Therapy Theories Flashcards

1
Q

Change through insight and understanding of early, unresolved issues
• Insight oriented therapy
• A belief that psychopathology develops especially from early childhood
experiences
• Understanding the influence of the past on current behavior
• Explore client’s transference
• Identify defense mechanisms
• Non-directive, open-ended sessions based on free association
• Good for high functioning people capable of insight, relationship problems

A

psychodynamic therapy

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2
Q

Change of behavior through reinforcements and punishment.

Identify the problem, monitor behavior, reinforce desired behavior

A

behavioral therapy

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3
Q

A model for understanding how attachment to early caregivers affects our long term functioning
• How a caregiver responds to an infant/toddler’s cues shapes that child’s view of the world.
• Used to assess the bond between mother and child. Observing how child responds when caregiver leaves and returns to room.
• Poor attachment leads to indiscriminate attachment and lack of trust.

A

attachment therapy

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4
Q

Change through learning to modify dysfunctional thought patterns
• Clients explore patterns of thinking and beliefs that lead to self-destructive
behaviors.
• Once an individual understands the relationship between thoughts, feelings,
and behaviors, the individual is able to modify or change existing patterns of
thinking to cope with stressors in a more positive manner.
• Focus on automatic thoughts, schemas, assumptions, beliefs
• Good for Anxiety, Depression, Bipolar Disorder

A

Cognitive therapy

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5
Q

Change through accessing client’s strengths and resources
• Brief, goal-directed therapy focused on client’s strengths and resources
• Focuses on what the client wants to achieve instead of focusing on the
problems
• Focuses on the client’s strengths and resources in order to create a more
effective future
• Miracle Question
• Good for short-term problems

A

Solution focused therapy

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6
Q

Change through increased awareness of here-and-now experience
• Focuses on the process, what is actually happening, and the content, what is
being talked about
• Emphasizes what is going on in the present moment within both the client
and the therapist rather than what has happened
• Empty Chair technique example of bringing issue into present moment

A

Gestalt therapy

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7
Q

Change through remodeling the family’s organization
Many family problems arise as a result of maladaptive boundaries and
subsystems within the family system.
• A systems approach that address relationship dynamics of whole family
The therapist helps the family understand how family structure (relationships and hierarchies) can be changed, the impact of rituals and rules, and how new patterns of interaction can be integrated into the family.
• Enmeshed families known for incest
• Disengaged families known for substance abuse
• Good for families that are having problems with in-laws

A

Structural Family Therapy

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8
Q

Change through understanding multigenerational dynamics
• Individuals cannot be understood in isolation from one another but rather as
a part of their family.
• Family members are driven to achieve a balance of internal and external
differentiation, which causes anxiety, triangulation, and emotional cutoff.
• This can be changed by understanding multigenerational or current family
dynamics and patterns.

A

Bowen family therapy

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9
Q

Change through finding meaning in life
• Founded upon the belief that it is the striving to find a meaning in one’s life
that is the primary, most powerful motivating and driving force.
• Understanding purpose

A

Logotherapy

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10
Q

Change through recognizing disempowering social forces and empowering client
• The therapist helps the client recognize disempowering forces or influences,
a process which can ultimately empower the client.
• The therapist recognizes that with every symptom there is a strength, and
also shows the client that she is her own rescuer and equal to the therapist.
• Good for eating disorders

A

Feminist therapy

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11
Q

Change through supporting clients to take actions to address the problems in their lives; Short term

A

task center/problem solving therapy

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12
Q

Aims to change behavioral, emotional, and thinking patterns associated with dysfunction
• Developed to treat intense emotional swings, impulsiveness, confusion regarding the self (identity), and suicidal behavior
• Teaches mindfulness, interpersonal effectiveness, emotion regulation, distress tolerance, and self-management.
• Good for Borderline Personality Disorder

A

DBT

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13
Q

Change occurs by externalizing problem and creating a new narrative or story, which emphasizes the client’s competencies and strengths.
• Problems are viewed as separate entities from the client
• Therapist “externalizes” problem, separates it from client
• Highlights “unique outcomes” when the client could resist the problem
• Therapist “maps the influence” of the problem

A

Narrative therapy

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14
Q

This includes having an understanding of not only the psychological impacts of trauma, but the neurological, biological, and interpersonal effects of trauma.
• A trauma-based approach includes the view of the client having been hurt by someone or something.
• Emotional/psychological and physical safety are crucial. Trauma treatments do not begin while the trauma is still actively occurring; safety must be established first.
• Treatment focuses on the client’s gaining back control and empowerment in their lives.

A

trauma informed therapy

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15
Q

evidence based treatment for children and adolescents used to treat the effects of trauma.
• involves the child’s parents/caregivers, with individual sessions for both the child and the parents, as well as parent-child joint sessions).
• It helps reduce emotional and behavioral trauma symptoms and is a relatively short term treatment (generally 8-25 sessions).

A

TFCBT

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16
Q

first stage of TFCBT

A

Stabilization: Stabilization skills are needed to help the child and parent tolerate the trauma processing that will occur in stage two. This stage includes psychoeducation, relaxation skills, and parenting skills.

17
Q

Alleviates symptoms of trauma through Reprocessing of trauma.
• This treatment is based on an 8 step highly structured protocol
• Based on idea that trauma overwhelms normal cognitive and neurological
coping
• Clients recall distressing images/memories while engaging in bilateral
stimulations/controlled eye movements
• Utilizes desensitization techniques
• Used for people who have experienced trauma and are still emotionally
effected by the event in some way
• Therapists must engage in thorough training and supervision before they can
offer EMDR treatment unsupervised.

A

EMDR

18
Q

exposing the client to the source of anxiety in a safe environment. Exposure to the object of their fears allows them to overcome their anxiety.
Exposure can be an intervention strategy used within cognitive behavioral therapy to help individuals confront fears.
• Systematic Desensitization is used to treat phobias. It involves the client being exposed to progressively more anxiety provoking situations/material as they are taught relaxation skills to manage their anxiety.

A

Exposure therapy

19
Q

This therapy helps clients to gradually approach
1. their trauma-related memories and subsequent feelings and
2. situations and places that cause
anxiety as a result of their trauma.
• Uses imaginal and in-vivo (in person) exposure.
• Imaginal exposure includes the retelling of the trauma memory.

A

Prolonged exposure therapy

20
Q

second stage of TFCBT

A

Trauma narrative: The trauma narrative allows the child to tell the story of their trauma. Over the course of several sessions, the child gives increasing details of what happened during the traumatic event. It often begins with factual details and then moves into their thoughts and feelings from this time as well. This intervention both helps make sense of their experience and serves as a form of exposure therapy to the painful memories; over time as the child repeats their narrative, the emotional and physiological reactivity progressively decreases.

21
Q

Third stage of TFCBT

A

Integration and consolidation: This is the final phase of TFCBT and occurs after the creation and processing of the trauma narrative. It focuses on enhancing personal safety and future growth.

22
Q

occurs when a behavior
(response) is followed by a stimulus that is rewarding, increasing the
frequency of that behavior.

A

Positive reinforcement (reinforcement)

23
Q

occurs when a behavior (response) is
followed by the removal of an aversive stimulus, thereby increasing that behavior’s frequency. Ex: Wife nags husband until he does something, then the nagging stops.

A

negative reinforcement (escape)

24
Q

occurs when a behavior (response) is followed by a stimulus, such as introducing a shock or loud noise, resulting in a decrease in that behavior. Ex: spanking

A

Positive punishment (punishment)

25
Q

occurs when a behavior (response) is followed by the removal of a stimulus. Ex: taking away a child’s toy following an undesired behavior, resulting in a decrease in that behavior.

A

Negative punishment (penalty)

26
Q

is an exchange system using the principles of operant conditioning where a token is given as a reward for a desired behavior. Tokens may later be exchanged for a desired prize or rewards such as power, prestige, goods, or services.

A

token economy

27
Q

is a form of operant conditioning in which the increasingly accurate approximations of a desired response are reinforced.

A

shaping