Theories Flashcards

1
Q

Awareness of the here and now

A

Gestalt

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2
Q

Reparative experiences with therapist

A

Object Relations/Psychodynamic

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3
Q

Identify unique outcomes

A

Narrative

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4
Q

Emphasis on finding solutions not on discovering the cause or origins of the problem

A

Solution Focused

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5
Q

Therapist is non-directive

A

Client-Centered/Humanistic

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6
Q

Change occurs through ation-oriented directives

A

Stategic

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7
Q

Restructure the family’s organization

A

Structural

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8
Q

Philosophical meaning in the face of anxiety

A

Existential

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9
Q

Change occurs by learning to modify dysfunctional thought patterns

A

Cognitive Behavioral Therapy

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10
Q

Increase the client’s awareness in the present moment

A

Gestalt

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11
Q

Insight-oriented

A

Object-Relations/Psychodynamic

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12
Q

Choosing to think and act responsibly

A

Existential

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13
Q

Enlist a witness

A

Narrative

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14
Q

Accessing client’s strengths and resources

A

Solution Focused

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15
Q

Paradoxical Interventions

A

Strategic

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16
Q

Systematic Desensitization

A

Cognitive Behavioral

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17
Q

Exploring experience by description

A

Gestalt

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18
Q

Emphasis on transference and countertransference

A

Object-relations/Psychodynamic

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19
Q

Finding alternatives

A

CBT

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20
Q

Empty Chair Technique

A

Gestalt

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21
Q

Thought record

A

Cognitive Behavioral

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22
Q

Projection Identification

A

Object-Relations/Psychodynamic

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23
Q

Restraining

A

Strategic

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24
Q

Client confronts anxiety inherent in living

A

Existential

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25
Mimesis
Structural
26
Increase Congruent Communication
Satir/Communications
27
Understanding Multigenerational Dynamics
Bowen
28
Relaxation Techniques
Cognitive Behavioral
29
Exception Question
Solution focused
30
Unbalancing
Structural
31
Maladaptive Automatic Thoughts
Cognitive Behavioral
32
Congruence/Genuineness
Client-Centered/Humanistic
33
Anxiety is part of the human condition
Existential
34
Promotes insight and growth through interpretation
Obejct-Relations/Psychodynamic
35
Miracle Question
Solution Focused
36
Telling, talking about, and naming emotional pain.
Existential
37
Family Life Chronology
Satir/Communications
38
Prescribing the Symptom
Strategic
39
Deconstruct problem-saturated stories
Narrative
40
Honoring the Pain
Existential
41
Enactment
Structural
42
Differentiation
Bowen
43
Monitor thoughts and moods
CBT
44
Scaling Questions
Solution Focused
45
Ordeals
Strategic
46
Reduce anxiety and emotional turmoil in family system
Bowen
47
Use Experiments
Gestalt
48
Rearrange how people sit together in the room
Structural
49
Establish a holding environment
Object-Relations/Psychodynamic
50
Family sculpting
Satir/Communications
51
Coping Questions
Solution Focused
52
Affirmations/Compliments
Solution Focused
53
Everyone must accept the responsibility that comes with freedom
Existential
54
Therapist is directive
Strategic
55
Unconditional positive regard
Client-Centered/Humanistic
56
Body Awareness
Gestalt
57
Empathy
Client-Centered/Humanistic
58
Self-Actualization
Client-Centered/Humanistic
59
Facilitate Detriangulation
Bowen
60
Exposure
CBT
61
Understand the problem's effects
Narrative
62
Labeling Distortions
CBT
63
Teach "I Statements"
Satir/Communications &. Bowen
64
Emotional Cutoff
Bowen
65
Three Column Technique
CBT
66
Reframing family dynamic as the "problem."
Structural
67
Separate the client from their problems
Narrative
68
Shema
CBT
69
Self-Acceptance
Client-Centered/Humanistic
70
Write a letter to self or others
Narrative
71
Boundary Making
Structural
72
Mindfulness
DBT
73
Homeostasis
General Systems Theory
74
Theory of Change: Attachment Theory
Change occurs through exploration of past and current relational attachments and trauma in the environment of a healing, secure, and reliable relationship.
75
Role of Therapist: Attachment Theory
Create a secure base for clients to explore their emotional experiences past and present
76
Treatment Goals: Attachment Theory
Gain insight of patterns developed from family of origin Learn to regulate affect Resolve social/emotional disruptions Improve attachments
77
Key Concept: Attachment Behavior System (AF)
An organized pattern of signals and responses that leads to the development of a protecting and trusting relationship
78
Key Concept: Secure Attachment (AF)
Access to a wide range of emotions Has a balanced view of parents and has worked through past hurts Strong sense of self Empathy for others
79
Key Concept: Preoccupied/Anxious Attachment (AF)
Embroiled with anger/hurt at parents Value intimacy to the point of over-dependence Fear of abandonment
80
Key Concept: Dismissive/Avoidant Attachment (AF)
Dismisses the importance of love/connection Often idealizes parents Shallow self-reflection, dismiss emotions Difficulty tolerating emotions of others
81
Key Concepts: Fearful/Avoidant Attachment (AF)
History of trauma or loss Dismiss the importance of love/connection out of feelings of unworthiness Difficulty trusting others
82
Attachment Theory Beginning Phase
Attunement Secure Base Identify attachment style, family of origin dynamics, current impact
83
Attachment Theory Middle Phase
Explore disruptions in relationships Regulate and express emotions Self-reflection
84
Attachment Theory End Phase
Repair - alter patient reactions by showing therapist's interpretation and create a new reality
85
Theory of Change: Bowen
Change occurs by understanding multigenerational dynamics and differentiation
86
Therapist's Role: Bowen
Coach/Educator Supervisor Investigator Neutral
87
Treatment Goals: Bowen
Reduce anxiety and emotional turmoil within family Self-differentiate from family Decrease emotional fusion Improve communication Decrease dysfunctional patterns Reduce emotional reactivity Facilitate de-triangulation
88
Key Concept: Triangles (Bowen)
Three-person relationship, where tension in one relationship is diffused by inclusion of another.
89
Key Concept: Differentiation of Self (Bowen)
The difference between an individual and the groups they are part of, specifically family.
90
Key Concept: Nuclear Family Emotional System (Bowen)
Four basic relationship patterns from which family problems arise: Marital Conflict Dysfunction in a Spouse Impairment of child(ren) Emotional Distance
91
Key Concept: Family Projection Process (Bowen)
The primary way the parents transmit their emotions to their children
92
Key Concept: Multigenerational Transmission Process (Bowen)
Small changes in differentiation between parent/child can lead to increased differentiation among members of a multigenerational family
93
Key Concept: Emotional Cutoff (Bowen)
Managing unresolved issues with someone by cutting off emotional contact with them
94
Key Concept: Genogram (Bowen)
A study of family history that acts as an assessment and treatment tool.
95
Bowenian Interventions
Have client talk to therapist instead of directly family member Reframing the problem as multigenerational Genogram De-Triangulation Increase Differentiation Teaching "I" Statements Opening Cutoff Relationships Interacts with Family - interrupts arguments Models new ways to interact and communicate Bibliotherapy
96
Bowenian Theory Beginning Phase
Genogram Assess Triangulation Identify dysfunctional generational patterns
97
Bowenian Theory Early/Middle Phase
Teach differentiation through modeling communication skills de-triangulation Encourage re-unification from cut-offs Teach individuals to take responsibility for their own emotions
98
Bowenian Theory End Phase
Review skills and knowledge gained in therapy
99
Theory of Change: CBT
Change occurs by modifying thought patterns
100
Role of Therapist: CBT
Collaborative teacher with structured learning experiences Teach coping skills Assign homework
101
Treatment Goals: CBT
Recognize, examine, and replace negative thought patterns Relief of symptoms Develop positive coping skills and strategies
102
Key Concept: Negative Cognitive Triad (CBT)
View of self View of world View of prospects for the future
103
Key Concept: Automatic Thoughts (CBT)
Thoughts that we're not aware of and go unexamined.
104
Key Concept: Maladaptive Automatic Thoughts (CBT)
Automatic thoughts that are negative or based on distortions
105
Key Concept: Schemas (CBT)
A network of rules for information processing shaped by developmental influences and life events.
106
Key Concept: Overgeneralization (CBT)
Meaning from a single event is applied as a pattern.
107
Key Concept: Arbitrary Inference (CBT)
Drawing conclusions with evidence or supporting facts.
108
Key Concept: Selective Abstraction (CBT)
Attending to details while ignoring the context
109
Key Concept: Personalization (CBT)
Seeing yourself as the cause of a negative event
110
Key Concept: Polarized Thinking (CBT)
Extreme, black-or-white thinking
111
CBT Interventions
Teach the Negative Triad Socratic Questioning Reframing Cognitive Restructuring Homework Self-monitoring Behavioral Experiments Systematic Desensitization Anxiety Management Training Assertiveness Training Behavioral Activation Communication Skills Training Downward Arrow Exposure Finding Alternatives Labeling Distortions Mastery/Pleasure Rating Opposite Action Problem-Solving Training Relaxation Training Successive Approximation Three-Column Technique Thought Record
112
CBT Beginning Phase
Establish therapeutic relationship Functional analysis Psychoeducate Set collaborative goals
113
CBT Early/Middle Phase
Identify negative thought patterns Uncover negative schemas Assign homework Label cognitive distortions Reframe thoughts learn/practice new skills and behaviors
114
CBT End Phase
Review gains Identify skills developed Rehearse new situations Anticipate future struggles.
115
Theory of Change: Client/Person-Centered
Change occurs by creating conditions for growth using the therapeutic relationship and through: congruence, unconditional positive regard, and empathy.
116
Role of the Therapist: Client/Person-Centered
Nondirective Facilitator Believes in the client's ability to grow
117
Treatment Goals: Client/Person-Centered
Self-acceptance Congruence Increased self-understanding Decreased defensiveness, insecurity, and guilt Improved relationships Ability to express feelings in the here and now
118
Key Concept: Congruence (Client/Person-Centered)
Being authentic and transparent
119
Key Concept: Unconditional Positive Regard (Client/Person-Centered)
Compete acceptance and non-judgment
120
Key Concept: Empathy (Client/Person-Centered)
Therapist senses the client's feelings and meanings and communicates understanding.
121
Key Concept: Self-Actualization (Client/Person-Centered)
Reaching for the highest potential
122
Key Concept: Locus of Control (Client/Person-Centered)
The client takes control of their life instead of looking to others.
123
Key Concept: Non-Directive Therapy (Client/Person-Centered)
The client leads the discussion.
124
Theory of Change: DBT
Change occurs through mindfulness, accepting uncomfortable thoughts, developing skills for emotion regulation and distress tolerance, and improving problem-solving skills.
125
Role of the Therapist: DBT
Ally Validate and offer alternatives Coach
126
Treatment Goals: DBT
Improve emotional and cognitive regulation
127
Key Concepts: Mindfulness (DBT)
Being fully aware and present
128
Key Concepts: Distress Tolerance (DBT)
The ability to tolerate pain and discomfort.
129
Key Concepts: Interpersonal Effectiveness (DBT)
Asking for your needs and setting boundaries while maintaining self-respecting relationships.
130
Key Concepts: Emotion Regulation (DBT)
Being able to modulate your emotions as desired.
131
Key Concepts: Homework (DBT)
Skill-building tasks assigned between sessions.
132
DBT Beginning Phase
Increasing behavioral control Teach mindfulness and distress tolerance Address self-harm behaviors
133
DBT Middle Phase
Fuller emotional experience Learning to live Develop self-respect Find peace and happiness
134
DBT End Phase
Find deeper meaning through spiritual experience.
135
Theory of Change: EFT
Change occurs through awareness, acceptance, reflection, and regulation of emotions.
136
Role of the Therapist: EFT
Process consultant Helps the client understand and experience their emotion, including dismissed emotions Assist the client in making productive use of their emotions
137
Treatment Goals: EFT
Learn to engage with feelings, memories, thoughts, and physical sensations Develop news interactions between a couple that foster a secure attachment.
138
EFT Initial Phase - De-escalation
Identify core wounds Identify the negative interaction cycle of the couple Access underlying emotions and unmet needs Reframe the problem as the cycle
139
EFT Middle Phase - Restructuring
Access fears, needs, and self and integrate them into the relationship Promote acceptance of the partner's new sense of self Facilitate expression of needs & wants to create emotional engagement
140
EFT Late Phase - Integration
Facilitate new solutions to old problems Consolidate new relational positions and cycles of attachment.
141
Theory of Change: Existential
Change occurs through finding meaning in the face of anxiety, choosing to think and act authentically and responsibly.
142
Role of the Therapist: Existential
Be a "real" other Be present Focus the client on personal responsibility for making decisions.
143
Treatment Goals: Existential
Discover their own life meaning Confront anxiety inherent in living Experience agency and responsibility in constructing their life.
144
Key concepts: Existentialism
Capacity for self-awareness Responsibility comes with freedom Unique identity that is known through relationship Individuals must recreate themselves. Meaning and existence isn't fixed Anxiety is part of the human condition Death gives significance to life.
145
Interventions: Existential
Process over content Holding - holding up the problem so it may be seen, remembered, and re-experienced. Empathetic Availability Naming emotionally difficult experiences with the support of the therapist. Mastering the emotional pain - discovering unique healing activities the help the client Honoring the pain - celebrating the meaning and potential opportunities that the client can use.
146
Theory of Change: Experiential/Symbolic
Change happens through the existential encounter, which expands the client's experience.
147
Role of the Therapist: Experiential/Symbolic
Authentically being Playful, creative
148
Treatment Goals: Experiential/Symbolic
Growth and increased flexibility.
149
Key Concepts: Battle for Structure (Experiential/Symbolic)
The therapist establishes the rules for treatment, including the requirement for the whole family to attend therapy.
150
Key Concepts: Battle for Initiative (Experiential/Symbolic)
The family must take initiative for change.
151
Key Concepts: Trial of Labor (Experiential/Symbolic)
Conceptualizing the roles, boundaries, beliefs, history, and levels of conflict within the family.
152
Key Concepts: Activating Constructive Anxiety (Experiential/Symbolic)
Anxiety is reframed as efforts toward competence.
153
Key Concepts: Play, Humor, and Craziness (Experiential/Symbolic)
Finding solutions in creative interactions and tapping in to the irrational side.
154
Experiential/Symbolic Beginning Phase
Battle for structure Encourage whole family to attend Family wins the battle of initiative Trial of Labor - Gather information about roles, coalitions, boundaries, and levels of conflict
155
Experiential/Symbolic Middle Phase
Develop a sense of cohesion Create alternative interactions Highlight inappropriate boundaries Role-plays, and play scenarios
156
Experiential/Symbolic End Phase
Highlight accomplishments and reflect on growth Identify potential blocks to future growth Role-play future scenarios Members share about their experience
157
Theory of Change: General Systems Theory
Change occurs by helping the system view the problem within the context of the family, not singling out an problem individual
158
Role of the Therapist: General Systems Theory
The therapist helps the family explore: belief systems, expectations, and family values, rules and roles within the family, the family heirarchy, defense mechanisms and their purpose
159
Key Concepts: Homeostasis (General Systems Theory)
Systems resist change. Negative feedback loops maintain prevent a system from changing.
160
Key Concepts: Feedback Loops (General Systems Theory)
Information and behavioral pathways that help a system balance and correct itself.
161
Key Concepts: Positive Feedback Loops (General Systems Theory)
Behavioral reactions that amplify departures from the system's normal state. Destabilizes the system and allows change.
161
Key Concepts: Negative Feedback Loops (General Systems Theory)
Behavioral reactions used to prevent departures from the system's normal state. Prevent change.
162
Key Concepts: Calibration (General Systems Theory)
The normal operational system of the family
163
Key Concepts: Wholeness (General Systems Theory)
A system is greater than the sum of it's parts. The parts impact the whole.
164
Key Concepts: Equifinality (General Systems Theory)
The same result can be achieved by different family systems.
165
Key Concepts: Equipotentially (General Systems Theory)
The same experience in a family system can create different results.
166
Key Concepts: First Order Change (General Systems Theory)
Surface level changes, that do not impact the system.
167
Key Concepts: Second Order Change (General Systems Theory)
Changes that fundamentally alter a system's rules and organization.
168
Key Concepts: Nonsummativity (General Systems Theory)
Treating the family system as a whole
169
Key Concepts: Boundaries (General Systems Theory)
Borders between parts of the system and between different systems, supported by implicit and explicit rules.
170
Key Concepts: Open System (General Systems Theory)
A system that allows for the continuous flow of information from outside the system.
171
Key Concepts: Closed System (General Systems Theory)
A system that has boundaries that are impenetrable
172
Treatment Goals: General Systems Theory
Move the system toward equillibrium Explore healthier interactions Challenge and rework the family's beliefs Help family members see their role in a dynamic Help family understand the experiences and perceptions of other family members Correct problematic feedback loops
173
Interventions: General Systems Theory
Observe feedback loops in the family system Explore beliefs, values, rules, roles, heirarchy, expectations, circular casuality between family members Reframe presenting issues as a systemic problem Explore each family member's role in the dysfunction Challenge communication within the system
174
Theory of Change: Gestalt
Change occurs through increased awareness off the here-and-now experience in a dialogic relationship
175
Role of the Therapist: Gestalt
The therapist is an authentic, present other Non-directive and non-judgmental Increases the client's awareness in the present moment
176
Key Concepts: Phenomenological Method (Gestalt)
Describing your experience without making interpretations
177
Key Concepts: Dialogical Relationship (Gestalt)
The therapist's presence allows the client to be fully present.
178
Key Concepts: Experiential (Gestalt)
The therapist uses experiments to support the client in experiencing something new.
179
Key Concepts: Here-and-Now Focus (Gestalt)
The past is discussed in light of how it impacts the present.
180
Gestalt Interventions
Empty Chair Technique Experiments Body Techniques Focus on the process
181
Theory of Change: Motivational Interviewing
Change is elicited by helping the client resolve ambivalence and connecting to the client's values
182
Key Principles: Express Empathy (Motivational Interviewing)
The therapist engages with the client without passing judgment as they try to understand their perspective
183
Key Principles: Develop Discrepancy (Motivational Interviewing)
Highlighting discrepancies between the client's expressed values and behaviors.
184
Key Principles: Rolling with Resistance (Motivational Interviewing)
Using empathy to demonstrate understanding of the client's ambivalence.
185
Key Principles: Support Self-Efficacy (Motivational Interviewing)
Recognize and highlight the client's strengths to elicit hope in their capacity for change.
186
Motivational Interviewing Precontemplation Phase
Client may express negative consequences of problem, but aren't ready to change and may defend their behavior.
187
Motivational Interviewing Contemplation Phase
Clients recognize their problem, but remain ambivalent about change.
188
Motivational Interviewing Preparation Phase
Clients are ready to make change and are taking responsibility for their role in the change process.
189
Motivational Interviewing Action Phase
Clients are actively engage in changing their behaviors and recognize their need for assistance.
190
Motivational Interviewing Maintenance Phase
Client's have developed some efficiency and are working to consolidate changes.
191
Motivational Interviewing Interventions
Open-ended Questions Affirmations Reflecting Summarizing
192
Theory of Change: Narrative
Change occurs when the client sees the problem as separate from themself and a new narrative is created that supports the client's competencies and strengths.
193
Role of the Therapist: Narrative
Collaborator Investigator Curious View the client as the expert of their life Co-author of the client's new narratives
194
Treatment Goals: Narrative
Understand the problem-saturated story and externalize the problem Deconstruct the problem-saturated stories in order to create healthier narratives Bring greater awareness to client's strengths and competencies Increase client's sense of control over the direction of their llife.
195
Main Concepts: Problem-Saturated Stories (Narrative)
The dominant and unhealthy stories an individual tells themself
196
Main Concepts: Alternative Stories (Narrative)
A healthier story that an individual develops
197
Main Concepts: Thick Story (Narrative)
The dominant unhealthy narrative that a person maintains (repetitive, detailed, problem-saturated)
198
Main Concepts: Thin Story (Narrative)
The alternate story being developed, which is less detailed. Intended to build the story up to become thick.
199
Interventions: Externalizing the Problem (Narrative)
Questions are asked to help separate the client from the problem.
200
Interventions: Deconstructive Questions (Narrative)
The therapist will ask questions to erode the problem-saturated story.
201
Interventions: Mapping the Influence (Narrative)
The therapist asks questions to understand the impact of the problem in the client's life.
202
Interventions: Unique Outcomes (Narrative)
The therapist asks questions to highlight times the client was able to overcome or resist the problem.
203
Interventions: Enlisting a Witness (Narrative)
The client tells their new story to a witness who helps thicken the new story.
204
Interventions: Written Artifact (Narrative)
A written document that reinforces the client's new story.
205
Narrative Interventions
Client shares problem-saturated story Externalize the problem Map the influence Explore unique outcomes Reauthorize their story Enlist a witness
206
Narrative beginning phase
Client tells the problem saturated story
207
Narrative early/middle phase
The problem is externalized Mapping the influence Unique Outcomes Enlist a witness
208
Narrative end phase
Create an artifact Document and support new narrative
209
Theory of Change: Object Relations
Change occurs through reparative experiences with the therapist, new insight, and modification of object relations pathology
210
Role of the Therapist: Object Relations
Neutral Emphasis on transference and countertransference Therapist as new and good object
211
Treatment Goals: Object Relations
Corrective emotional experiences that build new object relations Insight into impact of past relationships Improve relationships with self and others
212
Key Concepts: Objects (Object Relations)
People in the external world.
213
Key Concepts: Internalization (Object Relations)
Early infant-caretaker interactions lead to the internalization of basic attitudes of the caretaker toward self Characteristic relational patterns Repertoire of defenses and internal capacities
214
Key Concepts: Self and Object-Representation (Object Relations)
Infants for images of themselves and others. Once formed, they are fundamental internal structures that impact the way they see themselves and others.
215
Key Concepts: Ego (Object Relations)
The structure responsible for dealing with the world, instituting defense mechanisms, internalizing external objects, integrating and synthesizing self and object-representations
216
Key Concepts: Splitting (Object Relations)
When two contradictory states are compartmentalized and not integrated
217
Key Concepts: Projection (Object Relations)
Projecting undesirable feelings or emotions onto someone else rather than acknowledging them.
218
Key Concepts: Projective Identification (Object Relations)
A psychological process where an individual will project feelings or beliefs onto a person and the second person begins to identify with or experience those beliefs or feelings.
219
Key Concepts: Introjection (Object Relations)
Taking on the behaviors, attributes, or fragments of other people or the environment.
220
Object Relations Beginning Phase
Establish a holding environment Exploration of the client's experience Empathy Maintaining neutrality
221
Object Relations Middle Phase
Interpretation Confront resistance & defenses Explore transference/countertransference Identify and process projective identification
222
Object Relations End Phase
Termination Abandonment issues Consolidate interpretations Review insights
223
Theory of Change: Psychodynamic
Change occurs through insight and understanding unresolved issues.
224
Role of the Therapist: Psychodynamic
Nondirective Corrective emotional experience
225
Key Concepts: Past Influences the Present (Psychodynamic)
Early wounding relationships, or patterns from these relationships, are unconsciously reenacted in current relationships
226
Key Concepts: Underlying Conflicts (Psychodynamic)
Infants and children form attachment relationships with their caregivers. These patterns are repeated and cause difficulty in adult relationships.
227
Key Concepts: Defense Mechanisms (Psychodynamic)
Unconscious techniques used by a person to strengthen their ego and protect themselves from negative thoughts and feelings associated with past experiences.
228
Key Concepts: Transference (Psychodynamic)
The client transfers unresolved emotions from past relationships onto the therapist.
229
Key Concepts: Countertransference (Psychodynamic)
The therapist transfers unresolved emotions from past relationships onto the client.
230
Key Concepts: Interpretation (Psychodynamic)
The therapist verbally communicates their hypothesis regarding the impact of the client's past on their presenting issues.
231
Psychodynamic Beginning Phase
Establish a holding environment Listening Exploration of the client's experience Empathy Interpretation Maintaining neutrality
232
Psychodynamic Early/Middle Phase
Promote insight and growth increase individuation work through termination/abandonment
233
Psychodynamic End Phase
Terminate when the client is able to put insights into action
234
Treatment Goals: Psychodynamic
Uncover/Interpret unconscious impulses and defenses Examine client's self-awareness and understanding of the influence of the past Enhance client's ego strength and self-esteem Decrease use of unhealthy defense mechanisms Allow the client to access painful feelings in a safe environment, experience true feelings, and resolve inner conflict Examine early relationships, attachments, and interactions to discover projections.
235
Interventions: Psychodynamic
Establish a holding environment/secure attachment Observe and reflect client projections Point out patterns of distortion and manipulations used in relationships Avoid being pulled into the client's maladaptive patterns Identify and resolve underlying causes of internal and relational conflict Interpret transference
236
Theory of Change: REBT
Change occurs when irrational beliefs are changed to rational beliefs, which improves functioning.
237
Role of the Therapist: REBT
Instructor Confrontational Direct
238
Treatment Goals: REBT
Alter illogical beliefs and thought patterns
239
Key Concepts: A - Activating Events (REBT)
An event that triggers thought and feelings
240
Key Concepts: B - Beliefs (REBT)
The beliefs or meaning made from the activating event
241
Key Concepts: C - Consequence (REBT)
The emotional response from the beliefs or meaning you make.
242
Key Concepts: Common Irrational Beliefs (REBT)
Feeling excessively upset by other's mistakes or misconduct Believing you have to be 100 competent to be worthy Believing you will be happier if you avoid difficulty or challenges Believing you have no control over your happiness and believe external forces will help.
243
Key Concepts: Self-Acceptance (REBT)
Accepting the good and bad parts of self while being able to feel just as worthy as others.
244
Key Concepts: Other-Acceptance (REBT)
Understanding that others will treat you unfairly at times and it's not a statement of their worthiness.
245
Key Concepts: Life Acceptance (REBT)
Accepting that there are good and bad parts of life, but even when it doesn't go your way, it's never completely unbearable.
246
REBT Beginning Phase
Psychoeducation Identify irrational thought problems/patterns and resulting feelings and behaviors.
247
REBT Middle Phase
Challenging mistaken beliefs with confrontation Meditation, journaling, guided imagery.
248
REBT End Phase
Review progress and apply skills to anticipated future struggles.
249
Theory of Change: Satir/Communications
Change occurs through self-awareness and increased communication.
250
Role of the Therapist: Satir/Communications
Active facilitator Resource detective Genuine & warm Honest & direct.
251
Treatment Goals: Satir/Communications
Increase congruent communication Improve self-esteem/confidence/personal growth
252
Key Concepts: Incongruent Communication (Satir/Communications)
Discrepancies between verbal and non-verbal cues.
253
Key Concepts: Styles of Communication (Satir/Communications)
The rules that govern family interaction ensure that the family will maintain its current functional level.
254
Key Concepts: Placater (Satir/Communications)
Apologizes, never disagrees, people pleasing
255
Key Concepts: Blamer (Satir/Communications)
Attacks others, finds faults, dictator, boss
256
Key Concepts: Computer (Satir/Communications)
Super reasonable, intellectual, distant, always correct
257
Key Concepts: Distracter (Satir/Communications)
Seeks approval by acting out, irrelevant
258
Key Concepts: Leveler (Satir/Communications)
Congruent in their beliefs about self and others.
259
Interventions: Modeling Communication (Satir/Communications)
Using I messages Expresses thoughts directly Avoids statements about what others are thinking or feeling Honest
260
Interventions: Family Life Chronology (Satir/Communications)
Gather history as far back as possible Understand ideologies, values, rules, disruptions, moves, and major events. Important experiences and struggles How unresolved past issues are carried out in current functioning
261
Interventions: Family Sculpting (Satir/Communications)
A physical representation of family members characterizations.
262
Interventions: Take Responsibility (Satir/Communications)
Clients should take responsibility for their feelings, experiences, and the meanings they make.
263
Interventions: Metaphors and Storytelling (Satir/Communications)
Used to help clients understand their roles.
264
Interventions: Transforming Rules (Satir/Communications)
Assisting clients to create more functional, less rigid guidelines.
265
Satir/Communications Beginning Phase
Establish rapport, equity, and hope. Assess communication patterns, stances, and concerns. Identify treatment focus and goals.
266
Satir/Communications Middle Phase
Increase congruent communication. Strengthen sense of uniqueness and self-esteem
267
Satir/Communications End Phase
Help family practice, implement, and integrate changes. Increase awareness of larger familial patterns.
268
Theory of Change: Self-Psychology/Psychodynamic
Change occurs through empathetic attunement and strengthening of self-structures through optimal responsiveness.
269
Role of the Therapist: Self-Psychology/Psychodynamic
Empathetic understanding Optimal responsiveness Allows self-object transferences and the repair of disruptions
270
Treatment Goals: Self-Psychology/Psychodynamic
Developing self-cohesion and self-esteem Locating better self-objects
271
Key Concepts: Self Objects (Self-Psychology/Psychodynamic)
One's experience of another person (object) as part of, rather than as separate and independent from, one's self, particularly when the object's actions affirm one's narcissistic well-being.
272
Key Concepts: Self Objects Needs (Self-Psychology/Psychodynamic)
Mirroring, idealization of others, twin/alter ego
273
Key Concepts: Mirroring (Self-Psychology/Psychodynamic)
Approving and confirming responses
274
Key Concepts: Optimal Frustration (Self-Psychology/Psychodynamic)
When a self-object is needed, but not available, it frustrates the client and creates an opportunity to self-soothe.
275
Key Concepts: Mirroring Transference (Self-Psychology/Psychodynamic)
Seeking acceptance and confirmation of the self.
276
Key Concepts: Twinship Transference (Self-Psychology/Psychodynamic)
Experiencing the therapist as someone they have similarities with.
277
Key Concepts: Idealizing Transference (Self-Psychology/Psychodynamic)
Idealizing and admiring the therapist, especially initially.
278
Key Concepts: Adversarial Transference (Self-Psychology/Psychodynamic)
The client's need/ability to oppose the therapist.
279
Key Concepts: Experience-Near Empathy (Self-Psychology/Psychodynamic)
Imagining what it is like to be the client.
280
Self-Psychology/Psychodynamic Early Phase of Treatment
Establish a holding environment Demonstrate that the therapist is able to provide containment Provide "experience-near" empathy Explore the client's problem and history
281
Self-Psychology/Psychodynamic Middle Phase of Treatment
Repair disruptions of the self-object transference Addressing enactments Empathizing with loss Mourning loss of self-objects Mourning ambition and fantasies Identifying alternative self-objects
282
Self-Psychology/Psychodynamic End Phase of Treatment
Reflect on the treatment process Acknowledge and process issues related to termination
283
Sex Therapy: Emotional Factors
Depression Sexual fears/guilt Past sexual trauma Interpersonal problems Anxiety
284
Sex Therapy: Physical Factors
Drugs Alcohol Nicotine Narcotics Stimulants Psychotherapeutic Drugs Premenstrual Syndrome Pregnancy Postpartum Menopause Hormonal deficiencies Los Testosterone
285
Sex Therapy: Interpersonal factors
Partner performance and technique Relationship quality and conflict
286
Sex Therapy: Socio-Cultural Influences
Inadequate sexual education Conflict with religious, personal, or family values Societal taboos
287
Interventions: Insight and Education (Sex Therapy)
The clients gain understanding of the problem and remove stigma/blame.
288
Interventions: Cognitive Behavioral Techniques (Sex Therapy)
A variety of behavioral techniques used to confront thought distortions and overcome here-and-now problems.
289
Interventions: Systematic Desensitization (Sex Therapy)
Starting with low anxiety exercises and increasing to higher anxiety exercises to increase tolerance so that anxiety does not interfere with pleasure.
290
Interventions: Relationship Enhancement (Sex Therapy)
When the problems are relational, couples therapy is indicated.
291
Role of the Therapist: Sex Therapy
Neutrality Manage Countertransference Brief Therapy Directive
292
Key Concepts: Spectatoring (Sex Therapy)
When someone is critically watching their sexual performance rather than being present and responsive to the experience.
293
Interventions: Sensate Focus (Sex Therapy)
A desensitization technique that replaces anxiety with pleasure.
294
Interventions: Bridge Maneuvers (Sex Therapy)
Temporarily increasing and then gradually withdrawing clitoral stimulation to allow the female to have orgasm with intercourse alone.
295
Interventions: Coital Alignment Technique (Sex Therapy)
Slow, rhythmic back and forth gliding movements so the penis and clitoris stimulate each other during intercourse.
296
Interventions: Masturbation or Self-Stimulation (Sex Therapy)
Used to treat inhibited female orgasm.
297
Interventions: Stop-Start Technique (Sex Therapy)
Used to treat premature ejaculation. Stimulating the penis toward early sensations of orgasm then pausing before beginning again.
298
Interventions: Squeeze Technique (Sex Therapy)
Partner stimulates the penis toward early sensations of orgasm then the partner grabs the penis and holds for 3-4 seconds before beginning again.
299
Theory of Change: Solution Focused
Change occurs through accessing client's strengths and resources.
300
Role of the Therapist: Solution-Focused
Consultant, Coach
301
Treatment Goals: Solution Focused
Client implements changes to achieve their preferred future. Client builds on strengths and resources
302
Interventions: Exception Question (Solution-Focused)
Exploring a time in the client's life when they don't experience the problem and noticing what was/is different.
303
Interventions: Miracle Question (Solution-Focused)
The client is asked to envision a future when the problem is solved and examines what their life looks like and what is different.
304
Interventions: Scaling Question (Solution-Focused)
The client is asked to scale their situation 0-10 and then is asked what it would take for them to move up on the scale and what level they would be content.
305
Interventions: Presupposing Change (Solution-Focused)
Instead of focusing on the problem the client is asked what has improved.
306
Interventions: Coping Questions (Solution-Focused)
The clients current coping skills are explored to illustrate resources the client already has.
307
Interventions: Affirmations/Compliments (Solution-Focused)
The therapist regularly acknowledges the client's progress, strengths and resources
308
Solution-Focused Beginning Phase
Join with client competencies Envision preferred future Begin to identify client's strengths Use solution-oriented language Come up with achievable goals
309
Solution-Focused Middle Phase
Identify resources client has to deal with the problem Use solution-talk Identify exceptions to problems Utilize scaling questions Feedback that includes compliments and tasks Highlight small changes Cheerleading
310
Solution-Focused End Phase
Identify steps to continue the changes Identify hurdles or barriers to change
311
Theory of Change: Strategic
Change occurs through action-oriented directives and paradoxical interventions.
312
Role of the Therapist: Strategic
Deliver directives that facilitate change Focus on solving problems/eliminating symptoms Design a specific approach for the particular problems.
313
Treatment Goals: Strategic
Solve the presenting problem Change dysfunctional patterns of interaction
314
Interventions: Paradoxical Directives (Strategic)
Actions that appear to contradict the goals of therapy, but help to undermine resistance.
315
Interventions: Positioning (Strategic)
The therapist takes an exaggerated position on the problem, that forces the family to rebel.
316
Interventions: Homework (Strategic)
Practicing new family dynamics around the presenting problem outside of session.
317
Interventions: Prescribing the Symptom (Strategic)
The clients are encouraged to engage in the symptom.
318
Interventions: Restraining (Strategic)
The therapist will discourage change or changing to quickly in order to elicit a desire to change from the client.
319
Interventions: Ordeals (Strategic)
Clients are encouraged to carry out harmless but unpleasant tasks whenever symptoms occur.
320
Strategic Beginning Phase
Define the problem determine how the client understands the problem Assess family's destructive patterns of relating and communicating State goals
321
Strategic Middle Phase
Review attempted solutions assign ordeals prescribe the problem relabel behavior Instruct the client to respond to the problem differently
322
Strategic End Phase
Plan for maintenance of the new behaviors Plan for future challenges Emphasize positive changes made
323
Theory of Change: Structural Family
Change occurs through restructuring the family's organization
324
Therapist's Role: Structural Family
Active and involved Helps the family understand how family structure can be changed
325
Key Concepts: Alliances (Structural Family)
Subgroups within a family grouped by gender, generation, or developmental task
326
Key Concepts: Coalitions (Structural Family)
Alignments within a family, where 2 or more team up against a family member
327
Key Concepts: Power Hierarchy (Structural Family)
The adults must provide leadership otherwise there is chaos.
328
Key Concepts: Subsystems (Structural Family)
Families organize themselves by smaller groups within the family unit.
329
Key Concepts: Family Map (Structural Family)
A tool use by the therapist to conceptualize the relational dynamics within the family.
330
Key Concepts: Disengaged Boundaries (Structural Family)
When family members isolate from each other.
331
Key Concepts: Enmeshed (Structural Family)
When family members are overly dependent, too involved, and overly reactive to other family members.
332
Interventions: Joining (Structural Family)
Blending in with the family and adapting to their affect, style, and language.
333
Interventions: Tracking (Structural Family)
Paying close attention to family interactions and enactments, noticing boundaries, coalitions, roles, and rules.
334
Interventions: Mimesis (Structural Family)
The therapist tracks the family style of communication and uses it.
335
Interventions: Unbalancing (Structural Family)
Supporting a family member in a one-down position in order to change the heirarchical position.
336
Interventions: Reframe (Structural Family)
Giving a different and more useful perspective of the presenting problem.
337
Interventions: Enactment (Structural Family)
Situations where therapists direct family members to interact in order to highlight and change problematic patterns and relationships
338
Interventions: Boundary Making (Structural Family)
An enactment technique that helps families identify, explore, and establish clear boundaries and hierarchies between subsystems within the family system.
339
Structural Family Beginning Phase
Join with family Accommodate to and challenge rules of the family system Assessment/Mapping of the hierarchy, alignments, and boundaries Reframe the problem to include the whole system
340
Structural Family Middle Phase
Highlight and modify interactions Utilize enactments of issues to challenge participants and unbalance the system
341
Structural Family End Phase
Review progress made reinforce structural change Provide tools for future