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NCE > Diagnosis, Families, Advanced Concepts > Flashcards

Diagnosis, Families, Advanced Concepts Flashcards

1
Q

Waxy flexibility

A

Psychomotor behavior associated with schizophrenia/catatonia
-client maintains position initiated by someone else

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2
Q

Posturing

A

Client voluntarily assumes or abnormal or bizarre positions/postures

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3
Q

Anergia

A

Abnormal lack of energy

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4
Q

Pathway to develop treatment plan

A
  1. Assessment
  2. Diagnosis
  3. Case conceptualization
  4. Treatment plan
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5
Q

Blunted affect

A

Individual shows little expression
OR
expressions respond slowly to mood or situation

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6
Q

Restricted affect

A

Individual shows only one facial expression

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7
Q

Stages of substance abuse

A
  1. Experimentation
  2. Regular use
  3. Problem use
  4. Dependence
  5. Addiction
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8
Q

Addiction

A

Physical and psychological need for the substance, despite problems its causing, exhibits cravings and substance seeking seeking behaviors

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9
Q

“V” Code (DSM)

A

What is being treated is not classified as a mental disorder but the focus of treatment (ex. uncomplicated bereavement)

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10
Q

Cyclothymic Disorder

A

301.13 (F34. 0)

Mood disorder that causes emotional highs and lows.

Mood shifts not as extreme as bipolar and can function (may be difficult)

Depressive and hypomania episodes do not meet criteria for other dx.

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11
Q

Anhedonia

A

The inability to experience joy or pleasure

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12
Q

conversion disorder

A

when an individual displays symptoms (generally neurological) which cannot be accounted for via medical exams/medical dx shows no reason for individual’s condition

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13
Q

la belle indifference

A

individual does not seem bothered/concerned by their condition

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14
Q

morphostasis

A

ability of the family to balance stability

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15
Q

morphogenesis

A

family’s ability to change

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16
Q

Satir (Experiential)

A

experiential conjoint family therapy

major goal = improve intrafamily communication
4 basic patterns prevent this:
1. placating
2. blaming
3. being overly reasonable
4. being irrelevant

family sculpting: experiential/expressive technique in which a family member places other family members in positions that symbolize their relationships with other members of the family

17
Q

Whitaker (Experiential)

A

“the dean” of experiential family therapy

interactions= joining the family and experiencing it as if he were a family member

psychotherapy of the absurd (ex: couple in power struggle might be asked to play tug of war)

18
Q

Premack’s Principle or Law

A

behaviorist

a family member must complete an unpleasant task (known as a low- probability behavior; LPB) before they would be allowed to engage in a pleasant task (known as a high-probability behavior; HPB)

19
Q

Theory of Psychodynamic Family Counseling (Ackerman)

A

recommended studying the family not just the identified patient

true beginning of the family therapy movement (?) 1930s-1940s

concerned with internal feelings and thoughts of each individual as well as the dynamics between them

object = a significant other with whom a child wishes to bond (if not anxiety manifests)

introjects = the client unconsciously internalizes the positive and negative characteristics of the objects within themselves / taking in personality attributes of others that become part of your own self-image)

20
Q

first order change
vs
second order change

A

1rst = changes that are superficial

2nd = actual change in the family structure that alters an undesirable behavioral pattern

21
Q

protective systems (Skynner)

A

psychoanalytical

kids who had poor role models as children possess it

these individuals harbor unrealistic expectations of people in current relationships carried over from childhood

22
Q

Haley (Strategic)

A

strategic school of family counseling
-design a strategy for each specific problem

directive/prescriptions = when therapist tells family what to do

double blind = a no-win situation characterized by contradictory messages such as never smoke again and then smoke as much as you want

pragmatic and often focuses on abating symptoms

solution/symptom focused

action-oriented

restraining helps overcome resistance by suggesting that it might be best if the family does NOT change

23
Q

positioning

A

occurs when a counselor accepts the client’s predicament and then exaggerates the condition

24
Q

Bowen (Intergenerational Family Therapy)

A

triangulation

differentiation = the extent that one can separate one’s intellect from one’s emotional self

nuclear family emotional system = current system is influenced by previous generations whether they are alive or dead

25
Q

Minuchin (Structural)

A

structural family therapy

enactment

boundaries = physical and psychological entities that separate individuals and subsystems from others in the family

often mimic the family’s style = mimesis / helps JOIN

26
Q

mean

A

only measure of central tendency which reacts to every score in the distribution

27
Q

left hemisphere of the brain

A

is dominant in most people

28
Q

main purpose of career group

A

to provide information to participants

29
Q

4 process of motivational interviewing

A
  1. engaging
  2. focusing
  3. evoking
  4. planning
30
Q

must know meta-analysis

A

psychotherapy had a strong or so-called big effect, checking in at .85

31
Q

attribution theory (gestalt psychologist Heider)

A

attribution theorists assign a cause, explanation, or reason for behavior outcome of an event

when the cause or outcome is generated by the person = DISPOSITIONAL/INTERNAL ATTRIBUTION

when the cause is attributed to factors outside the individual = SITUATIONAL/EXTERNAL ATTRIBUTION

fundamental attribution error occurs when a person attempts to look at somebody’s negative behavior, failure, or undesirable event and come up with an explanation. tendency to put more stock in DISPOSITIONAL explanations than situational ones aka problem is attributed to the person

*most people attribute their own negative outcomes in life to situational/external attributes but assess other people’s as dispositional/internal

BUT depressed people usually blame themselves

32
Q

downward arrow technique (Burns)

A

highly recommend to understand what client is truly upset about/ make client aware of the issue

real issue=core belief

33
Q

telelogical approach

A

future oriented

NCE (9 decks)

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