Confrontation and Managing Barriers to Change

Question 1

Managing oppositions to change
•Redefining problems as opportunities for growth: Relabeling or reframing emphasizes the ?, that is, the benefits of ? rather than the discomfort, fear, and other costs of modifying ?.

Answer 1

positives
change
behavior

Question 2

Managing oppositions to change:
Use Motivational Interviewing Approach
• normalize ? as normal to change process

Answer 2

ambivalence/resistance

Question 3

Managing oppositions to change:
Use Prochaska-DiClemente Stages of Change:
• Precontemplator: Rapport / Explore?
• Contemplator: Explore ?
• Prepared/Determination: Clarify ?2
• Action: Support and reinforce
• Maintenance: Support/anticipate problems
• Relapse: Determine how viewed and then proceed

Answer 3

Pre-contemplator: concerns
Contemplator: ambivalence
Prepared/Determination: goals and strategies
Action: change

Question 4

GUIDELINES FOR USING
CONFRONTATION EFFECTIVELY
1. With ? or imminent danger, confrontation must occur, no matter how early in the helping relationship

Answer 4

violence

Question 5

Guidelines for using confrontation effectively:

2. Whenever possible, avoid confrontation until an effective ?has evolved

Answer 5

working relationship

Question 6

Guidelines for using confrontation effectively:

3. Use confrontation

Answer 6

sparingly

Question 7

Guidelines for using confrontation effectively:

4. Deliver confrontations in atmosphere of?3

Answer 7

warmth, caring, and concern

Question 8

Guidelines for using confrontation effectively:

5. Whenever possible, encourage ?

Answer 8

self-confrontations

Question 9

Guidelines for using confrontation effectively:

6. Avoid using confrontation when clients are experiencing extreme ?

Answer 9

emotional strain

Question 10

Guidelines for using confrontation effectively:

7. Follow confrontations with ?

Answer 10

empathic responsiveness

Question 11

Guidelines for using confrontation effectively:

8. Expect that clients will respond with a certain degree of ?

Answer 11

anxiety

Question 12

Guidelines for using confrontation effectively:

9. Don’t expect immediate ? after confrontations

Answer 12

change

Question 13

4 Types of termination

Answer 13

• Unplanned termination
• Planned termination with unsuccessful outcomes
• Planned termination with successful outcomes
• Termination due to temporal or structural limits (agency set limit)

Question 14

POSITIVE INDICATORS OF CONDITIONS FOR PLANNED
TERMINATION
1. When clients report that they are ? and are able to respond to former challenges in a new and more ? way

Answer 14

feeling better

adaptive

Question 15

POSITIVE INDICATORS OF CONDITIONS FOR PLANNED
TERMINATION
2. When client responds to worker in new and different ways and do not use former ?.

Answer 15

problematic interpersonal styles

Question 16

POSITIVE INDICATORS OF CONDITIONS FOR PLANNED
TERMINATION
3. When ? persons in their lives give client(s) consistent feedback about ?

Answer 16

significant

positive changes.

Question 17

Clients' reaction to termination
Anger, denial, avoidance, 
reporting recurring ?
Attempt to 
Finding ? for SW

Answer 17

Anger
Denial
Avoidance
Reporting recurring old problems/new problems
Attempt to prolong contact
Finding substitutes for SW

Question 18

Evaluation focuses 3 dimensions

Answer 18

Outcomes, Process, Satisfaction

Question 19

? assessments can address how closely the
process and skills used by the program or the individual
social worker match the design of the intervention.

Answer 19

fidelity

Question 20

Technique to confront an individual with his or her self-defeating behavior in such a way that he or she must either modify the behavior or own responsibility for choosing to perpetuate the difficulties despite his or her expressed intentions to the contrary

Answer 20

Therapeutic Binds

Question 21

? involves an analytical dialogue with yourself aimed at discovering the sources of your feelings,
reactions, cognitions, and behaviors.

Answer 21

Introspection ( needed when countertransference occurs)

Question 22

Countertransference reactions contaminate the helping relationships by producing distorted ?, blind
spots, and anti-therapeutic emotional?

Answer 22

perceptions

reactions or behaviors