Final Exam

Question 1

Four Horsemen

Answer 1

criticism, defensiveness, contempt (mocking), stonewalling

Question 2

Sound relationship House theory- couples therapy

Answer 2

Shared meaning, positive connection, manage conflict all connected

Question 3

Positive sentiment overrride, negative sentiment override

Answer 3

For couples

Question 4

Person centered psychotherapy

Answer 4

At their core, humans are trustworthy and positive

Question 5

Person Centered psychotherapy goals

Answer 5

Goes against directive and psychoanalytic approaches
Denies:
Counselor knows best
Adivce, suggestion, persuasion, teaching, diagnosis
Therapy should focus on problems

Question 6

Person Centered psychotherapy denies:

Answer 6

Goes against directive and psychoanalytic approaches
Denies:
Counselor knows best
Adivce, suggestion, persuasion, teaching, diagnosis
Therapy should focus on problems

Question 7

Person centered therapy emphasizes:

Answer 7

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)

Question 8

Person centered therapy therapist roles

Answer 8

Focus on the quality of the relationship, communicate, be genuine, openly express feelings and attitudes

Question 9

ABC theory of cognitive therapy vs ABDEF

Answer 9

Activating event, belief, consequence

A, B, Dispute (intervention), effective philosophy, new feeling

Question 10

What is CBT used for?

Answer 10

Mostly anxiety and depression but sometimes eating disorders, suicide, anger management

Question 11

Rational Emotive Behavioral Therapy

Answer 11

Present oriented, stresses thinking and doing, directive, practice and hw

Question 12

REBT View of human nature

Answer 12

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

Question 13

REBT therapeutic process

Answer 13

Clients learn to identify their thoughts/ feelings/ behaviors, to dispute irrational beliefs, and replace with effective and rational thinking

Question 14

Beck’s Cognitive triad

Answer 14

Pattern that triggers depression

Negative view about the self, the world, and the future

Question 15

Beck’s attribution theory internal vs external

Answer 15

internal- behavior is attributed to themselves

external- behavior is attributed to the environment

Question 16

Beck’s attribution theory stable vs unstable

Answer 16

stable- cause of behavior is seen as unchangeable

Unstable- cause of behavior is seen as changeable

Question 17

Beck’s attribution theory global vs specific

Answer 17

Global- cause seems to occur in all aspects of a person’s life

Specific- when the behavior applies to a particular situation

Question 18

Limitations of CBT

Answer 18

Must be committed to the process, may not be suitable for people with complex metal health situations

Question 19

IPT focuses

Answer 19

Sick role (patient has an illness), time limited

Nurture existing relationships, create new relationships = key

Bio-psycho-social model

Diathesis stress model

Question 20

IPT diathesis stress 4 problem areas (must figure out which of these is the main source of depression)

Answer 20

Interpersonal dispute (problems with relationship),

role transition,

grief and loss,

interpersonal sensitivity (person has a hard time making and maintaining relationships)

Question 21

IPT 5th problem area

Answer 21

Life goals - IPT for eating disorders

Question 22

IPT treatment approach (four things)

Answer 22

Create therapeutic environment,

interpersonal problem formulation (interpersonal inventory),

identify and raise awareness of communication problems,

build social support network and use supports

Question 23

Interpersonal inventory (IPT)

Answer 23

How does the client engage in social support? Resolve interpersonal problems? Deal with loss? Care for others?

Question 24

IPT specific techniques

Answer 24

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

Question 25

Motivational Interviewing

Answer 25

Produce behavior change by helping patients explore and resolve ambivalence

Question 26

MI way of establishing ambivalence

Answer 26

Find clear negative consequences and clear positive reinforcers

Question 27

Righting Reflex

Answer 27

engage muscles on other side to push back after being pushed in one direction (MI)

Question 28

Stages of change (MI)

Answer 28

Precontemplation, contemplation, preparation, action, maintenance, relapse/ recycling

Question 29

Change talk (MI)

Answer 29

Way of supporting yourself to change

Desire, ability, reasons, need, commitment to change

Question 30

Goals of MI

Answer 30

identify ambivalence, elicit change talk, support self efficacy, present menu of options, emphasis on patient’s responsibility for change

Question 31

MI and resistance

Answer 31

Roll with the resistance

Resistance is the other side of ambivalence. Don’t push against it or the ambivalence will go away

Question 32

MI DARES

Answer 32

Look at Doc

Question 33

DBT

Answer 33

Developed for borderline personalty disorder

Focus on emotion regulation and interpersonal relationships

Question 34

DBT Theoretical basis

Answer 34

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

Question 35

Emotional disregulation

Answer 35

Emotions get very high arousal and low stimulus, slow return to baseline

Question 36

DBT interventions

Answer 36

Mindfulness training, decrease arousal associated with emotion, re direct attention, inhibit mood dependent action

Question 37

Duty to warn

Answer 37

therapists must warn the person that they think is in danger

Question 38

IPT inclusion, affiliation, dominance

Answer 38

Interpersonal inventory assessment

Inclusion - relationship valued
Affiliation - positive feelings
Dominance-

Question 39

Ego syntonic vs ego dystonic

Answer 39

Ego syntonic- thoughts that are acceptable to the self

Ego dystonic- thoughts, behaviors that are seen as distressing or unacceptable to one’s self