DBT/Group/Hypnosis Flashcards
Which is a target of DBT in older adults that is not otherwise included in the standard DBT protocol? (3x)
EMOTIONAL CONSTRICTION
When DBT is used to treat patients with borderline, the word dialectical refers to treatment strategies that focus on: (2x)
SEARCHING FOR A SYNTHESIS BETWEEN SEEMINGLY CONTRADICTORY IDEAS
23 yo borderline with > 20 SAs seen for DBT. Therapist asks patient to not self harm for 1 yr. Pt replies “ oh sure, that won’t be a problem, believe me” best response?
DRAW PATIENT’S ATTENTION TO THE FACT THAT THIS COMMITMENT WILL BE EXTREMELY HARD TO ABIDE BY.
Dialectical behavior therapy is utilized for:
BORDERLINE PERSONALITY D/O
DBT patient arrives late with recent relapse on drugs and cutting after marital fight. Highest priority of session should focus on what?
SELF INJURIOUS BEHAVIOR
According to DBT theory, which skill should be taught to pts first & regularly practiced in order to facilitate learning of other skills?
MINDFULNESS
Which type of therapy has individual sessions to analyze self-destructive cognitions/feelings/actions, and group sessions with skills training to improve relationships and decrease impulsivity?
DIALECTICAL BEHAVIORAL THERAPY
Purpose of DBT to diminish what?
PARASUICIDAL THOUGHTS
In the individual component of DBT, a therapist spend time in:
NURTURING THE PT AND REQUIRING PT TO HELP HERSELF
DBT is unique among commonly employed psychotherapies in that it encourages judicious use of what kind of interview?
TELEPHONE CONSULTATION
What is a major therapeutic goal of self-help groups? (3x)
OVERCOMING MALADAPTIVE BEHAVIORS
Major task of a group therapy during initial engagement phase is: (2x)
DETERMINING LIMITS OF EMOTIONAL SAFETY
The therapist’s initial tasks in starting supportive group therapy are deciding the logistics of organizing planned meetings and selecting patients who can participate in group work. Which of the following would be the appropriate action for the therapist to take next (x2)?
CREATE AND MAINTAIN A THERAPEUTIC ENVIRONMENT KEEPING IN MIND THE CULTURE OF THE GROUP
What type of group therapy is based on the unit functioning to maintain its own homeostasis of interacting?
FAMILY GROUP THERAPY
Which characteristics of self-help groups distinguishes them from traditional psychotherapy groups?
GOALS/OBJECTIVES DON’T ADDRESS INTRAGROUP DYNAMICS
In a group who has met for 6 therapy sessions, one pt has spoken at significant length for past 4 sessions about irrelevant issues & group members have rallied against him. What therapeutic mechanism in group psychotx is being undermined?
COHESIVENESS
Which stage of group development has been met when members are less afraid of revealing individual differences so they can participate in experiential learning?
NORMING
The group therapist notices that participants in a psychotherapy group experience self- disclosure. Which stage of group development does this demonstrate?
STORMING
A therapist plans to create a new outpt psychotherapy group should exclude from group participation Pt w/?
ANTISOCIAL PERSONALITY DISORDER
Psychiatrist who uses network therapy to treat patients with addictive disorders is functioning as:
A TEAM LEADER
Pt with schizoid personality disorder has elaborate fantasy relationships but has no real friends. Most helpful therapy to assist pt in forming satisfying interpersonal relationships?
GROUP THERAPY
Which factor most likely impedes cohesion in daily group therapy on locked adult general psychiatry units?
PATIENT TURNOVER
In terms of group dynamics, the confirmation of reality by comparing one’s own conceptualizations with those of other group members and thereby correcting interpersonal distortions is known as what?
CONSENSUAL VALIDATION
Stage of group development where members testing norms, competing w/ each other, seeking autonomy:
DIFFERENTIATION
Exclude a patient from a weekly outpatient group treatment group if they have a:
TENDENCY TO ASSUME DEVIANT ROLE
Differentiation stage of group development is best characterized by what dynamic:
TESTING AND COMPETITION
What is the therapeutic factor of treating bulimics in group therapy to openly disclose personal attitudes toward body image and give detailed experiences with binging/purging?
UNIVERSALITY
Pt in group therapy calls another patient at home to object to something said in session, this is called:
ACTING OUT
During a group therapy session female pt describes past experiences of sexual abuse by her father. Pt states that at times she feels depressed and hopeless, and has intense thoughts of killing herself. Another pt in the groups states, “I feel the same way, and I’ve felt like this for a long time.” Second pt’s admission is reflective of which of the following therapeutic factors in group therapy?
CONTAGION
Which of the following diagnoses is associated with high hypnotizability potential? (2x)
DISSOCIATIVE DISORDER
Hypnotizability most strongly predicted by:
CAPACITY FOR IMAGINATION
Which of the following hypnotic techniques is used for most pts?
ENCOURAGING THE PT TO USE INNER RESOURCES FOR ADAPTIVE COPING STRATEGIES
Ability to get so caught up in an experience that one loses awareness of surroundings is called:
HYPNOTIZABILITY
Fact about hypnosis:
HYPNOTIZABILITY IS A MEASURABLE TRAIT
When used as a tx following a traumatic event, hypnosis has been found to:
SAFELY DECREASE PAIN AND STRESS IN THOSE WHO ARE HYPNOTIZABLE
Absorption, dissociation, and suggestibility converge during:
HYPNOTIC CONCENTRATION
Hypnosis would be contraindicated in the treatment of patients with:
PARANOIA
32 y/o pt is considering a course of hypnosis to help quit smoking, but voices concerns. Pt expresses worry about potential harm of hypnosis if not done properly. What would be the best initial response for the psych MD to make to pt regarding this concern?
A TRANCE PROCEDURE IS BENIGN AND REVERSIBLE BY CALM REASSURANCE
During a hypnosis session a pt reports reduced awareness of sounds and other distractions in therapist’s office. The pt’s report is reflective of what component of hypnotic concentration?
ABSORPTION
Most important guideline re: hypnosis
RECORD ON VIDEOTAPE
Common experience of becoming so caught up in a movie that one ignores the environment is example of what component of hypnotic process?
ABSORPTION
Which of the following is the best use of hypnosis in a patient with chronic PTSD with severe dissociative symptoms due to childhood abuse?
LEARNING TO GAIN VOLITIONAL CONTROL OVER DISSOCIATION
