Lecture 5 - Community Based Functional Tx & Therapeutic Relationship

Question 1

What are the 9 important treatment ideas we learned from Mark Ylvesekir

Answer 1

1) therapeutic relationship
2) meaningful every day context
3) meaningful task/project
4) explicit teaching teaching of executive components of any task
5) explicit teaching of problem solving
6) self talk using self regulation scripts
7) use of metaphors to improve behaviours
8) use of everyday people in therapy
9) hypothesis testing

Question 2

What is important about the therapeutic relationship and functional therapy?

Answer 2

1. Type of tasks = meaningful 2.Context = meaningful and as natural “everyday” as possible 3.Collaboration/Apprenticeship model important
2. Try to make Activity Level tasks project based so you can work together
3. Errorless learning
4. Supports removed slowly

Question 3

When teaching the executive components of any task, what is involved?

Answer 3

• goal
• obstacle
• plan
• prediction
• do
• review

Question 4

What are some self regulatory scripts to teach?

Answer 4

• Goal-obstacle-plan-do-review script
• hard/easy script
• Am I ready?

Question 5

Why are metaphors beneficial

Answer 5

choosing an appropriate metaphor automatically encompasses a lot of details and associations, so you don’t have to explicit teach all of them in each situation

Question 6

What are the 8 things you should do at every session?

Answer 6

1. Review overall “real life meaningful goal”
2. Review plan required in order to achieve the overall “real life meaningful goal”
3. With client choose one step (from overall plan) that you will be working on that day.
4. Decide the strategies that you will need to use that day to compensate for CC difficulties.
5. Complete a GOAL/PLAN/DO/REVIEW template.
6. If problems arise- use self regulation and/or metaphor scripts, problem-solving template
7. Review what worked and what didn’t work
8. Use the scripts created in everyday real world settings to ensure it sticks using procedural memory.