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Clinical Interviewing Final > Final > Flashcards

Final Flashcards

1
Q

what are the 3 stages of the transtheoretical model?

A

exploration, insight, action

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2
Q

exploration stage

A

goal: facilitate clients in talking about their thoughts and feelings related to their concerns

provides an opportunity for helpers to learn more about their clients

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3
Q

insight stage

A

goal: foster awareness and facilitate insight into reasons for thoughts, feelings, and behaviors

allows helpers and clients to construct meaning together

action stage

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4
Q

what are the three components of evidence-based practice?

A

client characteristics, therapist and relationship, and data

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5
Q

what is Prochaska’s model of change?

A

precontemplation, contemplation, preparation, action, maintenance

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6
Q

pre-contemplation stage of change

A

unaware/no desire to change; lack info about their problems, engage in denial, blame others

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7
Q

contemplation stage of change

A

aware of and accepting responsibility for problem, begin thinking about changing but have not actively decided to change (usually due to fear of failure)

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8
Q

preparation stage of change

A

commitment to change is made, preparing to begin change process (prepare mentally, public announcement)

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9
Q

action stage of change

A

actively modify behavior and surroundings

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10
Q

maintenance stage of change

A

have changed, trying to consolidate changes and deal with lapses

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11
Q

6 common factors across psychotherapies

A
  1. therapeutic relationship
  2. instillation of hope
  3. new learning experiences
  4. emotional arousal
  5. enhancement of mastery/self-efficacy
  6. opportunities for practice
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12
Q

facilitative aspects of helping

A

healthy, nondamaging, intimate relationship

support and relief

insight and understanding self in a new way

teach new life skills

making decisions about life direction

offer feedback about how they are perceived by others

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13
Q

problematic aspects of helping

A

providing just enough relief to enable someone to stay in maladaptive situations

creating dependency on helpers

imposing personal/societal values on clients

cost/time

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14
Q

ethical principles: guidelines that help people make fair and just decisions, and encourage good behavior

A

autonomy (right to make choices), beneficence (obligation to act for the benefit of others), nonmaleficence (do no harm), justice (treated fairly), fidelity (keep your word), veracity (honest)

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15
Q

what is the best predictor of treatment outcome?

A

therapeutic relationship

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16
Q

three parts of the therapeutic relationship

A
  1. real relationship
  2. working alliance
  3. transference/countertransference
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17
Q

aspects of the working alliance

A

bond, agreement on goals, agreement on tasks

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18
Q

outcome conceptualization (3)

A

remoralization: enhancement of well-being

remediation: achievement of symptom relief

rehabilitation: reduction of maladaptive behaviors

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19
Q

conceptualization of self-awareness

A

stable characteristic (self knowledge or self-insight)

state of heightened self-focus (sensitivity in the here and now)

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20
Q

bracketing

A

bracket or set aside personal events to focus on the client

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21
Q

structure of a clinical interview (Ivey)

A

relationship: establish rapport and make a connection

story and strengths: explore strengths and personal narrative

goals: identifying and formulating goals

restory: reformulating client narratives in more positive frame

action: helping clients take action to make life changes

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22
Q

structure of a clinical interview (Shea)

A
  1. introduction
  2. opening
  3. body
  4. closing
  5. termination
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23
Q

ADDRESSING model

A

assessment tool for diversity

Age and generational influences

Developmental disabilities

Disabilities acquired later in life

Religion and spiritual orientation

Ethnic and racial identity

Socioeconomic status

Sexual orientation

Indigenous heritage

National origin

Gender

24
Q

cultural compentence

A

reflect on problematic unconscious beliefs and attitudes toward culture groups

25
Q

enculturation vs. acculturation

A

enculturation: retaining norms of one’s indigenous culture

acculturation: adapting norms of dominant culture

26
Q

cultural humility

A

commitment to humility as one continually engages in self-reflection and self-critique

27
Q

critical consciousness

A

when one recognizes social, political, and economic inequities in society and acts to dismantle systemic oppression

28
Q

Roger’s client centered theory

A

emphasis on the experiences, feelings, values, and inner life of the person

basic motivational force = tendency toward self-actualization

each person has an innate blueprint that can be developed

people are resilient

29
Q

Roger’s theory of personality development

A

organismic valuing process: internal guide everyone has at birth to evaluate an experience

unconditional positive regard

conditions of worth

30
Q

reintegration

A

reduce COWs

increasing positive self regard

person must allow experience to occur and accurately perceive the event

31
Q

necessary and sufficient conditions (Rogers)

A
  1. client and helper must be in psychological contact
  2. client must be in state of incongruence
  3. helper must be congruent or integrated in the relationship
  4. helper must feel unconditional positive regard for the client
  5. helper must experience empathy for the client
  6. client must experience helper’s congruence, unconditional positive regard, and empathy
32
Q

3 basic objectives of an intake interview

A

identifying, evaluating, and exploring chief complaint and associated goals (the problem)

obtaining data relating to interpersonal style/skills and personal history (the person)

evaluating the client’s current life situation and functioning

33
Q

rationale for exploring feelings

A

affect labeling helps diminish negative emotional experiences

can help clients become open to new feelings and experiences

34
Q

intellectual vs. emotional insight

A

intellectual: objective explanation for a problem

emotional: connects affect to intellect and creates a sense of personal involvement and responsibility

insight should be both to be effective

35
Q

markers of readiness for insight

A

clear statement of awareness of problem

statement of a lack of understanding

stated eagerness/willingness to understand

high level of affective distress as a pressure to resolve the problem

36
Q

markers indicating a lack of readiness for insight

A

telling a story in a nonreflective manner

asking for advice

blaming others for problems

37
Q

challenges

A

point out maladaptive thoughts, feelings, or behaviors

goal: raise awareness and leads client to understand themselves at a deeper level and become aware of defenses

38
Q

markers of readiness for awareness

A

ambivalence, contradictions, discrepancies, confusion, feeling stuck, unable to make a decision

39
Q

types of challenges

A

challenges of discrepancies, two chair work, humor, silence

40
Q

immediacy

A

inquiring about the client’s feelings regarding the therapeutic relationship or disclosing how they are feeling about the client, the self in relation to the client, or the therapeutic relationship

used to monitor and understand more about how clients come across in relationship

41
Q

metacommunication

A

relates to helper’s immediate experience of the relationship with the client

42
Q

markers of readiness for immediacy

A

client seems distraught, particularly quiet, unusually talkative, hostile

client mentions references to other people that might be a reference to you

might directly confront you

43
Q

case conceptualization

A

sources of problems

patterns

defenses

transference/countertransference

44
Q

implementing insight stage skills

A
  1. set the stage
  2. conceptualize the client
  3. engage in collab to facilitate insight
  4. return to exploration and follow up
  5. ask client for current understanding
45
Q

types of ruptures

A

withdrawal and confrontation

46
Q

rupture resolution training 4 stages

A
  1. therapist becomes aware of the behavior associated with the rupture
  2. therapist initiates collab exploration of the rupture experience
  3. therapist helps patient to overcome avoidance of addressing feelings or response to rupture
  4. exploration of the emergence of patient’s underlying wish or need revealed the coursed of working through the rupture
47
Q

IS PATH WARM

A

Ideation
Substance Use
Purposelessness
Anxiety
Trapped
Hopelessness
Withdrawal
Anger
Recklessness
Mood Change

48
Q

deterrents to actions

A

feeling stuck, understanding the situation incompletely or only at an intellectual level, do not take personal responsibility, might not necessary skills to take the next step, lack motivation to change, might have limited talents or resources

49
Q

markers for action

A

has gained insight, presents a specific problem and wants relief from it, in crisis and needs to make immediate changes, stuck in insight and not making changes

50
Q

action stage skills

A

open questions/probes for action

information

feedback

process advisement

direct guidance

disclosure of strategies

51
Q

process advisement vs. direct guidance

A

process advisement: direct clients to do things within helping sessions

direct guidance: making suggestions, giving directives, or providing advice for things to do outside of helping sessions

52
Q

in evaluating research on specific interventions, the APA identifies two dimensions:

A

treatment efficacy

clinical utility

53
Q

evidence based therapy relationship factors - what works?

A

therapeutic alliance (most important)

client feedback

goal consensus

54
Q

case conceptualization in the action stage

A

observations

relationship

conceptualization

treatment plan

55
Q

3 main steps to effective termination

A

looking back

looking forward

saying goodbye

56
Q

client conceptualization

A

what’s happening to maintain the thoughts and behaviors

4 action tasks: relaxation, behavior change, behavioral rehearsal, and decision making

hypothesize about what gets in the way of the client making changes and what facilitates changing

57
Q

client diversity tells us:

A

relationship with self

relationship with others

how they navigate the world

Clinical Interviewing Final (1 decks)

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