Intro to Child Therapy- Ryst

Question 1

What are common factors of good psychosocial therapy?

Answer 1

Alliance (relationship)
Empathy
Acceptance (Non-judgmental)
Boundaries
Confidentiality
Special issues in Kids:
PLAYFULNESS!!!
CREATIVITY
FAMILY

Question 2

What are types of child therapy?

Answer 2

Parent Training
-Collaborative Problem Solving
Behavior Therapy
Cognitive Therapy
-Trauma-Focused CBT
Psychodynamic Therapy
Family Systems Therapy

Question 3

What are ways to “coach” parents?

Answer 3

Behavior monitoring
Reinforcement
Effective use of “time out”
Teaching parents how to play

Question 4

What is the cognitive conceptualization of explosive/noncompliant behavior?

Answer 4

-behavior is byproduct of bad (inept) parenting and child learned this behavior is effective to get what he/she wants
OR
Can be a learning disability

require very different tx

Question 5

How do you approach the treatment of explosive/noncompliant behavior?

Answer 5

Identify deficits in child

Question 6

What are the 6 categories of deficits?

Answer 6

Executive Skills
Language Processing Skills
Emotion Regulation Skills
Cognitive Flexibility Skills
Social Skills
Sensory/Motor Skills

Question 7

What are meltdowns?

How can you prevent these?

Answer 7

cognitive demands are too high for the coping capacity of the individual
-identify and avoid triggers

Question 8

What is collaborative problem solving?

What are its goals?

Answer 8

an approach to teach explosive/inflexible children the skills they lack
3 goals:
-Reduce explosive outbursts (stabilize)
-Pursue adult expectations
-Teach skills (flexibility and frustration tolerance.)

Question 9

What are the three strategies parents can enforce? What is the best?

Answer 9

Has them:

• impose adult will
• problem solve (work it out) (BEST)
• drop it to prevent meltdowns

Question 10

What will imposing adult will do?
What will problem solving do?
What will dropping it do?

Answer 10

• help kids pursue expectations
• help kids pursue expectations, reduce outbursts and teach skills
• reduce outbursts

Question 11

How can you problem solve with your child?

Answer 11

utilize empathy
define the problem
invite

Question 12

CBT is based on (Blank) theory

Answer 12

social-learning theory

Question 13

What are the points of the social learning theory?

Answer 13

• person’s environment, characteristics and situational behavior all reciprocally determine each other
• behavior is dynamic and evolving
• blend of techniques based on operant and classical conditioning

Question 14

Cognitive therapy believes that (blank) influence behavior which in turn shapes (blank)

Answer 14

context

context

Question 15

Sometimes context is the most powerful and at other times (Blank), (blank) and (blank) determine behavior

Answer 15

personal preferences
disposition
characteristics

Question 16

What are the 5 elements involved in psychological difficults?
How do these interact?
What do they do?

Answer 16

Physiology
cognition
behavior
emotional functioning and interpersonal/ environmental context.

Dynamically
-intervene at cognitive and behavioral levels to influence thinking, acting, feelings and bodily reactions

Question 17

How children interpret their experienes shapes their (blank)

Answer 17

emotional functioning

Question 18

Children create (blank) “mental packages” about themselves, relationships, past experiences, and the future

Answer 18

schemata

Question 19

Children activing (blank) info rather than passively responding to environmental stimuli

Answer 19

construct

Question 20

What is this:

• Stream-of-consciousness, thoughts and images that are situation specific and pass through a person’s mind during mood shifts.
• Include “automatic thoughts”

ex. If someone is rude or mean the automatic thought is, “he doesn’t like me” rather than “he’s in a bad mood” or “he’s having a bad day.”

Answer 20

Cognitive products

Question 21

What is this:
-Include cognitive distortions
-Distortions transform incoming information through assimilation processes to maintain homeostasis so cognitive schemata stay intact
-By product of cognitive schemata
Ex: Anxious child doing well on a test.

Answer 21

Cognitive Operatins (processes)

Question 22

What is this:

• Represent core meaning structures that direct attention encoding and recall.
• Drive cognitive products and operations
• Reflect the most basic beliefs the individual holds
• “The cognitive unit that will store experience in a form so faithful a person can recognize a past event.”

Answer 22

Cognitive Structure (schemata)

Question 23

What is this:

• Relatively inaccessible and often latent until activated by stress.
• May represent a vulnerability factor that predisposes children to emotional distress
• Develops early in life and is reinforced over time

Answer 23

Cognitive Schemata

Question 24

What is the cognitive triad of depression?

Answer 24

1. Explain unfavorable events through self critical view
2. Have a negative view of experiences/other people
3. Have a pessimistic view of the future

Question 25

What is anxiety?

Answer 25

Catastrophizing and predictions of future danger common

Question 26

What is the difference between adults CBT and Child CBT?

Answer 26

- child arent requesting tx - child are concrete thinkers (live in here-and-now) - need to account for environment - need to include parents - must take developmental level into account - reinforcement (rewards) are important

Question 27

What age is this: | simple self-instruction and behavioral techniques

Answer 27

young children

Question 28

What age is this: | use rational analysis

Answer 28

adolescence

Question 29

What is the therapeutic approach to children?

Answer 29

- rectify distortions - provide new skills - provide opportunites to practice skills

Question 30

What is the tx strategy?

Answer 30

- define problem and teach child to recognize, label and self monitor physioloic and emotional cutes - teach relaxation skills - cognitive restructuring - problem solving - contingent reinforcement - modeling - role playing

Question 31

What is cognitive restructuring?

Answer 31

- Help child to identify his/her self talk (thought bubbles) - Replace maladaptive cognitions with more adaptive ideas - Attribution re-training

Question 32

What are the components of problem solving?

Answer 32

- Describe the problem and major goals - Generate alternative solutions - Weigh each alternative- pros/cons - Evaluate the degree of success of the outcome

Question 33

What is contigent reinforcement?

Answer 33

Teach child to evaluate his behavior and provide appropriate rewards

Question 34

What are the types of modeling?

Answer 34

symbolic live participant

Question 35

What is this; | Watching a videotape of someone else

Answer 35

symbolic modeling

Question 36

What is this: | directly observing another person coping with a difficult situation

Answer 36

live modeling

Question 37

What is this: | actively copying a model

Answer 37

participant modeling

Question 38

What is the most import thing to get across with modeling?

Answer 38

how to handle errors | ***modeling success is less important***

Question 39

(blank) approach examines distortions or deficiencies

Answer 39

cognitive

Question 40

(blank) approach examines environmental experiences for limited learning experiences or potential pathological experiences

Answer 40

Behavioral

Question 41

What cognitive variables do you assess?

Answer 41

1. automatic thoughts 2. core schemata 3. cognitive distortions

Question 42

What behavioral variables do you assess?

Answer 42

1. Antecedents 2. Behavior 3. Consequences

Question 43

What are the four types of consequences?

Answer 43

- Positive Reinforcement - Negative Reinforcement - Punishment - Schedules of reinforcement

Question 44

What is this: Occurs within an accepting, noncoercive environment dedicated to an empathic appreciation of the child’s internal experience, while maintaining a reliable and safe setting.

Answer 44

Psychodynamic play therapy

Question 45

What does psychodynamic play therapy show a therapist who is good at it?

Answer 45

the child's pre-existing faculty for dealing with conflict, trauma, and powerful emotion using the vehicle of play

Question 46

(blank) is a vehicle of formulating symbolic representations of implicit meanings. It is a “window” into unconscious meanings.

Answer 46

Play

Question 47

(blank) is a compromise between frustrated wishes and prohibitions.

Answer 47

Play

Question 48

What are these components of: Repetition in the service of mastery Turning passive experiences into active control A way to find other solutions to unresolved conflicts. Communication with a partner Wish fulfillment Reworking of past difficulties Reconstruction of the past into a different (? More positive) framework

Answer 48

play therapy

Question 49

What are the techniques you should implement with play therapy?

Answer 49

- Development of a therapeutic alliance - Providing a holding environment - Development of a narrative - Integration of affect within the narrative - Construction of Meaning within the relationship - Analysis of defense - Clarification and interpretation of the transference - Tolerance of powerful affects

Question 50

What is this: | Theoretical perspective that views the individual as inseparable from their family context.

Answer 50

family systems therapy

Question 51

(blank) tend towards homeostasis. That means that change in one individual will have effects throughout the system, and the system will resist that change.

Answer 51

family systems

Question 52

What is the technique used in family systems therapy?

Answer 52

Re-framing, externalizing the problem, “prescribing the problem”.

Question 53

T or F | Therapies work at different levels: behavioral, cognitive, emotional, contextual (parents/family).

Answer 53

T

Question 54

The therapeutic use of (blank) is extraordinarily powerful as it represents the natural medium through which humans learn and construct meaning from experience.

Answer 54

play