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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
structural therapy | accommodation
necessary in healthy families to negotiate differences
26
humanistic experiential | rescue games
rescue - one agrees, disagrees, changes the subject, families with schizophrenia
27
humanistic experiential | coalition games
two agree and one disagrees or two disagree and one agrees. Results in disturbed bx
28
humanistic experiential | lethal games
everyone agrees at the expense of their own needs causes psychosomatic illnesses
29
humanistic experiential | growth vitality games
open communications members feel safe to agree or disagree and be heard.
30
strategic/communications/MRI terminology | punctuation
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.
31
strategic/communications/MRI terminology | complementary relationship
when members are different in ways that fit together, can become a problem when there is too great an imbalance.
32
strategic/communications/MRI terminology | symptoms
seen as communication, a tactic or bx to gain power when needs are not being met
33
strategic/communications/MRI terminology | structured family interview
family is given a task to complete and the therapist observes the family's patterns of communication, decision making, scapegoating, etc.
34
strategic/communications/MRI terminology | circular questioning
consistent with the concept of circular causality, questions are asked that frame the presenting problem in relational terms
35
strategic/communications/MRI terminology | symmetrical relationships
when the couple is similar can be a problem when they become too competitive.
36
cbt concepts | systematic bias
error in information processing about self, world, and future that color our views of every situation we encounter
37
cbt concepts | cognitive triad
beliefs formed early in childhood about self, the world and the future
38
Classical conditioning
focuses on change in involuntary responses; fears, anxiety depression
39
operant conditioning
focuses on change in voluntary responses
40
classical conditioning systematic desensitization involves
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.
41
classical conditioning | systematic desensitization
a methodology that uses counterconditioning primarily for anxiety-based or avoidance behaviors and phobias
42
existential Gestalt terms | impasse
situation where there is no external support and the person doesn't believe they can support themselves.
43
operant conditioning techniques caring days
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
Existential, Gestalt terms | inclusion
empathy
45
existential Gestalt terms | split or dichotomy
when parts of the personality compete and therefore are not integrated into a whole or Gestalt
46
Johnson's desease model
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
Jellinek's phases
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
Existential Gestalt | Congruence
Genuineness, matching feelings and behavior
49
Existential Gestalt | unfinished business
unexpressed feelings that linger in the background and interfere with the ability to be present and to have contact with self and others
50
Existential Gestalt | paradoxical theory of change
"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
Existential Gestalt | Experiment
any intervention is called an experiment in self and self0other awareness and acceptance
52
Existential Gestalt | figure/ground
the ground is everything that is possible to bring into awareness, the figure is that which is the focus in any given moment.
53
Existential Gestalt | dialogic approach
a commitment to staying engaged, staying in contact with the client no matter how difficult the encounter.
54
Person-Centered Therapy | contact and contact boundaries
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
stages and goals of group therapy
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
Extended Family Therapy terms | fusion and emotional cutoff
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
Extended Family Therapy terms | pseudo-self
through process of fusion and emotional cutoff we become pseudo selves
58
Extended Family Therapy terms | non anxious presence
therapist models differentiation by maintaining a non-anxious presence when engaging with the family.
59
Extended Family Therapy terms | Differentiation
the ability to separate thoughts from emotions and the ability to separate self from others
60
Family systems concepts | Nonsummativity
A system cannot be analyzed by isolated segments. The whole is greater than the sum of the parts.
61
Family systems concepts | Wholeness
There is an interdependence between the parts of the system. Change in one person results in a change in the system.
62
Family systems concepts | Circular causality
Each person is organizing and being organized by others in repeating feedback loops.
63
Extended Family Therapy terms | non anxious presence
therapist models differentiation by maintaining a non-anxious presence when engaging with the family.
64
Family systems concepts | Homeostasis
A system's balance point
65
Family systems concepts | Positive feedback
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
Family systems concepts | Negative feedback
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
Family systems concepts | Equifinality
Same results spring from different origins
68
Extended Family Therapy terms | undifferentiated Family Ego Mass
emotional fusion in nuclear family, emotional stuckness
69
Extended Family Therapy terms | Parental we-ness
undifferentiated couple ego mass, a fused parental dyad who triangulates, project, creates identified patients of their children
70
Extended Family Therapy terms | overadequate/underadequate reciprocity
one partner is responsible other is not.. when balance is too great it results in symptomatic bx
71
Extended Family Therapy terms | family projection process
parental conflicts transmitted to the kids
72
humanistic experiential | seed model
human beings given the right conditions for growth are like seeds destined to become full, healthy, exuberant being.
73
humanistic experiential | family life chronology
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
humanistic experiential | contact
seeing hearing and touching, understanding another
75
Extended Family Therapy terms | genogram
diagrams that are used to map the multigenerational transmission process. Used as an assessment and an educational techniques
76
Family systems concepts | marital skew
one parent is dominant and abusive and the other weak and dependent
77
Family systems concepts | pseudomutuality
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
Family systems concepts | marital schism
ongoing fighting and competition for the children
79
Family systems concepts | centripetal families
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
Family systems concepts | centrifugal families
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
Family systems concepts | pseudohostility
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
Family systems concepts | Diffuse boundaries
fail to provide protection necessary for autonomous development of a sense of self. lead to enmeshed relationships.
83
Family systems concepts | rigid boundaries
keep people at an emotional distance from each other. Lead to disengaged relationships.
84
family systems theories
strategic/communications/MRI, Humanistic-Experiential, Structural, Extended family therapy
85
Family systems concepts | homeostasis
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
Existential Gestalt | Contact and contact boundaries
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
Family systems concepts | nonsummativity
related to concept of wholeness; a system (family) cannot be analyzed by isolated segments. Emphasis on treating the whole family.
88
Structural | first order change
Alleviate symptoms | change/reframe view of problem
89
Structural | Second order change
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
Structural interventions Confirmation
looking for positive attributes
91
Structural | interventions
Mapping family structure/patterns paradoxical interventions reframe/relabel rituals to commit to changes in system
92
Structural | early stage goal
Observation join and accomodate challenge symptom
93
Structural | Early stage intervention
engage family; looks for alliances and splits Family history; relabeling the problem enactment
94
Extended Family Therapy terms | premise of eft
unresolved emotional attachments to one's family of origin must be resolved
95
Extended Family Therapy terms | family projection process
parental conflicts transmitted to the kids
96
Extended Family Therapy terms | Multigenerational transmission process
1. people select spouses with similar levels of differentiation 2. family projection results in lower differentiation for children
97
Extended Family Therapy terms | family ego mass
emotional fusion in nuclear family
98
Extended Family Therapy terms | overfunctioning-underfunctioning reciprocity
?
99
Strategic | 3 types of directives
``` compliance based (assigning tasks) ambiguous paradoxical (defiance based) ```
100
Strategic | paradoxical directives
``` prescribing the symptom restraining strategies ("go slow") positioning strategies (exaggerating family's negative interpretation of situation ```
101
Gestalt - topdog/underdog
authoritarian bully makes impossible demands/crybaby- defensive apologetic
102
Family systems | Marital schism
no role reciprocity or accommodation, marriages are combat zones
103
Family systems | Marital skew
serious psychopathology in one partner who dominates the other
104
Family systems | marital quid pro quo
conglomeration of unconscious marital roles and rules
105
satir | time frame
short term
106
strategic/communications | metacommunication
nonverbal communication
107
strategic | structured family interview
``` 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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