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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 (B)</p> Signup and view all the answers

What does the 4Ps model help in formulating?

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

Which aspect of assessment directly informs the formulation process?

<p>Gathering of information (C)</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. (B)</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 (C)</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 (A)</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 (C)</p> Signup and view all the answers

Which concept primarily focuses on childhood experiences in therapy?

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

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

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

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

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

Which factor is crucial to observe in clients during interviews?

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

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

<p>The child (C)</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 (D)</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 (D)</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 (A)</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 (B)</p> Signup and view all the answers

What is the significance of summarizing in therapy?

<p>To reflect the client's implicit feelings (B)</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 (A)</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 (D)</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 (A)</p> Signup and view all the answers

Which of the following is NOT considered a listening barrier?

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

In what way can silence be classified during a conversation?

<p>Productive, neutral, or obstructive (D)</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 (D)</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 (C)</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 (C)</p> Signup and view all the answers

What is the main purpose of using questionnaires in therapy?

<p>To evaluate progress and enhance engagement (B)</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) (A)</p> Signup and view all the answers

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

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

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

<p>Client's symptom history (D)</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 (A)</p> Signup and view all the answers

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

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

What is the focus of systemic practice in therapy?

<p>Mobilizing the strengths of relationships (B)</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 (C)</p> Signup and view all the answers

What is a qualitative outcome in evaluating therapy results?

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

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

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

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

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

What best describes the clinical golden chain?

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

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

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

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

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

What does strategic planning in clinical psychology primarily focus on?

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

Flashcards

Clinical Golden Chain

A cyclical process in clinical practice, starting with gathering information, formulating a client's issues, communicating the understanding, and intervention. It emphasizes that assessment isn't static, and new information may require adjustments along the way.

Assessment (Clinical Golden Chain)

The initial stage of the Clinical Golden Chain involves gathering information about a client's situation before establishing a theoretical understanding, focusing on symptoms, concerns, and relevant reports.

Formulate (Clinical Golden Chain)

A theoretical understanding of a client's difficulties, based on the information gathered. It helps in creating a plan to intervene.

Referral Sources

Individuals or organizations who refer a client for professional help. These include self-referral, families, colleagues (e.g., doctors, teachers), or court orders.

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Referral Letters

Documents from referring parties (e.g., doctors, teachers). They provide context and initial information about the client.

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Symptom Profile

A description of the client's symptoms and behaviors, often referenced to diagnostic tools like the DSM-5. The profile helps understand symptom clusters, but not necessarily how they were formed or maintained.

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Flexibility in Assessment

The importance of maintaining an open mind during assessment, as the client's situation may differ from the initial referral. Avoiding relying solely on the referral.

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Client Buy-in

Ensuring the client understands their situation and agrees to the treatment. An crucial step where communication is needed.

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Appropriate silences

Strategic pauses in a conversation, used to encourage reflection and allow the client to process information.

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Observing client during interview

Paying attention to a client's nonverbal cues like eye contact, activity level and their interaction styles during the interview to gain insights.

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Client in child cases

Determining the actual client in child therapy situations. It might be the child, the parents, or the child's environment.

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Presenting problem in therapy

The main issue brought by the client, evaluating the frequency, duration, and intensity.

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Factors contributing to difficulties

Identifying the potential reasons or causes of the client's challenges.

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Family history in therapy

Information about the client's family background, important for understanding the client's context.

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Emotional reactions of therapist

Recognizing and understanding how a psychologist's personal biases can affect client interactions.

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Client's current concerns

Identifying the client's primary problems or difficulties, for which help is sought.

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Intervention outcome assessment

Evaluating the effectiveness of a therapy program by measuring changes in therapy goals and symptom reduction.

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Clinical Psychologist Work Settings

Clinical psychologists work in healthcare, community services, schools/universities, government entities, and private practice clinics.

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Scientist-Practitioner Approach

Applying scientific knowledge in psychology to address psychological difficulties and distress.

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Empirically Supported Treatment

Treatments with evidence supporting their effectiveness for specific psychological conditions.

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Quantitative Measures

Using numbers to assess treatment outcomes, including standardized tests and personal goal ratings.

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Qualitative Outcomes

Using surveys and conversations to understand patient experiences and perspectives in therapy.

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Multidisciplinary Teams (MDTs)

Groups of professionals from various backgrounds (e.g., doctors, therapists) who collaborate to provide comprehensive care.

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Clinical Roles (senior)

Responsibilities of senior clinical psychologists include leadership, team development, clinical governance & professional development within the team.

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Roles of a Clinical Psychologist (direct work)

Direct clinical work includes conducting individual, group, couple, and family therapy, and onward referrals.

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Exploring Client Content

Analyzing client stories to understand their feelings and meanings related to an issue.

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Paraphrasing

Restating client's words in your own words to ensure accurate understanding and to show engagement.

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Issue Cycle

A cyclical pattern of interactions within a person's journey related to a problem—consisting of door openers,minimal encouragers, and paraphrases as way to open further discussion.

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Systemic Theory

A perspective that views individuals within their context and social systems.

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CBT vs Schema Therapy

CBT focuses on thoughts, while schema therapy focuses on childhood experiences.

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Extrapolation in Therapy

Reflecting a client's feelings to encourage further discussion, in a non-judgmental way. It's not about judging the feelings, but about encouraging the client to talk more about them.

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Rapport Building in Therapy

Establishing a connection with the client, especially important for children, teenagers, or mandated clients. Focuses on being present, interested, and listening.

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Joining Skills in Therapy

Techniques of making and maintaining a connection with the client, including internal & physical attending, and verbal cues.

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Therapeutic Distance

Maintaining a professional but caring relationship with clients. It involves unconditional positive regard--accepting the client without judgment.

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Door Openers

Non-judgmental questions or statements used to start a conversation or explore a topic.

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Minimal Encouragers

Verbal or nonverbal cues (like nodding) to show you're actively listening and encourage the client to continue talking.

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Listening Barriers

Things that stop you from fully understanding a client (e.g., environmental distractions, or preconceived notions).

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Productive Silence

A pause in conversation that allows the client time to process and reflect.

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Types of Questionnaires

Questionnaires used in clinical and research settings fall into three categories: symptom-based, broad functioning, and therapeutic alliance.

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Symptom-based questionnaire

A type of questionnaire that focuses on identifying and assessing the presence and severity of specific symptoms like depression or anxiety.

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Broad functioning questionnaire

A type of questionnaire that addresses overall functioning and well-being, considering multiple aspects of a person's life.

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Therapeutic alliance questionnaire

A type of questionnaire used to assess the quality of the relationship between a therapist and their client.

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PHQ-9

A self-administered questionnaire designed to screen for and assess the severity of depressive symptoms.

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GAD-7

A self-administered questionnaire used to screen for and assess the severity of anxiety symptoms.

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Outcome rating scale

A questionnaire used to measure progress in therapy, tracking changes in symptoms, functioning, and overall well-being.

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Setting the stage for school observations

Before conducting observations in a school setting, it's essential to prepare the school and clarify expectations. This includes ensuring they understand the purpose of the observation, establishing a cover story, and maintaining confidentiality.

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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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