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treatment > treatment planning > Flashcards

treatment planning Flashcards

1
Q

object relations terms

derivatives

A

Symbolic, underlying meaning of speech, as opposed to the content, and that reflect the encoded ways that the unconscious presents itself

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2
Q

object relations terms

introjection

A

an unconscious process in which the values, personality traits, and unconscious projections of early caregivers are “taken in” to form building blocks of a sense of self

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3
Q

object relations terms

projection

A

unconsciously attributing to others one’s own unacceptable desires or impulses; unconsciously attributing to others one’s own shameful and split-off parts.

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4
Q

object relations terms

projective identification

A

recipient of a projection experiences the disowned feelings, impulses, shame, and split0off parts of the projector as his or her own.

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5
Q

object relations terms

recapitulation

A

Freud’s “return of the repressed” or repetition compulsion. Tendency to repeat, recreate, and reenact, unconsciously and compulsively, one’s early relational experiences, no matter how problematic the experiences

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6
Q

object relations terms

transference

A

process where early relational experiences (internal object relations) become the lens through which all other relationships are understood. Expecting people to respond the same way significant others have in the past.
distortion of current relational experience

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7
Q

object relations terms

Role of the Therapist

A 
Neutral, blank slate
active
directive
challenging
interprets unconscious material
links
interprets transference and projection
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8
Q

Existential terms

intentionality

A

The unique ways in which each individual creates meaning for himself. Our intentionality determines our reactions to life

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9
Q

Object relations family therapy

A

deals with the family’s shared unconscious, internalized object relations, and the unconscious collusive system that develops btwn family members who experience projective identification

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10
Q

Existential terms

Fusion Delusion

A

false belief regarding a relationship between two people, in which the concepts of separateness and the unique subjectivity of each individual are denied. The challenge is how do two people relate aware of separateness but not violating the subjectivity of the other.

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11
Q

Existential terms

Bad Faith

A

choosing to be unaware of an aspect of one’s experience and denying that one is making a choice to be unaware

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12
Q

Existential

preferred unit of treatment

A

individuals, couples or families

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13
Q

Object relations

preferred unit of tx

A

entire nuclear family

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14
Q

Existential

Role of the therapist

A 
non-directive
authentic, separate and free yet in relationship
models authenticity
self-disclosing
not an expert
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15
Q

Existential terms

project

A

one’s basic goals in life

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16
Q

person centered therapy

role of the therapist

A

non directive
genuine
empathetic
enters the client’s phenomenological world without judgment to understand client’s experience

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17
Q

person centered therapy

three conditions necessary for growth

A

genuineness, empathy and unconditional positive regard

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18
Q

person centered therapy

preferred unit of tx

A

individuals, couples, families

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19
Q

structural therapy

spontaneous behavior sequences

A

when the family spontaneously demonstrate the structure of the family, therapist won’t need to create an enactment

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20
Q

structural therapy

Tracking

A

when the therapist pays close attention during enactments and spontaneous behavior, noting boundaries, coalitions, rules and roles

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21
Q

structural therapy

affective intensity

A

therapists can highlight and modify interactions by regulating the intensity of their messages so that it breaks through the defenses families create for not taking in new info or challenges to their perceptions. Talking loudly softly, provocatively, or repeating (broken record technique

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22
Q

structural therapy

shaping competence

A

making a fuss over what the family is doing well

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23
Q

structural therapy

unbalancing

A

way to throw off homeostasis, supports one family member or system at expense of another. Takes turns taking different sides

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24
Q

structural therapy

joining

A

by means of mimesis and accommodation

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25
Q

structural therapy

accommodation

A

necessary in healthy families to negotiate differences

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26
Q

humanistic experiential

rescue games

A

rescue - one agrees, disagrees, changes the subject, families with schizophrenia

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27
Q

humanistic experiential

coalition games

A

two agree and one disagrees or two disagree and one agrees. Results in disturbed bx

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28
Q

humanistic experiential

lethal games

A

everyone agrees at the expense of their own needs causes psychosomatic illnesses

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29
Q

humanistic experiential

growth vitality games

A

open communications members feel safe to agree or disagree and be heard.

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30
Q

strategic/communications/MRI terminology

punctuation

A

the mutually blaming, arguing and bickering typical of families locked into a belief in linear causality, “the reason I nag is cuz you withdraw, the reason I withdraw is because you nag.

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31
Q

strategic/communications/MRI terminology

complementary relationship

A

when members are different in ways that fit together, can become a problem when there is too great an imbalance.

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32
Q

strategic/communications/MRI terminology

symptoms

A

seen as communication, a tactic or bx to gain power when needs are not being met

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33
Q

strategic/communications/MRI terminology

structured family interview

A

family is given a task to complete and the therapist observes the family’s patterns of communication, decision making, scapegoating, etc.

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34
Q

strategic/communications/MRI terminology

circular questioning

A

consistent with the concept of circular causality, questions are asked that frame the presenting problem in relational terms

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35
Q

strategic/communications/MRI terminology

symmetrical relationships

A

when the couple is similar can be a problem when they become too competitive.

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36
Q

cbt concepts

systematic bias

A

error in information processing about self, world, and future that color our views of every situation we encounter

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37
Q

cbt concepts

cognitive triad

A

beliefs formed early in childhood about self, the world and the future

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38
Q

Classical conditioning

A

focuses on change in involuntary responses; fears, anxiety depression

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39
Q

operant conditioning

A

focuses on change in voluntary responses

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40
Q

classical conditioning
systematic desensitization
involves

A

analysis of stimuli that evoke the phobic bx
prioritizing situation that produce phobic response (hierarchy of fears)
teaching relaxation training
pairing relaxation responses with fear-producing scenes and situations from least to most threatening.

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41
Q

classical conditioning

systematic desensitization

A

a methodology that uses counterconditioning primarily for anxiety-based or avoidance behaviors and phobias

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42
Q

existential Gestalt terms

impasse

A

situation where there is no external support and the person doesn’t believe they can support themselves.

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43
Q

operant conditioning
techniques
caring days

A

each partner describes specific bx’s they desire from the other. Each one is asked to carry out 8 to 20 of them regardless of other’s bx

44
Q

Existential, Gestalt terms

inclusion

A

empathy

45
Q

existential Gestalt terms

split or dichotomy

A

when parts of the personality compete and therefore are not integrated into a whole or Gestalt

46
Q

Johnson’s desease model

A

1st phase - learning about the mood swing effect
2nd phase - seeking the mood swing
3rd phase - harmful dependence
last phase - drinking to feel normal

47
Q

Jellinek’s phases

A

pre-alcoholic - use stage, uses etoh to handle problems
prodromal - blackouts, sneaky, guilt, want to appear normal while drinking
crucial - can’t stop, may drink in the morning
chronic - physical sx’s apparent

48
Q

Existential Gestalt

Congruence

A

Genuineness, matching feelings and behavior

49
Q

Existential Gestalt

unfinished business

A

unexpressed feelings that linger in the background and interfere with the ability to be present and to have contact with self and others

50
Q

Existential Gestalt

paradoxical theory of change

A

“change occurs when one becomes what he is, not when he tries to become what he is not. When we learn to accept all aspects of ourselves then change begins to happen all by itself.

51
Q

Existential Gestalt

Experiment

A

any intervention is called an experiment in self and self0other awareness and acceptance

52
Q

Existential Gestalt

figure/ground

A

the ground is everything that is possible to bring into awareness, the figure is that which is the focus in any given moment.

53
Q

Existential Gestalt

dialogic approach

A

a commitment to staying engaged, staying in contact with the client no matter how difficult the encounter.

54
Q

Person-Centered Therapy

contact and contact boundaries

A

self-other process of engaging and disengaging; therapist helps client become aware of their “contact boundaries” Their style of moving towards and away from others.

55
Q

stages and goals of group therapy

A

form - commitment to group goals, interest in relationships with others
storm - acknowledgment and confrontation of conflict, mangt of and permitting expression of feelings
norm - involvement and support; recognition and respect of differences; create a sense of inclusion and belonging
effective group - all members contribute; members ideas are valued; feeling achievement and pride

56
Q

Extended Family Therapy terms

fusion and emotional cutoff

A

sacrificing one’s own needs to avoid the anxiety and conflict of voicing opposing needs of others or to not deal with emotions at all

57
Q

Extended Family Therapy terms

pseudo-self

A

through process of fusion and emotional cutoff we become pseudo selves

58
Q

Extended Family Therapy terms

non anxious presence

A

therapist models differentiation by maintaining a non-anxious presence when engaging with the family.

59
Q

Extended Family Therapy terms

Differentiation

A

the ability to separate thoughts from emotions and the ability to separate self from others

60
Q

Family systems concepts

Nonsummativity

A

A system cannot be analyzed by isolated segments. The whole is greater than the sum of the parts.

61
Q

Family systems concepts

Wholeness

A

There is an interdependence between the parts of the system. Change in one person results in a change in the system.

62
Q

Family systems concepts

Circular causality

A

Each person is organizing and being organized by others in repeating feedback loops.

63
Q

Extended Family Therapy terms

non anxious presence

A

therapist models differentiation by maintaining a non-anxious presence when engaging with the family.

64
Q

Family systems concepts

Homeostasis

A

A system’s balance point

65
Q

Family systems concepts

Positive feedback

A

communication that introduces novelty in a system and has the potential to change the family’s homeostasis. Need it for family’s to adapt to change, too much can be destabilizing. “I want to do this”

66
Q

Family systems concepts

Negative feedback

A

communication that causes a family to resist change and maintain it’s homeostasis. It maintains order and prevents chaos. Too much inhibits a family’s ability to adapt to change. “no, you can’t”

67
Q

Family systems concepts

Equifinality

A

Same results spring from different origins

68
Q

Extended Family Therapy terms

undifferentiated Family Ego Mass

A

emotional fusion in nuclear family, emotional stuckness

69
Q

Extended Family Therapy terms

Parental we-ness

A

undifferentiated couple ego mass, a fused parental dyad who triangulates, project, creates identified patients of their children

70
Q

Extended Family Therapy terms

overadequate/underadequate reciprocity

A

one partner is responsible other is not.. when balance is too great it results in symptomatic bx

71
Q

Extended Family Therapy terms

family projection process

A

parental conflicts transmitted to the kids

72
Q

humanistic experiential

seed model

A

human beings given the right conditions for growth are like seeds destined to become full, healthy, exuberant being.

73
Q

humanistic experiential

family life chronology

A

information gathering technique that centers on the parents in a family. How they saw themselves in family of origin, how they met, how children perceive them as parents and how they perceive themselves.

74
Q

humanistic experiential

contact

A

seeing hearing and touching, understanding another

75
Q

Extended Family Therapy terms

genogram

A

diagrams that are used to map the multigenerational transmission process. Used as an assessment and an educational techniques

76
Q

Family systems concepts

marital skew

A

one parent is dominant and abusive and the other weak and dependent

77
Q

Family systems concepts

pseudomutuality

A

family system in which everyone gets along, none rocks the boat, any feelings that would disrupt this facade are disavowed leading to isolated inauthentic selves

78
Q

Family systems concepts

marital schism

A

ongoing fighting and competition for the children

79
Q

Family systems concepts

centripetal families

A

families who cling tenaciously and protectively to offspring. Negative feedback is so strong that family members are restrained in their growth and no capacity for independence and autonomy. Children tend to have depression and eating disorders.

80
Q

Family systems concepts

centrifugal families

A

children are free to operate separately and independently. They are cast adrift by unrestrained positive feedback, have little sense of belonging and capacity for interdependence or mutuality is inhibited. Symptoms are outward; disruptive behaviors.

81
Q

Family systems concepts

pseudohostility

A

ongoing bickering over superficial, resolvable issues. fighting to serves to avoid vulnerability, exposure of needs, feelings and intimacy. No one’s feelings are validated leading to isolated, inauthentic selves.

82
Q

Family systems concepts

Diffuse boundaries

A

fail to provide protection necessary for autonomous development of a sense of self. lead to enmeshed relationships.

83
Q

Family systems concepts

rigid boundaries

A

keep people at an emotional distance from each other. Lead to disengaged relationships.

84
Q

family systems theories

A

strategic/communications/MRI, Humanistic-Experiential, Structural, Extended family therapy

85
Q

Family systems concepts

homeostasis

A

The need for a system to stay the same. Efforts to change the way a family understands itself and functions will be met with homeostasis, a natural occurring force of resistance. Where a family is comfortable often at the expense of members’ wellbeing.

86
Q

Existential Gestalt

Contact and contact boundaries

A

the self-other process of engaging and disengaging. Therapist helps client become aware of their contact boundaries..style of moving towards and away from others.

87
Q

Family systems concepts

nonsummativity

A

related to concept of wholeness; a system (family) cannot be analyzed by isolated segments. Emphasis on treating the whole family.

88
Q

Structural

first order change

A

Alleviate symptoms

change/reframe view of problem

89
Q

Structural

Second order change

A

Develop more adaptive functioning to stress
Activate dormant functional patterns
change structure/patterns that maintain ind. sx’s
Clarify relational boundaries/roles
Change hierarchical system, make parents executive subsystem

90
Q

Structural
interventions
Confirmation

A

looking for positive attributes

91
Q

Structural

interventions

A

Mapping family structure/patterns
paradoxical interventions
reframe/relabel
rituals to commit to changes in system

92
Q

Structural

early stage goal

A

Observation
join and accomodate
challenge symptom

93
Q

Structural

Early stage intervention

A

engage family; looks for alliances and splits
Family history; relabeling the problem
enactment

94
Q

Extended Family Therapy terms

premise of eft

A

unresolved emotional attachments to one’s family of origin must be resolved

95
Q

Extended Family Therapy terms

family projection process

A

parental conflicts transmitted to the kids

96
Q

Extended Family Therapy terms

Multigenerational transmission process

A
  1. people select spouses with similar levels of differentiation
  2. family projection results in lower differentiation for children
97
Q

Extended Family Therapy terms

family ego mass

A

emotional fusion in nuclear family

98
Q

Extended Family Therapy terms

overfunctioning-underfunctioning reciprocity

A

?

99
Q

Strategic

3 types of directives

A 
compliance based (assigning tasks)
ambiguous
paradoxical (defiance based)
100
Q

Strategic

paradoxical directives

A 
prescribing the symptom
restraining strategies ("go slow")
positioning strategies (exaggerating family's negative interpretation of situation
101
Q

Gestalt - topdog/underdog

A

authoritarian bully makes impossible demands/crybaby- defensive apologetic

102
Q

Family systems

Marital schism

A

no role reciprocity or accommodation, marriages are combat zones

103
Q

Family systems

Marital skew

A

serious psychopathology in one partner who dominates the other

104
Q

Family systems

marital quid pro quo

A

conglomeration of unconscious marital roles and rules

105
Q

satir

time frame

A

short term

106
Q

strategic/communications

metacommunication

A

nonverbal communication

107
Q

strategic

structured family interview

A 
5 in session tasks;
family decides their main problem
plans an outing
parents discuss how they met
family discusses meaning of a proverb
family identifies faults and places blame

treatment (6 decks)

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