III. Psychotherapy, Clinical Interventions and Case Management (27%) Flashcards
4 Steps in Case Management
- Assessment
- Planning
- Referral
- Monitoring
Social worker’s role in problem-solving process
Advocate Broker Change agent Counselor Mediator
Cycle of Violence
Phase 1: Tension building
Phase 2: Battering incident
Phase 3: Love-bombing, “honeymoon”, claims it will never happen again
Questioning (communication technique)
using open and closed ended formats to get relevant info in a non-judgemental matter
Active listening (communication technique)
Sitting up straight, leaning in, attentive listening, open ended questions, making statements that show you are listening
Paraphrasing or clarifying (communication technique)
rephrase what a client says in order to join together info
questioning, restating, and paraphrasing to ensure full understanding of thoughts and ideas
Reframing (communication technique)
SW shows client there are different prespectives and ideas that can help to change negative thinking or promote change
Precontemplation
Denial, ignorance of the problem
Contemplation
Ambivalence, conflicted emotion
Preparation
Expirementing with small changes, collecting information about change
Action
Taking direct action toward achieving a goal
Maintenace
Maintaning a new behavior, avoiding temptation
Relapse
Feelings of frustration and failure
Problem solving process steps
- Engaging
- Assessing
- Planning
- Intervention
- Evaluation
- Termination
Psychoanalytic Theory
client is seen as the product of his past and treatment involves dealing with the repressed material in the unconscious
(Freud)
Individual Psychology
the main motivation for human behavior are not sexual/aggressive urges, but striving for perfection
(Adler)
Self Psychology
defines the self as the central organizing and motivating force in personality
3 self-object needs
- Mirroring
- Idealization
- Twinship/twinning
Mirroring
behavior validates the child’s sense of a perfect self
Idealization
child borrows strength from others and identifies with someone more capable
Twinship
child needs an alter ego for sense of belonging
Ego Psychology
focuses on the rational, conscious processes of the ego
based on an assessment of a client as presented in the present here and now
treatment focuses on the ego functioning
Object Relations Theory
this work is focused on relationships wit others
lifelong relationship skills are strongly rooted in early attachment
(Mahler)
CBT
practical approach to problem solving
goal is to change patterns of thinking
The Family Hero
Often the oldest child
overachiever, works to mask the problems at home
The Scapegoat
defiant, hostile, angry, gets in trouble at school
their behavior turns the focus away from dysfuntion in the family
The Mascot
tries to get people to laugh to take focus away from the dysfunction
The Lost Child
loner, very shy
becomes invisible to avoid adding to the dysfunction
Structural Family Therapy
stresses the importance of family organization for the functioning of the group and well-being of it’s members
Bowenian Family Therapy
improving the intergenerational transmission process
Differentiation Emotional fusion Multigenerational transmission emotional triangle nuclear family family projection process sibling position societal regression
Client-centered therapy (person-centered)
The social worker is congruent with the client (genuine)
The social worker provides the client with unconditional positive regard (might not agree with all client actions, but accepts as they are and genuinely cares)
The social worker shows empathetic understanding to the client
Double bind
Double bind- a dilemma in communication in which an individual receives 2 or more conflicting messages, with one negating the other
Negative feedback loop
information that flows back into the family system to minimize deviation and continue functioning within prescribed limits. Maintains homeostasis
Metacommunication
implicit, non verbal message that accompanies verbal communication
Cost-benefit analysis
determines the financial cost of operating a program as compared with the fiscal benefits of its outcome
Cost-effectiveness anaylsis
considers the benefits that are NOT measured in montetary terms, such as illnesses prevented, lives saved
Outcomes assessment
process of determining whether a program has achieved its intended goals
collecting evidence, analyzing date, using findings to make change if needed
Individual Psychology key concepts
Compensation
Inferiority
Perfection
Adler
Believed main motivations for human behavior were NOT sexual or aggressive, but striving for perfection, contrast to Freud
Enactments
ways to diagnoses structure and provide openings for restructuring interventions
(structural family therapy)
Tertiary prevention
focuses on managing complicated, long term diseases, injuries, illness
goal is to prevent further deterioration, maximize QOL
ex- referring cancer patient to pain management
