Theory Flashcards
Irving Yalom’s curative factors to encapsulate group member experiences leading to growth are.
- Altruism
- Cohesion
- Universality
- Interpersonal learning input and output
- Guidance
- Catharsis
- Identification
- Family reenactment
- Self understanding
- Instillation of hope
- Existential factors.
What is Linking?
A process used to promote and encourage member-to-member interactions, which help members recognize their similarities and common themes. (Irving Yalom)
Universality occurs when?
When group members recognize that they have shared experiences, thoughts, and feelings and that they are not alone. (Irving Yalom)
Boundary Disturbances describe various forms of resistance, what are they?
Projection
Introjection
Retroflection
Confluence
Deflection
(Gestalt)
Projection
Blaming the environment (or other people) for one’s personality traits, thoughts, feelings and behaviors. (Gestalt)
Introjection
Assimilating information from the environment without critical discernment. (Gestalt)
“I will act like _______ “
Deflection
Occurs when a distraction is created to avoid aspects of the environment that may be threatening. (Gestalt)
Confluence
Occurs when aspects of one’s internal and external environments are blurred or diffuse, which prevents one from differentiating the two. (Gestalt)
When individuals avoid conflict and possess an increased need to be accepted.
Core beliefs are
Schemas rooted in childhood.
Five Stages of Group Therapy
Stage 1: Forming - (Preaffiliation) Dependency and Inclusion
Stage 2: Storming - Power and Control
Stage 3: Norming - Structure and Trust
Stage 4: Performing
Stage 5: Adjourning
(Tuckman)
Constructive Confrontation
A technique used to help clients achieve congruence by pointing out discrepancies among the client’s actions, thoughts, behaviors, perception or nonverbal communication. (Humanism)
In a study, which variable does the experimenter manipulate?
Independent Variable
What occurs during the Forming Stage
Process of putting the structure of the group together. Group members feel ambiguous and conflict is avoided at all costs due to the need to be accepted into the group. Group members look to a group leader for direction and guidance. (Tuckman)
During the Storming Stage of group therapy, what occurs?
Organizing tasks and processes surface interpersonal conflicts. Leadership, power, and structural issues dominate this stage. (Tuckman)
What occurs during the Norming Stage?
Group members are creating new ways of doing and being together. As the group develops cohesion, leadership changes from ‘one’ teammate in charge to shared leadership. Group members learn they have to trust one another for shared leadership to be effective. (Tuckman)
What is the purpose of the Performing Stage of group therapy?
True interdependence is the norm of this stage of group development. The group is flexible as individuals adapt to meet the needs of other group members. This is a highly productive stage. (Tuckman)
Adjourning Stage of group therapy involves?
Group members are ready to leave (course termination) causing significant change to the group structure, membership, or purpose and the group during the last week of class. They experience change and transition. While the group continues to perform productively they also need time to manage their feelings of termination and transition. (Tuckman)
What are Irving Yalom’s Therapeutic Forces in groups?
- Instillation of Hope
- Universality
- Imparting of Information
- Altruism
- Simulation of the primary family.
- Development of social skills.
- Imitative Behavior
- Interpersonal Learning
- Group Cohesiveness (Belonging)
- Catharsis
- Existential Factors
What is altruism?
Acting to promote someone else’s welfare, even at a risk or cost to ourselves.
These therapists emphasize the importance of social connection, asserting that all individuals strive for superiority, which is achieved through a purposeful, goal-oriented lifestyle.
Adlerian
Adler felt that each client’s social and cultural factors, initially shaped by family constellation, including birth order. He focused on each individual’s lifestyle as it is influenced by multiple factors, including systemic racism, gender, religion, and sexual orientation.
Is psychoanalytic, like Freud, but did not believe in the unconscious.
These therapists are categorized as experiential or relational.
Gestalt
Stress the integration of mind and body through increased awareness of the present moment. Wholeness involves the integration of cognitive, emotional, and behavioral factors.
These therapists allow the client to become fully functioning in the context of the therapeutic experience. The goal of therapy is to facilitate congruence between the client’s self-image and idealized self.
Rogerian
This therapist will focus on a therapeutic alliance as being vital and addressing cognitive distortions.
Cognitive Therapy (Beck)
This treatment assumes that distortions result from irrational thinking and posits that depression stems from the clients negative view of themselves, others and the future.
________ therapists are more directive and rely on challenging and disputing the client’s irrational thoughts. They view the importance of unconditional acceptance but believe that emphasizing the therapeutic relationship can impede progress and create dependency.
Rational-Emotive Behavior Therapy (REBT) (Albert Ellis)
What is the main focuses of a Person-Centered therapist?
Nondirective and Collaborative
Help clients achieve congruence between values and behavior.
Do not explore irrational thinking.
Counterconditioning
Changing the response to a stimuli.
What is the best way to identify factors affecting the client’s clinical presentation and treatment plan goals?
Construct a Case Conceptualization
The 8 P’s
1. Presentation
2. Predisposition
3. Precipitants
4. Protective factors and strengths
5. Pattern
6. Perpetuates
7. Plan
8. Prognosis
(Sperry & Sperry)
Overgeneralization
Cognitive distortion that involves making broad negative conclusions that are far beyond what the situation indicates. (Beck & Burns)
Ex. Student receives a C on a test and concludes that she is stupid and a failure.
All-or-Nothing Thinking/Polarized Thinking
a.k.a. Black & White Thinking - Seeing things in terms of extremes, something is either fantastic or awful. (Beck & Burns)
Also known as splitting.
Mental Filter
Similar to overgeneralization, but a mental filter distortion focuses on a single negative piece of info and excludes all the positive ones. (Beck & Burns)
Ex. One partner in a relationship dwelling on a single negative comment made by the other partner and viewing the relationship as lost despite years of positive comments and experiences.
Disqualifying the Positive
One acknowledges positive experiences but rejects them instead of embracing them. (Beck & Burns)
Ex. Rejecting the idea that one is a competent employee despite a glowing review; makes it about political correctness or some other reason.
Jumping to Conclusions - Mind Reading
A cognitive distortion suggesting that we know what another person is thinking; specifically the negative interpretations that we jump to. (Beck & Burns)
Jumping to Conclusions - Fortune Telling
The tendency to make conclusions and predictions based on little to no evidence and holding them as gospel truth. (Beck & Burns)
Magnification (Catastrophizing) or Minimizing
A cognitive distortion that is exaggerating or minimizing the meaning, importance, or likelihood of things. (Beck & Burns)
Emotional Reasoning
A cognitive distortion that refers to the acceptance of one’s emotions as fact. “I feel it, therefore it must be true.” (Beck & Burns)
“Should” Statements
Cognitive distortions that suggest what you “should” do, what you “ought” to do, or what you “must” do. (Beck & Burns)
Labeling and Mislabeling
Cognitive distortion in which we assign judgments of value to ourselves or to others based on one instance or experience. (Beck & Burns)
Ex. A waiter labels a customer “a grumpy old miser” if he fails to thank the waiter for bringing his food.
Personalization
Cognitive distortion that takes everything personally or assigns blame to oneself without any logical reason to believe they are to blame. (Beck & Burns)
Downward Arrow Technique
A cognitive therapy skill that is used to access core beliefs.
Role Reversion
A cognitive therapy skill used to challenge negative cognitions, therefore reducing psychological distress. Client takes on role of therapist and argues against the client’s hypothesis associated with distorted thinking.
Shame Attacking
An REBT technique used for reducing the need for approval and a reduction in catastrophic thinking that fosters feelings of inadequacy.
The Three Basic Musts
- Believing one must perform in a manner that others affirm.
- Believing one must be treated in a manner that the client finds affirming.
- Believing that one must get what they think they are entitled to.
Gender dysphoria is caused not only by external (distal) stressors (e.g. prejudice, discrimination) but also by negatively internalized (proximal) stressors, including internalized transphobia and stigma.
Minority Stress Theory
Cognitive Dissonance Theory
Individuals experience distress when faced with two or more incompatible cognitive elements (i.e. choices).
Individuals are influenced by fitting in and belonging to social groups.
Social Identity Theory - Alignment with one’s identified social group is likely to affect self-esteem, especially if the i.d. is strong.
Escape Theory
Individuals tend to avoid activities that are psychologically unpleasant.
One’s inner sense of being male, female, a combination of both or neither.
Gender Identity
The primary purpose of this therapy is to strengthen the boundaries within family systems by deliberately disrupting the family’s homeostasis through techniques that include unbalancing, blocking transactional patterns, and shifting boundaries.
Structural Family Therapy
Other Structural Family Techniques:
- Assigning tasks
- Reframing
- Escalating stress
- Psychoeducation
- Developing implicit conflict
Contextual Family Therapy
Emphasizes the ethical elements of each family , including loyalty, trust and relational principles.
This therapy focuses on families with high levels of emotional fusion and low levels of differentiation.
Dysfunction can be handed down from one generation to another.
Multigenerational Family Systems Theory
Murray Bowen
Joining
Family Systems Technique
Counselor takes a leadership position within the family system.
Psychological Vulnerabilities for GAD
Cognitive Biases
Inseccure Attachement
Unstable Affect Mgmt.
Unconscious Conflicts
Biological Vulnerabilities of GAD
Sleep Irregularities
Autonomic Hyperactivity (dry mouth, heart palpitations, sweating)
Autonomic Hyperactivity is a physiological component of GAD
Negative Valence
Affective states such as anxiety or depression.
Postive Valence - Happiness and Joy
Social Vulnerabilities of GAD
Trauma
Parenting Styles
Peer Rejection
Postive Valence
Joy & Happiness
Negative Valence - Depression and Anxiety