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Clinical Foundations II > Midterm > Flashcards

Midterm Flashcards

1
Q

Emotion

A
  • an inferred complex sequence of responses to a stimulus
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2
Q

Emotion includes

A
  • cognitive evaluations
  • subjective feeling states
  • autonomic arousal (neural and/or hormonal)
  • impulses to action
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3
Q

Emotions are:

A

response mechanisms that help the organism adapt to situations and/or maintain a balanced psychic economy.

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4
Q

Affect

A

the physiological aspect of an emotion

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5
Q

Feeling

A

the subjective state or experience of an emotion.

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6
Q

“experience” in Rogerian

A

has become a hallmark of client-centered therapy

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7
Q

experiencing is associated with:

A

(if only implicitly) towards a more complete and accurate symbolization (meaning making) process.

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8
Q

Emotion is:

A

Union of cognition and affect in the moment

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9
Q

Key element of change is:

A

Both release of expression of personal feeling and development of insight into the nature of ones difficulties

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10
Q

Levels of Affect

A

9 levels

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11
Q

Level one

A

Basic Awareness of Affect: is the client aware of the presence of affect?

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12
Q

Level Two

A

Basic Inner Experience of Affect: Can the client identify a physiological experience of affect?

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13
Q

Level Three

A

Labeling of Basic Affect: Does the client know how to label the physiological experience of affect?

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14
Q

Level Four

A

Identification of Default Affect: has the client avoided developing affect?

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15
Q

Level Five

A

Identification of Affect Intensity: Does the client recognize shades of affect?

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16
Q

Level Six

A

Identification of Mixed and Conflicted Affect: Does the client recognized mixed or conflicted affect?

17
Q

Level Seven

A

Identification of Underlying Affect: Can the client differentiate base affect?

18
Q

Level Eight

A

Acceptance of Affect: Can the client accept experienced affect?

19
Q

Level Nine

A

Understanding of Affect: Does the client understand origin and role of experienced affect?

20
Q

Considerations with affect

A

Assess level, begin work with client at that level

21
Q

Treatment Planning - the process

A
  • referral question
  • Intake Interview
  • Case Conceptualization
  • treatment plan
  • effective therapy
22
Q

the plan

A

treatment setting
time limitations
theoretical orientation
client preferences

23
Q

Person-centered treatment planning

A
  • move for incongruence to congruence
  • identify cause of
  • identify obstacles
  • Respect rights of client to plan for him or herself
  • Provide a safe environment for disclosure and exploration
  • identify client strengths
  • identify client weaknesses
24
Q

include

A 
mmse
presenting problem
history
diagnosis
theoretical orientation
treatment plan and course
diversity considerations
legal and ethical issues
prognosis
25
Q

Treatment goal

A
  • desired end product
  • few goals
    -longer term
    “symptoms of depression will decreased by (80%) and will no longer interfere with Jill’s daily functioning. This will be measured by a score of 14 or below on the BDI.”
26
Q

treatment objective

A 
the steps for reaching the "end product"
- identify
-explore
-decrease
-increase
shorter term
"attend weekly sessions with therapist"
"establish a safe and trusting relationship between Jill and so and so"
"identify triggers for symptoms"
"connect symptoms with beliefs about self"
27
Q

treatment modalities (tools)

A 
restatement
paraphrase
reflection
safe environment
congruence
28
Q

joining on a journey

A

the safety within the session provides the power to the client to disclose and explore

29
Q

role of therapist

A
  • establish a therapeutic relationship with the client
  • develop a safe environment for a client to create congruence
  • seek self-actualization
  • provide upr
  • exhibit genuineness
  • guide session via reflections, observations, emotional attunement and non-verbal behaviors
30
Q

PCT conceptualization

A
  • experiencing maladjustment through incongruence
  • lacks positive experiences in identifying and embracing basic daily needs due to poor self-concept
  • ideal self is based upon feeling of never being good enough
  • feeling alone and inadequate
  • struggles to establish positive identity and self-worth
31
Q

The Fully Functioning Person

A
  • Openness to experience
  • Existential Living
  • Organismic Trust
  • Experiential Freedom
  • Creativity
32
Q

Personality in PC

A

Experience: what we gain through our five senses and affective experiences
Self-Structure/Self-concept: a person’s conceptual construct of self; organizing experience

33
Q

How Do We Develop

A
  • There is an actualizing tendency
  • The person negotiates between the actualizing tendency and social constraints
  • The actualizing process involves the ongoing negotiation between the actualizing tendency and the constraints of the social field.
  • “Disorder” occurs when the actualizing process is stuck
34
Q

Processes in the Actualizing Process

A

Difficult Process

Fragile Process

35
Q

Difficult Process

A

making sense of their social experiencing while facing inhibiting developmental circumstances

36
Q

Fragile Process

A

Empathic failure in early life (non-existent feedback, minimal, or distorted)

  • great consequence is difficulty connecting with experiencing or:
  • great intensity in experiencing
  • Difficulty staying present to experience while taking another’s point of view
  • Dissociated Process: defense against early trauma
  • Difficult process is the result of actualizing process
37
Q

Configurations

A

Symbolized self in a pluralistic fashion. Good me bad me, weak me strong me

  • may be introjects (internalized messaging about the self)
  • may be around dissonant self-experiences
  • may interrelate and reconfigure

Clinical Foundations II (1 decks)

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