PSYC 508: Counseling & Personality Theories Flashcards
1st and 2nd Order Cybernetics
- Relate to systems theory
- The study of communciation and the regulating feedback mechanisms within systems.
1st order - counselor observes system from an external perspective to gain understanding of the family dynamic and how the system opperates (as an expert observer).
2nd order - counselor no longer expert observer and is now a participant observer/therapist becomes a part of the familt system.
Widely used in therapy to conceptualize relationships and interactions within families and groups.
Ex: In a couples therapy session, the therapist has moved from 1st order to 2nd order cybernetics, assuming an active role in the dynmatic relationship as the couple and therapist co-create meaning and solutions.
Adlerian Therapy
- Humanistic and goal-oriented approach developed by Alfred Adler
- Emphasizes individual’s drive for significance, social connection, and purpose.
- Widely used to help clients explore and change maladaptive behaviors, foster self-awareness, and develop healthier social relationships.
4 stages:
1) Forming the therapeutic relationship
2) Lifestyle assessemnt + analysis
3) Interprestation + Insight
4) Reorientation
Ex: Client feels the need to excel in every aspect of life to gain approval. Adlerian therapist might explore client’s early memories and family dynamics to uncover how their beliefs about success and self-worth developed and how they can interprest and realign goal in a healthy and postive way for their future self.
Automatic Thoughts
- Term from Beck’s theory of cognitive therapy
- Conditioned, spontaneous (reflexive, habitual) thoughts that appear plausible in response to a particular stimulus
- May consist of dichotomous reasoning (always and never), personalization, and emotional reasoning
- The downward arrow method is used to explore what intermediate and core beliefs underlie automatic thoughts
- May be negative in nature and often serve a purpose of protecting the client in some way
- Generally triggered by life/stressful events
- It is important to identify and explore automatic thoughts, especially negative automatic thoughts, to challenge negative core beliefs and improve a client’s self-image, thus increasing confidence
Ex:
Behavioral Activation
- Developed by Lewinsohn based on Skinner’s behavioral principles
- Type of behavior therapy often used to treat symptoms of depression
- Stems from the behavioral model that conceptualizes depression as a lack of positive reinforcement, and depression being maintained or worsened by isolation behaviors
- This therapy consists of clients scheduling particular activities that are positively reinforcing with the idea that those behaviors may lead to positive psychological and emotional changes as well
Ex: A freshmen student makes an appointment at their college counseling center. The student tells the therapist that they “just don’t have motivation” and that instead of going to class or socializing, the student lays in bed in their dorm. The therapist utilizes behavioral activation therapy by brainstorming how the client could engage on campus in ways that felt tolerable. Some examples may include going to at least one class a day, going to the dining hall a few times a week, or just walking around the dorm building once a day to get outside. The hope is that fighting the isolation behavior will help improve the depressive symptoms.
Behavioral Therapy
- A therapeutic approach rooted in classical and operant conditioning, developed by Watson, and Skinner.
- the focus of therapy is primarily on the present.
- essentially consists of relearning and modifying observable behaviors through systematic techniques and strategies
- exposure therapy, systematic desensitization, token economies, and behavior modification are commonly employed
- effective for treating anxiety disorders, phobias, substance use disorders, and developmental or behavioral issues in children
Ex: Your client is a six year boy with impulsive behavior that is very distruptive at school. The school couselor works with the teacher to implement your recomondation of a token economy where the child earns 5 extra minute of playground time for every day he does not kick the teacher and his classmates.
Big Fiver Personality Model/Traits
- Theory that believes personality can be broken down into 5 trait components: Openness, Conscientiousness, Extroversion, Agreeableness, and Neuroticism. (OCEAN)
- Each trait exists on a spectrum offering insight into how traits influence behaviors, relationships, and coping mechanisms.
- Traits thought to be relatively stable in each individual over time
- The degree of these traits is greatly influenced by cultural norms
- Research-based foundation makes it a reliable framework for psychological assessments
Ex: Patients in a drug-treatment rehabilitation center participate in an OCEAN personality assessment activity to identify attributes that can influence their job search.
Client-Centered/Person-Centered Theory/Therapy
- Carl Rogers’s theory of personality
- Optimistic, humanistic, and existential approach
- States that humans have a natural tendency toward growth/change and negative environmental influences are what disrupt this natural tendency
- In Person-Centered Therapy, the therapist approaches the client with unconditional positive regard, empathy, and genuineness, serving as a role model for congruence between the real and ideal self.
- Important in counseling because it emphasizes the client’s autonomy and inner resources for healing, shifting the focus to the individual’s experience rather than the therapist’s expertise.
Ex: Mary is presenting to therapy with low self-worth and a history of staying in verbally abusive relationships with men. Her therapist patiently and actively listens as Mary reveals how her thoughts and behaviors towards dating typically result in these relationships. Her therapist does not rush her or fill in awkward pauses; they listen and create space for Mary to share.
Cognitive Therapy
- Developed by Beck and later Ellis premise that one’s cognitions directly impact an individual’s feelings, behaviors, and overall functioning. Effective for treatment of depression, anxiety disorders, PTSD, and even chronic pain.
- Believes maladaptive thoughts are the root of psychological suffering
- The goal of Cog therapy is to challenge distorted and maladaptive beliefs to change them to more rational and adaptive thoughts
- Beck believed in challenging automatic thoughts and testing your hypotheses
- Used to treat mood disorders
- By helping clients recognize and challenge cognitive distortions, such as catastrophizing, black-and-white thinking, or overgeneralization, therapists enable client to develop more balanced and constructive thought patterns.
Ex: Client comes into therapy with depression. He has thoughts of “No one likes me”. The therapist employs cognitive therapy to test hypotheses of if these thoughts the client has are true. They refute the negative thought that no one likes me after they review evidence of people liking him. They replace these negative thoughts with more positive, adaptive thoughts.
Common Factors in Psychotherapy
- Michael Lambert created common therapy factors.
- Identified four common factors and estimates how much each factor typically accounts for therapeutic change:
*Client factors (40%) client assests, motivation, support systems
*Therapeutic relationship (30%) – rapport , using unconditional positive regard, empathy
*Expectancy (15%) – Hope for positive outcomes
*Techniques (15%) – treatments for specific disorders including accurate identification of and therapist skills to treat - Important because they emphasize the human and relational elements of therapy, which are applicable across populations and therapeutic modalities
Ex: Mark, a former armed forces member who has gained 50+ lbs since his medical discharge, is anxious and isolating himself, causing him to worry about his mental state. Mark presents to therapy with the hope of creating healthy habits that will impact his mindset and mood. Mark knows he is capable of hard work and commitment from his time in the military, and the tolerance and respect shown toward him by his therapist (also former military) encourages him to stay committed to his goals. Given these factors, Mark is likely to have positive outcomes from therapy.
Conditional vs Unconditional Positive Regard
- Terms developed by Carl Rogers to describe whether support and acceptance are give with or without conditions
Conditional Positive Regard: offering acceptance or approval to someone based on their actions or behavior meeting certain conditions
Unconditional positive regard: accepting and vauling someone completely, regardless of their behavior or actions. Essentially showing love and support without any strings attached
- It is believed that unconditional positive regard is more valuable and influential in therapy where the client feels valued for who they are rather than what they achieve
Ex: A therapist might express approval when a client makes progress, such as saying, “You’re doing so well now that you’re keeping a consistent routine,” but become less supportive or even critical when the client regresses or struggles with keeping a consistent routine.
Conditions of Worth
- Term developed by Rogers to describe standards placed on an individual by society/family/friends that tell the individual that they’re only worthy of love/acceptance when they meet certain guidelines
- When conditions of worth are placed on a person, this leads to incongruence and an inauthentic existence and can ultimately lead to psychopathology
- Developed in childhood and other life experiences
Ex: Alex is a straight-A student, a member of the student council, and a start track athlete. She studies 7 days a week and volunteers at her church. Alex is an only child with parents who divorced when she was young. Never wanting to upset her usually stressed-out mother, Alex learned to be agreeable and pleasant no matter how she was really feeling inside. Now, regardless of having a wide range of friends, Alex struggles with self-worth and believes that it is only because she is so agreeable that she has any friends at all.
Countertransference
- Term developed by Freud
- Countertransference is when the counselor unconsciously redirects feelings, or is triggered by something the client has said, has done, or in the way they present themselves
- A projection of roles, expectations, or emotions
- Not necessarily good or bad but must be aware”
Ex: Therapist finds themselves distracted and annoyed by their client who remindes them of their own mother. Therapist grew up viewing their mother as a martyr who used the church as an excuse to never live a joy filled life. Therapist finds herself growing frustrated with her client who is staying in an emotionally abusive marriage bc is concerned about how divorice will make her look within her church community.
Cultural Self-Awareness
- An individual’s multicultural competency and understanding of how culture influences the self
- Involves self-exploration about one’s own heritage and understanding/valuing the differences of others, without perpetuating one’s own biases
- Recogizing that culture is an inescapable component of being a fully recognized self
Ex: Client is a female, asian-american client. As a female euro-american therapist, I want to practicing cultural humility and self-awareness by cknowledging my own limitations and making it know that I am open to learning from my clients’ experiences in order to provide her with the best quality care.
Defense Mechanisms
- Freud’s psychoanalytic theory
- Unconscious strategies to cope with unpleasant feelings or situations that the mind has classified as unacceptable
- Can be automatic and reflexive
- Ego balancing the desires of the ID, SuperEGO and Reality.
- Problematic when defense mechanism lead to pathology representing as denial, repression, deflection and rationalization
- It is important to be able to recognizing when a client is using defense mechanisms bc you can benefit the therapeutic process if approached with curiosity, not criticism
Ex: Your client lost another job and denies that its even a problem by saying, “I’m too smart for that job anyway. Those guys are all losers and my boss was just jealous of me. I’m pretty sure thats why he fired me.”
Externalizing Conversations
- Used in narratie therapy
- Important because it separates the person from the problem.
- Reframes internal probles to be an external entity, explores the influence of the problem, allows client to see themselves separate from the problem, allowing the client to “take charge” and gain power over their problem.
Ex:
Therapist: “It sounds like anger has been showing up a lot in your life lately. If anger were a separate thing from you, how would you describe it?”
Client: “It’s like a fire inside me. It just flares up, and I can’t control it. Its like I’m surrounded by its hot flame and just want to throw it at people.”