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Questions and Answers

What is the first step in the Clinical Golden Chain?

  • Therapy
  • Get info (correct)
  • Formulate
  • Communicate with the client
  • Which of the following is a common referral source for children?

  • Medical insurance companies
  • School teachers (correct)
  • Social media platforms
  • Online assessments
  • At what stage in the Clinical Golden Chain can new information surface?

  • At various points including communication and evaluation (correct)
  • Only at the assessment stage
  • During therapy only
  • While formulating the treatment plan
  • How should a psychologist approach initial referral information?

    <p>Be flexible and keep an open mind regarding the client's actual concerns</p> Signup and view all the answers

    What does the 4Ps model help in formulating?

    <p>A client's difficulties</p> Signup and view all the answers

    Which aspect of assessment directly informs the formulation process?

    <p>Gathering of information</p> Signup and view all the answers

    What is a key factor to consider about diagnostic criteria during assessment?

    <p>They are helpful for understanding symptom clusters.</p> Signup and view all the answers

    When might a psychologist need to return to the assessment stage?

    <p>If new information arises during evaluation</p> Signup and view all the answers

    What is the primary purpose of using paraphrasing in therapy sessions?

    <p>To build rapport and encourage open communication</p> Signup and view all the answers

    Which of the following techniques is NOT mentioned as part of exploring client content?

    <p>Direct confrontation without empathy</p> Signup and view all the answers

    Which concept primarily focuses on childhood experiences in therapy?

    <p>Schema Therapy</p> Signup and view all the answers

    What is an important factor to consider while working from a systemic theory perspective?

    <p>Family dynamics and relationships</p> Signup and view all the answers

    Which component is considered an essential part of the issue cycle in therapy?

    <p>Use minimal encouragers</p> Signup and view all the answers

    What is considered a problematic emotional regulation strategy in therapeutic settings?

    <p>Emotion suppression</p> Signup and view all the answers

    Which factor is crucial to observe in clients during interviews?

    <p>Eye contact and attention span</p> Signup and view all the answers

    In child cases, who is often considered the client in therapeutic settings?

    <p>The child</p> Signup and view all the answers

    What should be explored to understand a client's presenting problem?

    <p>The frequency, duration, and intensity of the problem</p> Signup and view all the answers

    What does observing incongruency in a client's emotional expression indicate?

    <p>The client may be suppressing emotions</p> Signup and view all the answers

    What is a primary consideration when observing one's emotional reactions to a client?

    <p>Identifying personal biases and beliefs</p> Signup and view all the answers

    Which element should be assessed to comprehend how well a client is reacting to therapy?

    <p>The client's interaction style</p> Signup and view all the answers

    What is the significance of summarizing in therapy?

    <p>To reflect the client's implicit feelings</p> Signup and view all the answers

    What is the primary goal of extrapolating during a client conversation?

    <p>To reflect the client's feelings and deepen the discussion</p> Signup and view all the answers

    Which factor is particularly important for rapport building with kids and teenagers?

    <p>Being present and actively listening</p> Signup and view all the answers

    What does the acronym SOLAR refer to in body position during therapeutic conversations?

    <p>Sitting, Open, Leaning towards, Attending, Responding</p> Signup and view all the answers

    Which of the following is NOT considered a listening barrier?

    <p>Sustained eye contact</p> Signup and view all the answers

    In what way can silence be classified during a conversation?

    <p>Productive, neutral, or obstructive</p> Signup and view all the answers

    What is emphasized as important when framing the purpose of therapy?

    <p>Establishing therapeutic distance with unconditional positive regard</p> Signup and view all the answers

    Which of the following aids in maintaining a connection during a client interview?

    <p>Internal attending and verbal attending</p> Signup and view all the answers

    What role do minimal encouragers play in a therapeutic conversation?

    <p>They encourage the client to continue talking</p> Signup and view all the answers

    What is the main purpose of using questionnaires in therapy?

    <p>To evaluate progress and enhance engagement</p> Signup and view all the answers

    Which of the following questionnaires is specifically designed to assess anxiety?

    <p>Generalized Anxiety Disorder scale (GAD-7)</p> Signup and view all the answers

    What type of scale is the Session Rating Scale (SRS) intended to assess?

    <p>Therapeutic alliance</p> Signup and view all the answers

    Which component is NOT typically included when assessing the therapeutic alliance?

    <p>Client's symptom history</p> Signup and view all the answers

    What is an essential step when preparing for school observations?

    <p>Check if the school has had prior observations</p> Signup and view all the answers

    Which of the following is NOT an example of a symptom-based questionnaire?

    <p>Outcome Rating Scale</p> Signup and view all the answers

    What is the focus of systemic practice in therapy?

    <p>Mobilizing the strengths of relationships</p> Signup and view all the answers

    Which type of therapy has been shown to be effective in children's and young people’s services?

    <p>Family therapy</p> Signup and view all the answers

    What is a qualitative outcome in evaluating therapy results?

    <p>Surveys and conversations</p> Signup and view all the answers

    Which of the following is NOT a role of a clinical psychologist?

    <p>Running a hospital</p> Signup and view all the answers

    In which setting is a clinical psychologist most likely to work?

    <p>Community services</p> Signup and view all the answers

    What best describes the clinical golden chain?

    <p>An iterative and flexible process</p> Signup and view all the answers

    What type of treatment is defined by being empirical and supported by evidence?

    <p>Empirically supported treatment</p> Signup and view all the answers

    What responsibility involves monitoring clinical performance and ethical decision-making?

    <p>Clinical governance</p> Signup and view all the answers

    Which group is least likely to be part of a multidisciplinary team (MDT) in a clinical psychology setting?

    <p>Epidemiologist</p> Signup and view all the answers

    What is a significant aspect of the roles of more senior clinical psychologists?

    <p>Leadership and professional development</p> Signup and view all the answers

    Which of the following is a common method for personal goal ratings in therapy evaluation?

    <p>Self-reported measures</p> Signup and view all the answers

    What does strategic planning in clinical psychology primarily focus on?

    <p>Implementation of evidence-based therapies</p> Signup and view all the answers

    Study Notes

    Week 1 - Lecture 1: Introduction

    • The clinical golden chain: assessment, formulation, communication, intervention, and evaluation
    • Referral sources: self, family, colleagues, school counselors, court-mandated
    • Assessment: part 1
    • Generic formulation model (4Ps): predisposing, precipitating, perpetuating, and protective factors
    • Behavioural theory and cognitive behavioral therapy (CBT)
    • Formulation (general principles) → part 2
    • Evaluation → part 5

    Week 2 - Lecture 1

    • Communication → part 3
    • Behavioural intervention → part 4
    • Evaluation (general principles) → part 5
    • Roles of psychologists (different levels of seniority)
    • Roles within mental health services
    • Scientist-practitioner
    • Reflective practitioner
    • Critical practitioner
    • Frameworks within clinical practice (behavioural therapy, CBT, psychodynamic therapy, systemic therapy)

    Week 2 - Readings

    • Chapter 1: What does a clinical psychologist do? → covers assessment, formulation, intervention, evaluation, and MDTs
    • Chapter 2: The Art and Science of Psychological Practice.
    • Chapter 3: Working in Teams

    Week 3 - Tutorial 1

    • Rapport-building (helpful and unhelpful)
    • Nonverbal communication (helpful and unhelpful)
    • Verbal communication (helpful and unhelpful)

    Week 3 - Lecture 3

    • Working with children and families
    • Introduction to systemic practice
    • Further considerations for working with children (normal childhood development, diagnosis, aetiology, psychological help, and communication)

    Week 4 - Lecture 4

    • School observations
    • Planning for observations (what to look for, initial information from observations, teacher interviews)
    • Formal psychological tests (e.g. Wechsler Adult Intelligence Scale, Wechsler Intelligence Scale for Children)
    • Defining intellectual disabilities (DSM-5 criteria, score types, and domains)

    Week 4 - Readings

    • Chapter 4: Working with children and young people
    • Chapter 5: Working with families

    Week 5 - Lecture 5

    • Working with individuals with anxiety
    • Behavioural (first-wave) and cognitive (second-wave) theories of anxiety
    • Therapy targets (thoughts and behaviours, responses)
    • Cognitive behavioral therapy (CBT) formulation

    Week 5 - Readings

    • Chapter 7: Working with anxiety disorders

    Week 5 - Tutorial 2

    • Normalisation competency
    • Empathy competency

    Week 5 - Chapter 2

    • The Therapy Client: Motivation and Understanding of Therapy

    Week 6 - Lecture 6

    • Working with individuals experiencing depression
    • Theories of depression (learning, attribution style, cognitive, ruminative response)
    • Techniques in CBT and ACT

    Week 6 - Readings

    • Chapter 6: Working with depression

    Week 8 - Lecture 7

    • People with borderline personality disorder and high risk

    Week 8 - Readings

    • Chapter 7: Working with anxiety disorders (types, epidemiology, and aetiology)

    Week 9 - Readings

    • Chapter 9: PTSD

    Week 10 & 12 - Readings

    • Chapter 13: Intellectual disabilities
    • Chapter 12: Individuals with health concerns
    • Chapter 15: Relationship between psychological difficulties and physical health problems

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