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Questions and Answers

What is psychotherapy?

General term for the mix of clinical methods used by psychologists to modify patient behaviors, cognitions, and emotions.

A patient's positive expectations typically lead to poorer therapeutic outcomes.

False (B)

What does a strong therapeutic alliance describe?

Describes the relationship between the therapist as well as the patient. Stronger trust in one another may allow the patient to feel comfortable and reveal thoughts and feelings that may be difficult to share and admit.

What formed the basis for mental conditions, according to the psychoanalytic/psychodynamic perspective?

<p>Sexual conflict and conflict between the Id, Ego, &amp; Superego. Childhood conflicts influence adulthood.</p> Signup and view all the answers

What are defense mechanisms?

<p>Ego's protective method of reducing anxiety by unconsciously distorting reality (controls the Id).</p> Signup and view all the answers

How does Adlerian therapy view the interpretation of self-worth and social status?

<p>Interpretation of one's own self worth and social status contribute to psychopathology.</p> Signup and view all the answers

What is a key component of Person-Centered therapy?

<p>Human connection is key, accept the ideal self.</p> Signup and view all the answers

In psychoanalytic/psychodynamic therapy, the therapist is non-directive.

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

In Adlerian therapy, the therapists & patients are not equals.

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

In person-centered therapy, the therapist takes a more directive approach.

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

What qualities characterize the therapeutic relationship in existential therapy?

<p>Therapeutic relationship is authentic and filled with connection. Therapist can give feedback and be confrontational.</p> Signup and view all the answers

What is the main goal of psychoanalytic therapy?

<p>Gain insights into the unconscious mind.</p> Signup and view all the answers

What is the focus of Adlerian therapy?

<p>Develop and practice more positive ways for belonging and gaining significance.</p> Signup and view all the answers

What is a core belief in Person-Centered therapy?

<p>The client is inherently driven toward and has the capacity for growth and self-actualization.</p> Signup and view all the answers

Which type of therapy is Sigmund Freud associated with?

<p>Psychoanalytic/Psychodynamic Therapy (C)</p> Signup and view all the answers

Which type of therapy id Alfred Adler associated with?

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

Which type of therapy is Carl Rogers associated with?

<p>Person-Centered Therapy (C)</p> Signup and view all the answers

Which type of therapy is Fritz Perls associated with?

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

Which type of therapy is William Glasser associated with?

<p>Reality Therapy (D)</p> Signup and view all the answers

According to Freud, how does psychopathology develop?

<p>Psychopathology develops from unresolved conflict in childhood. Can also develop from conflict between the Id, Ego, &amp; Superego.</p> Signup and view all the answers

What is free association?

<p>The patient says whatever comes to mind in hopes that the patient will reveal something from the unconscious or speak their true feelings.</p> Signup and view all the answers

Describe projective testing.

<p>Therapists may use a tool like a Rorscharch test (inkblot) and ask the patient to explain what they see in order to interpret subconscious thoughts and/or what the patient may be truly experiencing inside.</p> Signup and view all the answers

What is transference in a therapeutic context?

<p>The patient may transfer negative attitudes and beliefs about a person in their past onto their therapist.</p> Signup and view all the answers

What is resistance in therapy?

<p>Patients may use one word responses in order to avoid emotional pain and repress their thoughts, resisting the therapeutic process.</p> Signup and view all the answers

What is interpretation in therapy?

<p>The therapist will offer interpretations of the patients behaviors, thoughts, and emotions and articulate a hypothesis about the patients experience.</p> Signup and view all the answers

What is Brief Psychodynamic Therapy?

<p>Targets a main interpersonal problem the patient may be experiencing. Requires more structure, planning, &amp; direction from therapist.</p> Signup and view all the answers

Describe 'basic mistakes' in Adlerian therapy.

<p>Way of thinking is exaggerated, absolute, and unwarranted, similar to cognitive distortions.</p> Signup and view all the answers

What is the Adlerian therapy technique of Acting 'As If'?

<p>Acting differently in a situation, even if the patient feels a certain way.</p> Signup and view all the answers

What is the 'Push-Button Technique' in Adlerian therapy?

<p>Emotions stem from our thoughts, we can control how we feel using our thoughts.</p> Signup and view all the answers

Describe the 'Catching Oneself' technique in Adlerian therapy.

<p>Helps patients recognize automatic habits that may elicit the same feeling.</p> Signup and view all the answers

What is Unconditional positive regard?

<p>Acceptance and support of what a person says or does regardless of morality</p> Signup and view all the answers

What is Accurate empathy?

<p>Active interest in understanding the person's feelings &amp; perspective</p> Signup and view all the answers

What is the definition of Genuineness?

<p>Roger Necessary Condition (Accurate empathy and unconditional positive regard).</p> Signup and view all the answers

What is Reflection in in therapy?

<p>Therapist repeats back the thoughts and emotions of the patient. Validates the patient and encourages the patient to keep talking.</p> Signup and view all the answers

What is motivational interviewing?

<p>Miller &amp; Rollnick: Method that helps people resolve ambivalent feelings and insecurities to find the internal motivation they need to change their behavior.</p> Signup and view all the answers

What is 'Righting Reflex' in the context of Motivational Interviewing?

<p>The natural inclination the therapist has to tell the patient what they should do. Refraining allows the person to decide what is right for them, instead of telling them what they should do.</p> Signup and view all the answers

What does Expressing Empathy mean?

<p>Therapists should reflect what the patient is feeling.</p> Signup and view all the answers

What does Develop Discrepancy mean?

<p>Therapist asks questions regarding values of the now and how they coalesce with the future.</p> Signup and view all the answers

What does Roll with resistance (Reflect Discord) mean?

<p>Reflect the patients feelings back to them.</p> Signup and view all the answers

What does Support Self-Efficacy mean?

<p>The belief that the patient can engage in changing their behaviors and for those behaviors to be changed successfully (goals are met).</p> Signup and view all the answers

What kind of questions should you ask according to "Open-ended questions OARS"?

<p>Provides room for the patient to elaborate and expand on the topic. Ex. How do you feel when you smoke?</p> Signup and view all the answers

What are Affirmations?

<p>Statements that recognize client's strengths.</p> Signup and view all the answers

What are Reflections?

<p>Repeats feelings back; helps the patient organize their thoughts and feelings.</p> Signup and view all the answers

What are Double sided reflections?

<p>Captures both sides of the ambivalence.</p> Signup and view all the answers

What are Summaries?

<p>Concisely summarize what the patient says; helps to organize their thoughts and feelings</p> Signup and view all the answers

Regarding Change Talk, what should the therapist be looking for?

<p>Any indication that the patient is thinking/considering change.</p> Signup and view all the answers

Flashcards

Psychotherapy

Clinical methods used to change patient behaviors, thoughts, and emotions.

Positive Expectations

Patient's positive outlook enhances therapy outcomes.

Strong Therapeutic Alliance

Strong therapist-patient bond fosters trust and open sharing.

Psychoanalytic/Psychodynamic

Mental issues stem from sexual conflicts and ego struggles in early life.

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Defense Mechanisms

Ego reduces anxiety by distorting reality unconsciously.

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Psychoanalysis

Focuses on inner mental processes.

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Psychodynamic

Focuses on relationship dynamics.

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Adlerian

Low self-worth and social status cause mental distress.

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Person-Centered

Focuses on human connection, accepting ideal self.

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Psychoanalytic

Insights into the unconscious mind.

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Adlerian Therapy

Develop positive belonging and significance.

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Person-Centered

The client is driven towards self-growth.

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Free Association

Says whatever comes to mind.

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Transference

Transfers feelings about past figure onto therapist.

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Interpretation

Therapist interprets patient's behaviors and emotions.

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Adlerian

Therapist and patient are equals.

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Basic Mistakes

Exaggerated and unwarranted ways of thinking.

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Acting 'As If'

Acting differently, despite true feelings.

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Push-Button Technique

Emotions from thoughts; we can control feelings.

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Catching Oneself

Helps recognize habits that elicit certain feelings.

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Unconditional Positive Regard

Acceptance regardless of morality.

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Accurate Empathy

Understand person's feelings and perspective.

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Reflection

Therapist repeats thoughts/emotions to the patient.

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Motivational Interviewing

Resolve insecurities, find internal motivation to change.

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Righting Reflex

Telling the patient what they should do.

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Develop Discrepancy

Ask questions about values now versus the future.

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Roll with Resistance

Reflect patient's feelings back to them.

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Support Self-Efficacy

Help patient to belive they can improve their life.

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Summaries

Helps organize thoughts/feelings concisely summarize.

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Change Talk

Patient thinking/considering change.

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Study Notes

  • Psychotherapy is a broad term encompassing clinical methods used by psychologists to change patient behaviors, cognitions, and emotions.
  • Positive expectations from a patient can lead to better therapeutic outcomes through a self-fulfilling prophecy.
  • A strong therapeutic alliance involves trust between the therapist and patient, fostering open communication.

Psychoanalytic/Psychodynamic Therapy

  • Mental conditions arise from sexual conflict and clashes between the Id, Ego, and Superego.
  • Childhood conflicts are seen as influential on adulthood.
  • Defense mechanisms are used by the Ego to reduce anxiety by distorting reality and controlling the Id.
  • Psychoanalysis focuses on the intrapersonal, while psychodynamic therapy addresses the interpersonal.
  • Therapists offer interpretations of patients' emotions and behaviors in a more directive manner.
  • The goal is to gain insights into the unconscious mind.
  • Sigmund Freud is the founder of this therapy.
  • Psychopathology stems from unresolved childhood conflicts or conflicts between the Id, Ego, & Superego.
  • Free association involves patients verbalizing whatever comes to mind to reveal unconscious thoughts.
  • Projective testing uses tools like the Rorschach test to interpret subconscious thoughts.
  • Transference occurs when a patient redirects feelings from their past onto the therapist.
  • Resistance involves patients avoiding emotional pain, hindering the therapeutic process.
  • Interpretation involves therapists offering explanations of patient's behaviors, thoughts, and emotions.
  • Brief psychodynamic therapy focuses on a main interpersonal problem with more therapist direction.

Adlerian Therapy

  • Interpretation of self-worth and social status contributes to psychopathology.
  • Therapists and patients are considered equals.
  • The aim is to develop positive ways of belonging and gaining significance.
  • Alfred Adler is the founder of this therapy.
  • Psychopathology arises from striving for superiority in an unhealthy manner.
  • Basic mistakes are thinking patterns that are exaggerated and unwarranted.
  • Acting "As If" involves behaving differently, regardless of current feelings.
  • The Push-Button Technique uses thoughts to control emotions.
  • Catching Oneself helps patients recognize automatic habits that elicit certain feelings.

Person-Centered Therapy

  • Human connection is considered key to therapeutic success, with acceptance of the ideal self.
  • Therapists take a non-directive approach, using reflection as a sounding board.
  • Clients are seen as driven towards growth and self-actualization.
  • Carl Rogers is the founder of this therapy.
  • Psychopathology arises from the discrepancy between the ideal self and the real self.
  • Unconditional positive regard involves accepting a person regardless of their actions.
  • Accurate empathy is active interest in understanding a person’s feelings and perspective.
  • Genuineness, accurate empathy, and unconditional positive regard are necessary conditions.
  • Reflection involves the therapist repeating back the patient's thoughts and emotions.

Existential Therapy

  • Therapeutic relationships should be authentic and filled with connection with confrontational feedback.
  • Psychopathology stems from low self-awareness, emotional avoidance, and existential anxiety.
  • Normal anxiety worsens if avoided.
  • Neurotic anxiety stems from inner insecurities or fears of losing control.
  • Existential anxiety stems from awareness of the bigger questions of life.
  • General approach involves finding meaning, recognizing personal freedom, and taking responsibility.
  • Paradoxical intention involves behaving opposite to thoughts or feelings, similar to exposure therapy.
  • Changing cognitive meaning involves altering the way you view things.

Gestalt Therapy

  • Psychopathology stems from living in the past, worrying about the future, clinging to illusions, and failing to learn.
  • One grows by being self-aware in the present moment.
  • People are influenced by their environment.
  • Fritz Perls is the founder of this therapy.

Specific Gestalt Therapy Techniques

  • Suppressing emotion can manifest in body language.
  • Unfinished Business from the past is explored in the present to inform future decisions.
  • Dream Work allows for reappraisal of dreams and influencing future behaviors.
  • The Empty-Chair Technique involves internal conversations between different paths or decisions.

Reality Therapy

  • Focuses on taking responsibility for choices.
  • William Glasser is the founder of this therapy.
  • The premise is that there is no such thing as mental illness.
  • Choice Theory posits that humans are internally motivated.

Total Behavior

  • Consists of acting, thinking, feeling, and physiology.
  • Quality World is one's world of wants.
  • The 5 Basic Needs include survival, love and belonging, power, freedom, and fun.
  • In the automobile analogy, behavior is the sum of our behaviors.

The Automobile Analogy Explained

  • The engine represents basic needs.
  • The steering wheel symbolizes wants.
  • Front two wheels represent behavior and thoughts, having direct control.
  • Back two wheels represent emotions and bodily responses, having indirect control.

WDEP

  • Wants: What do you want?
  • Doing: What are you doing?
  • Evaluation: Is it working?
  • Planning: Should you make a new plan?

Behavior Therapy

  • Arose as a reaction against the psychodynamic approach.

Cognitive Therapy

  • Dissatisfaction with behavioral approach cognitive revolution, focuses on cognitions.

Functional Behavioral Analysis (FBA)

  • It is a formal assessment of behavior contingencies.
  • A = antecedents.
  • B = behavior.
  • C = consequences.

Contingency Management Interventions

  • Reinforcement and/or punishment is used to encourage or decrease a target response.
  • Behavioral activation reinforces engaging in activities that improve mood.
  • It works as well as Cognitive Therapy or Cognitive Behavioral Therapy, even at a 2-year follow-up.
  • Daily Activity helps evaluate mood and mastery.
  • Systematic Desensitization is imaginal exposure paired with PMR to condition relaxation.
  • Exposure and Response Prevention involves facing fears without compulsions.
  • Prolonged Exposure Therapy gradually approaches trauma-related memories.
  • Interoceptive exposure activates the sympathetic nervous system.

Rational Emotive Behavior Therapy

  • Irrational beliefs cause psychopathology.
  • ABCDEF involves:
    • A = activating event
    • B = belief about the event
    • C = consequent emotion/behavior
    • D = disputation of irrational belief
    • E = emotional effect of disputation
    • F = new feeling from rational beliefs.
  • The 3 Main Irrational Beliefs are:
    • "I must do well or I am worthless."
    • "Others should treat me considerately and fairly."
    • "My conditions are too unfair or harsh."

Beckian Cognitive Therapy

  • Negative or distorted beliefs were correlated with depression.
  • Collaborative empiricism involves therapist and patient working together to investigate validity of thoughts.
  • Cognitive distortions are faulty assumptions about self, others, and the world.
  • Automatic Thoughts stem directly after the event and are influenced by intermediate beliefs.
  • Intermediate Beliefs are rules stemming from core beliefs.
  • Core Beliefs are cognitions that inform intermediate beliefs.
  • The Cognitive Triad of Depression focuses on the future, world, and self.
  • Socratic questioning helps people reexamine their beliefs.

Stress Inoculation Training

  • Learning skills to face future stressors.
  • Preparation Self-Statements are said before a stressful situation.
  • Coping Self-Statements are said during a stressful situation.
  • Self-Reinforcement is used after a stressful situation.

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