Final: CHOICE THEORY/REALITY THERAPY Flashcards

1
Q

CHOICE THEORY/REALITY THERAPY: Key concepts

A

○ We choose everything we do
○ People are self-determining; choices of thoughts, feelings, and actions determine quality of
life (choice theory) p. 371
○ Mental health: success in meeting basic needs while respecting the rights of others
○ Healthy choices reflect awareness of reality, responsibility for oneself, & understanding of
right and wrong
○ Treatment helps people make responsible and realistic choices and responses that are likely
to meet their needs. ​P.469
○ Emphasizes self-determination and process more than results

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2
Q

CHOICE THEORY/REALITY THERAPY: View of motivation

A

○ Motivated to meet our needs and make connection
○ Reality theory views people as basically self determining and are able to overcome
childhood issues.

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3
Q

CHOICE THEORY/REALITY THERAPY: Five basic human needs

A

○ Love and belonging; survival; power; fun; freedom

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4
Q

CHOICE THEORY/REALITY THERAPY: Quality world

A

○ Pictures or images of the sort of life a person would like to have, the people they want to be with, the possessions or experiences they would like to have, and the ideas and beliefs they value

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5
Q

CHOICE THEORY/REALITY THERAPY: Total behavior (car metaphor)- four inseparable components

A

○Acting/Thinking/Feeling/Physiology
○ Car Metaphor- Front two wheels are acting/thinking, back wheels are feeling/ physiology.
The direction of the car cannot be changed by the movement of only one wheel- similarly a
person cannot change by only changing one aspect of total behavior

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6
Q

CHOICE THEORY/REALITY THERAPY: Techniques

A
○ Metaphors
○ Relationships--with counselor and
others
○ Questions--what and how (not
why)
○ WDEP 
■ Wants, Doing, Evaluation and Planning
○ SAMIC
■ Simple, Attainable, Measurable, Immediate, Involving clinician, Controlled by planner,
Committed, Consistent
○ Positive Addictions
○ Use of language-- verbs, “ing” ○ Reasonable consequences, not
punitive
○ Paradoxical interventions ○ Skill development
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7
Q

CHOICE THEORY/REALITY THERAPY: View of psychopathology

A

○ Problems originate during early childhood
○ Mental illness: failure to meet the five basic needs in responsible and effective ways
○ What is the Purpose of choosing maladaptive behaviors?
■ Have more control over self/others
■ Get help from others
■ Avoid something – because unwilling or hard
■ Gain power over others

Basic assumption is that people are self-determining and are able to overcome their early difficulties.

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8
Q

CHOICE THEORY/REALITY THERAPY: Reasons clients come to counseling

A

○ Current relationship issue–could be lack of connection, unfulfilling relationships, etc

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9
Q

CHOICE THEORY/REALITY THERAPY: Confrontation

A

○ Process of noting discrepancies, usually in a person’s words and behaviors, and reflecting those discrepancies back to the person
○ Ex: “I hear you saying this, but you are acting this way.. Can you tell me more about that?”

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10
Q

CHOICE THEORY/REALITY THERAPY: Therapeutic relationship

A

○ Share perceptions, experiences, ask for feedback
○ Pay little attention to transference and countertransference
○ Warm, accepting, friendly, caring, respectful
○ May give client advise on what to wear to a meeting

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11
Q

CHOICE THEORY/REALITY THERAPY: WDEP

A

○ Wants– what you are and are not getting; how are wants linked to needs?
○ Direction/Doing– What actions are you doing to meet your wants/needs
○ Evaluation–How is that behavior helping you get your wants and needs?
○ Planning–Help client make better choices through SAMI2​ ​C3​
■ Simple, Attainable, Measurable, Immediate, Involving, Controlled by planner, Committed to, consistent

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12
Q

CHOICE THEORY/REALITY THERAPY: Types of responses/questions

A

○ Avoid telling people what is not working for them and how they should change
○ Instead they use carefully structured questions to help people take a close look at their lives
○ Ask what and how, not why
○ “What did you do today to satisfy your need for belonging?”

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