Helping Relationships Flashcards
Founder of Analytic Psychotherapy
Jung
Individual (Adlerian) Psychology
Alfred Adler
Neo Freudians
Eric Fromm, Karen Horney, Harry Stack Sullivan
Integrative Psychotherapy
Uses related therapy eg Gestalt or Object therapies
Psychodynamic Psychcotherapies
psychoanalysis Jung analytic psychotherapy Individual (Adlerian) psychology The Neo-Freudian Integrative psychotherapy
Phenomenological/humanistic approaches
Client centered Gestalt Transactional analysis Reality Therapy Existential Therapy Multimodal Therapy Narrative Therapy
Client-centered therapy
Carl Rogers
Gestalt
Fredrick Perls
Transactional analysis
Eric Berne
Reality Therapy
Glasser
Existential Therapy
Rollo May
Multimodal Therapy
Arnold Lazarus
Narrative Therapy
Payne
Cognitive-Behavior Therapy
Behavior Therapy
Rational Emotive Behavior Therapy
Becks Cognitive (AKA Cognitive Restructuring)
Self-Control Procedures
Behavior Therapy
Not a single approach to therapy a collections of therapies used to decrease maladaptive behavior
Rational Emotive Behavior Therapy
REBT
Albert Ellis
Becks Cognitive (AKA Cognitive Restructuring)
Aaron Beck
Self-Control Procedures
Variety of techniques which share the characteristic of being administered increasing desired behavior
Neurolinguistic Programing
Richard Bandler & John Grinder
Problem-Solving Framework
3 Stages
Stage One: Clarification
Stage Two: Goal Setting
Stage Three: Experiential Exercise of Insight and Helping Clients Identify Possiblities
Family Therapy
Built on general system theories. Delineates interrelatedness of family members.
Psychodynamic Family Therapy
Views individual functioning as a reflection of constant interactions between the individual, his family and society.
Psychodynamic Family Therapy
Ackermans Approach
Homeostasis is dynamic
Regards social roles as semipremeable membranes- allows interaction both ways.
Roles must be complimentary.
Conflict eventual effects the entire family
Communication/Interaction Family Therapy
Gregory Bateson Don Jackson Virginia Satir Jules Riskin Jay Haley John Weakland Paul Watzlakick
Extended Family System
Implies extended family system beyond nuclear for intellectually and emotional functioning
Structural Family Therapy
Salvador
Founder of Psychoanalysis
Sigmund Freud
Structured Family Therapy
Salvador Minuchin
Structured Family Therapy
Approach
Here and now directive and concrete
Strategic Family Therapy
Jay Haley
Strategic Family Therapy
Approach
Use of unconventional hypnotic techniques. To manipulate clients and manipulate and control the course of therapy.
Contextual Therapy
Ivan Boszormenyi-Nagy
Contextual Therapy
Approach
Ethical elements of family development and behavior
Effective Therapist Communication
Methods of responding to clients increases exploration, understanding and problem solving- goals whatever therapist primary approach
Effective Therapist Communication
Common Reflection Errors
Timing error
Stereotyping error
Depth error
Language error
Community Mental Health Interventions distinguished by
Characteristics
Emphasizes role of social and environment
Belief in system orientation
Prevention rather than treatment
Community involvement
Reliance on ecological research, epidemiology and program eval
Community Mental Health
Stages
Primary
Secondary
Tertiary
Community Mental Health Stages
Primary Prevention
Reduce incidence eg prenatal nutrition (SES)
Community Mental Health Stages
Secondary Prevention
Early detection
eg training teachers to recognize the early stages of behavior disorder
Community Mental Health Stages
Tertiary Prevention
Reduce duration (rehab program)
Community Mental Health
Prevention Substance Use
Universal prevention
Selective prevention
Indicated prevention
Community Mental Health
Prevention Substance Use
Universal prevention
Prevent or delay use of alcohol
Community Mental Health
Prevention Substance Use
Selective prevention
Focus on answers who have an above average risk
Community Mental Health
Prevention Substance Use
Indicated prevention
Identifying individuals who are exhibiting early signs of alcohol and drug use
Community Mental Health Techniques
Consulting
Use of Paraprofessionals
Deinstitutionalization
Mental Health Educatiob
Crisis Intervention
Definition
Cannot cope with regular problem solving methods
Crisis Intervention
Types of Crises
Situational
Maturational
Stages of Crises
Hazardous events Vulnerable state Precipitating factors Active Crisis State Reintegration
Legal and Ethical Issues in Crisis
Confidentiality
Involuntary commitment
Informed consent
Suicide Assessment
Intention History Demographic factors Diagnosis Behavior Antecedent Events Physical Conditions
Administrative Models
Scientific Management Classic Organizational Theory Human Relations Movements Administrative Management Model Systems Model Decision Making Model
Administrative Models
Scientific Management Taylor’s beliefs
Taylor believed management included scientifically 1) analyze jobs 2) selecting training and placing 3) foster cooperation.
Administrative Models
Scientific Management
Economic Self interest
Money most effective motivator
Administrative Models
Scientific Management
Formal Organization
Efficiency and productivity is emphasized
Administrative Models Scientific Management Classic Organizational Theory Human Relations Movements Administrative Management Model Systems Model Decision Making Model
Economic self interest
Formal organization
Administrative Models
Classic Organizational Theory
Structure of organization emphasis on structure
Classical organizational theory
Bureaucracy
Max Weber, structure of the organization delegation of authority
Human Relations Movement who and how
Elton Mays research conducted at Western Electric Company’s Hawthorne Plant
Human Relations Movement
Hawthorn Effect
Performance can be altered by the way they are treated
Human Relations Movement
Informal Work Group Norms
Have significant impact on worker productivity. Producing above or below the norm caused social pressure to conform.
Administrative Models
Administrative Management Model
Create by
Philip Selznick
Administrative Models
Administrative Management Model
Theory
Believe that bureaucracies are changing due to interactions. Have become too big need to rely on chain of command in order to work on track and in harmony.
Administrative
Systems Model
Believe
Bureaucracies constantly change due to events inside and outside. Struggle between needs of human and organization.
Admin
Systems model
Bureaucracies are a social systems with sub interrelated subsystems. Interest in how acquire energy and money.
Admin
decision making model
Satisficing through acceptability rather than optimization
Criteria for Program Evaluations
Who
Gilbert & Specht
Criteria for Program Evaluations
What
Effort Impact effectiveness efficiency quality
Blooms 4 steps evaluation research
Specify objective
Define relevant parameters
Specifying techniques and procedure
Collecting relevant data
Program Evaluation Process according to Tripod, Fellin and Meyer
Stage 1 initial planning
Stage 2 Select and implement a research design AB OR ABAB
Stage 3 Report and Implement Evaluation Results
Cognitive Ability Test
Consistently the highest predictors of job performance
Personality Tests
Considered poor predictors of job performance useful measure specific characteristics linked to demands of job
Interest Test
Assumes Applicants whose interest coincide with job makes them successful
Biodata (Biographical Data)
Best predictor of future behavior is past behavior. Cannot ask question not related about the job- must be job related same questions of each applicant
Interviews
Lower level of reliability and validity than many other
Contrast Effect
Interviewers Assesment of applicant is influenced by impressions of previous applicants. Most useful in assessing info relating to work motivation
Letters of Reccomendations
Useful to select higher staff
Civil Rights
Equal opportunity Commission can only ask questions job related
BFOQ
Bonafide occupational question - necessary for the job
Training
Cannot substitute for poor selection procedures
Objective Measures
Measure job performance quantitatively
Subjective Measures
Reflect judgement of the rater
Leniency/strictness bias
Occurs when a rater tends to avoid the middle range of rating scale rates either high or low
Central tendency
Uses only middle range of the rating scale
Halo Effect
Raters eval on one aspect of the job rather positive or negative
Supervision
Improve quality
Maintain counsellors ability to cope with their work
Supervisors functions
Administration-provide structure
Education-achieve their objective
Supportive- proved psychological and interpersonal resources
Supervision vs Consultation
Supervision = educational, supportive, administrative
Consultation = educational and; problem solving
Clinical Audit
Jones & Cawthorn
clinical audit: the process
Stage one prepare - methodology and protect management
Stage two select criteria and standards - structure, process, outcome
Stage three- Measuring performance
Stage four Making improvement - make an agreement
Stage five - repeat audit to see improvement
ID
Present at birth consists of the individuals unconscious instincts
Ego
Developed at about six months in response to the ids nability to gratify all its needs
Anxiety according to Freud
A conflict between the examples in the demand of either reality or the super ego
Repression
Materials in the preconscious is accessible to the conscious but the materials in the unconscious is not repression occurs as a defense mechanism
Fixation
According to Freud a particular developmental stage that the person remain stuck in or fixated and
Regression
Retreats into an earlier say for stage of development according to Freud
Introjection
Freud’s process of assimilation
Protraction
Attributing one’s own unacceptable instinctual needs to another person
Reaction formation
Defense mechanism a person avoids and anxiety evoking instinct according to Freud
Rationalization
According to Freud a defense mechanism explaining ones unacceptable behaviors in a way which makes them appear rational
Displacement
Transfer of instinctual drives from its original target to illustrate and target
Sublimation
Unacceptable impulses is diverted into a socially acceptable even at buyable activity
Freudian therapeutic goals
Alleviate pathology cold symptoms by making the unconscious conscious and re-integrating previously repressed material into the total personality structure
Freudian therapeutic techniques
Free association Dream analysis Resistance Transference Countertransference
Free association
The foundamental a rule of cycle analysis requires a client to say whatever comes to mind without censure
Dream analysis
Freud you dreams as the royal road to the end conscience and use dream analysis to help uncover conflicts and motives
Resistance
The client begins to be aware of previous unconscious material may resist for the confrontation with the material to avoid anxiety
Transference
Projection onto the therapist feelings he or she originally had for a parent or significant person in the past
Countertransference
Therapist inappropriate emotional reaction to the client
Jung therapeutic goals
To help the individual move toward individuation and self-realization
Jung techniques
Word association test
Analysis of dreams
Symptom analysis
Life history
Jung Word association test
Identify complexes that might have control over the personality
Jung Analysis of dreams
Used to uncover on conscience element of the personality
Jung Symptom analysis
Focuses on expressed symptoms and the clients free association on those symptoms
Jung Life history
Extensive life history was developed to define developmental patterns which may have contributed to the individuals current neurotic behavior
Individual at Aldlerian psychology
Therapeutic goals
To help the client replace any steak and life with a healthier life style more adaptive one
Adler therapeutic techniques
Lifestyle investigation Study of dreams Interpretation of resistance and transference Role-playing Giving encouragement and advice
Neo Freudians therapeutic goals
According to Sullivan one achieves mental health to the extent that one becomes aware of one’s personal relationships
Integrative psychology
Highlights the value inherent in each individual human being
Integrative psychology
Therapeutic goal
Do you Role of integrating the personality integrating the psych cold therapy has several related objectivitydefense mechanisms are discouraged and there are encouraged to engage and interact with people in the world around him
Client centered therapy Carl Rogers
Based on the assumption that all people have an innate self-actualization tendency
Client centered therapy Carl Rogers
Therapeutic goals
Primary goal of client centered therapy is to help the client to congruence between self and experience
Client centered therapy techniques
Unconditional positive regard
Accurate empathetic understanding
Genuineness congruence
Gestalt therapy Frederick pearls
Assumes that each individual is capable of sending responsibility you personally and living fully and as an integrated person
Gestalt therapy
The self is created part of the personality which promotes the individuals inherited tendency for self actualization
Gestalt therapeutic goals
Help a client achievement maturity
Gestalt therapeutic techniques
Awareness of the here and now thoughts
Direct awareness to encourage clients to stay in here and now
Using island which assumes responsibility for their actions
No questions due to the believe the intelligence is masking in the true feelings
Assuming responsibility are asked to add the phrase and I take responsibility for it
Games of dialogue use of role-playing psychodrama to help clients express her feelings
Dream work parts of the self that are not fully excepted
Transactional analysis Eric Berne personality theory
Life position ego states and Scripts are all affected by the childrearing practices of the individual parents
Transactional analysis Eric Berne
Life’s positions
1) I’m okay, you’re okay
2) I’m okay you’re not okay
3) i’m not okay you’re okay
4) i’m not okay you’re not okay
Transactional analysis Eric Berne
Therapeutic goals
Transactional analysis emphasize the role of childhood experience on the personality development it also proposes that children are not entirely bound by the past
Transactional analysis Eric Berne
Therapeutic techniques
Structure analysis
Transactional analysis
TA Structure analysis
Client is familiarized with the concepts of TA and given permission to express all three Ego
TA Transactional analysis
Whatever happens between people involves a transaction between ego states
Complementary transaction
Sent from a particular ego state of one person evokes a response from the appropriate Ego state of the other person
Crossed transaction
Occurs when a communication receives a response from and or to an inappropriate ego state
Ulterior transactions
Involves two ego states with two different messages
Game analysis
Games are repetitive old cheerier transactions help people avoid getting closer to each other
Script analysis
The Clients current script is defined often with the aid of a script checker helped client develop autonomous scriptless behavior
Reality therapy by Glassner
Regards the need for identity as a universal psychological need
Success identities
Sees them selves as competent and capable worthwhile and loved
failure identities
Feel helpless hopeless unworthy and unloved
reality therapy’s therapeutic goals
Help the client become responsible and there by develops successful identity
Reality therapy’s therapeutic techniques
Rejects the concept of mental illness
Focuses on present behavior rather than past behavior attitudes
Use transference as detrimental to therapy progress and encourages clients to relate realistically to the therapist
Stresses conscience rather than unconscious process
Emphasizes value judgments especially the clients ability to judge what is right or wrong in his daily life
Seeks to teach client specific behaviors that will enable them to for fill their basic needs
Existental therapy Rollo May
Personality theory
Approach to philosophy which emphasizes the human subject
Therapeutic goal of existential therapy
Achieve an authentic existence
Multimodal therapy Arnold Lazarus
Personality is divided into seven major areas of functioning called BASIC ID
BASIC ID
Behavior Affective response Sensations Images Cognitions Interpersonal relationships Drugs
Multimodal therapy Arnold Lazarus
Therapeutic goal
Identification of specific problems and areas where improvement in the client is the need for more disturbed clients according to Corsini and Wedding use of the modiolus therapy they focus on actualization and self-determination rather than pathology
Therapeutic techniques in multimodal therapy
Conflicting or ambivalent feelings the client may have
Maladaptive behaviors of the client
Miss information provided by the client
The interpersonal pressure and demands the client is experience
External stressors outside the clients immediate personal network
Severe to medic experience suffered by the client
Biological dysfunction experience by the client
Narrative therapy
Assume that a person’s identity is shaped by the accounting of their life story in the form of the narrative
Narrative therapy’s therapeutic goals
Help a person re-author or restore his or her life narative
Counterconditioning
Is based on the premise that a maladaptive response can be reduced or illuminated by the SW spent of another unusually incompatible response
Joseph Wolps technique a reciprocal inhibition
Claimed could be used to illuminate the specific maladaptive responses of anxiety
Classical conditioning
Systematic desensitization
Competently used to treat phobias but has been found effective for the treatment of recurring nightmares insomnia chronic alcoholism and interpersonal problems involving fears such as fear of rejection and intimacy
Classic conditioning
Aversive counterconditioning
An unconditional stimulus which produces a noxious response is repeatedly paired with an undesirable behavior such parent even Schlie leads to a conditioned response of avoidance or a version
Classical conditioning
Assertiveness training
Maladaptive responses are replaced with incompatible self assertive responses
Classic conditioning operant conditioning
BFF Skinner
Positive reinforcement
Classic conditioning
Situation in which an infant cries when he or she is hungry because in the past he’s crying has been positively reinforced with food
Shaping
Classic conditioning
Reinforcing successive approximations to the desired response
Token economy
Classic conditioning
Involves double shooting an environment in which appropriate desirable behaviors are consistently reinforced by a conditioned reinforceror
Time out
Classic conditioning
Is a procedure in which access to various forms of reinforcement are removed for a specific period of time when a person has performed an undesirable behavior
Extinction
Classic conditioning
Reinforcement for behavior is discontinued the right of that behavior decreases eventually ceases
PreMack principle
Classic conditioning
A high probability behavior is used to reinforce a low probability behavior to increase the frequency
Contingency contract
Classic conditioning
Formal written agreement between two or more people clearly defined behavior to be modified and the consequences
Flooding implosive therapy theory
Person develops and Zaidi reaction to a neutral stimulus as a result of both classical and operant conditioning
Flooding
Client is exposed to a high anxiety arousing stimulus for a prolonged period of time usually 30 to 60 minutes
Implosive therapy
Always conducted in imagination and involves presenting the feared stimulus vividly enough so as to arouse a high level of anxiety
Rational emotive behavior therapy
Brief therapy used with individuals couples groups and families idea is the primary cause of neurosis is a continual repetition of certain, and irrational ideas
REBT
Irrational belief system Self-defeating components
Demands
Awfulizing
Low frustration tolerance
People rating
REBT
Therapeutic goals
Dysfunctional behaviors are the result of rational thoughts and beliefs goal is to replace individual irrational thoughts ideas and verbalizations with rational healthy ones
REBT
Therapeutic techniques
AB and C
A is the external event
B is the thought and
C is the response or emotion
Major assumption an emotional behavior is the response to external events dude thoughts and beliefs about the events rather than the event itself
D and E forceful disputing therapist points out rationally help client learn how to dispute
Becks cognitive therapy
Emotional disorder results from irrational thoughts about oneself and external world
Becks cognitive therapy
Therapeutic goal
Help client become aware of his or her logical errors and irrational automatic thinking
Self control procedures
Include self-monitoring self- stimulus control self reinforcement and self punishment
Becks cognitive therapy
Therapeutic technique
Keeping a daily log of dysfunctional automatic thoughts
Stimulus control
Behavior is often under stimulus control
Self reinforcement and punishment
Training client to stop administer the consequences following target behavior so that the behavior can become modified
Neurolinguistic programming
Consists of three components
Nero referring to process of information through five senses
Linguistics meaning the way verbal and nonverbal communications Programming or the ability to organize neurolinguistics of systems to accomplish specific therapy goals
Neurolinguistic programming
Client looked up or down when speaking
Incongruency’s in communication behavior of the therapist and client
Neurolinguistic programming
Determine clients preferred sensory mode by speech
Visual mode I see
Auditory more I hear you can
Kinesthetic mode feeling pressure
Ludwig Von Bertalanffy
General systems theory
General systems theory
Family as an Open versus closed system
General systems theory
Concepts
HomeostasisThe tendency for family to act in ways which maintain the families equilibrium
George Bateson
Cybernetics
Cybernetics
Feedback loops
negative feedback reduces deviation
positive feedback amplifies deviation and disrupt system
Application of family therapy
Generally preferred
When individual therapy has been ineffective
Improvement in one family member is likely to cause distress family is making One member a scapegoat for sure a problem
Application of family therapy
Not appropriate
Key family members are unavailable or unwilling to participate
One family member so severely disturbed behavior makes family treatment possible
One members disturbance is related to issues outside the home
Formats of family therapy
Conjoint therapy Concurrent family therapy Collaborate family therapy Network family therapy Multiple couple or family therapy
Nathan Ackerman
Psychodynamic family therapy
Psychodynamic family therapy
Assumptions
Use individual functioning as a reflection of constant interactions between the individual and his family and society
Psychodynamic family therapy
Homeostasis
Is dynamic rather than static used to all the family system to adopt in a controlled way to change
Psychodynamic family therapy
Social roles
Bridge between the processes of intrapsychic life and those of social participants
Psychodynamic family therapy
Roll complementarity
Mutual support dependence and intimacy among family members allow family members to accommodate to new experience
Psychodynamic family therapy
Conflict
Can occur within an individual or between family members affects the entire system
Psychodynamic family therapy
Therapeutical goals
Create a new way of living helping family members adopt social roles sufficiently flexible to permit roll complementarity
Psychodynamic family therapy
Therapeutic techniques
Therapist must act as catalysts for shaking up pre-existing pathogenic relationships and alignments to open the family for a healthier family bond
Gregory Bateson Don Jackson Virginia Satir Jules Riskin Jay Hayley Johan Weakland Paul Watzlakick
Communication/Interaction family therapy
Communication/Interaction family therapy
Assumptions
Behavior is communicative people are always communicating all communication has a both report function and command function problem arise when report and command functions are contradictory
Communication/Interaction family therapy
Family rules
Not explicitly defined used to maintain family homeostasis
Communication/Interaction family therapy
Communication patterns
Symmetrical communications reflect the quality
Complementary communications reflect inequality
Communication/Interaction family therapy
Principle of equafinality
No matter where in a system change occurs the result will always be the same
Communication/Interaction family therapy
Circular model of causality
Blaming and criticizing Mind reading Incomplete sentences Statements which imply that events are on unalterable Overgeneralization
Communication/Interaction family therapy
Therapeutic technique
Point out family members problematic interactions
Teaching family members the rules of clear communication
Interpreting interactional patterns
Murray Bowen
Bowenians
Extended family systems therapy
Extended family systems therapy
Assumption
Extended family systems therapy extends General systems theory be on nuclear family
Extended family systems therapy
Differentiation of self
A person’s ability to separate his intellectual and emotional functioning
Extended family systems therapy
Emotional triangles
When in two-person system such as husband and wife experience instability a third person maybe recruited into the system to increase its stability
Extended family systems therapy
Nuclear family emotional system
Emotional distance between spouses chronic over to marital conflict and psychological impairment a one or more of the family members are example of dysfunctional nuclear family emotional system
Extended family systems therapy
Family projection process
Process by which parental conflict and emotional immaturity are transmitted to the children
Extended family systems therapy
Emotional cutoff
Dysfunctional methods used by children to free themselves from emotional ties to the family
Extended family systems therapy
Multi generational transmission process
Severe dysfunction is dude as a result of the transmission and escalation of family dysfunctional emotional system through several generations
Extended family systems therapy
Sibling position
Oldest child usually expected to assume responsibilities for the younger child likely to choose a younger child for a spouse
Extended family systems therapy
Society emotional process
Emotional factors in society affect the emotional functioning of the family
Extended family systems therapy
Therapeutic goals
Increase the differentiation of all family members
Extended family systems therapy
Therapeutic techniques
Use of triangles therapist becomes the therapeutic triangle therapist remains objective in neutral
Extended family systems therapy
Genogram
Assessment of an extended family usually includes the construction of the Gina Graham of the intergenerational emotional process
Salvador Minuchin
Structural family therapy
Structural family therapy
Underlying assumption
Using it here and now directive and concrete approach
Structural family therapy
Family system
Family is more than an individual bio psychodynamic of its members
Structural family therapy
Family structure
Families are believed to have implicit structure determines how relate to one another
Structural family therapy
Subsystems
Members join to form subsystems on the basis of family function
Structural family therapy
Boundaries
Barriers or rules which determine the amount of contact allowed between family members
Structural family therapy
Disengaged
When boundaries are over rigid family members isolate from one another
Structural family therapy
Emeshed
One boundaries are to defuse family members are overly dependent and close
Structural family therapy
Maladaptive behavior
Results of an inflexible family structures
Structural family therapy
Therapeutic goals
Restructuring of the family relief of symptoms including techniques drawn from other forms of therapy
Structural family therapy
Joining the family therapeutic technique
Therapist joins the family in position of leadership
Structural family therapy
Evaluating the family structure
Once therapist has joined the family he can evaluate the family structures including transactional patterns power hierarchy system is a boundaries
Structural family therapy
Restructuring the family
Therapist restructure the family which may deliberately cause I’m going to the families homeostasis to facilitate transformation
Jay Haley
Strategic family therapy
Strategic family therapy
Assumptions
Combines communication interaction approach with Minuchins structured family therapy techniques used by Milton Erickson and effective therapist needs to be a strategist
Strategic family therapy
Maladaptive behavior
How a person uses communication to increase his control the controlling of a relationship with all other strategies have failed pathological when one or both parties tonight his or her intent was to control
Strategic family therapy
Therapeutic goal
Not understanding the source alleviating current symptoms through altering structure
Strategic family therapy
Therapeutic technique
Therapist assumes an active take charge roll shutter geez Taylor to family in particular problems designed to prevent the repetition of district to behaviors
Strategic family therapy
Paradoxical interventions
Use a clients resistance in a constructive wayI resisting therapist directed client ends up abandoned his or her dysfunctional behavior
Ivan Bozormenyi-Nagy
Contextual therapy
Contextual therapy
Underlying assumptions
Emphasizes the ethical elements of family development and behavior including trust and loyalty
Contextual therapy
Do you have maladaptive behavior
Lack of consideration of ethical issues such as loyalty and trust
Contextual therapy
Therapeutic goal
Restore the loyalty trust and ethics missing
Contextual therapy
Therapeutic techniques
Work through emotional conflicts and loyalty and trust issues that have been avoided developing a sense of fairness among family members
Therapist responses
Attending
Simply involves paying attention to the client sitting slightly forward and relaxed
Therapist responses
Paraphrasing
A paraphrase is a restatement usually expressed in fewer words
Therapist responses
Reflection
Restatement of the affective component of the clients message
How the client feels
Therapist responses
Clarification
A response to a vague confusing message by the client
could you describe what you mean
Therapist responses
Leading
Invites are encouraged client to talk about some aspect of self our experience
please go on
Therapist responses
Summarization
Ties together several ideas and feelings expressed by the client summarizing more than one element of the message and seems to be for referring to past messages as well
Therapist responses
Support
Uses this respond to indicate she has heard the clientusually occur when a clients feelings of concern anxiety frustration or panic are intense
Therapist responses
Approval
Statements which express agreement with the clients ideas
Good you…
Therapist responses
Confrontation
An honest or constructive reaction by therapist to an element of the clients behavior or situation
Therapist responses
Interpretation
Presenting the clients a hypothesis about the cause and effect relationships or meanings among his or his behavior thoughts or feelings
Therapist responses
Information
The therapist statement which provides information educating
Therapist responses
Instruction
Instruction about appropriate behavior to find that helps clients learn appropriate behaviors
Therapist responses
Assigning tasks and contracts
Involves assigning a performance to a clients outside the session task he or she has learned in therapy
Common Reflection errors
Timing Error
Reflecting every statement
Common Reflection errors
Stereotyping error
Begin every response in the same monotonous way
Common Reflection errors
Depth error
Reading more or less into client statements than is there
Common Reflection errors
Language error
Use language inappropriate to coach her education experience of client
Brammer
Common Reflection errors
Community Mental Health Techniques
Consulting
Having a knowledgeable professional trainer advise counselor always problem focused and time-limited
Community Mental Health Techniques
Use a paraprofessional
Use per professional to administer services example using college student volunteers a mental hospitals using inner-city residents in community recreation
Community Mental Health Techniques
Disinstitutionalization
Community should be responsible for the mental health of it citizen halfway houses
Community Mental Health Techniques
Mental health education
Educating the public regarding the nature of mental disorders
Stages of Crises
Hazardous event
Stressful circumstances which disrupts and individuals equilibrium unanticipated
Stages of Crises
Vulnerable state
Individual’s reaction to the house or to state
Stages of Crises
Precipitating factor
Event which converts of honorable state to a crisis state
Stages of Crises
Active crisis state
Characterized by disequilibrium involves physical psychological agitation sleep impaired solving problems anxiety depression preoccupation with events then crisis
Stages of Crises
Reintegration
Successful reintegration restoration of equilibrium
Legal and Ethical Issues in Crisis
Confidentiality
Breach of confidentially is mandated by law and ethically permissible in certain circumstances
duty to warn
Suicide
child-abuse
Legal and Ethical Issues in Crisis
Involuntary commitment
When individual is determined to be a danger to him or herself or to someone else
Legal and Ethical Issues in Crisis
Informed consent
1) Informed of the negative and positive consequences of treatment and alternative treatments
2) Be competent to make decision
3) Give The consent voluntarily
Suicide Assessment
Intention
Indirect or direct communication of intent presents a plan
Suicide Assessment
History
Previous attempts family history
Suicide Assessment
Demographic factors
Adolescence and individuals age 45 and older
Male gender
white race
Separated divorced or widowed
Lliving alone lack of social support Unemployed
Suicide Assessment
Diagnosis
Depression
Alcoholism
Schizophrenia
Suicide Assessment
Behavioral patterns
Impulsivity
rigidity
isolation
Suicide Assessment
Antecedent events
Major life change without adequate coping strategy
Suicide Assessment
Physical condition
Persistent insomnia
recent surgery or childbirth
Intractable pain
Suicide
Intervention techniques
Relieve the clients isolation
Remove with the weapons
Help the client develop alternative methods for expressing anger
Encourage the client to delay his or her decision about suicide
Help the client reestablish social ties
Relieve the clients anxiety and C+
Suicide
Intervention issues
Ambivalence
hopelessness
Negative beliefs
Factors associated with high risk for violence
Intention
Specific plan for injuring killing someone
Factors associated with high risk for violence
History
Previous acts
History of homicidal thoughts Antisocial behavior and childhood abuse as a child
Recent provocation
Factors associated with high risk for violence
Demographic factors
Male gender
Lower social economic status
Factors associated with high risk for violence
Diagnosis
Drug and alcohol intoxication withdrawal Delirium Paranoid and catatonic Schizophrenia Mania Temporal lobe epilepsy Antisocial and paranoid personality disorder's
Factors associated with high risk for violence
Personality
Excessive aggressiveness
Factors associated with high risk for violence
Characteristics
Poor impulse control
Extreme or labile affect
Factors associated with high risk for violence
Behavior
Signs of tension agitation pacing
Loud abusive or bizarre speech