WK1 - Therapies Flashcards

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1
Q

Identify psychosocial interventions

A
Group or Individual therapy
Music therapy
Education
Positive Self-talk 
Self monitoring 
Communication skills
Healthy relationships
Play therapy
Family consultation
Help understanding
Develop effective parenting skills
Teach about suicide  
     risks
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2
Q

recognize different types of talk and behavioral therapies

A
Talk =. Interpersonal Therapy
Cognitive Behavioral Therapy
Rational Emotive Therapy 
DBT
Challenging “StinkinThinkin” (Cognitive Distortions)

Behavioral =

Modeling-role playing

Operant conditioning-tokens or +reinforcement

Systematic desensitization-exposure

Aversion therapy-negative stimulus leads to decreased bx

Biofeedback-control of body

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3
Q

identify the types of Behavioral therapy (5)

A

Modeling-role playing

Operant conditioning-tokens or +reinforcement

Systematic desensitization-exposure

Aversion therapy-negative stimulus leads to decreased bx

Biofeedback-control of body

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4
Q

3 cognitive therapies

A

cognitive behavioral

rational emotive

dialectic behavior

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5
Q

rational emotive therapy

A

RET focuses on of irrational thinking or beliefs

Identification of activating situations and negative emotions, leading to irrational beliefs

Desired outcome is client’s control of behavior & thinking and a change in thinking leading to positive change in behavior

A = activating event
B = Beliefs
C = Emotional consequence
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6
Q

rational emotive therapy

A

RET focuses on of irrational thinking or beliefs

Identification of activating situations and negative emotions, leading to irrational beliefs

Desired outcome is client’s control of behavior & thinking and a change in thinking leading to positive change in behavior

A = activating event
B = Beliefs
C = Emotional consequence
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7
Q

Dialectic Behavior Therapy (DBT)

A

Combines cognitive and behavioral techniques with mindfulness.

 Emotional regulation
 Interpersonal effectiveness
 Distress tolerance
 Mindfulness
Self Management skills
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8
Q

Dialectic Behavior Therapy (DBT)

A

Combines cognitive and behavioral techniques with mindfulness.

 Emotional regulation
 Interpersonal effectiveness
 Distress tolerance
 Mindfulness
Self Management skills
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9
Q

Identify group dynamics

A

Group work is a method whereby individuals with a common purpose come together and benefit by mutually giving and receiving feedback.

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10
Q

indentify types of groups

A

Psychoeducational

Therapeutic community meeting group

Support & self-help group

Group Psychotherapy

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11
Q

yalom’s therapeutic factors

A

Instillation of hope: Leader shares optimism about successes of group treatment, and members share their improvements

Universality: Members realize that they are not alone

Imparting of information: Participants receive formal teaching by the leader or advice from peers

Altruism: Members gain/profit from giving support to others improving self-value

Corrective recapitulation: Members repeat patterns of behavior in the group that they learned in their families; with feedback from the leader and peers, they learn about their own behavior

Development of socializing skills: Members learn new social skills based on others feedback and modeling

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12
Q

yalom’s therapeutic factors

A

Instillation of hope: Leader shares optimism about successes of group treatment, and members share their improvements

Universality: Members realize that they are not alone

Imparting of information: Participants receive formal teaching by the leader or advice from peers

Altruism: Members gain/profit from giving support to others improving self-value

Corrective recapitulation: Members repeat patterns of behavior in the group that they learned in their families; with feedback from the leader and peers, they learn about their own behavior

Development of socializing skills: Members learn new social skills based on others feedback and modeling

Imitative behavior: Members may copy behavior from leader or peers and can adopt healthier habits

Interpersonal learning: Gain insight based on feedback

Group Cohesiveness: This arises in a mature group when each member feels connected to the other members, the leader, and the group. Members can accept both positive feedback and constructive criticism.

Catharsis: Through experiencing and expressing feelings, therapeutic discharge of emotion is shared.

Existential resolution: Members examine aspect of life, (i.e. loneliness, mortality, responsibility) that affect everyone in constructing meaning.

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13
Q

recognize the advantages and disadvantages of working with groups

A

Advantages
+Engage multiple patients in treatment at the same time +Participants benefit from feedback, knowledge, and life experiences of others
+Provides a safe setting to try out new behaviors and communication skills
+Promotes a feeling of belonging

Disadvantages
+Time constraints an individual may feel cheated for participation time
+Concern for confidentiality
+Disruptive members
+Not all patients benefit from group treatment

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14
Q

describe the phases of group development

A

Planning Phase: Name, objectives, schedule, setting, types of patients for inclusion of the group

Orientation Phase: Leader structures atmosphere of respect, confidentiality and trust. Group purpose and rules are stated

Working Phase: Group leaders encourages a focus on problem solving. As group members begin to feel safe, conflicts may be expressed and pose a growth opportunity for the group
“storming, norming and preforming”

Termination Phase: Encourage members to reflect on progress made and identify post termination goals.

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15
Q

identify informal roles of group members

A

Individual Roles

Aggressor
Blocker-oppositional
Recognition seeker
Play person
Dominator
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16
Q

Task Roles:

A

Initiator–contributor: Suggests or proposes new ideas or different ways of regarding the problem or goal

Information seeker: Tries to clarify the group’s roles

Information giver: Provides facts or shares experiences as an authority figure

Coordinator: Shows or clarifies how ideas can work

Orienteer: Notes the groups progress toward goals

Recorder: Keeps notes and acts as the group memory

17
Q

Challening member behaviors (3)

A

Monopolizing member =
Remind entire group to provide equal chances to contribute
Speak directly to member, privately when necessary

Demoralizing member =
Listen objectively; ask in private about cause of anger; empathize matter-of-factly

Silent member =
Determine cause; require response to ease group discomfort; provide extra time for member to think about a response and come back to them

18
Q

Challening member behaviors (3)

A

Monopolizing member =
Remind entire group to provide equal chances to contribute
Speak directly to member, privately when necessary

Demoralizing member =
Listen objectively; ask in private about cause of anger; empathize matter-of-factly

Silent member =
Determine cause; require response to ease group discomfort; provide extra time for member to think about a response and come back to them

19
Q

psychoeducational

A

: Groups to increase knowledge or skills about a specific psychological or somatic subject

Medication or Health education
Dual-diagnosis
Symptom management
Goal Setting/Review
Recreational Activity
Interpersonal Skills
20
Q

Therapeutic community meeting group

A

Every interaction occurring on an inpatient milieu has the potential to be therapeutic. The community meeting is the essential venue at which unit happenings are processed and integrated into treatment.

21
Q

support and self help groups

A

These groups are structured to provide patients with the opportunity to maintain or enhance personal and social functioning through cooperation and shared understanding of life’s challenges (i.e. AA, survivors of Cancer, bereavement…)

22
Q

group psychotherapy

A

This is a specialized group intervention requiring skilled leaders such as an advanced practice nurse. Expertise is necessary for this group since the goal is to bring about personality change.

23
Q

building and maintenance roles

A

Encourager: praises and seeks input from others

Harmonizer: reconciles differences among members

Gatekeeper: facilitates and encourages the contributions of others, to keep communication open

Group observer: notes and reports what is occurring to the group process

Follower: goes along with the ideas of others, assuming an audience role