Shared Flashcard Set

Details

Counseling Theories
Williams M.T.
51
Psychology
Graduate
01/08/2014

Additional Psychology Flashcards

 


 

Cards

Term

  Individual Psychology (Alfred Adler)


 

View of Human Nature


(a-d)

 

Definition

a. being part of a whole, spanning both the past, present, and the future. _____ believed that people were mainly motivated toward this feeling of belonging. He did not believe that social interest was innate but rather a result of social training .


b. _____ expressed that people strove to become successful and overcome the areas that they perceived as inferior. He referred to this process of personal growth as striving for perfection. Those who did not overcome feelings of inferiority developed an inferiority complex. Those who overcompensated for feelings of inferiority developed a superiority complex.


c. ____ believed that a peunconscious, was the mainstay of personality development. Because of this concept, ______ theory emphasizes personal responsibility for how .


d. Maladjustment is defined in ______ theory as choosing behavior resulting in a lack of social interest or personal growth. ____ believed that misbehavior would take place when the person had become discouraged or when positive attempts at good behavior had failed to get the needed results. Encouragement to good behavior was often the recommended antidote to misbehavior .

 

Term

 Individual Psychology (Alfred Adler)


 View of Human Nature


(e-h)

Definition

e. Another concept is that of teleology, which simply put means that a person is as influenced by future goals as by past experiences .


f. _____ espoused the belief that the birth of each child changed the family substantially. He thought that the birth order of the children in the family influenced many aspects of their personality development. Briefly, characteristics of these birth positions are:

i. Oldest children are usually high achievers, parent pleasers, conforming, and are well behaved.
ii. Second born children are more outgoing, less anxious, and less constrained by rules than first borns. They usually excel as what the first born does not.
iii. Middle children have a feeling of being squeezed in and are concerned with perceived unfair treatment. These children learn to excel in family politics and negotiation. However, they can become very manipulative. This position also tends to develop areas of success that are not enjoyed by their siblings.
iv. The youngest child is the most apt at pleasing or entertaining the family. While they run the risk of being spoiled, they are also the most apt at getting what they want through their social skills and ability to please. They are often high achievers, because of the role models of their older siblings.


g. Only children or children born seven or more years apart from siblings are more like first born children. Children with no siblings often take on the characteristics of their parents birth order, as the parents are the only role models. While these children may mature early and be high achievers, they may lack socialization skills, expect pampering, and be selfish.


h. ___ saw the family as the basic socialization unit for the child. He interpretation of the events in their life was determined by the interaction with family members before the age of five. The family interactions taught the children to perceive events and situations through certain subjective evaluations of themselves and the called fictions. Basic mistakes could be made based on these fictions. ______ believe that some of those mistakes are (Mozak, 1984):


i. Over-generalizing in which the individual believes that everything is the same or alike.


ii. False or impossible goals of security which leads the individual to try to please everyone in seeking security and avoiding danger.

 

iii individual to expect more accommodation than is reasonable and to interpret their failure to get accommodation as never getting any breaks.


iv. Minimization or denbelieving that they cannot be successful in life.


v. Faulty values results in a "me first" mentality with little or no regard for others.


vi. ____ believed that life took courage or a willingness to take risks without knowing the outcome. He believed that a person with a healthy life style contributed to society, had meaningful work, and had intimate relationships. He espoused cooperation between the genders as opposed to competition. He believed that well adjusted people lived in an interdependent relationship with others in a cooperative spirit .

 

 

Term

 Individual Psychology (Alfred Adler)


 

 Role of the counselor

 

Definition

 

The counselor is as a diagnostician, teacher and model. The counselor helps the client to explore conscious thoughts, beliefs and logic for client-counselor relationship is an equal one with the counselor sharing insights, impressions, opinions, and feelings with the client to promote the therapeutic relationship. Therapy is very cognitive with an emphasis on the examination of faulty logic and empowering the client to take responsibility to change through a re-educational process. The counselor encourages the client to behave "as if" the client were who they wised to be and often provides the client with "homework" assignments outside the sessions. _______ are eclectic in technique with an emphasis on encouragement and responsibility .

 

Term

 Individual Psychology (Alfred Adler)


 

 Goals of Adlerian counseling

 

Definition

 

a. Goals focus on helping the client develop a healthy lifestyle and social interest. The counselor assists the client through four goals of the therapeutic process, establishing a therapeutic relationship, examining the style of life, developing client insight, and changing behavior. The behavior change is the result of the individual taking personal responsibility for behavior .

 

Term

 Individual Psychology (Alfred Adler)


 

 Techniques

 

Definition

 

a. Most commonly used are establishing rapport, defining style of life and helping the client to gain insight. While _______ may borrow many techniques from other theories, specific theories used to encourage change are .


b. Confrontation consists of challenging the clients private logic and behavior.


c. Asking "the Question" consists of asking the client how their life would be different if they were well? The question often asked to parents is what would be the problem if this child were not the problem?


d. Encouragement consists of the counselor supporting the client by behavior.


e. Acting "as if" consists of instructing the client to behave "as if" there were no problem or as the person that the client would like to be.


f. spiting in the clients soup means that the counselor points out the havior. Afterward, the client may continue the behavior, but cannot do so without being aware of their motivation for engaging in the behavior.


g. Catching oneself consist of helping the client learn to bring destructive behavior into awareness and stop it.


h. Task setting consists of helping the client set short-term goals leading toward the attainment of long-term goals.

 

Term

  Person- Centered (Carl Rogers)



 View of Human Nature

 

Definition

a. _____ viewed human nature as basically good


b. He believed that if given the appropriate environment of acceptance, warmth and empathy, the individual would move toward self- actualization

 

c. Self-actualization is the motivation that makes the individual move toward growth, meaning, and purpose


d. Person-centered is considered a phenomenological psychology d as reality for the individual .

 

e. Person-centered is often referred to as self-theory, b/c of _____ emphasis on the self being a result of the persons life exp. and the person awareness of comparisons to others as the same or different


 f. _____ believed that most people were provided conditional acceptance as children, which lead them to behave in ways that would assure their acceptance. However, in their need for acceptance, the individual often behaved in ways that were incongruent with the real self. Thus, the greater this incongruence between the real self and the ideal self, the greater isolated and maladjusted the person became.

 

 

Term

 Person- Centered (Carl Rogers)


 

 Role of the counselor

 

Definition

a. The counselor sets up a environment where the client is safe to explore through a special I-Thou relationship of unconditional positive regard, empathy and warmth.


b. The person-centered counselor uses psychological testing on a limited basis. The Q-sort is sometimes used. The statements are self-descriptions, i.e. I am capable, I am dependent, I am worthless. The client is asked to read and sort each of these statements into nine piles from most like me to least like me. The client re-sorts the cards into what they would like to be like. The Q sort gives an indication of the incongruence between the perceived real self and ideal self.


c. The use of diagnostic categories is discouraged as incompatible with the philosophical view of the individual as unique. Diagnosis places the counselor in a position of authority and imposes a treatment plan

 

Term

 Person- Centered (Carl Rogers)


 

 Goals

 

Definition

a. In person-centered theory are directly concerned with the individual. The counselor facilitates the client toward:

i. Realistic self-perception

ii. Greater confidence and self-direction
iii. Sense of positive worth
iv. Greater maturity, social skill, and adaptive behavior

v. Better stress coping
vi. More fully functioning in all aspects of their lives.

 

Term

 Person- Centered (Carl Rogers)


 

 Techniques

 

Definition

 

a. The techniques used in person-centered therapy have changed over time.

b. Three periods of time in which different techniques were stressed.:


i. Nondirective Period (1940-1950). In this period of theory development, the counselor focused on listening and creating a permissive atmosphere. The counselor did not provide interventions, but communicated acceptance and clarification


ii. Reflective Period (1950-1957). During this period of time, counselors emphasized being non judgmental of the client, while nd reflecting the affect accurately


iii. Experiential Period (1957-1980) This is the period of the EWG: Empathy, Warmth and Genuineness. Empathy is the ability of the counselor to understand the emotions of the client and correctly communicate this understanding. Warmth is also referred to as acceptance and positive regard in person-centered literature. Warmth is the ability of the counselor to convey a unconditional is the ability to be who one really is without assuming roles or facades


c. The counselor helps the client through accurate reflections of feelings, keeping the client focused on the concern, and clarification of feelings and information. The counselor uses open-ended questions or phrases to help the clients gain insight into experiences and necessary changes in their lives

 

Term

  Existential Counseling (Rollo May and Viktor Frankl)

 


 View of Human Nature

 

Definition

a. __________ believe that the individual writes their own life story by the choices that they make.


b. Psychopathology is defined by ___________ as neglecting to make meaningful choices and accentuating ones potential


c. Anxiety is seen as the motivational force that helps the clients to reach their potential. Conversely, anxiety is also seen as the paralyzing force that prevents clients from reaching their full potential. Therefore, through awareness, this anxiety can be helpful in living more fully


d. _____ shares that each person searches for meaning in life, and that while this meaning may change, the meaning never ceases to be.


e. _____: lifes meaning can be discovered in 3 ways:

i.  by doing a deed (accomplishments or achievements),
ii. by experiencing a value (beauty, love, nature, and arts)
iii. by suffering (reconciling ourselves to fate.

 

Term

 Existential Counseling (Rollo May and Viktor Frankl)


 

 Role of the Counselor

 

Definition

 

a. Each client is considered a unique relationship with the counselor focusing on being authentic with the client and entering into a deep personal sharing relationship


b. The counselor models how to be authentic, to realize personal potential, and to make decisions with emphasis on mutuality, wholeness and growth.


c. _________ counselors do not diagnosis, nor do they use assessment models like the DSM-IV.

 

Term

 Existential Counseling (Rollo May and Viktor Frankl)


 

  Goals

 

Definition

a. A goal of _________ counseling is to have the clients take responsibility for their life and life decisions.


b. A goal of _________ therapy is to develop self-awareness to promote potential, freedom, and commitment to better life choices

 

c. A major goal is to help the client develop an internal frame of reference, as opposed to the outward one .

 

Term

 Existential Counseling (Rollo May and Viktor Frankl)


 

Techniques

 

Definition

 

a. The most common technique used in existential counseling is the relationship with the client .


b. Confrontation is also used by existential counselors, when they challenge the clients with their own responsibility for their lives

 

Term

  Rational-Emotive Therapy (Albert Ellis)



View of Human Nature

 

Definition

a. RET assumes that the individual has the capacity to be completely rational, irrational, sensible or crazy, which ____ believes is biologically inherent .


b. ____ is most concerned with irrational thinking especially that which creates upsetting or irrational thoughts.


c. ____ lists the most common irrational beliefs that clients find disturbing

i. It is absolutely essential to be loved or approved of by every
ii. To be worthwhile, a person must be competent , adequate, and achieving in everything attempted.
iii. Some people are wicked, bad, and villainous and therefore should be blamed or punished.
iv. It is terrible and a catastrophe whenever events do not occur as one hopes.
v. Unhappiness is the result of outside events, and therefore a person has no control over such despair.
vi. Something potentially dangerous or harmful should be cause to great concern and should always be kept in mind.

vii. Running away from difficulties and responsibilities is easier than facing them.
viii. A person must depend on others and must have someone stronger on whom to rely.

ix. changed.
x. A person should be upset by the problems and difficulties of others.

xi. There is always a right answer to every problem, and a failure to find this answer is a catastrophe.


d. ____ sees the individual as being easily disturbed because of gullibility and suggestibility


e. ____ is a proponent of the individual thinking of their behavior as separate from their personhood, i.e. "I did a bad thing" rather than "I am a bad person."


f. ____ believes that each individual has the ability to control their thoughts, feelings and their actions. In order to gain this control, a person must first understand what they are telling themselves (self-talk) about the event or situation .


g. ____ believes that cognitions about events or situations can be of four types: positive, negative, neutral, or mixed. These cognitions result in like thoughts with positive leading to positive thoughts, negative leading to negative thoughts, etc.

 

Term

 Rational-Emotive Therapy (Albert Ellis)



 

 Role of the Counselor

 

Definition

a. Counselors are direct and active in their teaching and correcting the clients cognitions


b. ___ believes that a good RET counselor must be bright, knowledgeable, empathetic, persistent, scientific, interested in helping others and use RET in their personal lives.


c. The counselor does not rely heavily on the DSM-IV categories.

 

Term

 Rational-Emotive Therapy (Albert Ellis)


 

Goals

 

Definition

 

a. The primary goal is to help people live rational and productive lives

 


b. RET helps people see that it is their thoughts and beliefs about events that creates difficulties, not the events or situations themselves


c. RET helps the client to understand that wishes and wants are not entitlements to be demanded. Thinking that involves the words must, should, ought, have to, and need are demands, not an expression of wants or desires.


d. RET helps clients stop catastrophizing when wants and desires are not met


e. RET stresses the appropriateness of the emotional response to the situation or event. An situation or event need not elicit more of a response than is appropriate


f. RET assists people in changing self-defeating behaviors or cognitions


g. RET espouses acceptance and tolerance of self and of others in order to achieve life goals

 

Term

 Rational-Emotive Therapy (Albert Ellis)



  Techniques

 

Definition

a. The first few sessions are devoted to learning the ABC principle:

i. Activating event

ii. Belief or thought process

iii. Emotional Consequences


b. Cognitive disputation is aimed at asking the client questions challenging the


c. Imaginal disputation has the client use imagery to examine a situation where the become upset. The technique is used in one of two ways:

i.The client imagines the situation, examines the self-talk, and then changes the self-talk leading to a more moderate response.


ii.The client imagines a situation in which they respond differently than is habitual, and are asked to examine the self-talk in this imagery .


d. The Emotional Control Card is an actual card intended for the client to carry in their wallet which has a list of inappropriate or self-destructive feelings countered with appropriate nondefeating feelings. In a difficult situation, the client has this reference card on their person to help them intervene in their own self-talk

 

e. Behavioral disputation involves having the client behave in a way that is opposite to the way they would like to respond to the event or situation


f. Confrontation occurs when the counselor challenges an illogical or irrational belief that the client is expressing


g. Encouragement involves explicitly urging the client to use RET rather than to continue self-defeating responses

 

Term

 

Behavioral Theories (B. F. Skinner)


 

View of Human Nature

 

Definition

 

a. Behaviorists, with the exception of cognitive behaviorists, concentrate on be observed .


b. Behaviorism has a here-and-now focus


c. A basic tenet of Behaviorism is that all behavior is learned whether the behavior is maladaptive or adaptive

 


d. Behaviorists believe that adaptive behavior can be learned to replace maladaptive behavior


e. Behaviorists believe in setting up well-defined, measurable and observable goals in therapy


f. Behaviorists reject the idea that human personality is composed of traits


g. Behaviorists strive for empirical evidence to support their use of specific techniques and to support the usage of behavioral therapy techniques


h. Respondent learning is often referred to as stimulus-response learning in which the learner does not need to be an active participant. The outcome is the conditioning of involuntary responses. The unlearning of these conditioned responses is called counterconditioning


i. Operant conditioning requires that the participant be actively involved. This type of learning involves rewarding the desired behavior or punishing the undesired behavior until the person learns to discriminate the desired behavior that elicits the reward. Operant conditioning differs from respondent conditioning in that operant conditioning is the conditioning of voluntary responses through rewards or reinforces


j. Social modeling is the process where new behavior is learned from watching other people and events without experiencing the consequences from the behavior or engaging in the behavior

 

Term

Behavioral Theories (B. F. Skinner)



 

Role of the Counselor

 

Definition

a. Roles of the _________ counselor are varied and include being a consultant, a reinforcer, and a facilitator


b. the counselor is active and may supervise other ppl in the clients environment to achieve the goals of therapy


c. Counselors using social learning may model the desired behavior, while respondent and operant conditioning counselors are more directive and prescriptive in their approach to the therapy goals


d. Use of tests and diagnosis varied greatly among behavioral counselors

 

Term

Behavioral Theories (B. F. Skinner)



 

Goals

 

Definition

a. The goal of behaviorists counselors like other theories is to improve the life of the client through better adjustments to life and to achieve personal goals professionally and personally .


b.Four steps in developing therapeutic goals are .:


i.Define the problem concretely specifying when, where, how and with whom the problem exists.

ii. Take a developmental history of the problem eliciting conditions surrounding the beginning of the problem and what solutions the client has tried in the past.

iii. Establish specific subgoals in small incremental steps toward the final goal.

iv.Determine the best behavioral method to be used help the client change.

 

Term

Behavioral Theories (B. F. Skinner)



 

Techniques

 

Definition

a. Reinforcers increase the desired behaviors, when they follow the behavior.


b. Reinforcers can be negative or positive. Positive reinforcers are those that are desired by the client;; while negative reinforcers are contingencies to be avoided. Primary reinforcers are those that are intrinsically; while secondary reinforcers are tokens that aquire their value by being associated with a primary reinforcer .


c. Schedules of Reinforcement

i. Fixed-ratio means that the reinforcer is delivered after a set number of responses .
ii. Fixed-interval means that the reinforcer is delivered after a set time lapses .
iii. Variable-ration means that the reinforcer is delivered after varying numbers of responses .

iv. A variable-interval means that the reinforcer is delivered at varying time intervals .


b. Shaping is learning behavior in small steps that are successive approximations toward the final desired behavior. Chaining is the order of the desired sequence of skills leading to the desired behavior .


c. Generalization is the transfer of the learnings from the behavioral therapy room to the outside world .


d. Maintenance is the consistent continuation of learned behaviors without support -control and self-management .


e. Extinction is the elimination of a behavior through withholding a reinforcer


f. Punishment is the delivery of aversive stimuli resulting in suppressing ro eliminating a behavior .


g.Behavioral rehearsal is the of repeating and improving a behavior until the client accomplishes the behavior that is desired

 

h. Environmental planning is a process where the client arranges the circumstances to promote or inhibit particular behaviors .


i. Systematic desensitization a process accomplished through successive approximations to reduce anxiety toward an anxiety provoking event or situation. The steps needed to accomplish the behavior are listed and prioritized from no anxiety to most anxiety. The hierarchy is reviewed with the counselor helping the client to learn relaxation techniques to reduce or overcome anxiety. As a client cannot feel anxious and relaxed at the same time, the phenomenon is termed reciprocal inhibition. Through this process, the client can ultimately perform the desired behavior .


j. Assertiveness training is a technique where the client is taught to express their appropriate feelings without hostility, anxiety, or passivity. The actual training may include all of the other behavioral techniques to achieve the desired behaviors .


k. Contingency contracts are written agreements in which the desired behaviors are specifically described, what reinforcers are to be given and under what circumstances the reinforcers will be administered to the client. Contingency contracts are most often used in working with children .


l. Implosion is having the client desensitized by imagining a anxiety provoking situation that may have a dire consequences. Flooding is similar except the anticipated outcome of the anxiety provoking situation is not dire. This technique is contraindicated for use by beginning counselors .


m. Time out is an aversive technique where the client is prevented, usually through some form of isolation, from receiving a positive reinforcer.


n. Overcorrection is an aversive technique where the client is required to restore the environment and to improve it substantially .


o. Covert sensitization is an aversive technique where a behavior is eliminated by pairing its association with an unpleasant thought


p. Cognitive restructuring is helping the clients change how they think about an event or situation by examining their thoughts and challenging the irrational or self-defeating thoughts .


q. Stress inoculation is a three step preventive technique .:


r. Define the nature of stress and coping for the client.


s. Teach specific stress reduction and coping skills to expand those stress and coping skills the client already uses.


t. The client practices these new skills outside of the therapy room in real life situations


u. Thought stopping is a series of procedures which help the client to replace self-defeating thoughts with assertive, positive or neutral thoughts. The initial procedure is one in which the counselor asks the client to think obsessively in a self defeating manner, then suddenly and unexpectedly yells, "stop." The client cannot continue the self-defeating thoughts after this disruption .

 

Term

C.B.T.

 

cognitive - behavioral therapy

Definition

teaching model

 

didactic (fits w/ school setting model)

 

* beyond stimulus-response learning theory

* cog. influences behavior

-whats expected?     -who are models?

-competencies felt?   -observe vicariously

Term

C.B.T.



connections among behavior, emotions, and cognition

Definition

-Phenomenological approach

*how we interpret info from environ.

* Kelly's personal constructs

 

- Automaticity in interpretation & behav

*spontaneous, outside of awareness, habitual

*can come under conscious control

 

•child needs to be comprehensible off

 

Term

C.B.T.


 

Theraupetic process

Definition

-persuassive role of counselor

-verbal challenge to clients cognitive habits

-goal: change habitual ways of thinking

-disconfirm biases that are ingrained in indi.

Term

C.B.T.


 

Stages of c.b.t.

Definition

-(1) Rapport & trust:

•list & prioritize problems
•produce some initial relief of symptom
 
-(2) Guided discovery:
• collaborative look @ patterns of belief
-evidence for belief?
-how else interpret belief?
-If true, implications?
-H.W. assignments
 
-(3) Clients become own guides
•CBT group work
•relapse mgmt
•booster sessions
 
*client needs metacognition of skills
Term

Beck C.T

 

cognitive therapy

 

Definition

-Flaws in perception/interpretation: arbitrary inference, overgeneralization, absolutist-dichotomaous thinking

 

-case schemas - related systems of belief

 

-therapy: collaborative empiricism, socratic dialog

Term
cog. triad
Definition

o.g in study of depression. 3 basic beliefs:

 

(1) self is defective, inadequate, diseased, deprived

(2) experiences= interpreted as neg.

(3) future is grim & failure inevitable

Term
Meichenbaum
Definition

-used for many diff. problems involving stress

-stress: perception lifes demands have exceeded one's scope

-phases:

(1) conceptualization, gather info, educate, instill hope

(2) skills acquired and rehearsal

(3) application & follow through

 

*idea is to empower kids to do it themselves

Term
Glassers Reality Theory
Definition

-clients deny reality of world around them

-mental health involves fulfilling needs w/in framework of real world

-used in clients in trouble w/ society, not voluntary in treatment; settings outside ordinary office

-active confrontation

-self regulation emphasis

Term
Lazaru's MMT (multimodal)
Definition

- 7 dimensions that contribute to clients troubles:

 

B behavior

A affect (emotion)

S sensation (senses, pleasure v. pain)

I imagery (fantasies)

C cognition

I interpersonal relations

D drugs

Term

Linehan DBT



Dilectical Behavior Therapy

Definition

-conflicting forces w/in the self

-need to accept self, yet change

-both gains/losses from improvement in mental health-fear of change

-belief in validity of current exp. yet need to change interpretations

Term
Shapiro EMDR
Definition

- developed treatment fo trauma victims (PTSD)

- combines methods of (1)systematic desensitization (2) substituting new thought processes

-Emersion in imagined sense from memory

-therapist hand back & forth

-relaxation instruction

Term
WDEP
Definition

wants clarify what client wants from self, others, society, counseling

 

direction/doing going toward or away from wants currently? future holds?

 

evaluation judge behaviors impact on self & others, in terms of rules, norms, consequences, worth

 

planning action plan simple, realistic, measurable, immediate, involved, comitted, continous and w/in clients powers

Term
Family Therapy
Definition

permeability of fam. boundary:

- part related meaningful, complex way (like a machine, a natural system, or a corp)

-tendency towards homeostasis

-boundaries b/w itself and other systems

-circular causality: changes in any part affect other parts

Term
stable aspects of fam systems
Definition

-permeable to outside world, or not

-lvls of emo. distance, privacy, intimacy

-use of time & space

-norms or punctuality, planning, talking & so on

-allocation of power & control

Term
Terminology: fam systems
Definition

-subsystems & boundaries

-triangle: system of 3, stabilizing distressed pair

-multigenerational transmission process= family therapists differ in emphasis on past generations

-fam. life cycle: predicatable events/periods

 •unpredicted crises & changes

 •w/ immigration, effects of displacement, assimilation, & prejudice

 

Term
Fam sys: Fam under stress
Definition

-flexibility v. inflexibility

-permeability v. impermeabilty

-id'ed patient: fam. projection process~scapegoating

-symptom func. : absorbs anx. w/ whole unit

-emo. cutoff: emo runing away from home

Term

Fam sys: social constructivism


fam. develops meaning of events, patterns, stories

Definition

-members decisions carry messages about love, obedience, duty, loyalty to group

 

-fam's version of its history is its narrative: omissions, editing

 

-fam narrative can be revised in therapy

Term
Fam sys: fam drama
Definition

differentiation: knowing the diff. b/w ones thinking & feeling processes

 

fussion: not knowing the diff. ~being dominated by emo. systems

 

pseudo-selves: created to conform/promote harmony

 

•lvl of differentiation transmitted through generations

•highly fused fam are closed systems (impermeable, inflexible)

Term
Fam sys: + change
Definition

- balance of each members seperateness w/ collective togetherness

 

-flexibility to shift balance under stress, fam. life cycle changes, & outside input

 

-therapist becomes part of system/ vary how neutral or involved they become

 

Term
SFBT
Definition

- human problems result from patterns of interaction w/in a system

-indi's have w/in them the necessary ___?

-goal of intervention is solution

-all rules have exceptions (look @ area where child is succeeeding ~ "A"; focus on the +'s parts of child)

-ppl co-operate in therapy

-client determines the goals of therapy

-client does not require insight to change

Term
scaling
Definition

- fam asked to rate severity of presenting complaint on a continuum from (1) bad to (10) good.

- how child feels (1) to (100) : rate the highest/lowest ever been/felt

   *helps quantify

 

 

Term
Scaling Q's:
Definition

- allow us to listen to clients own asmt, perception & understanding of the problem

 

- by asking client to objectively asses the situation from varied angles, we learn what the client might need to do to achieve resolution of the problem

 

-helps view relations to other ppl

Term
Miracle Q
Definition
"suppose one night, a ___ happened & the problem was solved. How'd you know? What'd be diff.? How'd your (fam. member/s) know w/out saying a word about it?"
Term
DSM-V: 5 Axis
Definition

(1) clinical disorders & other conditions ~ clinical attention

(2) personality disorders & Identification

(3) Genetic medi. cond. potential relevant to the case

(4) psychosocial & environ. problems that may contribute to current dis.

(5) Global asmt of func. (GAF score) = 1~100 scale

 

 

___ I refers broadly to the principal disorder that needs immediate attention; e.g., a major depressive episode, an exacerbation of schizophrenia, or a flare-up of panic disorder. It is usually (though not always) the Axis I disorder that brings the person "through the office door."


___ II lists any personality disorder that may be shaping the current response to the Axis I problem. Axis II also indicates any developmental disorders, such as mental retardation or a learning disability, which may be predisposing the person to the Axis I problem. For example, someone with severe mental retardation or a paranoid personality disorder may be more likely to be "bowled over" by a major life stressor, and succumb to a major depressive episode.


___ III lists any medical or neurological problems that may be relevant to the individual's current or past psychiatric problems; for example, someone with severe asthma may experience respiratory symptoms that are easily confused with a panic attack, or indeed, which may precipitate a panic attack.


___ IV codes the major psychosocial stressors the individual has faced recently; e.g., recent divorce, death of spouse, job loss, etc.


___ V codes the "level of function" the individual has attained at the time of assessment, and, in some cases, is used to indicate the highest level of function in the past year. This is coded on a 0-100 scale, with 100 being nearly "perfect" functioning (none of us would score that high!).

Term
The Counseling Relationship
Definition

- 3 shared components: Common Factors + Specific Factors + Positive Life Events = Good Outcome

 

(1) Emotionally charged, confiding relationship

(2) Healing setting ~ clients believes this professional can provide help & trusts him/her to work on clients behalf

(3) Conceptual scheme (or myth) explaining clients symptoms; client/therapist both accept rationale, scheme, or myth.

Term

The Counseling Relationship



Therapeutic Alliance

Definition
- quality of personal relationship b/w therapist/client that allows them to function as a team w/ goals, and as the + aspect of the same relationship that allows the client to feel valued & liked
Term

The Counseling Relationship




What make a good alliance?

Definition

Nonverbal gestures

emotional support & care

presentation & body lang.

setting

session admin.

clients personal responsibility

referral & recommended materials

guidance & challenging

honesty

education

validation

Term
Case Conceptualization
Definition

- (case formulation) theory of the person ~ theory that draws together info. you have & organizes it in a way that helps explain current, past, and future behavior.

 

- bears insight into how the facts and ideas connect.

 

- begins during first contact w/ client.

 

schools: cum. records, standardized scores, grade history (overall history paramount)

 

1. descriptive data (age,sex, notable features)

2. presenting problem (why seeking help)

3. relevant history (events in past that client assoc. w/ presenting problem)

4. interpersonal style (passive v. active, pleasant v. abrupt)

5. environ. factors (poverty, fame)

6. personality dynamics (what seems to motivate indi's. actions)

Term
Informed Consent
Definition

- doc demonstrating agreement to undergo treatment

 

- respects & values for the client includes letting them know what will happen in therapy

 

- doc can have goals, techniques, theory, fees, expectations

 

- under 18: parent or guardian needed  (not applicable to: pregnancy, sexually transmitted diseases & drug abuse)

Term
Confidentiality
Definition

- privileged comm.: right to privacy that client can give up if he/she decides to

 

- need to have atmosphere of trust and freedom but guaranteeing that clients privacy is protected

 

- Broken when:

*1. child abuse is revealed w/in therapy (liken to harm to self)

*2. elder abuse is revealed w/in therapy (liken to harm to others)

3. client's insurance/managed care requests diagnosis & relevant clinical info

*4. client is suicidal

5. client sues for malpractice

6. hand materials to clerical staff for filing & recording purposes

7. courts subpoenas

8. client requests release of records

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