EXAM 1 Flashcards
How do we determine if therapy has been successful? SOCIETY
SOCIETY
Clients assume RESPONSIBILITY for their assigned role and conform to prevailing NORMS to meet situational requirements
- Success can be measured MEASURED by observing a client’s behavior
- sometimes SOCIETAL norms can hurt the client
How do we determine if therapy has been successful? CLIENT
CLIENT
- Success can be measured by the client SELF-REPORTING happiness and gratification of needs being MET
-
How do we determine if therapy has been successful? THERAPIST
- Success measured by observations, PSYCHOLOGICAL TESTS and CLINICAL JUDGEMENT
- Therapists look for a sound PERSONALITY structure characterized by client GROWTH, self-actualization, autonomy, reality orientation, orientation and ability to COPE with stress
For TX to be successful, the therapist has to take into account_________________
- PROGRESS
- How society feels about the client FITTING in.
- How the therapist views the client GROWTH (Based on Therapist TRAINING)
- A COMBINATION of the above will determine successful tx
MODELS of HELPING (BRICKMAN)
MEDICAL MODEL
Clients are NOT responsible for creating their problem and ARE NOT capable of solving problems.
(Ex: BIOLOGICAL Explanation of Schizophrenia)
MODELS of HELPING (BRICKMAN)
MORAL MODEL
Clients ARE responsible for creating their problem and ARE capable of solving problems.
(EX: Church, Justice System)
MODELS of HELPING (BRICKMAN)
COMPENSATORY MODEL
Clients NOT responsible for creating their problem but ARE capable of solving problems.
(Ex: Cog BX Therapy, PTSD, DBT)
*Most Tx fit in this model
MODELS of HELPING (BRICKMAN)
ENLIGHTENMENT MODEL
Clients ARE responsible for creating their problem and NOT capable of solving problems.
(EX: AA, Substance Abuse)
Burnout be a result of ______ the wrong model to help others
SELECTING
Individuals go through __________ when attempting to change their behavior
STAGES
WHAT STAGE OF CHANGE? (PROSCHKA)
- Individuals who are not willing to CHANGE high risk behaviors in the foreseeable future.
- They are UNIFORMED about the long term consequences of their bx
- They may be demoralized about thier ABILITY to change bx.
- They may be defensive regarding changing because of social pressures to change
- They evaluate the PROS of their risk bx as greater than the CONS of their risk bx (Rationalization)
PRECONTEMPLATION
WHAT STAGE OF CHANGE? (PROSCHKA)
- Individuals who seriously intend to CHANGE their bx within the next SIX months
- They substitute THINKING for actions
- The pros and cons of bx are EQUALLY weighted
- Individuals may stay in this stage for TWO years
CONTEMPLATION
WHAT STAGE OF CHANGE? (PROSCHKA)
- They intend to take ACTION within the next 30 DAYS
- Usually have a PLAN of action
- They have taken some action towards CHANGING the risk bx within the past YEAR
PREPARATION
WHAT STAGE OF CHANGE? (PROSCHKA)
- Overt bx changes have OCCURRED
- Most processes involving change take place in this stage
ACTION STAGE
The ACTION stage is the ______ of all stages
BUSIEST
WHAT STAGE OF CHANGE? (PROSCHKA)
-It is the LEAST stable stage of all stages and offers the best chance for RELAPSE
ACTION STAGE
WHAT STAGE OF CHANGE? (PROSCHKA)
- Individuals learn NEW ways to MAINTAIN termination of Bx
- It begins SIX months after changes have been maintained
- Last for FIVE YEARS
MAINTENANCE STAGE
WHAT STAGE OF CHANGE? (PROSCHKA)
- Individuals have 100% efficacy across all TEMPTING situations
- There is no temptation to ENGAGE in the old BX
- Only 17% of ALCOHOL abuser reach this stage
TERMINATION
What are the three parts of the TRIPARTITE MODEL?
- SOCIETY
- CLIENT
- THERAPIST
Clients typically come to ________ in demoralized state
THERAPY
All therapeutic change orientations involve an ___________ relationship. That in itself can provide the vehicle for change e
INTERPERSONAL
There exists a rationale or myth which includes an _______ of the clients difficulty and _____for relieving it.
EXPLANATION; METHOD
The therapist provides the client with_________ ways of looking at themselves, their bx, and the ______ around them
ALTERNATIVE ; WORLD
COMMONALITIES (Frank)
The therapist strengthen the clients expectation of ______
HELP
COMMONALITIES (Frank)
The clients involvement in new _________ emotional experiences
CORRECTIVE
COMMONALITIES (Frank)
The process of having clients behave in ways that they have __________ in the past.
AVOIDED
COMMONALITIES (Frank)
The accompanying realization that the consequences they feared did not _________.
Occur
COMMONALITIES (Frank)
The facilitation of ________ arousal
EMOTIONAL
Ideas, methods, and people from diverse theoretical backgrounds mix and intermingle but each person adheres PRIMARILY ti one THEORY
ECLECTICISM
Discovering viable integrative principles for assimilating and accommodating the best that DIFFERENT systems have to offer
INTEGRATIONISM
*Research shows most clinicians are Integrationalist
A HEALTHY INTEGRATIONALIST APPROACH INCLUDES
- Sound knowledge and understanding of VARIOUS counseling theories
- An integrative PHILOSOPHY of human bx (Using different theories)
- Being FLEXIBLE to fit the tx approach to the client
15 - 20% of major _____ disorders may be due to genetics.
MOOD
2-8% of people living in the U.S have a lifelong form of personality ______ that is genetically produced.
DISORDER
What is the UNNAMED QUARTET?
- ALCOHOLISM
- ANTISOCIAL PERSONALITY DISORDER
- HYPERACTIVITY in children
- HYSTERIA IN WOMEN (Briquets syndrome)
Adopted children are typically compared to their ___ parents
BIOLOGICAL
What was found when biological and adopted children were compared?
- Some for of Alcoholism
- Hyperactivity
- Antisocial PD
- Vital Depression
- Schizophrenia
Name some NON-BIOLOGICAL causes of unhappiness
- Catastrophe (Death, Accident, Abandonment)
- Interpersonal and preferential reality
- Developmental Reality (inability to develop normally mentally and physically)
- Social Reality (Loneliness and social deprivation)
- Personal limitations
If a patient has a BIOLOGICAL illness and receives only drug tx, they receive ___ tx.
OPTIMAL
If a patient has a BIOLOGICAL illness and receives only psychotherapy, the patient ______ considerable time and money
WASTE
If a patient does not have a BIOLOGICAL illness and receives only drug tx, they receive inappropriate tx but it wil be _____ and end fairly ___.
CHEAP; RAPIDLY
If a patient does not have a BIOLOGICAL illness and receives only psychotherapy, they receive ______ tx.
APPROPRIATE
DRUG tx should always be the first ___ of Tx.
CHOICE
Middle and upper class people see psychotherapy as a tx choice and drug therapy as inferior tx. WHY?
- Freud discovered that humans are controlled by unconscious
- Biological theory found that humans don’t control their moods and bx, but that neurotransmitters did.
Humans want to believe that they can control their moods and bx, consequently they tend to believe that _____ conceal or suppress the ____ rather than attack the impairment.
DRUGS; Sx
DRUGS FIRST then, ______
PSYCHOTHERAPY
BRAIN D DOMINANCE
BRAINSTORMING, FREE FLOW, VISUALS, ILLUSTRATIONS, METAPHORS, SYNTHESIS, PLAYFULNESS, EXERCISES, DISCUSSIONS, HYPOTHETICAL QUESTIONS, SELF-ASSESSMENTS, HOLISTIC EXERCISES, CONCEPTS AND MODELING.
THEY LIKE TO EXPERIMENT, BE INVOLVED, DEVELOP GOALS, ARTISTIC, IMAGINATIVE, CREATIVE, AND INTUITIVE
BRAIN C DOMINANCE
THEY LIKE INTERACTIONS, GROUP DISCUSSIONS, ROLE PLAYS, VIDEOS, PEOPLE ORIENTED CASES, SHARING PERSONAL EXPERIENCES, LISTENING AND SHARING IDEAS, DISCUSSIONS OF FEELINGS, STORIES, MUSIC INTERVIEWS, KINESTHETIC ACTIVITY.
TALKERS, SPIRITUAL, EMOTIONAL, AND INTERPERSONAL
BRAIN B DOMINANCE
THEY LIKE EXAMPLES, PLANS, STRUCTURES, LECTURES, CASE STUDIES, CHECKLISTS, WORKSHEETS, PROGRAMMED LEARNING, POLICIES AND PROCEDURES, SUMMARIES AND EXERCISE THAT DEVELOP DETAILS, STEPS AND PLANS
CONSERVATIVE, CONTROLLED AND ORGANIZED.
EVALUATE TESTS, WORK AS ADMIN, BUILD SKILLS WITH PRACTICE,
BRAIN DOMINANCE A
THEY LIKE LECTURES, FACTS, DETAILS, RESEARCH FINDINGS, HANDOUTS, BIBLIOGRAPHIES, TEXTBOOKS, READINGS, CASE STUDIES, USE OF EXPERTS, MATHEMATICS, AND THEORIES.
PROBLEM SOLVING, APPLY ANALYSIS, AND LOGIC, AND USE OF TECHNICAL SYSTEMS
A physical object as it actually exist in the real world
DISTAL STIMULUS