Final Exam Flashcards
Four Horsemen
criticism, defensiveness, contempt (mocking), stonewalling
Sound relationship House theory- couples therapy
Shared meaning, positive connection, manage conflict all connected
Positive sentiment overrride, negative sentiment override
For couples
Person centered psychotherapy
At their core, humans are trustworthy and positive
Person Centered psychotherapy goals
Goes against directive and psychoanalytic approaches
Denies:
Counselor knows best
Adivce, suggestion, persuasion, teaching, diagnosis
Therapy should focus on problems
Person Centered psychotherapy denies:
Goes against directive and psychoanalytic approaches
Denies:
Counselor knows best
Adivce, suggestion, persuasion, teaching, diagnosis
Therapy should focus on problems
Person centered therapy emphasizes:
The persons innate striving for self actualization
The personal characteristics of the therapist and the quality of the therapeutic relationship
Creation of a growth promoting climate (genuineness, unconditional positive regard, empathetic understanding)
Person centered therapy therapist roles
Focus on the quality of the relationship, communicate, be genuine, openly express feelings and attitudes
ABC theory of cognitive therapy vs ABDEF
Activating event, belief, consequence
A, B, Dispute (intervention), effective philosophy, new feeling
What is CBT used for?
Mostly anxiety and depression but sometimes eating disorders, suicide, anger management
Rational Emotive Behavioral Therapy
Present oriented, stresses thinking and doing, directive, practice and hw
REBT View of human nature
We are born with the potential for rational and irrational thinking
We have a tendency to think crookedly and to disturb ourselves
We learn and invent disturbing beliefs and keep ourselves disturbed through self talk
REBT therapeutic process
Clients learn to identify their thoughts/ feelings/ behaviors, to dispute irrational beliefs, and replace with effective and rational thinking
Beck’s Cognitive triad
Pattern that triggers depression
Negative view about the self, the world, and the future
Beck’s attribution theory internal vs external
internal- behavior is attributed to themselves
external- behavior is attributed to the environment
Beck’s attribution theory stable vs unstable
stable- cause of behavior is seen as unchangeable
Unstable- cause of behavior is seen as changeable
Beck’s attribution theory global vs specific
Global- cause seems to occur in all aspects of a person’s life
Specific- when the behavior applies to a particular situation
Limitations of CBT
Must be committed to the process, may not be suitable for people with complex metal health situations
IPT focuses
Sick role (patient has an illness), time limited
Nurture existing relationships, create new relationships = key
Bio-psycho-social model
Diathesis stress model
IPT diathesis stress 4 problem areas (must figure out which of these is the main source of depression)
Interpersonal dispute (problems with relationship),
role transition,
grief and loss,
interpersonal sensitivity (person has a hard time making and maintaining relationships)
IPT 5th problem area
Life goals - IPT for eating disorders
IPT treatment approach (four things)
Create therapeutic environment,
interpersonal problem formulation (interpersonal inventory),
identify and raise awareness of communication problems,
build social support network and use supports
Interpersonal inventory (IPT)
How does the client engage in social support? Resolve interpersonal problems? Deal with loss? Care for others?
IPT specific techniques
Exploratory techniques, use of emotion (affect) in session and out of session, clarification (calling attention to implicit emotions and beliefs), communication analysis, behavior change techniques, role play
Motivational Interviewing
Produce behavior change by helping patients explore and resolve ambivalence
MI way of establishing ambivalence
Find clear negative consequences and clear positive reinforcers
Righting Reflex
engage muscles on other side to push back after being pushed in one direction (MI)
Stages of change (MI)
Precontemplation, contemplation, preparation, action, maintenance, relapse/ recycling
Change talk (MI)
Way of supporting yourself to change
Desire, ability, reasons, need, commitment to change
Goals of MI
identify ambivalence, elicit change talk, support self efficacy, present menu of options, emphasis on patient’s responsibility for change
MI and resistance
Roll with the resistance
Resistance is the other side of ambivalence. Don’t push against it or the ambivalence will go away
MI DARES
Look at Doc
DBT
Developed for borderline personalty disorder
Focus on emotion regulation and interpersonal relationships
DBT Theoretical basis
Problems rooted in development because of an invalidating environment
Client was rejected as a child, learned to distrust their own emotional experience, sexually abusive childhood environments
Emotional disregulation
Emotions get very high arousal and low stimulus, slow return to baseline
DBT interventions
Mindfulness training, decrease arousal associated with emotion, re direct attention, inhibit mood dependent action
Duty to warn
therapists must warn the person that they think is in danger
IPT inclusion, affiliation, dominance
Interpersonal inventory assessment
Inclusion - relationship valued
Affiliation - positive feelings
Dominance-
Ego syntonic vs ego dystonic
Ego syntonic- thoughts that are acceptable to the self
Ego dystonic- thoughts, behaviors that are seen as distressing or unacceptable to one’s self
