Tx

Question 1

Reciprocal inhibition

Answer 1

stronger response will inhibit the weaker (for better or worse). TX = strengthen incompatible response

Question 2

Wolpe and SD - effectiveness?

Answer 2

Systematic Desensitization – heirarchy (anxiety v relaxation response; imagined or in vivo) &raquo_space;> less effective tx for phobias than prolonged/intense exposure

Question 3

Sensate Focus - who? stages?

Answer 3

Masters and Johnson – pleasure v perf. anx. — 4 stages: excitement, plateau, orgasm, and resolution

Question 4

Counterconditioning applications x2 - benefits?

Answer 4

1. Assertiveness training (v. social anxiety); 2. Aversive counterconditioning (v. deviant behs; covert sensitization uses imagination) — BENEFITS: short term; high rates of recidivism.

Question 5

Txs - Social Learning Theory x3

Answer 5

Symbolic modeling (similar to indvdl) —- Live/in-vivo engagement w feared object —- Participant Modeling: +contact w model

Question 6

Txs - Cog-Beh: Ellis

Answer 6

Ellis: REBT; ABC, DEF (disputing, effective philosphy, feelings new); therapist models more rational beliefs and provides fb to ct.

Question 7

Meichenbaum

Answer 7

Meichenbaum: CBM; self-instructional training; ADHD; staged process until pt silently talks thru task then independently performs it.

Question 8

Beck

Answer 8

Beck: CT; hypothesis testing, assignments, Socratic questioning, collaborative (>rebt), automatic thoughts; maladaptive cog triad (neg self/world/future)

Question 9

Stress Inoculation Training

Answer 9

for PTSD; anx, anger, med probs; 3 phases: edu on coping affecting stress > skills acquisition > application in imagination and vivo (relapse prevention = learning opps)

Question 10

Rehm Self Ctrl Model of Depx

Answer 10

response-contingent reinforcement, for adaptive behavior; depx = lack of self-reinforcement and high rates of self-punishment.

Question 11

Marlatt Relapse Prevention

Answer 11

Addiction = overlearned habit; Learn from relapse, ID triggers and adjust.

Question 12

Linehan: 4 parts of DBT

Answer 12

individual, telephone, skills training, therapist consultation

Question 13

Freud - kinds of mental fx - 2 processes

Answer 13

Ego – Primary: tension reduction; Secondary: meeting demands of reality.

Question 14

Millon primary defenses; plastic PD

Answer 14

Alloplastic (other) and Autoplastic (self) change/blame

schizoid = IQzation —- Narc = rationalizatn —- Paranoid = projection —- BPD = regression —- Histrionic = dissociation ——- Dependent = introjection ——- Antisocial = acting out.

Question 15

Ego Psych - Hartmann, Frued, Erikson

Answer 15

Hartmann = father of ego psych; ego and id parallel processes; “conflict free sphere” (learning, mem, locomotion) —————- Anna Freud: kids; words >play, strong therapy bond > neutral. ——— Erikson: dev in resp to social crises; epigenetic sequences (mastery of prior stage); expanded ego stages into adulthood. Beh = interaction btw internal and external/social world.

Question 16

Obj-relations - what are objects? goal?

Answer 16

Obj = relationships; Goal = integrating parts (good and bad) to attain object constancy; T is active, not neutral.

Question 17

Klein (CK 1)

Answer 17

Splitting (good v bad) prevents obj const. Play = free association.

Question 18

Winnicot (Pooh bear)

Answer 18

true self v false (social) self; transitional object (link to mom)

Question 19

Marg Mahler

Answer 19

Separation and individuation in 6 stages: infant aut, symbio, differnttn, pract, rapprochment, obj cont. Maturation of independent ego fxs.

Question 20

Kohut narcissism

Answer 20

It’s a good thing! “Primary narcissism” to get “selfobject” needs met thru mirroring, idealizing, twinship. T focus is empathic attunement, “experience near”

Question 21

Neo-Freudian

Answer 21

Social/cult; faulty learning = maladaptive style; T examines difficulties related to ppl (tendencies misperceive/interpret beh of others)

Question 22

Neo-Freud: Sullivan - 3 modes; IPT

Answer 22

Personality is emo exchange btw ppl; inf by Piaget cog dev. —– PROTOTAXIC (<8mos serial sensations); PARATAXIC (8-11mos sequential sensations); SYNTAXIC (12-24mos causal sensation) ——— Interpersonal therapy: 16 sesh, 4 prob areas: grief, role dispute, role transition, interpersonal deficits; No focus on transference

Question 23

Neo-Freud: Horney culture

Answer 23

Neurosis is culturally defined; 3 neurotic trends: compliant towds, agressive towds, detachedly away

Question 24

Neo-Freud: Fromm

Answer 24

Marx; existentialist; freedom frightens; “having” v “being” (healthier) modes

Question 25

Adlerian:

Answer 25

sup v inf — social good v aggressive power bad; birth order matters; TX = mistaken goals and faulty assumptions; TELEOLOGICAL; STEP program (parenting)

Question 26

Jungian

Answer 26

Self = transendent pt of psyche that encompasses all components; TX = freedom from archetypes; neurosis = non-individuation; TELEOLOGICAL; focusing (not free assn) and real relationship; transference = projection of the personal/coll uncns. Adult focus.

Question 27

Humanism/Existentialism - Rogers

Answer 27

Client-centered: faulty learning stunts inborn capacities (true/phenomenal self v experience); TX = responsibility, clarify feelings wo judging – warmth, empathy, genuineness;

Question 28

Humanism/Existentialism - Perls

Answer 28

Gestalt: re-owning parts: Introjection (overly compliant/gullible), projection (paranoia), retroflection (take it out on self), deflection (distance from feelings), confluence (enmeshment to avoid conflict)

Question 29

Humanism/Existentialism - Glasser

Answer 29

Reality Therapy: Responsibility; Schools Without Failurs, juvenile delinquents prison inmates.

Question 30

Berne: TA

Answer 30

Ego states (3); Transactions (overt/covert-social/psych); Games, Strokes (recognition +/-); Life Scripts (patterns/schemas)

Question 31

Hypnotherapy

Answer 31

Subjective experiential change; light/med/deep trance (post hypnotic suggestion); TX asthma, pain, conversion symptoms, substance use; not good ct = paranoid, ocd; Ericksonian hypnotherapy psycholinguastic nuances + relaxation;

Question 32

Biofeedback - thermal bio; electromyo; eeg, gsr

Answer 32

thermal = migrain, reynaud’s; combo w autogenic (warmth/heaviness) training —— EMG for post-stroke; TMJ, back pain, headaches; ——- EEG hyperactivity/seizure dx; ——- Galvanic skin resp —– gen anx (decr GSR levels)

Question 33

Fam therapy - psychdyn

Answer 33

free from patterns rooted in past; communicate and clarify; marital SCHISM (separation threats common) v SKEW (no threat, but two v one)

Question 34

Fam therapy - obj-rels

Answer 34

transferences and projections btw fam members; try to change one another; Framo = family-of-origin with spoue’s entire fam, then other’s entire fam.

Question 35

Fam therapy - Minuchin Structural fam therapy

Answer 35

heirarchy w alliances and splits; boundaries (too rigid/diffuse) = triangulation, detouring, stable coalitions. therapist joins the fam and shifts positions by taking sides, blaming, and forming coalitions. lol

Question 36

Fam therapy - Communications

Answer 36

Satir, MRI group; double bind (don’t do or else, but then…) impossible dilemma. (etio of schizo, no support); dir and indir teqs; paradoxical intervention (fight 3 hours/day)

Question 37

Fam therapy - Haley; Strategic FT

Answer 37

combo Minuchine structural + heirarchies w communications: malfunctioning hairarchies. behavioral objectives and criteria. (Milton Erikson)

Question 38

Fam Therapy - Milan Group

Answer 38

Circular questioning (round rosey) and rx of rituals; linear to causal thinking change, reciprical and interdependent. Rituals (parental “disappearance” outings)

Question 39

Fam Therapy - Bowen

Answer 39

De-triangling….Differentiation is healthy; id patient; multigenerational transmission process; TX = shifting hot triangle and working with most psychologically available fam member to avoid hot triangle. Genogram

Question 40

Fam Therapy - Solution Focused (questions)

Answer 40

Miracle (how would you know change happened); exception (when didn’t have prob); scaling question (0-10 after miracle) to reduce all/nothing thinking.

Question 41

Fam Therapy - Narrative

Answer 41

sxs do not serve functions, they oppress ppl; re-story by externalizing sx (Sneaky poo), ID’g successes, solidify the success (what does this success say about you?)

Question 42

Marital Therapy - Beh

Answer 42

Beh analysis; Positive reciprocity, I statements, prob solving, negotiation and contingency contracting (i’ll scratch your back if…; social exchange theory (cost:benefit), caring days)