SPSY 571 Final

Question 1

Steps of the Problem-Solving Method

Answer 1

1) Identify the problem
2) Problem Assessment
3) Intervention Planning
4) Intervention
5) Follow-Up

Question 2

Steps of Solution-Focused Methodology

Answer 2

1) Describe the problem
2) Developing well-formed goals (miracle question)
3) Exploring for exceptions (Has this ever happened before?)
4) Session Feedback/Scaling (How do you feel now vs. when you came in here? How likely will you be able to implement this in your life?)
5) Evaluate progress

Question 3

Who developed the miracle question?

Answer 3

Steve DeShazer

Question 4

miracle question

Answer 4

solution-focused technique to help clients gain new perspectives on their problems and focus on the positive desired goal rather than just on what is “wrong”
Ex. If this were all better in the morning, what would that look like?

Question 5

exploration

Answer 5

clinician gathers initial info thru the use of questions, prompts, and probes

Question 6

elaboration

Answer 6

clinician encourages the client to expand on and enrich the details of the story

Question 7

levels of exploration and elaboration

Answer 7

1) outer circle talk
2) middle circle talk
3) inner circle talk

Question 8

outer circle talk

Answer 8

surface level for people to get to know each other; classifies reason for referral, client’s demographics, concerns

Question 9

middle circle talk

Answer 9

deeper level about conflicts, content, and feelings as relationships develop; more focused attention, can elicit more painful detail, reflection, and affect

Question 10

inner circle talk

Answer 10

feelings and content about frightening, taboo, or shameful boundaries; client finds out about themselves and relationships with others; MAX TRUST

Question 11

theme

Answer 11

an idea or belief that repeats

Ex. “There I go again forgetting.”

Question 12

pattern

Answer 12

behaviors and affective sequences that repeats

Ex. alcoholism, drug-use

Question 13

exploring exceptions

Answer 13

ask about those times in clients’ lives when their problems are not happening or less severe; substitute’s for intervention planning in the problem-solving approach

Question 14

exception questions

Answer 14

ask about situations or days in which “the problems” have not happened; gets clients to move out of stuck patterns of negative thinking and to see glimmer of hope
Ex. “Can you think of a specific time last week when you felt more confident?” or “What do you supposed made that happen?”

Question 15

Iceberg Levels

Answer 15

1) Facts
2) Intentions
3) Perceptions
4) Needs
5) Values
6) Suspicions
7) Feelings
8) Assumptions

Question 16

Self-Disclosure

Answer 16

providing clients with useful info as long as there is a purpose behind it that could benefit the client; based on life experience to convey empathy; some clients find this informative while some may think the clinician is trying to shift the focus; client may feel inclined to act in the way the clinician did

Question 17

What to do in self-disclosure?

Answer 17

be brief and avoid sounding condescending or self-righteous

Question 18

sexual attraction in practice

Answer 18

client can be attracted to clinician and vice versa; DO NOT PARTICIPATE IN THIS since this is forbidden in ethical codes of helping professions

Question 19

What to do when a client exhibits sexual attraction to the clinician or vice versa?

Answer 19

Client exhibiting: consult with a supervisor before addressing the issue in the relationship
Clinician exhibiting: discuss with supervisor rather than mentioning to client

Question 20

How to respond to a client exhibiting sexual attraction?

Answer 20

explore client’s sexual attraction and related fantasies, reassure the client about how sexual attraction can arise in intense interpersonal sharing, refocus convo to the contracted work, let client know you would never act on sexual/romantic feelings, review/document discussion of sexual feelings (with review of supervisor), talk to supervisor

Question 21

transference

Answer 21

when you trigger something in the client which happens unconsciously, positive/negative, in the client and transfers/attributes this onto the current client-clinician relationship

Question 22

counter-transference

Answer 22

when client triggers something in the clinician which happens unconsciously, positive/negative, in the clinician and transfers/attributes this onto the current client-clinician relationship

Question 23

Why address these sexual behaviors as clinicians?

Answer 23

to develop boundaries appropriate to context of clinical working environments

Question 24

resistance

Answer 24

refusal to follow the clinician’s leads or suggestions; should not be seen as negative trait of the client but rather client feels the need to protect themselves from questions that waver their stability

Question 25

What is the probable cause of resistance?

Answer 25

when they realize more is required of them than they are willing to commit/present, cultural differences, if there’s a disturbance in the relationship, if clinician hasn’t found the right way to join client’s perspective, if agencies policies, procedures, or staff are too different from what the client is used to; finances

Question 26

What are some positives behind self disclosure?

Answer 26

builds rapport and empathy

Question 27

What to watch out for in self-disclosure?

Answer 27

don’t share too much, no benefit = don’t share

Question 28

How to deal with personal questions?

Answer 28

give some info but not alot, can have boundaries and say “no”, explain why you won’t answer, explore the purpose of the question and why they need to know

Question 29

Counseling Techniques

Answer 29

1) dot-dot-dot questions
2) universalizing
3) sustaining
4) open-ended questions
5) not-knowing perspective
6) prompts
7) reflections
8) positivity portfolios
9) 3 good things
10) underlining
10) LKM meditation
11) socratic questioning
12) Role plays
13) exposure therapy
14) modeling
15) behavior rehearsal

Question 30

Problematic Questions

Answer 30

1) rat-a-tat questions
2) double questions
3) pseudo questions
4) tangential questions
5) closed-ended questions

Question 31

not-knowing perspective

Answer 31

a perspective that it is okay not to know and clients know more about their realities than we do

Question 32

sustaining techniques

Answer 32

offer clients support as they open their stories to deeper exploration and elaboration

Question 33

open-ended questions

Answer 33

gives the client ore opportunity or flexibility in responding and elaborating

Question 34

universalizing

Answer 34

supporting and validating technique used to undercut a client’s sense of isolation or differentness; can sometimes backfire and make the client feel their needs are unimportant

Question 35

dot-dot-dot questions

Answer 35

technique where the clinician simply repeats back the last thing said and hangs it, unfinished, in midair for the the client to complete
Ex. This happened because . . .?

Question 36

rat-a-tat questions

Answer 36

one-rapid fire question after another; considered problematic

Question 37

tangential questions

Answer 37

veers from the main topic, taking side roads in session without good reason or clear focus; considered problematic

Question 38

psuedoquestions

Answer 38

directives or commands disguised as questions

Ex. Are you going to do your homework now?

Question 39

double questions

Answer 39

occurs when we ask the client to respond to more than one question at a time
Ex. When did this happen? How did this happen?

Question 40

closed-ended questions

Answer 40

more focal of the types of questions which can usually be answered with a word or two, after which the client ceases talking
Ex. Did you enjoy this activity?