Group, feminist, CAM therapy, community psych and consultation

Question 1

stages of group therapy - Yalom

Answer 1

1 orientation, hesitant participation, search for meaning, dependency
2 conflict, dominance, rebellion
3 development of cohesion

Question 2

group as a social microcosm

Answer 2

instills hope, universality, altruism, interpersonal learning, self-understanding and insight, existential learning, catharsis, group cohesiveness, family re-enactment, guidance, identification

Question 3

group rate as important

Answer 3

interpersonal input, catharsis, self-understanding, cohesiveness

Question 4

group rate as least important

Answer 4

re-enactment, guidance, identification

Question 5

therapist role in group

Answer 5

creation and maintenance
culture building
activation and illumination of hear-and-now

Question 6

process illumination

Answer 6

processes that are occurring in the present moment

Question 7

antechamber of change

Answer 7

member understands process and interpersonal effect on others etc

Question 8

risk of simultaneous individual and group therapy

Answer 8

drain off affect from group

Question 9

premature termination

Answer 9

10-35% drop out in first 12-20 sessions

Question 10

good group therapy candidate

Answer 10

interpersonal problems, motivated to change, positive view of group therapy, psych and verbally sophisticated, prefers to get involved in therapy slowly, finds peer support and feedback beneficial

Question 11

contraindications for group therapy

Answer 11

incompatible with group norms for acceptable behaviors, inability to tolerate group setting, severe depression, paranoia, acute psychosis, brain damage, sociopathy

Question 12

feminist therapy emphasis

Answer 12

power differences between women and men and how differential impacts mens and women’s behavior

Question 13

feminist therapy view of maladaptive bx

Answer 13

personal is political

circumstances always reflect position of women in society

Question 14

feminist view of symptoms

Answer 14

1. related to nature of traditional roles or conflicts inherent in roles
2. survival tactics - means of exercising personal power
3. arbitrary labels society has assigned to behaviors to impose sanctions or exert social control

Question 15

feminist therapy goals

Answer 15

empowerment; not to fit mainstream but to alter effect oppressive forces have on client’s life

Question 16

feminist therapy techniques

Answer 16

striving for egalitarian relationship
avoiding labels
avoid revictimization
involve in social action

Question 17

nonsexist vs. feminist therapy

Answer 17

nonsexist focus more on individual factors and modifying personal behavior

Question 18

self-in-relation theory

Answer 18

gender differences traced to differences in mother-daughter and mother-son relationship – females taught to remain attached to mothers, males taught to separate

Question 19

hypnosis effective for

Answer 19

acute stress disorder, anxiety, obesity, insomnia, chronic pain

Question 20

hypnosis induced paralysis

Answer 20

disruption in communication between brain areas that control movement and those that control executive function and self-imagery

Question 21

acupuncture benefits may be due to

Answer 21

release of endorphins and other pain-suppressing substances or alteration in blood flow, or in key regions of brain

Question 22

acupuncture useful in

Answer 22

low back pain, migraine, dental pain, chemo-induced nausea, vomiting

Question 23

reflexology works vis

Answer 23

blood or lymph circulation, promotes relaxation

Question 24

reflexology useful for

Answer 24

pain, pms; effectiveness not consistently demonstrated

Question 25

Primary prevention

Answer 25

decrease incidence of new cases by proofing health; eg. meals on wheels, public education programs

Question 26

secondary prevention

Answer 26

decrease prevalence of disorders by reducing duration through early detection and intervention eg. screening tests for kids with reading disabilities

Question 27

tertiary prevention

Answer 27

reduce duration and consequence of disorder; rehab programs, alternatives to hospitalization, education to improve attitudes toward mental patients

Question 28

education impact

Answer 28

increasing information, changing practices, or both

Question 29

using peer norms

Answer 29

have peers act as educators or models, especially for adolescents

Question 30

health belief model

Answer 30

health bx influenced by readiness to take action, evaluation of cost/benefit, internal and external cues to action

Question 31

implication of health belief model

Answer 31

enhance bus by promoting patient sense of responsibility and control

Question 32

stages of consultation

Answer 32

entry, diagnosis, implementation, disengagement

Question 33

client-centered case consultation

Answer 33

working with consulted (teacher, therapist) to develop plan to enable consulted to work more effectively with a client (student, patient)

Question 34

consulted-centered case consultation

Answer 34

enhance consultee’s performance in delivering services to particular population; focus on skills, knowledge, abilities or objectivity

Question 35

theme interference

Answer 35

type of transference that occurs when unresolved conflict related to particular client or circumstance is evoked and interferes with consultee’s current situation

Question 36

program-centered administrative consultation

Answer 36

mental health consultation involves working with one or more administrators (consulters) to resolve problems related to an existing program

Question 37

consultee-centered administrative consultation

Answer 37

help administrative level personnel improve their professional functioning so they can be more effective in the future with regard to program development, implementation, and evaluation

Question 38

parallel process

Answer 38

therapist replicates problems and symptoms of client with supervisor