Lectures 5-8 Flashcards
What are the 5 elements if he medical model in Jim schirmer’s lecture
Complaint, explanation, mechanism of change, therapeutic ingredients, specificity
What is the difference between scientific psychology and counselling practice?
Scientific = objective, detached from ppts, prediction and control
Counselling = subjective, feelings, individual personal help, an art of counselling
According to lambert’s common factors (lecture 5), what percentage of success in therapy is accounted for by 1.client factors, 2. Therapeutic relationship? 3.hope?4. Type of therapy
- 40%
- 30%
- 15%
- 15%
What is the scientific method as a client centred counselling process?
(Lecture 5)
The scientific method:
Ask a question Gather data Construct hypotheses Test hypotheses Extrapolate conclusions
What is the counselling process? (Lecture 5)
Form alliance Assessment Formulation Plan Implement treatment
What does the therapist do to best help the client? (Lecture 5) 8 answers
Connect with Thai human being
Build this relationship
Generate hope in this situation
Choosing an approach for this context
Creating safety
Nurturing attachment
Generating choices
Minimising pain, maximising joy
Creating meaning and identity
The science of counsellor: Theoretical knowledge Technical skill Ongoing learning Reflective practice
Describe the art of counselling:
Wisdom
Intuition
Sincerity
Creativity
What is a contra coup?
The brain moves inside the skill and hits two sides of the brain at least (e.g., in sudden stops in car crashes)
What are some changes associates with ABI?
Physical Sensory and perceptual changes Cognition Communication Emotions Behaviour/personality
TBI affects mostly which gender? Which age? What deficits do they experience?
Male
18-28
Physical, cognitive, behavioural
The Glasgow coma scale (GCS) measures initial deficits from eye opening
To motor responses, to verbal responses
What does a mild or Minor traumatic brain injury result in?
Brief or no loss of consciousness
Injury not visible with medical imaging
Individual appears fine
May be unable to remember events before and after injury
10% experience long term consequences but most recover with no ongoing symptoms.
Moderate injury
Up to 24 hours loss of consciousness or coma
May sustain bleeding in brain
Injury visible on medical imaging (sometimes)
1/3 - half have lifetime difficulties with learning and daily activities
Severe injury
Coma 24 hours or longer Hospitalised for longer periods 80% individuals have lifelong disabilities Long term support required More widespread bleeding Diffuse rather than focal injury
What percentage of people with sever ABI are left with any obvious physical disability?
25%
ABI and mental health (lecture 6)
Prevalence rates for comorbid psychiatric disorders in ABI may be high as…%
As much as … Years later
Permanent vulnerability to psychiatric disorders in some individuals
Treatment needs may be different to mainstream population
44% comorbidity
30 years post injury
How many more times likely are you to have depression after TBI?
How many more times likely are you to commit suicide?
- 5 x more likely to have depression
2. 7-4 x more likely to commit suicide
TBI is associated with substance abuse and being in jail (…%males, ..%females had at least one head injury)
And if you’re aboriginal or island you are … Times more likely to have an ABI
45% males
39% females
3-6 x more likely for aborigines
What were the most appreciated parts of the LIFE matters program to adolescents living in poverty?
Games, imagery and goals were appreciated.
The most valued components of the program were:
Being able to develop confidence
The idea of controlling the controllable
What are the 5 C’s of positive youth development?
Competence Confidence Connection Character Caring
Negative role models motivate … Behaviours
Avoidance
Morality and role models (lecture 7 with Kim peters). Both competence and morality are necessary to (4 answers)
Consider a manager a Role model
To boost self efficacy
To emulate the role model
To consider the role model inspiring
Morality is more important than…in creating a role model
Competency
