Nov 20 Lecture Flashcards

1
Q

what is feminist therapy video

A

field of psychology does lots of harm to certain groups of people - especially those who are targeted in multiple ways

ie. due to race, class, gender, sexuality, size, ability

in 1960s - women psychologists infused feminism and psychology

^ goal is to subvert the patriarchy and advance equality and social justice for people of all genders/backgrounds

^ way to be able to see systems that are impacting your lives, relationships and ultimately mental health

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2
Q

key tenets of feminist theory video

A
  1. de-expert
  2. reframe
  3. de-pathologize
  4. advocacy
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3
Q

de-expert: key tenets of feminist theory video

A

therapists are here to collaborate with clients

there to co-discover their truth

doing this together, pulling from patient before adding anything from themselves

they’re always equal (regardless of things like age gaps)

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4
Q

reframe: key tenets of feminist theory video

A

intrapersonal view > societal view

^ recognize society’s role in health and wellness

intrapersonal view = deficiency related, you’re at the root of your prroblems

societal view = how has society/oppression/injustice affected your mental health?

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5
Q

de-pathologize: key tenets of feminist theory video

A

start to question the DSM-5

why do we have to use labels anyways? who does the DSM-5 serve?

the key factors that help with client outcomes aren’t dependent on diagnosis - regardless of diagnosis, outcomes are dependent on the client-therapist relationship

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6
Q

reading on feminist therapy - what’s the primary goal?

A

empowerment

seeing self as ‘active agent in personal, interpersonal, and political contexts’

^ links to self-determination theory

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7
Q

reading on feminist therapy - empirical evidence…

A

empirical evidence > different parts have promising evidence (esp impact of increasing client empowerment)

overall, little research on treatment outcomes when therapist incorporates feminist therapy orientation into whatever evidence-based treatment is being conducted

MORE WORK NEEDED

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8
Q

liberation psychology

A

purpose is to “change people so they can change the world”

promote indigenous cultural healing and activism/emancipation into mainstream therapy

nonreligious and non-denomenational, but leans into spirituality present among oppressed communities
^ values of interconnectedness, solidarity, transformation

radical humility & empathy

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9
Q

purpose of liberation psychology

A

to change people so they can change the world

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10
Q

liberation psychology promotes…

A

indigenous cultural healing

activism/emancipation into mainstream therapy

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11
Q

liberation psychology is nonreligious and non-denominational, but…

A

leans into spirituality present among oppressed communities

values of interconnectedness, solidarity, transformation

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12
Q

liberation psychology - radical humility & empathy

A

OPEN conversations about POSITIONALITY and POWER DIFFERENTIALS in life and between therapist and client

help develop CLIENT CRITICAL CONSCIOUSNESS and accompany clients as they connect with cultural strengths and work toward personal and collective liberation

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13
Q

summary: feminist and liberation therapy

A

broad theoretical orientations (approaches to therapeutic process)

not incompatible with ‘mainstream’ evidence-based practices, but these practices will likely require more adaptation to be more inclusive of systemic-level influences

both focused on power, privilege and oppression as contributors to struggling

reconnecting with various aspects of identity, becoming aware of inequalities, narratives, and taking concrete action are proposed as healing mechanisms

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14
Q

evidence-based psychosocial interventions for ethnic minority youth: the 10 year update - INCLUSION CRITERIA

A
  1. representation: at least 75% of participants were ethnic minorities
  2. OR effects evaluated using subgroup analyses with subset of ethnic minorities
  3. OR evaluated whether ethnic minority status moderated the outcome(s)

65 studies included

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15
Q

evidence-based psychosocial interventions for ethnic minority youth: the 10 year update - DESIGN AND METHODS INCLUSION CRITERIA

A
  1. group design: study involved a randomized controlled design
  2. independent variable: intervention was manualized or logical equivalent
  3. population: specified problems based on clearly delineated/exclusion criteria
  4. dependent variable: reliable and valid measures used to ascertain outcomes
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16
Q

evidence-based psychosocial interventions for ethnic minority youth: the 10 year update - of the 65 studies identified…

A

27 studies focused on Hispanic/Latino youth

19 studies focused on African American youth

1 study focused on Asian American youth

18 studies focused on multiethnic youth

NONe focused on Native American youth

MORE HIGH-QUALITY RESEARCH NEEDED

17
Q

how many well-established programs exist among Ethnic-Minority Youth?

A

only FOUR

18
Q

the 4 well-established programs among ethnic minority youth

A
  1. cognitive and behavioural interventions for anxiety in latinx children (caveat: if no consideration given to cultural-contextual factors, program compromised)
  2. multisystemic therapy (MST) for disruptive behaviours among black adolescents
  3. family-based interventions for disruptive behaviours among Latinx children & teens
  4. family-based interventions for substance use problems among Latinx children & teens
19
Q

what is MST?

A

therapists work in the home, school and community

are on call 24/7 to provide caregivers with tools they need to transform the lives of troubled youth

research demonstrates that MST reduces criminal activity and other undesirable behaviour

20
Q

MST reduces…

A

criminal activity and other undesirable behaviour

21
Q

MST ecological model

A

sees the child as inside a big environment

child is surrounded by:
- family
- peers
- school
- neighbourhood
- community/culture

22
Q

cultural adaptation

A

program modifications that are culturally sensitive

tailored to a cultural group’s traditional world views

23
Q

cultural adaptation requires…

A
  1. moving beyond changing surface structure to CHANGING DEEP STRUCTURE
  2. understanding CULTURAL NUANCE
  3. CULTURAL COMPETENCE
24
Q

cultural adaptation: can adapt…

A

program content

or program delivery

25
Q

sources of misfit model looks at…

A
  1. sources of mismatch
  2. program validation group(s)
  3. current consumer group
  4. actual or potential mismatch effect
26
Q

sources of misfit model: sources of misfit

A

group characteristics:
a) language
b) ethnicity
c) SES
d) urban-rural context

program delivery staff:
a) type of staff
b) staff cultural competence

admin/community factors:
a) community consultation
b) community readiness

27
Q

sources of misfit model: actual or potential mismatch effects

A
  1. consumer inability to understand program content
  2. conflicts in beliefs, values, norms
  3. insufficient social resources and culturally different life experiences
  4. lesser or different program delivery skills and perspectives
  5. limited awareness of/insensitivity to cultural issues
  6. absence of community “buy in”, community resistance, low participation
28
Q

why are mental health services under-utilized in black populations?

A
  1. FINANCIAL (but still under-utilize when insurance covers)
  2. CULTURAL BARRIERS (stigma, seen as weakness, prohibition on sharing)
  3. STIGMA OF MENTAL ILLNESS
  4. ALTERNATIVE RESOURCES (church, primary care)
  5. LACK OF INFO or KNOWLEDGE
  6. MISTRUST OF MENTAL HEALTH CARE SYSTEM
  7. FEW BLACK PRACTITIONERS (4% psychologists in US)