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%