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Skills Class > Week 1 - ACEs and What are Microskills > Flashcards

Week 1 - ACEs and What are Microskills Flashcards

1
Q

The most basic of all human needs is the need to understand and to be understood. The best way to understand people is to WHAT

A

listen to them

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2
Q

A process used for gathering data, providing information, and helping clients resolve issues is what?

Interviewing, counselling, or psychotherapy

A

Interviewing

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3
Q

What is more about listening to and understanding a client’s life challenges and, with the client, developing strategies for change and growth?

Interviewing, counselling, or psychotherapy

A

counselling

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4
Q

Which focuses on more deep-seated personality or behavioral difficulties, and may take longer?

Interviewing, counselling, or psychotherapy

A

psychotherapy

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5
Q

T/F - Knowing who you are when you meet others in their suffering/pain/growth/discovery/healing is a requirement in social work practice and requires:
• Self Reflective Practice (thinking)
• Self Location
• Positionality
• Knowing your personal history
• ACES/Resilience score
• Desire to be open and the desire to grow
• Critical Analysis – seeking feedback
• Self Reflexive Practice (doing)

A

True

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6
Q

Self-location is an important WHAT function.

A

cognitive function (how do we understand things and act once we can self locate)

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7
Q

What (SL) demonstrates how perception and action are interrelated and connected, (one’s self-perception and one’s capacity to act, and the variation of those actions).

A

Self-location

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8
Q

WHAT is an active response to colonialism and WHY

A

Self-location. It requires that people consider how they arrived here, why they are here, who they share this space with, and what that might mean for others.

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9
Q

Establishing where we exist in relation to the thing (counselling) we’re going to do is critical; decolonizing is about actively WHAT.

A

actively doing

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10
Q

T/F - Self-location does not encourage listeners to reposition themselves in the conversation

A

False, it does encourage this!

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11
Q

Ask yourself these questions to determine your WHAT?

• Where do you come from?
• Where are you going?
• Why are you here?
• Who are you?

A

Self-location, which informs how we sit in the presence of others – when you know our-self and our self-location, know your privilege and power

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12
Q

ACEs include
5 Household Dysfunction
3 Abuses
2 - Neglect

which are?

A

Household dysfunction
1. Substance misuse
2. Parental separation/divorce
3. Mental illness
4. Battered mother
5. Criminal behavior (in jail)
Abuse
6. Emotional
7. Physical
8. Sexual
Neglect
9. Emotional
10. Physical

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13
Q

T/F - ACE score have been described as a cholesterol score for childhood trauma.

A

true

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14
Q

They say ACE score of 4 or more then things start getting serious, but…

A

this is NOT TRUE (not a magic number to assign risk).

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15
Q

T/F - brain cannot distinguish one type of toxic stress from another; it’s all toxic stress, with the same impact

A

true

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16
Q

T/F - only when you have a high ACE score do you have toxic stress

A

False, any ACEs have toxic stress, don’t get hung up on the score in a counseling session

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17
Q

T/F - ACEs are not interrelated and do not pile up

A

false, ACEs “pile up” & have cumulative impact (account for many health/social problems)

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18
Q
  • it’s a research tool for learning about origin of public health problems
  • measure for public health surveys
  • measure to show how adversity piles up to increase risk
  • provides prevention perspective
  • history / narrative tool to make sense of why their lives look the way they do

Are those strengths or limitations of ACE scores

A

Strengths

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19
Q

T/F - a limitation of ACE scores is that the questions used to measure ACE scores don’t address frequency, intensity, was it chronic or daily, there are gender differences, which age did it happen due to developing brain, individual stress

A

true

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20
Q

ACE scores are created equal?

A

NO, ACE scores are not created equal (so it’s not appropriate to apply the average risk from a large study to individual patients)

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21
Q

ACE scores can be used as a very helpful diagnostic tool or screening tool

A

NO, that’s a limitation of the ACE scores

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22
Q

People with the same ACE score will respond the same?

A

No, because their experience is different.

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23
Q

Does Colonialism, Oppression, and Patriarchy fit into the ACEs?

A

NO, i.e. what’s it like to be a refugee, what’s it like that your grandma went to a residential school – contextual pieces aren’t there. There is colonial, oppression, and patriarchy that we aren’t talking about.

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24
Q

Determinants of Health in Canada include 12 things, the first 6 are:
1. Income / social status
2. Employment / working conditions
3. Education / literacy
4. Childhood experiences / development
5. Physical environments
6. Social supports/environment

A

yes

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25
Q

T/F - mircoskills rest on the base of ethics, cultural competence and self awareness

A

true

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26
Q

Determinants of Health in Canada include 12 things, the last 6 are:

  1. Personal health practices and coping skills
    8.Access to health services
    9.Biology and genetic endowment - DNA changes due to toxic stress)
    10.Gender
    11.Culture
    12.Race / Racism
A

yes

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27
Q

active listening allows us to anticipate how …

A

how the client will respond

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28
Q

When you have the microskills you have WHAT and can then you can pick whatever tool works in a given situation and with a given client

A

Flexibility

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29
Q

What is the communication skill “units” that help you to interact more effectively & intentionally with a client?

A

microskills

30
Q

When you use Microskills in the session, you can…

A

You can anticipate how clients will respond to you

31
Q

T/F - Each client you interact with will have a different experience (process), however microskills provides a basic understanding and approach (context)

A

False - Each client you interact with will have a different experience (content), however microskills provides a basic understanding and approach (process)

32
Q

Multicultural competence, ethics, and a positive psychology/resilience approach form the very top of the microskills hierarchy?

A

No, they form the foundation

Every client has a different life experience, without basic understanding of and sensitivity to a client’s uniqueness the SW fails to establish a relationship and truly understand the client’s issues.

33
Q

Which 3 factors make the second layer of the microskills hierarchy?

(hint Att, Emp, Obser skills)

A

Attending, Empathy, and Observation Skills

• Key to the listening process and cultural intentionality.

• Attending behaviour is critical for developing a working relationship and drawing out client stories

• Culturally and individually appropriate visuals (eye contact), vocal qualities, verbal tracking skills, and body language

34
Q

Part of the microskills hierarchy is basic listening sequence (BLS) which is WHICH 4 items which are needed to draw out client stories and concerns more fully
Q,P,Summ,ReflectF

A

Questioning, paraphrasing, summarizing, and reflection of feeling

35
Q

The five stage counseling session includes what?

(hint emp, st/str, go, res, act)

A

o Empathetic relationship
o Story & strengths
o Goals
o Restory
o Action (used instead of ending or termination

36
Q

T/F - Active Strategies for change includes the focusing skills of reflection of meaning, interpretation/reframing, empathetic self-disclosure, and feedback

A

true

37
Q

Acting with a sense of capability and choosing from among a range of alternative actions, interviewing skills, and helping theories, always considering the cultural and ethnic characteristics of the client is know as WHAT?

A

Cultural intentionality

38
Q

Clients exist in a multicultural situation and context is know as WHAT?

A

Cultural Intentionality

39
Q

Think of the interview as a “WHAT” in which the client can learn new skills, attitudes, and behaviors that they can take back into the “real world”

A

“mini-culture”

40
Q

The capacity to achieve successful adaptation in the face of major challenges is known as WHAT?

A

Resilience

41
Q

Helping a client resolve an issue is our contribution to increasing client WHAT

A

resilience

42
Q

WHAT, basic to resilience, is the ability to respond appropriately socially, and also as the ability to manage challenging situations without losing self-control

A

Emotional regulation

43
Q

Self-in-relation involves recognition that the primary experience of self is relational what does this mean?

A

– that is the self is organized & developed in the context of important relationships

44
Q

WHAT demands that we understand and be with the client

A

Empathy

45
Q

the counseling session is for the individual client, but don’t forget that the client exists in a WHAT (3 things)

A

multi-dimensional, multicultural, social context

46
Q

structured / intentional conversations changes WHAT in the brain?

A

changes neural pathways

47
Q

Counselling work with clients can enable them to modify WHAT and in WHICH area of the brain, to reframe past difficulties – it changes the brain!

A

memories, the hippocampus

48
Q

Name 3 functions of Prefrontal Cortex

hint WM, Self-c, DM

A

• Working memory
• Self-control
• Decision making

49
Q

Which are two parts of the limbic region?

A

Hippocampus and Amygdala

50
Q

2 features of the Hippocampus (Limbic Region) include

A

• Learning
• Memory

51
Q

2 features of the Amygdala (Limbic Region) include

A

• Emotional regulation -responding ‘appropriately’ while managing challenging situations
• Fear response

52
Q

Brain’s ability to grow/change is due to WHAT

A

neuroplasticity

53
Q

WHAT can result in the remodeling of our neural networks . . . a brain can rewire itself.

A

Neuroplasticity

54
Q

The brain cannot add new neurons and connections throughout the lifespan?

A

False, it can! a process known as neuroplasticity.

55
Q

T/F - Counselling facilitates client cognitive and emotional growth

A

true

56
Q

T/F - Work with clients can enable them to modify memories and to reframe past difficulties as they recognize the strengths they manifested during adversity

A

true!

57
Q

poor health, poor sleep hygiene, poor nutrition, substance abuse, and depression and anxiety promote what in the brain?

A

negative neuroplasticity

58
Q

ACEs do not cause significant damage to the brain (and body)?

A

false - negative neuroplasticity

59
Q

T/F - Oppression from racism, sexism, bullying, and other forms of prejudice are not as harmful to the brain?

A

false - they are trauma experiences

60
Q

Describe the negativity bias

A

makes the brain like Velcro for the BAD and Teflon for the GOOD.

SO, we need to learn to take in the positive experiences, weaving them into the fabric of our brains! You can grab the good with trauma informed counseling

61
Q

T/F - Our brains are made to handle stress and threats by releasing neurotransmitters that trigger our fight or flight response

A

true

62
Q

Intentionality and sense of self are linked to WHICH part of the brain

A

the pre-frontal cortex.

63
Q

Emotional regulation is responding ‘appropriately’ while managing challenging situations, which is linked to WHICH system in the brain

A

the limbic system

64
Q

Emotions are generally our first response in WHICH brain area? and emotions come BEFORE our cognitive response WHICH brain area

A

(amygdala) . cognitive response (prefrontal cortex)

65
Q

Resilience is marked by greater activation in the WHICH brain area

A

left prefrontal cortex.

66
Q

Triggers for a person come from which area of Dr. Dan Siegel’s Hand Model?

A

come from thumb area (hipp and amyg)

67
Q

In Dr. Dan Siegel’s Hand Model describe when the fingers wrap around the thumb?

A

Prefrontal cortex wraps around to say you are safe – because that’s the area where resilience comes from

68
Q

In terms of Dr. Dan Siegel’s Hand Model, counseling does what?

A

Counseling wraps the prefrontal cortex around the thumb area

69
Q

Describe “flipping your lid” from Dr. Dan Siegel’s Hand Model

A

Flipping your lid is when you can’t regulate their emotions in that moment – they need self-mastery

70
Q

As a SW, we must expect our clients to have an enormous capacity for WHAT

A

change

A strength is the fact that they showed up, they are coming with issues and yet they are in front of you.

You’ll find it if you expect it – i.e. if you expect hope in the client they will have it (this is why single sessions can work)

71
Q

T/F- The controlled act of psychotherapy involves five elements:

i) Treating,
ii) by means of psychotherapy technique,
iii) delivered through a therapeutic relationship,
iv) an individual’s serious disorder of thought, cognition, mood, emotional regulation, perception or memory that,
v) may seriously impair the individual’s judgement, insight, behaviour, communication or social functioning

A

true

72
Q

T/F - CRPO has identified five broad categories of prescribed therapies:

• Cognitive and Behavioural therapies
• Experiential and Humanistic therapies
• Psychodynamic therapies
• Somatic therapies
• Systemic and Collaborative therapies

A

true

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