Therapies Flashcards

Question

Microsystem

Answer 1

Individuals direct relationship with family members, teachers, coworkers, neighbors, etc.

Answer 2

Interaction between different micro systems. Example – parent teacher conference, coordinating services between family and a community service center.

Answer 3

Larger societal structures – laws, cultural, norms, economic policies – that shape an individual’s life experiences. Example – board of trustees would be a macro system for a college student.

Answer 4

Consider how major life events – a divorce – a baby brother – a pandemic – a sister going off to college – impact the individual overtime

Answer 5

Grace Coyle SW reaches agreement with group as the purpose function and structure of the group Pros of group therapy Installation of hope Universality Interpersonal learning Altruism Self – understanding and insight Existential learning Don’t put these people in groups: Suicidal Paranoid Psychotic Extreme need for attention In crisis

Answer 6

Less structured and more generalized than prolonged exposure therapy Used to treat PTSD, various phobias and social anxiety disorder Exposed client to escalating range of anxiety – inducing stimuli Exposure continues incrementally until anxiety decreases through desensitization

Answer 7

Therapist takes a more directive role – “let me help you identify the tasks and strategies you need to know to address the problems you have.“ Look to underlying causes of problems as well

Answer 8

Alfred Adler People with a strong, social interest are more likely to contribute to the common good Treatment focuses on future – not a deep dive into the past Aim of therapy is to overcome feelings of inferiority or self-centeredness – and to contribute more to the welfare of others People strive for superiority and power to compensate for feelings of inferiority Birth order matters and can impact personality Social interest is a feeling of cooperation with people – the sense of belonging and participating toward the common good

Answer 9

Robinson and Taft “Helping” rather than treating Think reality – based cps social work. SW helps client with paperwork, next steps, etc. Little discussion about diagnosis, in -depth, family history, etc. Client drives process. Gets help or doesn’t. Emphasizes client's ability to self – determine their own path within the helping relationship Example - SW helps a homeless client complete paperwork for shelters, connects to other resources, etc. Does not discuss the reasons for their homelessness

Answer 10

Insoo Kim Berg Steve De Shazer Therapist is not an expert. The client knows what to do – and just needs help getting there. Therapist must suspend all judgment, remain curious to cultivate an environment in therapy that helps client figure out their own stuff. Don’t look to childhood or the past – look to the future Focus on solution talk rather than problem talk The simplest solution is usually the best If something isn’t working, we should do something different Miracle question Scaling question Exception question “Tell me about a time when the problem wasn’t so bad. What needs to happen for us to get back to that point?” Continuation question “what would you want to have happen next?”

Answer 11

Goal is to teach more effective ways of dealing with one another by changing the consequences of the behavior/altering the reinforcements Focus is on observable behaviors – identifying specific behaviors that need to change – as opposed to talking about feelings and emotions From there – it’s behave mod time! Parenting education Behavioral Contracts Communication skills training I statements Role-play – practicing new behaviors in a safe setting to build confidence

Answer 12

Jay Haley A brief therapy model. What problems do you have right now? Let’s fix them as fast as possible. Therapist seen as an expert, unbiased Main concepts Circular causality We can’t look for one root cause for all family issues. Family challenges are never just one person‘s fault. Example: acting out. Child can be responding to her parents fighting. First order change Family members make a superficial change. Example: parents using “good” discipline right after attending a therapy session. Second order change: meaningful longer lasting change Technique Relabeling or reframing Paradoxical instruction/instruction/directives Prescribe the symptom. Example: couple that has a problem. Arguing is instructed to argue every day at 7:30. This helps family see problem through different lens – and makes them less inclined to carry out the trouble behavior. Behavioral family strategies – cause/affect strategies. Example swear jar example you came home late now you have to do the dishes.

Answer 13

Treatment of pathology or mental illness

Answer 14

Not linear thinking – i.e. “A causes B“. More about “A and B influence each other“ Holistic approach everything is interconnected child and parent – School – Work – neighborhood, etc. How is this person‘s network/environment impacting the person‘s behavior? People don’t operate separately from their environment – they are part of their environment You aren’t looking for causes to behavior – you were looking for influences We map problems across entire system It’s hard to predict what will happen. Make changes – see what happens – keep the stuff we like. Avoid simple, explanations of behaviors One small change within the network of systems can affect the entire system Example of all this: Woman is diagnosed with breast cancer. What caused it? Difficult to say. Many things influence us all the time. Another example: a SW might help a kid with behavioral problems by Improving parents parenting skills Supporting kid at school Help kid interact with peers

Answer 15

Helene Harris Perlman Life is a problem – solving process Client and SW work together to identify problem, analyze it, generate options, implement solutions The ego is a mechanism for solving problems SW must restore motivation to problem solved by Reducing anxiety and fear Promoting support and safety supporting the lowering of defenses “Freeing ego energies“ to address whatever the problem is that must be solved 4 P’s Person Problem Place (agency) Process (Therapy relationship)

Answer 16

Murray Bowen Multigenerational patterns, influence, family interactions This theory has an ecological system vibe running through it Problems are seen as the fusion of family members due to lack of individuation Family"s goal is to help members achieve differentiation of self – a person‘s ability to balance emotional reactivity with thinking – so that the person is better able to problem solve Things that get in the way of this: Triangulation Fusion and cut off – enmeshment and engagement Nuclear family emotional system – the idea that people can only make decisions as a family Assessment and intervention Assess intergenerational family patterns with a genogram Ask process questions – “what are you thinking?” “What upsets you?” Teach people how to talk to each other Individual improvement has positive influence on the rest of the family

Answer 17

Eric Berne Goal of therapy is to achieve autonomy Like the name suggests, this therapy is about looking at communication (transactions) breaking them down (analysis) and coming up with improved methods to relate to other people So… we look at the ego states that people are communicating from – and consider interventions that can alter this communication Child, ego state Parent, ego state Adult ego state Therapist helps client communicate from the adult ego state – their “authentic voice”

Answer 18

Transactional analysis concept Our communication state based on how we emerged through childhood. How we form relationships with others – communicate – how we see ourselves in the world.

Answer 19

Transactional analysis concept Parental energy. Disapproving, critical, nurturing, rescuing, taking over to get things done, etc..

Answer 20

Transactional analysis concept Rooted in the hear and now. Not waves down by past experiences. (as in other ego states.) when we communicate from the adult ego state, we tend to be more respectful, listen to others, and generally have better overall interactions.

Answer 21

Transactional analysis concept I’m OK you’re OK we are equals I’m OK you’re not OK – I’m superior to you I’m not OK you are OK – you are superior to me I’m not OK you’re not OK – it’s all hopeless!

Answer 22

A.k.a. Rogerian therapy Carl Rogers It is wrong to define people by their behavior. We must separate the person from the behavior. We accept the person as holding humanity – we condemn the troubled behavior. That said, it is entirely acceptable to challenge trouble behaviors when they harm vulnerable people Core conditions needed by therapist Unconditional positive regard Empathetic understanding “I can see you’re really angry“ Congruence – must be real, genuine, authentic client must feel accepted and understood Client must: Client incongruence – aware they are hurting and want to do something about it Recognizes that therapist legit wants to help them Willingness to explore, self disclose, self, self reflect Client does most of the talking – takes ownership of their well-being. Therapist is super nonjudgmental and helps. Client understand thoughts and feelings.

Answer 23

Careful! This is different from CBT Attempts to uncover the client‘s internal dialogue – exploring the thinking of the core of negative fox. If we can change the thinking, maybe we can change the mood.

Answer 24

Cognitive therapy focuses on eliminating psychological distress. CBT attempts to replace negative behavior with positive behavior as well.

Answer 25

ADHD Sexual dysfunction Compulsive disorders Phobic disorders Kids with autism or mental retardation

Answer 26

Phobias Depression Anxiety Addiction

Therapies Flashcards

(50 cards)