Week 12 - Termination Flashcards
name 6 components that can affect one’s reaction to termination.
- length of relationship
- intensity of relationship
- meaning of the therapy to the client
- level of development
- previous life experiences - traumatic losses or separation
- defense mechanisms
margaret mahler was a key individual in what?
the separation-individuation process
name 5 components of how to terminate.
- when therapy is short-term let client know the planned length of tx or expected time of discharge
- give plenty of notice
- consolidate and reinforce gains
- collaborate on discharge plan
- future goals and activities
name 6 ways to facilitate termination.
- graduation certificate
- bon voyage party
- changing of the guards
- encourage verbalization of feelings
- institutional transference
- be available
pt. starts to perform at a lower rate than where they were before in treatment (undo progress)
undoing
not cooperating in treatment, not coming to a group, blaming therapist, hostility
acting out
change emotions to positive ones regarding the end of treatment
reaction formation
- try to be more like therapist and do what he/she does to replicate; ex: try to be more compassionate like therapist for example
- can also be unconscious
identification
think about the event by talking about it in an intellectual way to reduce emotions
intellectualization
if someone else is continuing the treatment, meet with client and other therapist so that client can see both therapists in the same room; helps with transition
changing of the guards
client feels connected to the setting and others not so if someone leaves they still feel okay bc they are connected in other ways.
institutional transference
name the 4 stages of the separation-individuation process.
- differentiation
- practicing
- rapproachement
- object constancy
