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Social work clinical exam > Direct and Indirect Practice > Flashcards

Direct and Indirect Practice Flashcards

Theoretical foundations

1
Q

Functional/behavioral or psychodynamic:

Taft and Robinson
Agency function within the helping process
Diagnosis is expected to change as client changes
Time bound: beginning, middle, end
Client is capable of choice and free will
Agency gives professional legitimacy
Outcomes focused
The here and now
“What brought you here?”

A

Functional/behavioral approach

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2
Q

Functional/behavioral theory or psychodynamic:

Focus on some level of the past
Limited free will due to past factors
Long term therapy
Process focused
"Why have you come to see me?"
A

Psychodynamic approach

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3
Q

What are Freud’s five stages of Psychosexual Development?

A

1) Oral
2) Anal
3) Phallic
4) Latency
5) Genital

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4
Q

Psychosexual development:

0-12 mos
Primary conflict: weaning
Fixation produces: passivity, dependence

A

Oral

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5
Q

Psychosexual development:

1-3 years
Primary conflict: toilet training
Fixation produces: selfishness, rigidity

A

Anal

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6
Q

Psychosexual development:

3-6 years
Conflict: Oedipus/Electra complex
Fixation produces: reckless sexual behaviors, narcissism

A

Phallic

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7
Q

Psychosexual development:

6-12 years
Conflict: Social skills

A

Latency

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8
Q

Psychosexual development:

12 + years
Sexuality becomes focused into mature and adult love and sexual satisfication

A

Genital

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9
Q

Freud’s Three Divisions of the Personality

A

ID
Ego
SuperEgo

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10
Q

Freud’s Three divisions of the personality:

Libido energy, childlike, impulsive

A

Id

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11
Q

Freud’s Three divisions of the personality

Mediating force between the Id and the SuperEgo

A

Ego

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12
Q

Freud’s Three divisions of the personality:

The conscience, the morality, the place where the guilt lies

A

SuperEgo

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13
Q

Define Primary Process Thinking

A

Freud

Language of the unconscious (slips of the tongue, dreams, free associations, etc.)

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14
Q

Who is credited for the psychodynamic theory of Ego Psychology?

A

Anna Freud

Eric Erikson

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15
Q

The four practice pieces of Ego Psychology are…

A

Suggestion
Abreaction
Manipulation
Clarification and Interpretation

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16
Q

Why do we have defense mechanisms?

A

To control anxiety

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17
Q

A person deals with emotional conflicts or stressors by channeling the maladaptive feelings or impulses into acceptive behavior:

A

Sublimation

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18
Q

A person deals with emotional conflict or stressors by actively avoiding thinking about the problems:

A

Suppression

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19
Q

A person deals with emotional conflict or stressors by unconsciously pushing the problems out of their awareness:

A

Repression

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20
Q

Dealing with emotions or stressors by transferring the feelings or responses from one thing to another (usually less threatening) thing:

A

Displacement

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21
Q

Dealing with emotional conflict and stressors through abstract thinking or generalizations:

A

Intellectualization

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22
Q

Dealing with emotions or stressors by substituting behaviors, thoughts, and feelings that are opposed to that person’s own “unacceptable” thoughts and feelings:

A

Reaction formation

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23
Q

Dealing with emotional conflict and stressors by expelling thoughts from the conscious awareness

A

Repression

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24
Q

Attributing exaggerated negative qualities to self or others

A

Devaluation

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25
Q

Attributing exaggerated positive qualities to self or others

A

Idealization

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26
Q

Falsely attributing one’s own thoughts and feelings to others

A

Projection

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27
Q

Concealing true motivations through the elaboration of reassuring or self-serving and incorrect explanations

A

Rationalization

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28
Q

In dealing with emotional conflict or stressors by falsely attributing to others and to have that individual reflect it back despite understanding original intent

“Hint: Dr. D’s Killing Me Softly)

A

Projective identification

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29
Q

Compartmentalizing opposite affective states and not integrating positive and negative qualities of self or others into a cohesive images; polar opposites, black or white

A

Splitting

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30
Q

Dealing with emotions and stressors through actions as opposed to reflections or feelings; often seen in adolescents and children

A

Acting out

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31
Q

Indirectly and unassertively expressing aggression towards others despite a facade of overt compliance

A

Passive aggression

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32
Q

Holding onto beliefs even when evidence to the contrary

A

Delusional projection

33
Q

Complete split from reality based interpretation of activities and events

A

Psychotic denial

34
Q

The individual cannot see things as others do and misinterprets what is happening

A

psychotic distortion

35
Q

Emotions from unresolved issues going from client to therapist

A

Transference (positive and negative)

36
Q

Emotions from unresolved issues going from therapist to client:

A

Counter-transference

37
Q

How does one deal with transference?

A

Recognize
Process use or don’t use
confront client

38
Q

How does one deal with counter transference

A

Recognize
Process without client
Seek supervision or professional support

39
Q

Reflection

A

Conversational technique to encourage further understanding and expression

40
Q

Paraphrase

A

Restating the client’s words to push client’s understanding of issue further

41
Q

Which therapeutic model uses the “empty chair”?

A

Gestalt

42
Q

Which therapeutic model:

Focuses on taking responsibility for all aspect’s of his/her life;
The only real time is the present and only the present tense is used for directed awareness;
Unexpressed guilt is unfinished business;
Use of “I” language

A

Gestalt

43
Q

In ________________________, a child must separate and individuate from their mother.

A

Object relations theory

44
Q

Rapprochement

A

The last stage prior to the completion of individuation in object relations theory

45
Q

Which therapeutic model:

Carl Rogers;
Human relations theory;
Premises made ex post facto
Active listening

A

Client-Centered Theory

46
Q

The two primary values of Systems Theory are:

A

1) Society has an obligation to ensure that people have access to resources and opportunities
2) a person has a right to retain their dignity and individuality while accessing resources

47
Q

Which therapeutic model:

Goal oriented planned change;
The person/small group is an organic entity with boundaries, purposes, and mechanisms for attaining change and maintaining stability;
Problems are viewed as in environment as opposed to client

A

Systems theory

48
Q

In systems theory, what are the four identified systems in which the social work must be involved?

A

1) Change agent system
2) Client system
3) Target system
4) Action system

49
Q

Four social worker techniques in systems theory:

A

Educate
Advocate
Facilitate
Intervention

50
Q

In systems theory, the eight practice skills areas are:

A 
Assessing problems
collecting data 
Making initial contracts
Negotiating contracts
Forming action systems
Maintaining and coordinating action systems
Exercising influence
Termianting the change effort
51
Q

Ecological systems perspective

A

PIE

Transactional exchanges between the organism and the environment

52
Q

In the family therapy/systems, treatment is focused on…

A

The family or group as a whole

53
Q

Contraindications of family therapy:

A

Key family members are unavailable
Members are psychotic or have a mental illness that does not allow change
Family is fragile and exploration of dynamics could terminate relationships

54
Q

Family therapy:

Changes in one part of a system change the whole system

A

Wholeness

55
Q

Family therapy:

When influenced by change, the system will react towards restoration of the status quo

A

Homeostatis

56
Q

Family therapy:

The family has an identity of its own and the system is considered more than the sum of the individuals

A

Non-summativity

57
Q

Family therapy:

The natural tendency to move towards disorder and disorganization

A

Entropy

58
Q

Family therapy:

Same result comes from different causes

A

Equifinality

59
Q

Family therapy:

One cause can produce different results

A

Equipotentiality

60
Q

Who is considered the father of family therapy?

A

Ackerman

61
Q

Which family therapy practice is experiential, using communication and humanistic, awareness of the here and now, leads to personal accountability and increased patterns of healthy interaction, stating it is impossible to not communicate and that behavior itself is communication?

A

Communications (Satir and Whitaker)

62
Q

Which family therapy practice looks at current and intergenerational relationships and dysfunction, using venograms and eco maps, and the therapist assumes more of a coaching role?

A

Extended family systems

63
Q

Which family therapy practice was developed by Minuchin, where behaviors are established through changes in transactional patterns (action before insight), destructing maladaptive transactional patterns, and looks for specific outcomes?

A

Structural family therapy

64
Q

Which family therapy practice was developed by Haley and uses communication theory, systems theory, and behaviorism, where emphasis is placed on action as opposed to insight? The therapist often joins the family and actively forces the family to respond differently, focusing on process?

A

Strategic family therapy

65
Q

Which family therapy practice was developed by Liberman using behaviorism and social learning theory in order to modify behavioral patterns?

A

Behavioral family therapy

66
Q

Who is generally associated with social learning theory?

A

Albert Bandura

67
Q

What is key to social learning theory?

A

Reinforcement and feedback

Intermittent reinforcement is especially powerful.

68
Q

What are the four major principles of social learning theory?

A

Specificity
Successive approximations
Modeling
Performance

69
Q

Define the Classical Model of Conditioning.

A

Pavlov
Emphasis on antecedents
Relationship between a stimulus and a response is unlearned

70
Q

Define the Operant Model of Conditioning.

A

Skinner
Learning and reinforcement
Emphasis on consequences

71
Q

Applied behavioral analysis is generally associated with behavior theorist:

A

Skinner

72
Q

Cognitive Behavior modification is generally associated behavior theorists:

A

Wolpe and Beck

73
Q

Behavior therapy/modification:

Increases or strengthens behavior

A

Reinforcement

74
Q

Behavior therapy/modification:

Decreases or weakens behavior

A

Punishment

75
Q

Behavior therapy/modification:

Taking away, avoiding, subtracting

A

Negative

76
Q

Behavior therapy/modification:

Adding/giving something

A

Positive

77
Q

Behavior therapy/modification:

If a medication is added to a treatment protocol that induces vomiting whenever the client indulges in a substance, that medication is considered a:

A

Positive reinforcer

78
Q

Behavior therapy/modification:

The alarm that sounds when a car starts without the driver having fastened their seatbelt, which results in the driver fastening their seatbelt to stop the sound, is considered:

A

Negative reinforcer

Social work clinical exam (2 decks)

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