Week 12 - Termination

Question 1

name 6 components that can affect one’s reaction to termination.

Answer 1

• 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

Question 2

margaret mahler was a key individual in what?

Answer 2

the separation-individuation process

Question 3

name 5 components of how to terminate.

Answer 3

• 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

Question 4

name 6 ways to facilitate termination.

Answer 4

• graduation certificate
• bon voyage party
• changing of the guards
• encourage verbalization of feelings
• institutional transference
• be available

Question 5

pt. starts to perform at a lower rate than where they were before in treatment (undo progress)

Answer 5

undoing

Question 6

not cooperating in treatment, not coming to a group, blaming therapist, hostility

Answer 6

acting out

Question 7

change emotions to positive ones regarding the end of treatment

Answer 7

reaction formation

Question 8

• 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

Answer 8

identification

Question 9

think about the event by talking about it in an intellectual way to reduce emotions

Answer 9

intellectualization

Question 10

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

Answer 10

changing of the guards

Question 11

client feels connected to the setting and others not so if someone leaves they still feel okay bc they are connected in other ways.

Answer 11

institutional transference

Question 12

name the 4 stages of the separation-individuation process.

Answer 12

• differentiation
• practicing
• rapproachement
• object constancy