LCSW Flashcards
eriksons stage 2 (early childhood)
autonomy vs shame and doubt
eriksons stage 3 (preschool)
initiative vs guilt
eriksons stage 4 (school age)
industry vs inferiority
eriksons stage 5 (adolescence)
identity vs role confusion
eriksons stage 6 (young adulthood)
intimacy vs isolation
eriksons stage 7 (middle adulthood)
generativity vs stagnation
eriksons stage 8 (maturity)
ego integrity vs despair
eriksons stage 1 (infancy)
trust vs mistrust
primary prevention
trying to prevent a disease like exercise, quitting smoking, diet, vaccine
secondary prevention
trying to detect a disease early like screenings
tertiary prevention
trying to mitigate symptoms of a disease you have like taking meds
Should social workers provide records to clients under all circumstances?
no, if the records could be misunderstood or cause harm, the SW should help the client decipher them
If your colleague has an impairment that hinders treatment, who do you go to first?
FIRST go to the colleague and see how it can be dealt with, only then could you go to the director if necessary
FAREAFI
F: Feelings of the client be acknowledged first above all. Begin building rapport. A: Assess R: Refer E: Educate A: Advocate F: Facilitate I: Intervene
AASPIRINS
A: Acknowledge client/patient. Begin building rapport.
A: Assess
S: Start where the patient is at
P: Protect life (of the individual and community…this one is about
determining/preventing danger to self and others)
I: Intoxicated do not treat. Refer
R: Rule out medical issue
I: Informed consent
N: Non-judgmental stance
S: Support patient self-determination
Korsakoff’s syndrome or Wernicke’s encephalopathy
“wet brain” can be caused by alcohol use or dietary issues, causes a deficiency in thiamine or vitamin B and causes brain damage in the lower parts of the brain (thalamus and hypothalamus) and can cause permanent memory damage
NASW ethical principles
service social justice dignity and worth importance of human relationships competence integrity
capitation
the payment of a fee or grant to a doctor, school, or other person or body providing services to a number of people, such that the amount paid is determined by the number of patients, students, or customers.
when making level of care decisions, which criterion is used in behavioral health settings?
medical necessity
piaget stage from age 2 to 7
Preoperational stage
piaget stage from birth to 2 years
Sensorimotor stage
piaget stage from age 7 to 11
Concrete operational stage
piaget stage from age 12 up
Formal operational stage
unconscious
contains thoughts, feelings, desires, and memories of which the clients have no awareness, but that influence every aspect of their day-to-day
preconscious
contains all the info outside of a client’s attention, but is readily available, if needed
conscious
contains all the info that a client is paying attention to in a given moment
superego
moral component, causes client’s to feel guilt when the go against society’s rules
id
contains all the inherited (i.e., biological) components of personality present at birth, including the sex (life) instinct – Eros (which contains the libido), and the aggressive (death) instinct - Thanatos
minnesota multiphasic personality inventory tests
psychopathology by testing schizo, psychasthenia (ability to resist thoughts), hypochondria, paranoia, masculinity.feminity, hysteria
problem -solving process
engage, assess, plan, intervene, evaluate, terminate
co-occuring disorders or dual diagnosis
clients having coexisting mental health and SU disorders
dually diagnosed SU and MH disorders that do not meet the diagnostic threshold individually
should be treated as if they do
prosocial emotion
empathy and guilt
should social workers release all info if sued by a client?
no, only info relevant to the case
replaced the Global assessment of functioning scale and multiaxial diagnostic system in the DSMV
World health organization Disability assessment schedule 2.0 (WHODAS2.0)
authoritarian parenting
strict and demanding with their children. Their parenting style is not often flexible. They generally rely on punishment to maintain obedience. There is rarely room for open communication between parents and kids.
authoritative parenting
This is considered the most effective form of parenting for most children. - high expectations and goals for their kids. These are tempered with an understanding of their kids’ limits. These parents are willing to communicate flexibly. This can make parent-child communication easier.
permissive
nurturing, loving, and supportive, but avoid conflict at any cost. They rarely enforce their own rules. Doing this can be harmful for children, as they thrive on routine.
SOAP
Subjective, Objective, Assessment, Plan (does not account for cost)
crisis intervention
4-6 weeks, time limited, requries high levels of activity. primary goal is to return clients to equilibrium and meeting clients basic needs
equifinality
similar outcomes may stem from different experiences
individual psychology by alfred adler
emphasis on drive to overcome feelings of inferiority by compensation and the need be perfect and valued in society
why is client self-monitoring useful?
allows clients to better understand the cuases and frequency of their behavior
Tardive dyskinesia
neurological disorder of involuntary movements caused by long-term use of antipsychotics (lip-smacking, ehad movements)
rapprochement
1-2 yos, is characterized behaviorally by an active approach back to the caregiver. Children begin to realize the limits of their omnipotence and have a new awareness of their separateness and the separateness of the caregiver.
oral stage
first year of life
anal stage
during toilet training - 2-3 YOs
phallic stage
3-4 YO
latency
age-puberty
genital stage
puberty
who to consult in an ethical issue
FIRST the nasw code of ethics, SECOND supervisor
qualitative evaluation method
data are collected through observations, focus groups, interviews
quantitative evaluation method
measured outcomes like stats
SW cannot terminate services for these reasons:
to pursue social, financial, or sexual relationship
partialization
breaking down PROBLEMS, not just goals into less overwhelming parts. occurs during PLANNING and INTERVENTION
if records are subpoenad
you can claim privilege until you’re court ordered
extinction
withholding a reinforcer that normally follows a behavior (don’t react how expected or desired)
hodgkin’s disease
lymphatic
ego-syntonic
when the ego is comfortable with feelings/behaviors
ego-dystonic
when the ego is not comfortable with feelings/behaviors
Cluster A of personality disorders
Odd, bizzare eccentric: Paranoid, Schizoid, Schizotypal
Cluster B of personality disorders
Dramatic and erratic: Antisocial, Borderline, Histrionic, Narcissistic
Cluster C of personality disorders
anxious, fearful: Avoidant, Dependant, OCD
When do you ask sensitive questions?
the latter part of the interview
If a client can no longer afford to see you, you should
accept them on a sliding scale, maybe refer out, dont make them acquire debt
social work interviews should be:
serve the client, be informational, diagnostic, or therapuetic, and collect info, does not have to be uniform
humanistic perspective
emphasizes the individual’s inherent value, freedom of action, and
search for meaning.
social constructionist perspective
focuses on how people learn, through their interactions
with each other, to understand the world and their place in it.
developmental perspective
focuses on how human behavior unfolds across the life course
social behavioral perspective
suggests that human behavior is learned as individuals interact with their environments.
psychodynamic perspective
concerned with how internal processes such as needs, drives, and emotions motivate human behavior.
rational choice perspective
sees human behavior as based on self-interest and rational choices about effective ways to accomplish goals.
systems perspective
sees human behavior as the outcome of reciprocal interactions of persons operating within linked social systems.
Conflict perspective
draws attention to conflict, inequality, dominance, and oppression in social life.
Group stages of development
forming (preaffiliation), storming (power and control), norming (intimacy), performing (differentiation), and adjourning (seperation/termination)
transvestic disorder
people aroused by crossdressing, and this affects their lives negatively
delirium tremens
occur in alcohol withdrawal (nightmares, confusion, agitation, fever, hallucination)- benzos help
conversion
mental conflict is transferred into a physical symptom to relieve anxiety
children must receive ,,_ from their caregivers
twinship, idealizing, and mirroring
four ways to test reliability/consistency
test/retest, interrater (using two or more raters), alternative or parallel forms (two means of data collection) internal consistency (check measurements within the test)
external validity
ability to generalize results
multicollinearity
two explanatory variables in a multiple regression model are highly linearly related.
folie a deux
shared delusion or psychiatric disorders among two people that are with each other
if possible when reporting to CPS
do it immediately, and the parent calls with you
main difference between social work and medical work
social work focuses on strengths and not deficiencies
when court-ordered
you have to provide what they are asking for
consent vs. assent
children can’t consent, just assent (agree to participate) so you need a parents consent
up for further study, not official diagnoses
caffeine use, attenuated psychosis syndrome, NSSI, suicidal behavior, internet gambling
genetic counseling
help individuals understand the risks of genetic disorders in their born or unborn children
symbiotic stage
1-5 months
normal autistic stage
birth-1 month
DSM 5 replaced not otherwise specified with
other specified and unspecified
When someone hurts or abuses while doing something loving, it’s
double blind communication, the messages are in conflict
if your supervisor wants to use some of your records for group supervision, you should first
get consent from patient
psychoanalytical theory
conscious and unconscious motivations
confabulation
symptom found in certain types of severe memory disorders (korsakoff’s, alzheimer’s, fetal alcohol syndrome) when your brian fills in the blanks of lost memories with things that didn’t happen
steps in trauma informed care
safety/stabilization, mourning/remembrance, reconnection
first step when someone reports DV and asks for help protecting themselves
work with client to protect them via court order and DV shelter/friends they can stay with
cognitive theory
focused on client’s intellectual capacity for recieving, processing, and acting on info
NPD - dramatic expression?
no, but can be self-flagulating about failing
schizotypal vs schizoid
schizotypal are too paranoid to be social, schizoid don’t believe they need friends
prescribing a symptom
when a SW tells a client/family/couple to do the dysfunctional thing they do, in a paradoxical theory that they will realize that it’s dysfunctional and try to communicate effectively now that they have permission to be dysfunctional
CAGE
feel the need to CUT DOWN? get ANNOYED at friends for suggesting you do? feel GUILTY about drinking? ever had an EYEOPENER (morning drink)?
rational emotive behavioral therapy
focuses on encouraging clients to make disctinctions between objective facts and their own feelings
client-centered therapy
focuses on clients resolving their own problems by providing a warm space
reality therapy
focuses on clients behvaior, not feelings, and the present and future rather than the past
experimental design
randomly assigns participants to control group
quasiexperimental design
participants are not randomly assigned to a control group
lyrica
treats seizures, nerve pain fibromyalgia
consequential thinking
used to treat impulsive behaviors, try to think of the consequences first
when trying to think of a setting for MH or SU rehabilitation, pick the option that is:
least restrictive while being safe and effective
magical thinking
begins in children age 3-7 or up to 12, the belief that your thoughts alone can accomplish wishes
percentage of ppl diagnosed with an intellectual disability
1%
broker
social workers that assess resources to link ppl with needs to resources
change agent
SW or person that creates change for larger groups
negative reinforcement
stengthen a behavior that removes a negative outcome (wear sunscreen, now you don’t get burnt)
structural family therapy
helps families understand the rules and roles and how they were created, therapist joins family to help restructure it and set boundaries
strategic family therapy
helps families stop bad cycles, short-term, uses relableling, first and second orer changes, the theory of family homeostasis, etc
couples therapy must have:
a common goal between the two clients
alexithymia
when people can’t express or identify emotions, common in survivors of emotional abuse
first goal of intake
develop rapport
MSEs are not used for
neuro or medical exams
concrete thinking
common in young children and schizophrenics, people that can’t think abstractly
Mcgregor’s theory y approach
people are motivated by participation, not authoratarian
murray bowen
family systems
clients served by ACT
have serious and persistent mental illness