Unit 3 Part 1 (up to Slide 36) Flashcards

1
Q

Milieu therapy

A

Provides a structured environment in order to affect behavioral changes, and to improve the psychological health and function of the individual
-helps to create a therapeutic community where individuals have opportunities for psychological growth 

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2
Q

Traditional Nuclear family

A

Married
Mother, father, and children

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3
Q

Nuclear family

A

Unmarried
Mother, father, children

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4
Q

Characteristics of a healthy family

A

Everyone feels valued, respected, safe, and important.
Respects boundaries
Have defined traditional roles for parents and children
Open communication

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5
Q

Dysfunctional family

A

Members do not respect one another
Unstable and unsafe
Strict rules, provides negative feedback, and is openly hostile
Boundaries not respected
No defined roles, blurred roles and expectations (enmeshed)

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6
Q

Caretaker (Martyr/Enabler)

A

Tries to keep everyone happy by not actually dealing with problems and taking all the blame onto themselves
-Cover up leads to unhealthy coping mechanisms and struggles with anxiety and depression by not dealing with core issues

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7
Q

Hero

A

Always right and perfect. Receives high amount of praise and positive attention in the family
- The hero has to live up to these expectations and often feels like they cannot make their own decisions
-Extreme pressure to be successful can lead to anxiety and depression 

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8
Q

Scapegoat

A

“Black Sheep”
Always seen as a problem and never good enough. Receives high amount of negative attention and more discipline.
-often impulsive and angry, feels shame, and like a failure that has a little motivation to succeed.
-needs to stop the “splitting” thinking that they are all bad

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9
Q

Lost Child

A

Child, that is ignored quiet, and feels invisible typically have a low sense of self identity, and not push to succeed.
-feels alone and misunderstood. May have learning disabilities, depression, and issues with self harm.
-they need to learn that they have value and connect with others. Often successful in life

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10
Q

Clown (Mascot)

A

Popular with other kids, but not always adults. Uses humor to cover up depression in mask serious issues in the family.
-tends to be a follower and needs to learn assertiveness techniques and take them self seriously

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11
Q

The Addict (Patient)

A

Takes on addict/sick role in the family. The family rallies around them which distracts a family from other issues.
-The addict resist treatment in order to keep the family together until they get angry that they are the only ones that everyone thinks needs “help”

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12
Q

Placater

A

One member of the family tries to sooth, someone who is angry or upset by making concessions.
-also exhibit enabling and co-enabler
- EX: a mother buys her child, a new toy when they throw a tantrum in the toy store to get the child to stop crying

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13
Q

Goal of Family therapy

A

The goals are to define and clarify relationships among and between family members and develop 1:1 relationships over “triangles “which are unhealthy emotional systems, and to encourage members to be seen as individuals rather than establish family roles and histories

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14
Q

Psychodynamic psychotherapy

A

Developed by Freud
Requires the client to access less of conscious thoughts, but more of unconscious, thoughts and feelings that have been deeply buried and are more difficult to access 
-attempts to uncover defense mechanisms that the client has used to protect her ego
-often uses free association, dream, analysis, interpretation, and role-playing between therapist and client

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15
Q

Cognitive therapy

A

Modifies distorted thoughts
Goal is to monitor negative automatic thoughts, and recognize connections between thoughts, affect, and behavior 

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16
Q

Arbitrary inference ( Distorted thoughts)

A

“Jumping to conclusions”
When we conclude without having all the facts, and sometimes despite contradictory evidence to support it 

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17
Q

Overgeneralization ( Distorted thoughts)

A

Make sweeping conclusions based on incidents

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18
Q

Dichotomous thinking ( Distorted thoughts)

A

“ All or nothing” type of thinking. No grey area

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19
Q

Selective abstraction ( Distorted thoughts)

A

Only choose a selected portion of evidence on which to base your conclusion (usually focus on failure rather than success)

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20
Q

Magnification ( Distorted thoughts)

A

Exaggerating, the negative significance of an event 

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21
Q

Minimization ( Distorted thoughts)

A

Under evaluating the positive significance of an event 

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22
Q

Catastrophic thinking ( Distorted thoughts)

A

Always thinking the worst will occur (careful of self- fulfilling prophecy)

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23
Q

Personalization ( Distorted thoughts)

A

Person takes responsibility for outcomes, regardless of circumstances.

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24
Q

Didactic learning (Cognitive therapy)

A

Teach client how to become their own therapist

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25
Q

Cognitive techniques (Cognitive therapy)

A

Ways to modify automatic thoughts

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26
Q

Behavioral interventions (Cognitive therapy)

A

To modify maladaptive cognitions and behaviors from them

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27
Q

Socratic questioning

A

Self reflection after posing question

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28
Q

Decatastrophizing

A

Examine the validity of catastrophic thought

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29
Q

Time keeping

A

Keeping a daily record of dysfunctional thoughts

30
Q

Cognitive rehearsal

A

For future situations and how might one handle them

31
Q

Behavior therapy

A

Form of psychotherapy where the goal is to modify maladaptive behavior patterns by reinforcing adaptive behaviors

32
Q

Classical behavior

A

Has its roots in classical stimulus (salivating dogs) and operant stimulus (positive and negative reinforcement) and aversive stimulants (punishments)

33
Q

Shaping (Behavioral therapy)

A

Small reinforcements are given to eventually get the behavior the you are seeking

34
Q

Modeling (Behavioral therapy)

A

Learning new behaviors by imitating others
“Monkey see, monkey do”

35
Q

Premack principle (Behavioral therapy)

A

Positive reinforcement can only occur after you’ve done something
-EX: Penny can you can go to the movie after she does her chores 

36
Q

Extinction (Behavioral therapy)

A

Negative behaviors disappear, when no reinforcement is given
-EX: ignore a child having a temper tantrum

37
Q

Behavioral contract (Behavioral therapy)

A

Used frequently
Draw up a contract with the behavioral change you want, explicitly stated in writing, along with reinforcers and punishers 

38
Q

Token economy (Behavioral therapy)

A

Concrete form of contingency contracting, using “tokens “as immediate feedback tool
-tokens can be exchanged for rewards, but should not be seized for negative behaviors

39
Q

Time out (Behavioral therapy)

A

Aversive stimulus or punishment where unacceptable behavior leads to being isolated and removed from the group
- 1 minute per year of age.

40
Q

Reciprocal inhibition (Behavioral therapy)

A

Replace the unacceptable behavior with one that is more acceptable
-Ex: give a dog a treat to chew on, and take away shoe 

41
Q

Overt sensitization (Behavioral therapy)

A

Aversion therapy that causes unpleasant consequences for undesirable behavior

42
Q

Covert sensitization (Behavioral therapy)

A

Client learns to think unpleasant thoughts and consequences of a behavior to prevent them from doing it 

43
Q

Systematic desensitization (Behavioral therapy)

A

Slowly expose someone with a phobia to anxiety provoking events until they overcome their fears 

44
Q

Flooding (Behavioral therapy)

A

Inclusive therapy that provides a mental image of a phobia until the person is desensitized
-need to be certain the client does not have underlying pathology that could lead to more problems

45
Q

Cognitive therapy assists with…

A

Getting people back to the things they usually enjoy
-Helps teach problem-solving techniques when things affect their lives negatively
-Helps them adjust their thinking so that they adapt to things that happened to them
-Helps them see problems as ways to grow, and become stronger and more productive

46
Q

Dialectic behavior therapy

A

Information focuses on mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation.
-works well for patients with personality disorders or substance abuse disorders

47
Q

Desensitization therapy

A

Individual is taught relaxation techniques, and then list their fears, phobias, traumas, obsessions, etc.
-therapist then gradually exposes them to real or imaginary versions of their fears

48
Q

Therapeutic groups functions

A

Socialization, support, task completion, camaraderie, information, sharing, norming empowerment, and governance

49
Q

Universality (Curative factor of groups)

A

Sharing problems so you know you’re not alone

50
Q

Instillation of hope (Curative factor of groups)

A

The progress others make encourages hope in others
-encourages you to make progress due to other peoples progress

51
Q

Imparting information (Curative factor of groups)

A

Shared advice in formal teaching lead to increased knowledge 

52
Q

Altruism (Curative factor of groups)

A

Mutual sharing and concern leads to positive self growth or image 

53
Q

Corrective recapitulation (Curative factor of groups)

A

Help resolve early family conflicts through group feedback, and exploration

54
Q

Socializing techniques (Curative factor of groups)

A

Members learn how to interact, socially in a safe place 

55
Q

Imitative behavior (Curative factor of groups)

A

Group members can model their behaviors on someone in the group 

56
Q

Interpersonal learning (Curative factor of groups)

A

Members learn how others perceive them, and their behaviors in a safe place 

57
Q

Group cohesiveness (Curative factor of groups)

A

Feeling that members are of value to each other 

58
Q

Catharsis (Curative factor of groups)

A

Members can completely express themselves openly in a non-threatening atmosphere 

59
Q

Existential factors (Curative factor of groups)

A

Group members learn to take responsibility for their lives and quality of their existence

60
Q

Task roles in a group

A

Facilitator coordinator, arbitrator, notetaker, orientator, and Energizer 

61
Q

Maintenance roles in a groups

A

Compromiser, encourager, follower, gatekeeper, and harmonizer 

62
Q

Individual roles in a group

A

Aggressor, blocker, dominator, monopolizer, mute/silent member, recognition seeker, and seducer 

63
Q

EMDR: Eye-movement desensitization and reprocessing

A

Helps access, distressing, thoughts and reduces arousal/negative beliefs, disturbing, images, nightmares, and hypervigilance
-uses lateral eye movements, hand tapping, and audio stimulation to access, traumatic memories, and force new associations with them 

64
Q

Electroconvolsive therapy

A

Used for major depression, SI, mania, schizophrenia, and PTSD that is treatment resistant
-can cause headache and lead to memory loss that is permanent on very rare occasions
-usually leads to retrograde amnesia or anterograde amnesia for a few weeks
-prior to procedure give anticholinergic like atropine or scopolamine to reduce secretions and choking hazard 

65
Q

Contraindications with electroconvulsive therapy 

A

Cardiac abnormalities
Seizure disorder
Pacemaker
Metal clips in the brain from prior surgery
Stroke or TPA
Fall in the last 6 months

66
Q

Transcrainial magnetic therapy

A

Noninvasive procedure, that uses magnetic fields to stimulate nerves cells in the brain to improve symptoms of depression 

67
Q

Deep brain stimulation

A

Implanting electrodes within certain areas of the brain
-help regulate abnormal impulses in the brain 

68
Q

Major treatment for seasonal affective depression (SAD)

A

Light therapy

69
Q

Generalized Anxiety Disorder (GAD)

A

Excessive anxiety or worrying occurring for at least six months about several events or activities with three out of six symptoms
-restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbances, 
-tends to incapacitate the individual 

70
Q

Obsessive compulsive disorder (OCD)

A

Reoccurrence and persistent thoughts, urges, or images that are experienced as unwanted and cause marked anxiety or distress
-The individual attempts to ignore or suppress the thoughts, urges, or images through a thought, or action (compulsion)
-The obsessions and compulsions are taking up much of their days

71
Q

Body dysmorphic disorder

A

Characterized by the exaggerated beliefs of the body is deformed or defective in someway
-usually a delusion and is common in anorexia nervosa

72
Q

Hoarding

A

The persistent difficulty in discarding, or parting with possessions, regardless of actual value
-usually associated with inability to deal with any kind of loss