Comp Exam New COPY Flashcards
Narrative (Family) (12)
- No objective reality, we attempt to label people to control things, this is a fiction
- We live in a story of our own making; we can shift understanding, change the story
- Power of language-control our speech, control the future
- present/future focus
- Focus on ways society oppresses people- look for lessons we are taught, make them conscious
- Most stories start thin “I am bad at math”- thicken it with context
- Externalize the problem to de-fuse with it: examples given in class- instead of “he’s sneaky”, we say “when does this sneakiness happen?” “it’s us against the sneakiness”
- Look for sparkling events: times the family has been able to avoid/overcome the problem- we want to shine these times up and make them seem more important in order to change the narrative
- Engage each member in the story
- Bring in external influences- not all our fault we turned out this way- understand the big picture of how dysfunctional patterns are created
- Ask how each family member spends their time- focus on talents and strengths.
- Write a letter after therapy to each family member detailing their strengths, what you believe is possible for them
9 Steps of EFT
ACE
RIA
ESC
- Alliance
- Cycle
- Emotions.
- Reframe the problem in terms of the cycle and attachment related emotions.
- Promote identification with disowned needs and aspects of self; integrate these into relationship interactions.
- Promote acceptance of the partner’s experience and creating new interaction patterns.
- Facilitate the direct expression of needs and wants to create emotional engagement.
- Facilitate the emergence of new solutions to old relationship problems.
- Consolidate new positions/cycles of attachment behaviors.
EFT Interventions (5)
1) Empathic reflection.
2) Validation of client realities & emotional responses.
3) Evocative questions and prompts that call up emotion through open ended questions about stimuli, bodily responses, desires, meanings, or action tendencies.
4) Heightening: Expand and intensifies emotional experience through repeating, re-enacting, focusing, refocusing, and using imagery.
5) Empathic conjecture, interpretation and inferences.
EFT assesses relationship factors: (7)
a) Strengths
b) Cycle –
c) Behaviors
d) Perceptions
e) Secondary Emotions
f) Primary Emotions
g) Attachment Needs
EFT Therapy Goals (5) CEDSA
Cycle/emotions/de-escalate/safety/attach
- ID cycle
- ID attachment emotions
- Use in session enactments to de-escalate
- Establish new ways of relating (safer)
- Form healthy attachments
Contraindications for EFT:
ongoing violence,
substance abuse,
ongoing affairs- no trust
Methods of Assessment (EFT):
Dyadic adjustment scale,
attachment hx (parents),
family environment scale
DV main points- 1. what must we know (2. and how?) and 3. when is couples counseling okay?
- Assess individually for violence/risk/suicide/affairs-
- Use written assessment: Partner Violence Scale (has gender bias)
- Couples counseling okay iff: violence has stopped, violence is only mild, perpetrator takes responsibility for abuse and agrees to nonviolent tx
Safety Planning Steps:
- Identification that the risk is increasing
- Identification of specific steps survivor can take once they’ve realized risk is increasing
- Methods for maintaining safety once survivor leaves
Psychoanalytic Terms (3)
- behavior determined by unconscious factors/patterns early in life/developmental drives
- Id- pleasure principle
ego- reality principle
superego- perfection principle/concience & standards - anxiety- reality (danger), neurotic (instincts will get you in trouble), moral (fear of one’s own conscience getting you in trouble)
defense mechanisms (11)
RRRFR
CIPIDDS
rrrfr cipidds
- repression,
- regression
- reaction formation (express opposite of true impulse),
- rationalization
- compensation (focus on accomplishments to avoid shortcomings)
- Introjection (swallowing others’ values),
- projection
- identification
- displacement
- denial
- sublimation
Stages of development (Freud)
Erikson (see below) vs freud psychosocial (Oral (trust), anal (independence), phallic (sexuality, approval), latency (socialization), genital (sex energy channeled into achievement))
Goal of psychoanalytic:
make unconscious conscious and strengthen the ego so behavior is based on reality not instinctual cravings/irrational guilt
Therapist Role (psychoanalytic)/Client experience/What I’m looking for:
Blank screen, transference relationship, notice areas of resistance/interpret for client
Client experience- free association, dream interpretation, explore past and present
My interests: early childhood lessons, messages received; transference relationship (who am I to him, what can I learn from it); countertransference from me; developmental tasks mastered/not and attachment style/wounds
Individual Assessments: Depression Anxiety Trauma Substance Use Suicide Career Couples DV
Intake: Intake Assessment, cultural formation interview, adult plan of care, NEO FFI
Depression: BDI
Anxiety: BAI
Trauma: TSI
Substance Use: CAGE-AID
Suicide- SAFE-T; assess risk/protective factors, intent, plan
Career- Strong Inventory (Interest- highly researched), ONET (Values)
Couples: Dyadic Adjustment Scale, Attachment hx, Experience in Close Relationships Scale,
DV: Partner Violence Scale
