations (not hypothetical)

A

concrete operational

194
Q

Piagets Stages of Cognitive Development

(birth-2): Child learn & experience world through their senses & motor skills. Child is egocentric (believes world revolves around him). Child learns complex bx, begins to experiment, problem solve, & pretend. Achieves object permanence, differentiates self from object

A

Sensori-motor

195
Q

Contextual Concept

split, invisible; when attachment in a relationship is preferred over another; force organizing hierarchy/priorities in family

A

Loyalty

196
Q

Types of disorganized speech in schizophrenia

La, N, P, C, Ws

A
  • loose association (rapid topic switch)
  • neologisms (made-up words)
  • preservation (repetition)
  • clang (rhyming)
  • word salad
197
Q

1 hypomanic episode and 1 major depressive episode

  • Hypomania: 4 days, not severe enough to cause occ/soc fx impairment, no hospital visit, observable mood change.
  • More common than cyclothymia/bipolar 1
A

Bipolar II

198
Q

the result of all the forces acting on all the members such that they remain in the group.

A

Group Cohesivness

199
Q
  • legal term, the right of a client to keep you from testifying in court about their therapy
    ex. if a client doesn’t consent to release info, the therapist may refuse to give the info (asserting privilege)
  • if an attorney subpoenas a clinical record→ therapist usually must assert that his/her duty to preserve client privacy is more important than the duty to provide the court with confidential client info
A

Privilege

200
Q

Positive Symptoms

(things it adds) - 4 things

A
  • Delusions
  • hallucinations
  • disorganized speech
  • grossly disorganized/catatonic
201
Q

ROT Multisystemic

A

Engaged, collaborative

202
Q

part of cluster c

preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency

A

OBSESSIVE- COMPULSIVE personality d/o

203
Q

Four Types of Attachment styles

A
  1. Secure
  2. Anxious
  3. Avoidant
  4. Disorganized
204
Q

Historical Figures of Experiential

S & W

A

Satir, Whitaker

205
Q

” Ethical issue, consists of all activities that an individual has appropriate training, education, and experience to do on their own. SOC can be expanded through continuing education.

A

Scope of Competence

206
Q

A reliability coefficient provides a measure of

A

unsystematic reliability

207
Q

pattern of detachment from social relationships and restricted range of expression of emotions in interpersonal settings

A

Schizoid Personality D/O

208
Q

Key Figures in EFT

A

Sue Johnson, Les Greenburg (*co-developer)

209
Q

Common Trauma Treatments

A
  • EMDR
  • TFCBT
  • ABC MODEL
  • Robert’s 7 stages
210
Q

Interventions of Strategic

P P O

A
  • Paradoxes→ prescribe the sx (eg, wake up late

Pretend techniques→ (eg, fake getting along 1 hr)

Ordeals→ make having the sx harder than not having it

211
Q

Part of cluster B

Patternof grandiosity (in fantasy/bx), need for admiration, and lack of empathy

Types: grandiose/malignant, fragile, high-functioning/exhibitionistic, somatic, cerebral

A

Narcissistic Personality d/o

212
Q

connection w/ important others

Concept associated with ____ theory

A

Attachment

Object relations/psychodynamic

213
Q
  • family relationships, cognitions, emotions, and bx mutually reinforce one another.
  • Focus on present cognitive inferences that evoke emotions and bxs which make the situation a problem.
    Modify specific patterns of thinking and/or bx to alleviate presenting sx.
A

Conceptualization of CBT

214
Q

1-6 months; 1 positive sx, criterion A)

  • Mood episode must be brief if present
  • No impaired functioning
A

Schizophreniform D/O

215
Q

Reporting Timeline for Elder Abuse

A

Call ASAP, file within two working days

Weekends don’t count

216
Q

Stage of Group Formation
-The power and control stage; members vie for the pecking order, try to take some power from the leader, so that it can become their group; the leader should be quite active in managing conflict so the group continues to feel safe; flexibility is of the utmost importance in this stage.

A

Storming Stage

217
Q

Conceptualization of _____

Help the family develop a new set of interaction patterns (problem-free homeostasis). Reducing intrusion or increasing engagement by changing a parent’s or partner’s level of involvement. Target the attempted solution rather than the presenting problem.

A

Strategic

218
Q

Historical Figures of Solution Focused

A

Steve de Shazer & Insoo Kim Berg, Yvonne Dolan, Eve Lipchik

219
Q

Stage of family life cycle

  • establishment of common household by two people
  • shift from individual independence to couple/dyadic interdependence
A

Coupling

220
Q

Stimuli (images,sounds) gets sent to the ______ which then sends it to the two roads

A

Thalamus

221
Q

Concepts of Strategic

S are M, SH, 1D, Inter, Cv.sP

A
  • Symptoms are Messages
  • Strategic Humanism
  • One-down stance
  • Interactions
  • Content vs. Process
222
Q

Cluster C personality D/O (ANXIOUS/FEARFUL)

A
D
O-S

A
  • AVOIDANT
  • DEPENDENT
  • OBSESSIVE- COMPULSIVE
223
Q

Two parts of the Autonomic Nervous System

A
  1. Sympathetic

2. Parasympathetic

224
Q

Concepts of ______

  • Honest emotion→ fun/laughter are signs of health family functioning
  • Communication stances (congruent, placating, blaming, super reasonable-based on logic/rules, irrelevant/relevant)
  • Battle for structure/initiative→ therapist creates structure, but sometimes needs to let the tensions/crisis build until client develops incentive/motivation to make changes
A

Experiential

225
Q

ROT Narrative

A

Co-author

investigative reporter

Meet the person APART from the problem

reflexivity (be aware of your own socialization/assumptions/beliefs.

226
Q

Parenting Model

treat child’s feelings as unimportant; disengages or ignores child’s feelings; may ridicule child’s emotions; focuses on how to get over emotions; emotions are harmful or toxic

A

Dismissing

227
Q

How the personal data collected for approved social purposes shall be held and used by the organization that originally collected it

Dialogue and contents remain between the discussions and only they have a right to know about it. Keep it private. There are exceptions. Client needs to understand via informed consent

A

Confidentiality

228
Q 
9 steps of EFT (easy version)
A
Neg C
Un E
R
Deep 
S A
A B
NEW S to old P
C
A
  1. Alliance and assessment
  2. Identify negative cycle
  3. Access underlying emotions
  4. Reframe into the context of the cycle and the underlying emotions
  5. Go deep… and own and share
  6. See and accept
  7. Ask and bond
  8. New solutions to old relationship problems
  9. Consolidate and bye bye
229
Q

Conceptualization of _____ theory

  • Choosing an ethical alternative rather than acting on old bx in order to have a balanced ledger.
  • We have a natural inclination to give.
  • We can hurt the people we love.
  • People unconsciously “keep track” of these exchanges.
  • These factors provide the context.
A

Contextual

230
Q

6 months, sxs present PIOR to age 12, 2 or more settings, 5sxs for age 17 +
o Persistent pattern that interferes with functioning or development; 6+ sxs of inattention and/or hyperactivity/impulsivity

A

ADHD

231
Q

When can you do conjoint therapy if DV has been reported?

A

1) VIctim can be equal partner
2) Victim is not in serious danger
3) Abuser is taking steps to reduce danger
4) You have done an individual assessment

232
Q

_______ helps to integrate implicit memories to build explicit memories of an episode of you in a place and a time.

A

Hippocampus

233
Q

MILD THREAT

“Can happen all the time, even in times of no danger, constantly sending messages, reading body cues

Is this going well or is this turning into a dangerous situation?

Communicate emotional state and respond to other’s emotional state through facial and vocal cues

Helps us decide if we are safe

Synchronize with other members of the tribe.

Respond to other people, Coordinate together

Working together, dancing

Being seen and heard by the people important in our lives can make us feel calm and safer

A

Sociasl Engagement

234
Q

Contextual Concept

we behave in ways we have been programmed to behave

A

Legacy

235
Q

when families become stuck they revert back to lower levels of functioning

associated with ___ theory

A

Fixation/regression

Object relations/psychodynamic

236
Q

Concept associated with EFT

how partners organize their interactions into pattern cycles

A

Interpersonal

237
Q

Founders of Integrative Behavioral Couples Therapy

A

Andrew Christensen

Neil S. Jacobson

238
Q

Attachment quality (security or insecurity) affects:

A
  1. Affect regulation and expression
  2. Information processing
  3. Communication
239
Q

” Brain stem (without thalamus)
“ All the things a baby can do: eating, sleeping, waking, crying, breathing, peeing, pooping…
“ Where the RAS and Locus Coeruleus are (Pons)
“ Regulates the energy levels of the body, the endocrine and immune systems

A

The reptillian brain

240
Q

Philosophy of _____

  • Adult Attachment theory and secure relationships.
  • Evidence-based/empirically-validated approach to couples therapy that uses experiential, systemic-structural, and attachment theories. Therapists focus on the emotional system of the couple and use heightened affect to help couples restructure their interactional patterns, increase emotional intimacy, and address attachment needs.
  • Primary emotions draw partners closer. Secondary emotions push partners away; distressed couples get caught in negative repetitive sequences of interaction
A

EFT

241
Q

Parenting Model

freely accepts all emotional expression from the child; offers comfort to the child experiencing negative feelings; offers little guidance on bx; does not teach the child about emotions; is permissive, does not set limits, help children solve problems or teach problem solving methods to the child; believes there is little you can do about negative emotions other than to ride them out; believes that managing negative emotions is a matter of hydraulics-release the emotion and the work is done

A

Laissez Faire

242
Q

General Ethical Principles (ABFNJ)

A
  • Autonomy
  • Beneficence
  • Fidelity
  • Non-maleficience
  • Justice
243
Q

Persistent or recurrent experiences of feeling detached from, and as if one were an outside observer of, one’s mental processes or body (e.g., feeling as though one were in a dream; feeling time moving slowly).

Ex. I don’t feel like myself

A

Depersonalization

244
Q

Polyvagal Theory and Three Psychological Stages

A
  1. Social Engagement
  2. Fight or Flight
  3. Freeze or Collapse
245
Q

Brain

Spinal cord

A

Central Nervous System

246
Q

” A repetitive pattern of (severe) bx in which the basic rights of others/major age-appropriate societal norms/rules are violated including: aggression to people/animals, destruction of property, deceitfulness/theft, or serious violation of rules

A

Conduct D/O

247
Q

legal issue, applies equally to everyone in the field & is defined by state law.
restrictions on psychotherapeutic techniques
o psychological testing requires training
o test must be case-specific and within context of therapeutic rx

A

Scope of Practice

248
Q

> 1 month; manic/depressive episode at same time as criterion A
- Delusions/hallucination for at least 2 weeks w/out depressive/manic episodes

A

Schizoaffective (mood) D/O

249
Q

systems dealing with CONTEXT, MEMORY how we store it

A
  • Time dimension (dorsolateral prefrontal cortex [DLPC])

- Encoding explicit memory (hippocampus)

250
Q

Two functions of a mother during attachment

A
  1. secure base

2. safe haven

251
Q

Interventions of ____

Finding the fit: assess how youth’s problems systemically fit within broader family, peer, school, and community culture

Focus on positives and strengths (in child and family)

Increase responsibility (in all family members): includes parental involvement and teen’s responsibility for own choices

Focus on the Present, on action, and on clarity: interventions target easily defined, tracked, and measured problems

Targeting sequences: sequences of behaviors between family members, peers, larger social systems are the target of change

Developmentally appropriate: promoting step-by-step development of skills needed for success as an adult

Continuous effort: interventions by design, require daily/weekly effort from the family

Evaluation and accountability: don’t blame family if intervention doesn’t work; assess and adjust as needed

Generalization: Design treatment to help child and family generalize skills/abilities to solve problems in other life areas

A

Multi Systemic

252
Q

Underlying of ______
People come to therapy with problem-saturated identity stories that are embedded within the dominant discourse, social context, and past experiences. Identity stories often reflect the dominant discourse.

A

Narrative

253
Q

Part of Ecological Model

Interconnections between the microsystems, Interactions between the family and teachers, Relationship between the child’s peers and the family

A

Mesosystem

254
Q

Development of emotional (anxiety/depression) or behavioral symptoms (conduct) in response to an identifiable stressor occurring w/in 3 mon of the onset of the stressor; no more than 6 mon

A

Adjustment D/O

255
Q

concept of integrative behavioral couple therapy

seeks to increase the ratio of positive to negative couple behaviors and is intended to produce rapid decreases in couple distress

A

Behavioral Exchange

256
Q

Firmly held belief/can’t be persuaded by evidence.

A

Delusions

257
Q

contextual concept

accounting

A

Ledgers

258
Q

Parenting Model

values the child’s negative emotions as an opportunity for intimacy; can tolerate spending time with a sad, angry or fearful child; does not become impatient with the emotion; is aware of and values emotions; is sensitive to the child’s emotional states, even when they are subtle; is not confused or anxious about child’s expression of emotions; respect’s child’s emotions; listens; empathizes; helps problem solving; sets limits

A

Emotional Coach

259
Q

ABC THEORY CBT

A

A - Activating Event

B- belief (write negative thoughts that occur; bridge between event to feelings)

C- Consequences (feelings)

260
Q

Underlying Philosophy of Object Relations/Psychodynamic

A
  • unconscious impulses and defenses against them/ego psychology-focus on intrapsychic structure/freudian drive psych-2 drives=libidinal (pleasure seeking) & aggressive.
  • We see the world through our own experiences- project your own fears and thoughts to other person
261
Q

contextual concept

amount of merit a person has based on trustworthiness

A

Entitlement

262
Q

before age 5; present for 1+ yr)
Major emotional and behavioral problems
oRarely seeks comfort; unable to responds to comfort
Limited positive affect and emotional responsiveness
o Unexplained irritability, sadness, fearfulness
Experienced a pattern of extreme insufficient care: neglect, abuse, etc.

A

Reactive Attachment D/O

263
Q

(lasting 6 mon)

Excessive anxiety and worry, occurring more days than not, about a number of events/activities (not situation specific). Individual finds it difficult to control the worry

A

Generalized Anxiety D/O

264
Q

Part of Gottman’s 4 horseman

speaking from a place of superiority

A

Contempt

265
Q

Stage of Child Development

Beginning to relate to a larger social group and understand social influence. Learning power of intellect over emotion.

A

8-12 years ol

266
Q

Stage of Child Development

Learning through observation and imitation about how to read and express emotions.

A

3 months

267
Q

ROT EFT

A
  • Empathic attunement: ATTUNES to each partner’s emotions
  • Client-centered, COLLABORATIVE , acceptance, Genuineness,
  • Continues to MONITOR ALLIANCE, Process consultant,
  • Choreographer of RELATIONSHIP DANCE
268
Q

Underlying of Experiential

A

Family problems are rooted in suppression of feelings, rigidity, denial of impulses, lack of awareness, emotional deadness, and overuse of defense mechanisms. Must get in touch w/ REAL feelings.

269
Q

6-12 people due to not all participants may have the chance to comment

A

Focus Group

270
Q
  1. In case study research, the appropriate number of cases should be limited to 4 or 5 cases. Why?
A

c. The more cases studied, the less depth in any single case

271
Q

Parenting Model

*Military Dad; displays many of the dismissing behaviors, but in a more negative way; judge and criticize the child’s emotional expression; Over aware of the need to set limits on their children; Emphasize conformity to good standards, reprimands the child for emotional expression; believes expression of negative emotions should be time-limited, negative emotions need to be controlled & reflect bad character traits.

A

Disapproving

272
Q 
"	Time dimension of events 
"	Put a time context to a memory
"	You know the memory happened then and it's not happening now 
"	Beginning and end
"	Now and then
A

Dorsolateral prefrontal cortex (DLPFC):

273
Q

Stage of Child Development

Great concern w/ questions of identity. Relationships with friends take center stage over family. Focus is usually on self.

A

Adolescence

274
Q

children develop distorted perceptions through attributing qualities of someone else to another person

Concept associated with ___ theory

A

Transference

Object relations/psychodynamic

275
Q

Type of Group Leadership Style

how the leader establishes and maintains boundaries, often related to: group rules, expectations and norms

A

Executive Functioning

276
Q

Phallic Stage of Freuds PsychoSexual Stages

A

3 /4 yrs. -5/7 yrs. Development of sexual identity.

oedipus/electra complex : sexual desire for the parent of the opposite sex

for GIRLS: Electra complex

277
Q

Bowen Intervention

allows one person to be able to detach from emotions and adopt an “I”-position, taking a personal stance

A

The “I” position

278
Q

Attachment qualities effect on affect regulation and expression

A

Proximity to a responsive caregiver is an affect regulation device

Can develop a sense of “I can figure this out” or “I know if I ask I can get help”

Securely attached people can acknowledge distress and reach out for help/comfort
- Feeling my emotions isn’t
threatening

Insecure/anxious people can become emotionally overwhelmed and might reach out in ways that are not effective
- Angry, blaming, ways that make it hard for the other person to respond

Insecure/avoidant people can physiologically activate but are emotionally disconnected and do not reach out for help
- High heart rate, high blood pressure, doesn’t matter how much I express no one care.

279
Q

Erickson stages of development

(2-4) will, freedom, self direction
“ Parent recognizes child’s need to exercise new skills → autonomy
“ Parents ignore or discourage use of new skills → self doubt

A

Autonomy vs. Shame, Doubt

280
Q

PTSD SPECIFIER

A

Dissociative Symptoms

281
Q

HIGHER LEVEL OF FEAR

if no one comes to our aid, and/or we are in immediate danger, the stress response kicks in.

A

Fight or Flight

282
Q

ROT of Contextual

A

Expert in Assessing

Directive, nonjudgmental,

spending TIME/EMPATHIZING w/each family member to understand problem in terms of RELATIONAL CONTEXT

283
Q

IPV assessment

A
  1. Assess for whether there is immediate/serious danger for one of the partners
  2. Frequency/severity of violence
  3. The willingness of the perpetrator to acknowledge that the violence exists, is a problem, willingness to take steps to prevent the violence

Unwilling? do individual

284
Q

Cycle of Violence

D H T A

A
  • Denial
  • Honeymoon phase/reconciliation
  • Tension builds
  • Acute Explosion
285
Q

Contextual Concept

focuses on roles of connectedness, caring, reciprocity, loyalty, legacy, guilt, fairness, accountability, and trustworthiness within and between generations

A

Relational Ethics

286
Q

gradual process of child separating from mother

Concept associated with ___ theory

A

Seperation-
individuation

Object relations/psychodynamic

287
Q

Genital Stage of Freuds PsychoSexual Stages

A

onward from puberty: seeking sexual stimulation, satisfaction, love (for altruistic and reproductive motives.)

288
Q

Two Dissociative Symptoms for PTSD

A
  1. Depersonalization

2. Derealization

289
Q

Stage of family life cycle

Exit of the last child/dependent from the family

Continuing expansion of independence

A

Becoming smaller

290
Q

fundamental tension that individuals face - attempting to satisfy opposing needs for familial connection & personal autonomy/evolved from psychoanalytic principles but focuses on parent/child rx and familial rxs.
“ Insight Oriented

A

Underlying Philosophy of BOWEN theory

291
Q

part of cluster c

excessive need to be taken care of that leads to submissive/clinging behavior and fears of separation

A

DEPENDENT personality d/o

292
Q

How does the hippocampus get blocked?

A

Massive release of stress hormones

Very HIGH peritraumtic stress

293
Q

Part of EFT

addressing defensive strategies, attachment longings, and attachment fears

A

Empathic conjecture and interpretation

294
Q

Children develop on 2 continumm

A
  1. Arousal

2. Dissociative

295
Q

Hisotrical Figures of Multisystemic

h s b r c

A

Henggeler, Schoenwald, Borduin, Rowland, & Cunningham

296
Q

Concepts of CBT

A
  • schemas
  • ABC Theory
  • Cognitive Distortions
  • Reinforcement
297
Q

ROT of Strategic

A

Expert, expected to haveCONTROL of the entire process and responsible for creating conditions for change.

Work with client’s RESISTANCE to change.

298
Q

Types of elder abuse (PSNAFI)

A
  • Physical Abuse
  • Sexual Abuse
  • Neglect
  • Abandonment (granny dumping)
  • Financial Abuse
  • Isolation
299
Q

Erickson stages of development
((school age; 6-12) competence, discipline
Motor skills, language, fantasy, meaningfulness of industry

A

Industry vs. Inferiority

300
Q

Researcher thinks there is NO difference between groups but there really is

False negative

A

Type II Error

301
Q

Persistent or recurrent experiences of unreality of surroundings (e.g., the world is experienced as unreal, dreamlike, distant, or distorted).

A

Derealization

302
Q

Part of Gottman’s 4 horseman

when listener withdraws from the interaction. Men do this more than women.

A

Stonewalling

303
Q

Opposite of RAD; present for 1+ yr)
Child actively approaches and interacts with unfamiliar adults

Inadequate attachment: insufficient care to form stable attachment

A

Disinhibited Social Engagement D/O

304
Q

Types of Child Abuse

A
  • Physical
  • Sexual
  • Neglect
  • Emotional (optional)
305
Q

Erickson stages of development

(infancy) hope
“ Determined largely by the amt of care a child receives.
“ Love & attention → confidence & trust in people.
“ Neglect & abuse → insecurity & mistrust

A

Trust vs. Mistrust

306
Q
  • 5 + sxs of 9 criteria during 2 weeks; at least 1 sxs is either depressed mood or loss of interest/pleasure
  • Persistent depressed mood, without cause; not tied to specific thoughts
  • Inability to anticipate any happiness/pleasure
A

Major Depressive D/O

307
Q

The practice of starting biases and values by the researcher is known as

A

bracketing

308
Q

repressed memories of early caregivers that reflect reality and fantasy

associated with ___ theory

A

Introjection

Object relations/psychodynamic

309
Q

ROT of BOWEN

A
  • COACHING the family by asking Q’S in order to help them figure out FAMILY EMOTIONAL PROCESSES/role.
  • NEUTRAL role/observer/ EXPERT calm/objective/DIFFERENTIATED
310
Q

Concept associated with EFT
used to create emotional bonding, change interactional positions, redefine the relationship as safe/connected. Softening occurs when a previously blaming, critical partner asks from a position of emotional vulnerability, a newly accessible partner to meet his/her attachment needs. The more critical partner softens his/her stance and words, allowing the more vulnerable/anxious partner to reduce emotional reactivity and defensiveness

A

Softening Emotions

311
Q

Right for individuals to choose what others know about them, under which circumstances, what personal info should be collected and stored for a given function

A

Privacy

312
Q

Main difference between bipolar I and bipolar II

A

Bipolar I mania

Bipolar II Hypomania

313
Q

Part of Ecological Model

The patterning of environmental events and transitions over the life course, as well as sociohistorical circumstances. For example, divorces are one transition. Researchers have found that the negative effects of divorce on children often peak in the first year after the divorce. By two years after the divorce, family interaction is less chaotic and more stable. An example of sociohistorical circumstances is the increase in opportunities for women to pursue a career during the last thirty years.

A

Chronosystem

314
Q
  1. You have designed a study and come to the conclusion that phenomenology would be the best methodology to explore your research questions. What is likely the focus of your research study? [What methodology do the other choices describe?]
A

a. Understanding the essence of the lived experience of your participants

315
Q

Three parts of the triune brain

A
  1. The reptillian Brain
  2. The Mammalian Brain
  3. Neocortex
316
Q

Historical Figures of CBT

A

Pavlov/Skinner (behaviorists), Albert Ellis and Aaron Beck, Watson, Thorndike, Bandura, Dattilio

317
Q

Stage of Group Formation
-first phase; members may be somewhat uncomfortable with each other; the leader may need to be active in this stage until members trust each other.

A

Forming Stage

318
Q

The brakes. Responsible for digestion, wound healing, mating.

Resting, things we can do if we are not in action

A

Para sympathetic

319
Q

Piagets Stages of Cognitive Development

(2-7): still egocentric, learns to use language & represent objects by images & words, form concepts & use symbols, classify objects by single unifying feature (groups all red blocks). Can imitate actions (s)he has seen beforehand

A

Pre-operation

320
Q

Stage of Child Development

Develops sense of self, explore autonomy.

A

1-3 years old

321
Q

Case conceptualization of gottman

A

take responsibility for the individual needs rather that demand that the other CHANGE to accommodate their needs, wants, and desires

322
Q

therapist attributing qualities of self onto others

Concept associated with ___ theory

A

Countertransference

Object relations/psychodynamic

323
Q

Interventions of Bowen Theory

A
  • Genogram
  • Detriangulation
    -Process Q
  • Relationship Experiments
    the “I” position
  • Going home again
  • Displacement Stories
324
Q

the degree to which a study is truthfully assessing what it claims to assess

A

Internal Validity

325
Q

ROT of Object Relations/Psychodynamic

A

Loving parent

expert

listener

holds

validates

organizes and guides.

326
Q

The person we go to for help is the very source of pain

Come close then remove themselves

Ex. Walking backwards towards the caregiver

Seeking closeness and avoiding the parent

“FRIGHT WITHOUT SOLUTION”

A

Disorganized

327
Q

At least 6 months; sxs from Criterion A

  • Negative sxs (6 months) in addition to positive symptoms (1 month)
  • High SI
A

Schizophrenia D/O

328
Q
  • individuals unable to achieve balance (thoughts/emotions) react to momentary emotion
  • family contact is excessive or nonexistent
  • such problems result in multigenerational process.
  • Change comes from a person’s increase in level of differentiation, decrease in emotional reactivity to chronic anxiety in the system, increase in direct communication between dyad (Detriangulation), and keeping a clear sense of self while maintaining a clearer boundary between self and other.
A

Conceptualization of BOWEN theory

329
Q

Stage of Child Development

Meeting new friends, learning new things. Know how to get along w/ friends.

A

4-7 years old

330
Q

extent to which the instrument may measure a theoretical/hypothetical construct or trait

E.g., interrelation of the test with other variables

A

Construct Validity

331
Q

Bowen Intervention
behavioral homework assignments that help family members become aware of systems processes and learn to recognize their own role in them

A

relationship experiment

332
Q

Stage of Group Formation

A cohesive group; members are more comfortable and help each other grow.

A

Performing Stage

333
Q
  • onset 6-18 years old; 12+month, NO period of 3+ month w/o sxs occurring 3x/week
  • Kids who are particularly moody, intense verbal/physical temper outbursts, irritable most of the day
  • Side note: Dx was created due to children being over diagnosed and overtreated with bipolar disorder.
A

Disruptive Mood Dysregulation D/O

334
Q

(at least 6 mon)
A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness

w/ emotion, without bx

A

Oppositional Defiant D/O

335
Q

Goals of EFT

A
  • Create SECURE attachment
  • Develop NEW INTERACTION patterns that nurture and support each partner
  • Increase DIRECT EXPRESSION of emotions

Comp Exam (1 decks)

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