final pt. 3 (intrapersonal abuse, addiction, family/couples counseling) Flashcards

1
Q

the misuse of objects or substances produced for one purpose but are exploited excessively to the detriment of the person involved, resulting in addiction

A

interpersonal abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

3 C’s of addiction:
loss of __________ , __________ use , __________ use (almost any object or substance can become an addiction)

A

control compulsive continued

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

regarding substances means to use a drug for the sole purpose of euphoria or recreation

A

abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

two or more substances simultaneously

A

polysubstance abuse (and addiction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

abuse of or addiction to substances is _______ with other disorders including depression, anxiety, conduct disorder, and ADHD

A

comorbid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

most prevalent factors affecting treatment for interpersonal abuses and addiction are:
__________- internal desire to change
denial- minimizing effects of substance abuse on self or others
dual-diagnosis- mental illness and substance use disorder
matching- the right treatment for a d/o
control- the regulation of behavior
relapse- the recurrence of dysfunctional behaviors once they have been treated

A

motivation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

most prevalent factors affecting treatment for interpersonal abuses and addiction are:
motivation- internal desire to change
_______- minimizing effects of substance abuse on self or others
dual-diagnosis- mental illness and substance use disorder
matching- the right treatment for a d/o
control- the regulation of behavior
relapse- the recurrence of dysfunctional behaviors once they have been treated

A

denial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

most prevalent factors affecting treatment for interpersonal abuses and addiction are:
motivation- internal desire to change
denial- minimizing effects of substance abuse on self or others
_____________- mental illness and substance use disorder
matching- the right treatment for a d/o
control- the regulation of behavior
relapse- the recurrence of dysfunctional behaviors once they have been treated

A

dual diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

most prevalent factors affecting treatment for interpersonal abuses and addiction are:
motivation- internal desire to change
denial- minimizing effects of substance abuse on self or others
dual-diagnosis- mental illness and substance use disorder
_________- the right treatment for a d/o
control- the regulation of behavior
relapse- the recurrence of dysfunctional behaviors once they have been treated

A

matching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

most prevalent factors affecting treatment for interpersonal abuses and addiction are:
motivation- internal desire to change
denial- minimizing effects of substance abuse on self or others
dual-diagnosis- mental illness and substance use disorder
matching- the right treatment for a d/o
_________- the regulation of behavior
relapse- the recurrence of dysfunctional behaviors once they have been treated

A

control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

most prevalent factors affecting treatment for interpersonal abuses and addiction are:
motivation- internal desire to change
denial- minimizing effects of substance abuse on self or others
dual-diagnosis- mental illness and substance use disorder
matching- the right treatment for a d/o
control- the regulation of behavior
________- the recurrence of dysfunctional behaviors once they have been treated

A

relapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

treatment for addiction/abuse:

a brief counseling intervention designed to reduce a client’s ambivalence toward change will increasing their motivation to engage in the behavior-changing process

A

motivational interviewing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

treatment for addiction/abuse:

emphasis is to get client to think about what an improved life would look like and what changes would be needed to live such a life

A

solution focused approach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

treatment for addiction/abuse:

counselors have clients with addictions read books or view/listen to media and discuss ideas related to what they have experienced

A

bibliotherapeutic approach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

treatment for addiction/abuse:

most common are 12-step programs: alcoholics/narcotics/overeaters anonymous
groups and programs for family members: women for sobriety, alanon and lateen, students against drunk driving, M.A.A.D.

A

self help groups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

identify risk factors, protective factors, and triggers (environmental events- involved in both risk and protective factors)

A

prevention programs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

addiction to behaviors including sexuality, gambling, internet use, gaming

A

process addictions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

behavior moves from normal to addictive when it both produces pleasure and reduces negative moods, and include two key features:

the individual is unable to _______, cut back, or ______ the behavior

A

control stop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

behavior moves from normal to addictive when it both produces pleasure and reduces negative moods, and include two key features:

the individual continues to use the behavior despite substantial ________ ____________

A

negative consequences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

repression: unknowing placing an unpleasant memory or thought in the unconscious

regression: reverting back to immature behavior from an earlier stage of development

displacement: redirecting unacceptable feelings from the original source to a safer, substitute target

sublimation: replacing socially unacceptable impulses with socially acceptable behavior

reaction formation: acting in exactly the opposite
way to one’s unacceptable impulses

projection: attributing one’s own unacceptable feelings and thoughts to others and not yourself

rationalization: creating false excuses for one’s unacceptable feelings, thoughts, or behaviors

A

common defense mechanisms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

a natural tendency to do something well such as carry out tasks in daily life

A

ability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

an inability or a limitation that prevents a person from performing some or all of the tasks of daily life

affects 54 million people in the US, 4.4 million are children

A

disability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

A variety of models exist for counselors to choose from when working with a client who has a disability:

“disabilities are objective conditions that exist in and of themselves”

A

biomedical model

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

A variety of models exist for counselors to choose from when working with a client who has a disability:

“disabilities are deficits that impede functioning”

A

environmental and functional model

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

A variety of models exist for counselors to choose from when working with a client who has a disability:

“persons with disabilities are a minorities group rather than people with pathologies. Impediments created by social disorganization”

A

sociopolitical model

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

A variety of models exist for counselors to choose from when working with a client who has a disability:

people with direct experience with disabilities are best able to help those who have recently acquired disabilities”

A

peer counselor model

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Personal counseling: working individually with clients from theoretical models

Case finding: making services known to agencies and potential clients

Eligibility determination: determining if clients meet criteria for funding

Training: identifying client skills and purchasing resources to help clients

Provision of restoration: arranging for needed devices and medical services

Support services: ranges from providing medication to offering counseling

Job placement

Planning: working as equals with client to devise a treatment plan

Evaluation: combining info from services to prioritize and determine needs

Agency consultation: working with agencies to set up or coordinate services

Public relations: advocating for clients

Follow-along: interacting with agencies and maintain contact with clients

A

major functions of rehab counselors

28
Q

characterized by its “before the fact quality”; its intentional and group-oriented rather than individual

A

primary prevention

29
Q

counselors need to work with increase individual strengths and decrease individual limitations

counselors must increase social support and decrease social stress

environmental variables, such as poverty, natural disasters, and community programming for youth must be addressed

A

blooms configure model of prevention

30
Q

sex, age, depression, previous attempt, alcohol abuse, rational thinking loss, social support system lacking (lonely, isolated), organized plan, no spouse, sickness (chronic or terminal)

A

sad persons scale

31
Q

creative, coping, social, essential, physical

A

indivisible self

32
Q

controlling mental health problems that have already surfaced but are not severe

A

secondary prevention

33
Q

controlling serious mental health problems to keep them from being chronic or life threatening

A

tertiary prevention

34
Q

counselors can work to mitigate stigma of mental disorders in 3 ways: p______, e________, and c______

A

protest education contact

35
Q

10-25% of population experience a form of it

may be the most common disorder of mental health professionals

treatments include CBT, mindfulness, and physiological interventions (exercise, nutrition)

A

depression

36
Q

affects 18% of adult population (40 million)

generalized, social ________, and panic disorder

A

anxiety

37
Q

two most prominent models with nonmusical traumas:
______ intervention model
___________ - therapy model

A

crisis continuing

38
Q

trauma models:

the focus is to restore _______________ ___________ - the combination of biological, psychological, and social factors that make up and influence how a person operates with a society

A

biopsychosocial functioning

39
Q

trauma models:

to help clients create meaning, counselors may use __________-_____________ framework

A

existential-constructivist

40
Q

Variety of settings: mental health centers, community agencies, psychiatric hospitals, health maintenance organizations, health and wellness promotion programs (HWPS), geriatric centers, crisis control agencies, child guidance clinics, employee assistance programs, crisis-oriented organizations

A

employment of cmhcs

41
Q

Balance business

Be patient, persistent, and prepared

Network

Be tech savvy

Avoid restrictive covenants of some agencies

Invest time in pull marketing relationships

Prepare for possible emergencies of clients

Be willing to donate services

A

challenges of private practice

42
Q

A growing dissatisfaction among consumers with mental health managed care

A chance for counselors to develop a niche or a specialty and become known in their communities

An opportunity for counselors to set up their office hours for times most convenient for them

A chance for counselors to branch out in treatment services

Opportunity to be entrepreneurial

A

benefits of private practice

43
Q

nuclear (husband, wife, children); multigenerational (at least 3 generations);
single parent;
blended;
dual career (both marital partners work);
childless family;
aging family (heads of household are 65 and above);
gay/lesbian family (with or without children); multicultural family (individuals from 2 different cultures form a household)

A

types of families

44
Q

WWII resulted in a sharp rise in divorce rates as well as the baby boom

the changing role of women into becoming breadwinners as well as caring for the home

expansion of the lifespan- couples found themselves living with the same partners longer than at any previous time in history

A

family history and trends

45
Q

Nathan ackerman
virginia satir
salvador minuchin
John gotttman
jay haley
carl whitaker
milton erickson

A

family therapy pioneers and leaders

46
Q

American association for marriage and family therapy (AAMFT)- est. in 1942

International association of marriage and family counselors (IAMFC)- division within ACA chartered in 1986

Division 43 (family psychology)- division of APA formed in 1984

American family therapy association (AFTA)- est. in 1977

A

family therapy associations

47
Q

Family counseling interventions are at least as effective as individual interventions

Some forms of family counseling are more effective in treating problems than other counseling approaches

Effectiveness of family counseling increases when both partners/parents are present

Problems may worsen when marriage and family counseling services are not offered to couples conjointly or to families systematically

Clients report high satisfaction with marital, couple, and family counseling services

A

family counseling research

48
Q

the stages a family goes through as it evolves over the years

A

family life cycle

49
Q

emotional bonding

A

family cohesion

50
Q

ability to be flexible and change (in families)

A

family adaptability

51
Q

family members are overly dependent on each other

A

enmeshment

52
Q

other members of a triangle pull a person in 2 different directions

A

triangulation

53
Q

Finances
Children
Fidelity
Communication
Compatibility
The must see both partners together
Main approaches include object relational, behavioral, cognitive behavioral, bowen systems, structural, emotionally focused, and narrative

A

reasons couples seek counseling

54
Q

an individual who is seen as the cause of trouble with the family structure whom family members use as their ticket of entry to counseling

A

identified patient

55
Q

Family system counselors stress the following concepts:
________ ________ (events are interconnected and factors behind a behavior or multiple)

Nonsummativity (family is greater than the sum of its parts)

Equifinality (same origin may lead to different outcomes and the same outcome may results from different origins)

Communication (all behavior is seen as communicative)

Family rules (explicit and implicit rules influence family functioning)

Morphogenesis (ability of a family to modify its functioning to meet demands)

A

circular causality

56
Q

Family system counselors stress the following concepts:
Circular causality (events are interconnected and factors behind a behavior or multiple)

______________ (family is greater than the sum of its parts)

Equifinality (same origin may lead to different outcomes and the same outcome may results from different origins)

Communication (all behavior is seen as communicative)

Family rules (explicit and implicit rules influence family functioning)

Morphogenesis (ability of a family to modify its functioning to meet demands)

A

nonsummativity

57
Q

Family system counselors stress the following concepts:
Circular causality (events are interconnected and factors behind a behavior or multiple)

Nonsummativity (family is greater than the sum of its parts)

____________ (same origin may lead to different outcomes and the same outcome may results from different origins)

Communication (all behavior is seen as communicative)

Family rules (explicit and implicit rules influence family functioning)

Morphogenesis (ability of a family to modify its functioning to meet demands)

A

equifinality

58
Q

Family system counselors stress the following concepts:
Circular causality (events are interconnected and factors behind a behavior or multiple)

Nonsummativity (family is greater than the sum of its parts)

Equifinality (same origin may lead to different outcomes and the same outcome may results from different origins)
_____________ (all behavior is seen as communicative)

Family rules (explicit and implicit rules influence family functioning)

Morphogenesis (ability of a family to modify its functioning to meet demands)

A

communication

59
Q

Family system counselors stress the following concepts:
Circular causality (events are interconnected and factors behind a behavior or multiple)

Nonsummativity (family is greater than the sum of its parts)

Equifinality (same origin may lead to different outcomes and the same outcome may results from different origins)

Communication (all behavior is seen as communicative)
______ _____ (explicit and implicit rules influence family functioning)

Morphogenesis (ability of a family to modify its functioning to meet demands)

A

family rules

60
Q

Family system counselors stress the following concepts:
Circular causality (events are interconnected and factors behind a behavior or multiple)

Nonsummativity (family is greater than the sum of its parts)

Equifinality (same origin may lead to different outcomes and the same outcome may results from different origins)

Communication (all behavior is seen as communicative)
Family rules (explicit and implicit rules influence family functioning)

_____________ (ability of a family to modify its functioning to meet demands)

A

morphogenesis

61
Q

Based on several premises:
Counselors are psychologically healthy and understand their own families of origin well

Counselors will not over- or underemphasize possible aspects in the therapeutic process

Counselor must win the battle for structure while letting the family win the battle for initiative

Counselors need to be able to see the couple or family difficulties in the context in which they are occurring

A

process of couple (family) counseling

62
Q

Things to address before beginning:
Understanding expectations the client has for treatment
Gather essential clinical information
Hypothesize about possible issues for the family
Schedule an appointment

A

presession planning

63
Q

Counselor must establish rapport
Therapeutic alliance can be created through the following:
Maintenance- confirm or support a family member’s position
Tracking- following a series of events
Mimesis- adopting a family’s style of communication
Counselor observes the family dance, the way couple/family typically interacts verbally or nonverbally
Counselors may ask circular questions- focus attention on couple or family connections and highlight differences among members

A

initial session

64
Q

Explore new behaviors and take chances
Types of change:
First-order: superficial
Second-order: structured rules are altered; the change hoped for in counseling
Middle phase can be enhanced with homework-tasks to complete outside sessions OR psychoeducational assignments to learn more and interact together

A

middle phase

65
Q

couple/family, counselors or both may initiate termination
In beginning termination, the counselor and C/F should ask themselves why they are entering this phase
Counselor should make sure that the work the C/F has done is summarized and celebrated so the family feels more aware and stronger
Termination also includes creating long-term goals, predicting setbacks, and follow-up

A

termination