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LCSW > Practice > Flashcards

Practice Flashcards

0
Q

Conflict theory is born out of who’s philosophy?

A

Karl Marx

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1
Q

Should a social worker try to reality test a delusional client?

A

No. The social worker should deal with the anxiety in a calm empathetic manner and arrange for a psychiatric evaluation.

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2
Q

Crises are defined as ______ and ______.

A

Short term and overwhelming.

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3
Q

What are the three types of crisis?

A
  • situational
  • maturational
  • crisis due to cultural or societal values
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4
Q

What is Phase One of crisis intervention and when does it typically occur?

A

Formulation of the problem/Crisis identification, usually completed in the first interview.

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5
Q

What is Phase Two of crisis intervention and when does it occur?

A

Implementation phase, first to fourth interview. SW organizes and evaluates information and obtains additional information if needed. SW intervenes to bring about behavior change and develops action oriented and thinking orientated tasks with client.

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6
Q

What is Phase Three of crisis intervention and when does it occur?

A

Treatment phase, occurs last interview or two. Client and SW make decision to terminate treatment. Review progress and discuss future goals.

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7
Q

What is the seven stage crisis intervention model?

A

1) Conduct a thorough biopsychosocial assessment and danger assessment
2) Rapidly establish rapport
3) Identify major problems or crisis precipitators.
4) Deal with clients emotions
5) Generate new coping strategies
6) Restore functioning through implementing action plan
7) Plan follow up meeting

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8
Q

Primary Reinforcer

A

In operant conditioning it is a stimuli that is required to sustain life therefore is naturally reinforcing, ie water, food, sleep

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9
Q

Secondary Reinforcer

A

A stimulus that the organism learns to value.

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10
Q

What type of reinforcement is useful early in the learning process?

A

Continuous

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11
Q

What type of reinforcement is useful in maintaining behavior?

A

Intermittent

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12
Q

What type of therapy did William Glasser invent?

A

Reality Therapy

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13
Q

Reality therapy states that individuals have what four psychological needs?

A

belonging, power, freedom and fun

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14
Q

What is the goal of reality therapy?

A

to help the client take better control of their life

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15
Q

What are the three cognitive behavioral prespectives?

A

Cognitive Therapy
Rational Emotive Behavior Therapy
Self Management/Self Instruction

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16
Q

All or nothing thinking, emotional reasoning, over generalization, magnification, personalization, catastrophizing and mind reading are examples of what?

A

Common thinking errors, part of Aaron Beck’s cognitive therapy theory.

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17
Q

Describe the cognitive method of collaborative empiricism.

A

client and social worker work in tandem to test the validity of the client’s beliefs

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18
Q

Describe the cognitive method of socratic dialogue.

A

use of questions to lead the individual to discover a reality.

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19
Q

Describe the cognitive method of guided discovery.

A

interventions are structured including use of progressive questions to enable clients to discover inaccuracies in their thinking

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20
Q

Describe the cognitive method of decatastrophising.

A

helping clients to see that events are not really the end of the world

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21
Q

Describe the cognitive method of reattribution training.

A

involves the identification of cognitive errors and distortions in thinking followed by consideration of alternative beliefs.

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22
Q

Describe the cognitive method of decentering.

A

helping the client to break their pattern of seeing self as the reference point for all life events.

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23
Q

Albert Ellis believes that what is the root of neurotic behavior?

A

irrational beliefs, not unconscious conflicts from early childhood

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24
Q

In Rational Emotive Behavior Therapy, emotional health results from what?

A

The rational or logical processing of activating events and revision of irrational beliefs.

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25
Q

What does the client’s homework include during REBT?

A

Reading relevant books and critiquing tapes of therapy sessions in order to increase awareness of irrational beliefs.

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26
Q

Donald Miechenbaum Self Instruction Training

A

Focus is on the client’s self statements. Maladaptive self-statements often underlie problems.

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27
Q

Marsha M Linehan developed what type of therapy?

A

Dialectical Behavioral Therapy

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28
Q

What is Dialectical Behavior Therapy typically used for?

A

Clients with Borderline Personality Disorder

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29
Q

What is dialectical behavioral therapy consist of?

A

Combination of behavioral therapy and cognitive therapy incorporating mindfulness practice.

Two required parts are individual component between therapist and client that is focused on skill building and weekly group therapy.

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30
Q

What are the four modules of Dialectical Behavioral Therapy?

A
  • mindfulness
  • interpersonal effectiveness
  • distress tolerance
  • emotion regulation
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31
Q

Shazer and Berg are the founders of what type of therapy?

A

Solution Focused

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32
Q

The Miracle Question is used during what type of therapy?

A

Solution focused?

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33
Q

What are Fromm’s two type of “unproductive families?”

A

Symbiotic Family - enmeshed and devoid of individual personalities
Withdrawing - members exhibit inderffference toward each other. Punishment may be ritualistic, or else permissive families will leave children without appropriate parental guidance

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34
Q

What is an archetype in Jungian Psychology?

A

Part of the collective unconscious, the repository of latent memory traces and primordial images that causes people to understand a certain phenomenon in the same way.

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35
Q

Carl Jung believes that the personality consists of two ______ and four _________. What are they?

A

Attitudes: extroversion and introversion

Basic Functions: Thinking Feeling Sensing Intuiting

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36
Q

Abreaction

A

The process of ridding oneself of intense feelings associated with a previous painful or traumatic experience.

37
Q

What are the differences between psychoanalysis and psychoanalitic psychotherapy?

A
  • more brief
  • therapist is more active and directive
  • more focused on the present
38
Q

Ego Psychology deals with mastering what?

A

Mastering stages of development and emphasizing the development of coping skills.

39
Q

This type of therapy encourages the patient to talk about childhood experiences, interpretation of the impact of childhood experiences on present functioning and relationships, dream analysis etc.

A

Object Relations Therapy

40
Q

According to Object Relations theorists infants are innately seeking what?

A

Relationships

41
Q

Humanistic theories and models include an emphasis what?

A

Uniqueness and wholeness of the individual, belief in inherent striving for self determination and actualization, and focus on current behavior.

42
Q

Why does the humanistic approach reject traditional assessment techniques and diagnostic labels?

A

Focused on an egalitarian relationship between the therapist and client and a drive to understand his or her subjective experience.

43
Q

What are the three main movements/theories of the humanistic movement?

A

Person Centered Therapy (Carl Rogers)
Gestalt (Fritz Perls)
Transactional Analysis (Eric Berne)

44
Q

In Person Centered Therapy what is the critical ingredients of effective therapy?

A

The therapists attitudes, rather than technical skills or a specific knowledge base (ie. genuineness, empathy, caring or confirming)

45
Q

In Person Centered Therapy theory how does maladaptive behavior result?

A

When the individual experiences conditions of worth.

46
Q

What is the major concept of Gestalt therapy?

A

Human beings are constantly discovering and reconstructing who they are. Personality consists of self and self-image. Self is creative aspect of personality and self image can hinder growth by imposing external standards.

47
Q

What are the four major boundary disturbances in Gestalt therapy?

A

Introjection - person believes external perception of the whole
Projection - disowning aspects of self by assigning them to others
Retroflection - doing to oneself what one wants to do to others
Confluence - absence of boundary between self and environment (others)

48
Q

Explain the Gestalt focusing technique of directed awareness.

A

Therapist helps client become aware of their immediate experience.

49
Q

Explain the Gestalt focusing technique of “No questions”

A

places the focus on increasing one’s own awareness of his or her experience in the here and now

50
Q

Explain the Gestalt focusing technique of “I language”

A

therapists use of “I” statements rather than making impersonal interpretations.

51
Q

Explain the Gestalt focusing technique of enactment.

A

Involves acting the client to act out feelings or thoughts to increase awareness (ie. empty chair, role playing, psychodrama, exaggerating a feeling, thought or motion)

52
Q

Explain the Gestalt focusing technique of loosening/integrating.

A

encourages a client to think in a new way

53
Q

Explain the Gestalt focusing technique of “stay with it”.

A

Encourages a client to allow themselves to continue to feel an emotion.

54
Q

Transactional analysis is often used in what kind of setting

A

Group settings because it teaches individuals to trust one another.

55
Q

What are the transactional analysis ego states?

A 
The Adult (rational)
The Parent (critical or nurturing)
The Child (creative, emotional)
56
Q

Describe the transactional analysis concept of Life Position.

A

There are four possible positions: I’m ok, you’re ok (the only healthy one), I’m ok you’re not ok, I’m not ok, you’re ok or I’m not ok you’re not ok.

57
Q

What is the role of the therapist in transactional analysis?

A

Facilitator of change and growth.

58
Q

What are the three models of social group work and describe them.

A

Social Goals Model - raise social consciousness, social responsibility and informed citizenry. Leader acts as a role model and enabler.
Remedial Model - used in clinical and outpatient settings. Restore or rehabilitate individuals exhibiting dysfunctional behavior. Group leader is change agent.
Reciprocal Model - used in all settings. Provide mutual aid to group members. Group worker functions as a mediator between members.

59
Q

Explain a “task group”

A

Typically involves formal agendas and/or rules. Goal of the group is to accomplish a specific task.

60
Q

What is the goal of a treatment group and what are some examples?

A

To increase the ability of group members to meet their socio-emotional needs.
Support groups, Educational groups, growth groups, therapy groups, socialization groups.

61
Q

Groups should be homogenous in what?

A

Intelligence or developmental level.

62
Q

Rudolf Dreikurs believed that in children’s groups there should be no more than ____ years between the oldest and youngest group members. Also, in general inclusion of _________ in groups for children is not recommended.

A

2 years, both genders

63
Q

Group therapy is not recommended for children younger than what age?

A

8 years

64
Q

Treatment groups are usually most effective when they have how many members?

A

between 7 and 10

groups with 3 to 6 can function effectively if the number of participants remains more or less constant

65
Q

What are the five stages of a group forming?

A

1) preaffiliation or forming
2) power and control
3) intimacy or trust and structure
4) differentiation or work
5) separation or termination

66
Q

What happens during the pre-affiliation stage of a group and which stage is it?

A

First stage. Members experience anxiety, seek guidance from group leader on behavior and engage in self disclosures and sharing.

67
Q

Explain the power and control stage of groups and what stage is it?

A

Second stage. Competition and conflict among members.

68
Q

Explain the differentiation stage of a group and what stage is it?

A

Fourth stage. Characterized by mature and productive group process.

69
Q

Explain the group process of separation and what stage is it?

A

Final stage which addresses the issues of termination.

70
Q

Nuclear Family Emotional System refers to what?

A

A family in which members identities are fused.

71
Q

Triangulation

A

During period of distance an outsider takes sides with one person in the relationship. Family problems are typically triangular.

72
Q

Family Projection Process

A

Process through which parents transmit their lack of differentiation onto their offspring.

73
Q

Virginia Satir

A

Communication approaches in families and family therapy.

74
Q

Which of Satir’s five styles of communication is functional?

A

The congruent communicator: Sends clear straight forward messages that are genuine.

75
Q

What are the four communication styles of Virginia Satir that protect the family members from revealing who they really are?

A

The Placater, The Blamer, The Super-Reasonable (detached), The Irrelevant (distracter)

76
Q

Salvador Minuchin

A

Structural Family Therapy

77
Q

Structural Family Therapy is based on what premise?

A

All families have an underlying organization which may be adaptive or maladaptive.

78
Q

What is the first step of family therapy?

A

Joining with the family

79
Q

Jay Haley

A

Strategic Family Therapy

80
Q

Strategic Family Therapy

A

Emphasizes change techniques over theory.

81
Q

Paradoxical directives

A

Prescribing the symptom. Therapist assigns a task that he wants the client to resist (and then they rebel against the directive and do what the therapist thinks needs to happen).

82
Q

Out Positioning

A

A form of paradox that involves having a family member act in an exaggerated way, consistent with another person’s apparent perception of them.

83
Q

Attenuating

A

Negative feedback loop

84
Q

Equifinality

A

Different beginning points may lead to the same result.

85
Q

Psychoanalytic Couples Therapy

A

Analyzes couple relations and mate selection as originating from the parent child relationship during during child developmental states.

86
Q

Ego Analytic Couples Therapy

A

Fosters the ability of the couple to communicate important feelings.

87
Q

Behavioral Marital Therapy

A

Seeks to improve relationships between a couple by increasing the frequency of positive exchanges and decreasing the frequency of negative and punishing interactions.

88
Q

What is the social work role of “the broker”?

A

Assists client in locating resources or making referrals

89
Q

What is the social work role of case manager?

A

When clients do not have the capacity to follow through on referrals, the case manager is responsible for assessing client’s needs and ensuring the client obtains needed resources.

90
Q

What are the three needed elements of a treatment plan?

A
  • The responsibilities of the client and social worker should be clearly understood.
  • The goals should be in measurable terms as much as possible.
  • The goals should be written in strengths based language
91
Q

When may a social worker in a fee for service setting terminate with a client who is not paying an overdue balance?

A
  • when the financial contractual arrangements have been made clear to the client
  • when the client does not pose an imminent threat to self or others
  • when the clinical and other consequences of current non payment have been addressed and discussed with the client.

LCSW (12 decks)

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