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Intervention Techniques Flashcards

1
Q

What is therapy

A

An interpersonal interaction that aims to improve the emotional well-being of one or more persons

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2
Q

Examples of therapists or clinicians

A

Psychologist MFT psychiatrist social worker

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3
Q

Qualities of a therapist or clinician

A

Professionally trained at a recognized University

licensed or certified to provide psychological services

his or her emotional needs are not the focus of treatment

maintains therapeutic boundaries no sexual relations

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4
Q

What is the fishing boat analogy

A

Therapist at the rudder client rows the oars meaning therapist gives direction client decides how fast

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5
Q

What does medicine mainly help with in therapy

A

Symptom management// does not get to the root of the external problem

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6
Q

What are the characteristics of an effective therapist

A 
Genuine 
listen with empathy 
provides unconditional positive regard 
analytical 
psychologically minded 
emotionally well adjusted 
well trained 
interest in others 
warm 
self-aware
 tolerant of ambiguity 
 aware of own and others’ values
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7
Q

What are the three systems of therapy

A

Humanistic(insight oriented)
psychodynamic(insight oriented)
behavioral(behaviorism and cognates)

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8
Q

Humanistic therapy

A

Individual struggle for meaning and self-fulfillment

under proper interpersonal conditions person reverts to a healthy state

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9
Q

Psychodynamic therapy

A

Aggressive and sexual impulses are pushed down to the social expectations

the self (ego)monitors the conflict between the ID and super ego and is a product of this conflict( usually societal demand)

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10
Q

Behavioral therapy

A

Determinants of behavior using classical conditioning operant conditioning social determinants and cognitive determines

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11
Q

What are some ways therapists Are similar according to Jerome franks common factors

A

Personal commitment to help clients

active involvement

some degree of authority

inspires faith or hope

mediates between clients and society

helps release emotions and rethink problems

listens empathetically

provides explanatory systems that helps client understand the development, maintenance and change of the emotional problem or dysfunctional behavior

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12
Q

For a good therapist to find meant begins in

A

Graduate school

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13
Q

What are the ethics for the practicing clinician

A

Do not harm

practice in areas of competence

confidentiality and its limitations

avoid dual relationships
no romantic relations with clients
no therapy with former romantic partners
no therapy with family friends acquaintances

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14
Q

What do you do if a patient discloses sexual relationship with former therapist

A

You don’t report it but you let them know they could or should

give them a pamphlet that says therapy doesn’t include sex

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15
Q

What are the micro skills of counseling

A 
Attending skills(nondirective)
 listening skills(non directive)
 influencing skills 
focus 
confrontation
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16
Q

What are attending skills and examples of them

A

Signs that the therapist is attending an interested

Forward body lean 
relax body posture 
open arms not closed 
direct Eye contact 
warm voice tone with some emotion 
moderate speech rate 
head nod
 interpersonal distance arms length for example 
respond on topic 
sometimes interrupt 
avoid sudden topic shit
 be responsive the clients non-verbal feedback and cultural differences
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17
Q

What is the aim of listening skills and what are some things you can do to show you are listening

A

The aim is to bring out the clients facts and feelings about the facts

Open ended questions 
close ended questions 
encouraging them 
paraphrasing 
reflection of feeling 
summarization
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18
Q

What do open ended questions do

A

Allows the client to elaborate requires many words to answer allows therapist to see how client views the problem
Generate content in specific areas for example what was elementary school like for you

the open ended non-question” tell me more”

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19
Q

What are closed ended questions and when do we use them

A

Questions that can be answered with only a few words for example how old were you when you started graduate school

we can use this to pull for a specific content

limit your use of close ended questions as they reduce the flow of therapeutic conversation

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20
Q

How do we encourage and what does it lead to

A

By repeating back the clients main words

this encourages elaboration of the specific words and their meanings

Example I hate my life I feel like a prisoner of my marriage

therapist: a prisoner of your marriage

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21
Q

Paraphrasing(Reflection of content)

A

Repeating back the gist Of a clients words and thoughts using the clients own Main words

this promotes the discussion
shows the client that she is being heard
checks the clarity of the therapist understanding

Example :my husband is totally incompetent he has been unable to leave her home for a month my son and I have been taking care of everything

therapist: when your husbands depression worse since you and your son have to take care of everything

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22
Q

Reflection of feeling

A

Therapist response that focuses on the emotional content of the clients words

checks the clarity of the therapist perception of the clients feelings

promotes discussion of feelings

example/ it sounds like this is a very difficult time for you and your family it sounds like your husbands depression is causing you to feel overwhelmed and depressed

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23
Q

Summarization

A

Repeating the clients facts and feelings to the client in an organized way( every 5/10 mins)

Useful at beginning of interview periodically

used in session to clarify where what has been said to that point used to close the session

Example: This is what I’m hearing from you your husband is very depressed and the strain this has put on you and your family is causing you to feel overwhelmed and depressed

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24
Q

What are the different sections to influencing skills

A 
Reframe 
directive 
advice/ information 
self disclosure 
feedback 
logical consequence 
influencing summary
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25
Re-frame interputation
Provide the client with the new or alternative view of the situation of himself or herself the therapist puts her spin on the situation so the client may come to view the situation more positively as the therapist does within the theoretical framework of the therapist
26
What is the core influencing scale
Re-frame
27
Directive influencing skills
Tells the client what action to take by a simple suggestion or a theory bound technique so you are saying you need to...
28
Advice/information giving
Rarely used suggestions instructions are or advice on how to act think oh behave if I were in your situation
29
Self disclosure
Therapist shares a life experience that relates to the therapeutic conversation this is rarely used and risky Therapist shares his or her current emotional reaction to the client this is used more often but still has risk
30
Feedback
Provide client with specific information about how he or she is seen by the therapist or others maybe a call to soften a harsh self perception
31
Logical consequences
Therapist explains the logical outcome of the clients current thoughts or behaviors if/then format is often used Help clients anticipate outcomes builds motivation for changing thoughts and behaviors
32
Focus influencing skill
Focus first on the person then over sessions brought it out the relations with husband and children boss etc.
33
Confrontation influencing skill
In a nonhostile fashion the therapist points discrepancies between expressed attitudes and behaviors between what the client is saying in the clients true feelings I’m confused you’re saying that you’re committed to staying sober but you have not attended any AA groups this month
34
What are common therapist pitfalls
``` Premature problem-solving failure to set limits fear of silence using too many questions impatiens moralizing reluctance to refer ```
35
The Hyppa privacy rule is triggered when a providerTransmits protected health information electronically in connection with
``` Health care claims healthcare payment health care plan payment Enrollment or disenrollment in a health plan any of the above ``` it’s any of the above
36
Welfare and institutions code 5150 allows for the involuntary commitment hospitalization of a psychiatry patient up to how many hours
72
37
When a therapist learned that the client has engaged in a sexual relationship with another therapist and the client should provide
The brochure professional therapy never include sex the explanation of the brochure both ANB neither a or B It’s both a and b
38
How do minority groups and non-minority groups compare in therapy outcome
Clients belonging to my Nordie groups didn’t do as well in therapy compared to non-minority groups
39
What does studies suggest about the impact of the matching client and therapist in terms of culture or race or ethnicity
May reduce premature dropout rates but does not have a predictable effect on therapy outcome
40
Of the following groups which under utilize or overutilize therapy African-American American Indians Asian Americans are Hispanics
Overutilize by African Americans and American Indians under utilized by Asian Americans and Hispanics
41
What are the five stages of the racial cultural identity development model
Conformity distance resistance and immersion introspection synergistic articulation and awareness
42
In four sentences or less right about functional versus cultural paranoia in African-Americans
Cultural paranoia represents healthy reaction to racism for example not telling a white therapist something in fear of not being understood functional paranoia is an unhealthy condition that is an illness for example not disclosing to any therapist due to general miss trust and suspicions
43
What does social displacement theory suggest about the emotional adjustment of immigrants during their first few years in their new country
Asian refugees and immigrants experience and initial period of optimism when arriving to the US which is likely followed by frustration and depression and confusion
44
What are three common therapeutic issues when treating homosexual clients
Social recognition role model’s family and social relationship
45
Appetitive classical conditioning
Pairing a biologically driven stimulus that causes a pleasurable response with the neutral stimulus
46
Classical conditioning
Concerns behavior that is involuntary or paired By a particular stimulus
47
Aversive classical conditioning
Pairing a biologically driven stimulus that causes an unpleasant response with a neutral stimulus
48
Operant conditioning
Havior that is voluntary not triggered by stimuli
49
Thorndike’s law of effect
Behaviors that are followed by pleasant experiences tend to be continued behaviors that are followed by unpleasant experiences tend to disappear
50
Skinners operant behavior’s
Behaviors that are strengthened or weekend as a function of the environmental events that follow them
51
Positive reinforcement
Increases the frequency of a behavior when the behaviors followed by the addition of a pleasant stimulus
52
Negative reinforcement
Crease in the frequency of a behavior when the behaviors followed by the removal or reduction of an unpleasant stimulus
53
Positive punishment
Decrease in the frequency of a behavior when the behaviors followed by the addition of a unpleasant stimulus
54
Negative punishment
Decrease in the frequency of the behavior when the behaviors followed by the removal of reduction of a pleasant stimulus example time out
55
What are the factors that influence the effectiveness of reinforcement
Contingent application of consequences(reinforcer is only applied when the behavior is done) Immediacy of consequence magnitude of the reinforcer Satiation a reinforcer may lose it’s reinforcing properties when given an excessive amounts Quality of the reinforcer
56
What are the schedules of reinforcement
Fixed ratio variable ratio fixed interval variable interval Fixed: usually behavior pause Variable:More consistent responding
57
Fixed ratio
Reinforcer is delivered after a specific number of responses the number is always the same
58
Variable ratio
When forces delivered after a specific number of responses but the number changes from occasion to occasion
59
Fixed interval
Reinforces a delivered after the first response after certain time period time Does not change
60
Variable interval
Enforcer is delivered after the first response after certain time period time period varies
61
Extinction
A reduction in the frequency of a response when reinforcement is discontinued
62
Shaping
Reinforcing small steps or success of the proclamations towards the desired response this is for desired behaviors that are not currently in a person’s behavior repertoire
63
Prompts
Specific antecedence that directly facilitate behavior through verbal prompts environmental cues modeling or physical guidance
64
Setting events
Environmental factors that influence behavior
65
Discriminative stimulus SD
A cue that signals the behavior is going to be rewarded
66
Non-discriminative stimulus S Delta
No reinforcement no reward
67
Stimulus control
When the stimulus is shown the behavior always happens

Psych 471 (1 decks)

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