lcsw exam 1
TRANSCRIPT
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5 types of shizophrenia
paranoid, disorganized,
catatonic, residual,
undiifferentiated
ABC Model
A: antecenent (situational
factors or cues) B: Behavior
C: consequences
agnesia
inability to recognize and
identity familiar objects and
people
Albert Bandura: Social
Learning Theory
personality develops from imitating
behhavioral tendencies we observce
in others. self efficacy (belief in our
ability) influences our behaviors
albert ellis
rational emotive behavioral
therapy. A- activating event, B-
belief, C- consequent affect, D-
disputing irrational belief, E-
effect
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Alfred Adler
people have a universal drive to strive for
superiority. This, no sexual pleasure is
primary motivation for behavior. failure
in meeting goals can cause feelings of
inferiority. inferiority complex (parental
pampering/neglect)
ambivalencewanting and not wanting a
particular change
anti psychotics
used to treat schizophrenia and other
acute psychotic states. hallucinations
and delusions experienced are a
result of excess dopamine in brain.
meeds inhibit activity at dopamine
rreceptors
Anti-Anxiety medications
Benzos: short term tx of anxiety
symptoms, increase GABA activity.
Neurotransmitter that inhibits
activation throughout nervous
system. Reducing the activation
reduces anxiety.
aphesiadeterioration in language
functioning
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Attribution
process whereby we assign
causes to both our own and
others behavior. we do this to
add predictability to the
situation or interaction
Behavioral Theory
helping ct learn new behaviors and
eliminate troublesome ways of
behaving. People repeat behaviors
that are rewarded and abandon
behaviors that are not rewarded or
punished
BF Skinner: Operant
Conditioning
Personality development is based on
behaviors that are either rewarded or
punished in the environment.
"personality" may just be sustained
behavioral patterns.
Bupropion
stimulant-type effect. tx of
MDD, ADHD, bipolar d/o,
chronic fatigue
Carl Jung
2 layers of unconscious. Personal
unconscious: material that has been
forgotten and not in conscious
awareness. Collective unconscious:
human race shares this. storehouse of
latent memories inherited from ancestral
past
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Carl Rogers: Client
Centered Therapy
unconditional positive regard.
responding positively but truuthfully
to whatever ct has to say. therapist
hopes to incease pts self esteem to
where ct is able to be honest about
even most difficult topics
childhood disintergrative
disorder
development regression in
multiple areas of function
following at least 2 years of
normal development
Cognitive Behavioral
Theory
assisting ct to learn more realistic
and positive ways of perceiving,
thinking about, and interpreting own
life experiences. Focus on interplay
among thoughts, emotions, and
behaviors
Cognitive Development:
Adolescense and Adulthood
Piaget: Formal Operations Stage.
ability to use formal logic, deductive
resoning, and strategy planning. Info
Processing View: gradual aquiring of
skills
Cognitive Development:
Infancy
Piaget: Sensorimotor Stage.
Understanding derived from what
they sense and do. Info-Processing
view: behavior in infancy reflects
memory limitations
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Cognitive Development:
Middle Childhood
Piaget: Concrete Operational Stage.
Ability to perform concrete operations.
Transform object, then return it to
original state. Info Processing View: age
varies for conservation tasks and ability
to perform tasks happens gradually
(language, math)
Cognitive Development:
preschool age
Piaget: Preoperational stage. Expand world
beyond limits of immediate perceptions.
ability to represent things mentally when
object not physically present. Info
processing View: those patterns of thought
are caused by the childs limited info
processing abilities
cognitive dissonance
occurs when there is a discrepancy or
inconsistency between 2 attitudes,
attitude and a behavior, or b/w attitude
and new piece of information.
discrepancy creates psychological anxiety
or tension that we are motivated to
alleviate.
Cognitive Therapy: Beck
irrational thoughts stem from
cognitive distortioons of reality. the
way we interpret situations is
syystematically biased. eliminate
buas by treating our interpretattions
as hypothesees to be tested.
concept of interfacemeeting or overlapping of
two or more systems
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confluence
blurring boundaries b/w self an
environment. belief that all people
feel and think the same way. need for
acceptance and approval. not
experiencing ones own feelings.
coorelation coefficient
examines the degree to which
variations or differences in one
variable are related to variations or
differences in another. if a correlation
exists, a 2nd score may generally be
predated from a known score.
counter transference
feelings aroused in therapist by
client. feelings have to do with
unresolved conflict from other
relationships rather than
theraputic relationship with ct.
Crisis Intervention Model
Listen: Establish relationship, ID problems,
explore emotions. Assessment: severity
determined, SI/HI, ID past coping skills,
determine pts reality perception, ID resources. Tx
plan: approaches to planning, modify coping
skills, resources. Termination: review progress,
plan for using resources to suppoorts, f/u session.
cultural pluralism
when small groups w/in a
larger society maintain their
unique cultural identity seeing
aa value in all cultures
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curative factors
used by Yalom. describes
theraputic processes that bring
about change. instillation of
hope, universality,
interpersonal learning, etc
cyclothymic disorder
mood disorder characterized by
moderate but frequent mood
swings that are not severe
enough to qualify as borderline
personality disorder
Death and Dying
Elizabeth Kubler-Ross:
Denial, Anger, Barganing,
Depression, Acceptance
deflection
avoiding contact and awareness by being
vague and indirectlly using distraction.
overuse of humor, abstract
generalizations, asking questions, rather
than making statements. diminished
emotional experience as one seeks to live
vicariously through others
dependent variable
variable that is measured.
measures possible effects.
variable observed by
researcher, behavior of
interest.
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deviation
the amount by which a
number differs from an
average or other
comparable number
displacement
transferring troublesome emotions
and acting out behaviors from person
arousing emotions to another less
threatening/less powerful person or
thing
Ecosystems Perspective
maintain focus on concept of person
in environment. various ways a ct
system may adapt to a changing
environment in order to cope,
survive, compete for needed resources
ego
reality bassed aspect of self. reasonable
choices before pleasurable demaands.
various intrapersonal processes that
mediate between primitave desires
(flight/fight) and demands of external
reality and social norms. problem solcing
part of personality
Ego Supportive Treatment
interventions that maintain
and enhance problem
solving and adjustment
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Elavil (amitriptyline)
tricyclic antidepressant, tx
depression, bulimia,
chronic pain
emic
describing the culture from
within a culture. often a
member of the culture
entropy
tendency of systems to
become disorganized, to
disintegrate
Erik Erickson
Social development. series of
challenges that people face aat each
of 8 stages from infancy to old age.
Each challenge has an outcome that
affects a persons social and
personality development.
eros
freud. driving force related to
sexual urges and preservation
of the species. sex, pleasure,
physical contact w/others.
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Ethnic Sensitive Perspective
attentive to ethnic, cultural,
and religious diversity
among clients
etic
scientificaly observing a culture from
the outside to deliver intrinsic
concepts and categorization of
scientific nature. this concept
addresses culture
extrinsic motivation
a desire to perform a
behavior due to promised
rewards or threats of
punishments
Family Therapy:
Communications approach
family problems are caused
mostly by faulty
communication.
Family Therapy: Family
Systems Approach
focus on struggle of family members
to simultaneously be a part of a
family group and be individuals apart
from the family system. Tendency of
family to repeat patterns established
in prior generations.
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Family Therapy:
Integrative model
using various approaches or
types of family interventions.
social functioning/family
functioning is key
Family Therapy: Narrative
Approach
Focus on personal stories that
people use as frames of
reference to describe situation
and create meaning and
purpose.
Family Therapy: Social
Learninng Approach
concepts and techniques from behavioral
therapy. Family conflicts and problems
arise because members have not learned
basic skills such as communication,
conflict resolution, and appropriate
behavior is not reinforces w/in a family
system.
Family Therapy: Strategic
Family Therapy
primary attention is given to family
rules (unspoken/spoken) abouth how
family members should think and
behave, and distribution and use of
power
Family Therapy: Structural
Approach
focuses on family structure-
interaction of spouses, parents,
siblings. change occurs when roles
and responsibilities are clarified and
agreed on.
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fluoxetine
antidepressant, affects chemical
messengers w/in brain
(neurotransmitters). inhibits
the release of serotonin.
depression and OCD.
Freud's Psychodynamic
THeory
powerful, unconscious motivations exist in aall of
us. personality is governed by conflict b/w
opposing motives, anxiety over unacceptable
motives, and defense mechanisms that prevent
anxiety from becoming too great. all mental and
bahvioral reactions are determined by our early
experiences
General Systems
Perspective
mantaining a focus on dynamic
interplay of biological and social
systems that affect a cts behavior and
functioning. cause and effect
relationships are complex and not
predictable.
Generalist Perspective
can move b/w theories. open to use of
various models, theories, techniques,
and focus on severel levels of
intervention (micro to macro). based
on problem, goals, situation, and size
of systems targeted for change.
Gestalt Therapy: Fritz Perls
uses conversational techniques
(empty chair/2 chair techniques). to
allow patient to present
interpersonal conflict w/o need for
transference. confront "empty chair"
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Gordan Allport: Trait
Theory Of Personality
heirarchy of traits that form the structure
of personality. Cardinal traits (person
organizes life around), Central traits
(major characteristics of a person),
secondary traits (personal features that
help predict an individuals behavior, but
not useful in understanding behavior.
Hans Eysenck: Personality
Model
Personality is genetic.
Single responses, habitual
responses, traits, types
hypothesis
asserts relationshp b/w 2 variables.
defines nature of relationship.
includes empirical (number) way of
measuring relationship. avoids value
judgement.
id
primative, unconscious part of personality
storehouse of fundamental drives.
irrational acts on impulse. pushes for
expression and immediate gratification.
driven by pleasure principle. primary-
process thinking (primative, illogical,
irrational, fantasy oriented
independent variables
measures possible causes.
manipulated or controlled in a study
by the researcher. factor in
environment researcher hypothesizes
to be cause affecting behaviors of
interest.
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Information processing
view: approach to Cognitive
Development
focuses on quantitative differences in
how children proces information.
Focus on how children mentally
represent what they see and hear.
Cognitive abilities develop gradually.
intellectualization
use of abstractions as a way
of distancing one's self from
emotional pain
Interaction Model
mediating the interactions
b/w people. focus is on here
and now experiences
intrinsic motivation
describes motivations that
derive from one's interest in the
object of the motivation, rather
than from rewards that one
might gain.
introjection
tendency to uncritically
accept others beliefs and
standards w/o assmilating
to them. passive
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latent functions
the unintended
consequences of peoples
actions that help keep a
social system in equilibrium
levels of measurement
nominal data: yes/no questions.
ordinal data: can be ranked from low
to high. interval/ratio data:
categories divided into equal units.
permit more precise measures.
Ludiomil
drug used to treat
depression. depressed state
in Bipolar d/o. can use on pts
with convulsive disorders.
Maslow
needs organized in hierarchal form.
lower needs satisfied before we can
attend to higher level needs.
pysiological needs, safety needs, love
and belonging, esteem, self
actualization
mean
measure of central tendency
that requires interval/ration
level data. sum of values for a
variable divided by number of
cases
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median
used with ordinal or
interval level data.
midpoint in a distribution
milieu therapy
tx for socially and mentally
disordered indiviiduals.
takes place in an
institution.
mode
measure of central tendency.
reflects catefory that includes
most cases in a distribution
(nominal data)
mood stabilizers
treat depression, bipolar, some
personality d/o. target the
neurotransmitters norepinephrine
and/or serotonin (depleated in
depression). increase availability of these
neurotransmitters can reduce depressive
symptoms.
Narrative Family Therapy
White and Epston. Narritive
metaphor focuses on self-
defeating cognitions. consider
alternative ways of looking at
their problems
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negative entropy
forces that preserve systems
organization, promote
development.
paraphrasing
hear the ct clearly and let
them know they have been
heard
Person Centered Theory
increasing self understanding and
feelings of self worth through a non
directive helping process that
emphasizes intense listening and
reflecting of cts thoughts and
feelings.
Personal Integrated
Eclectic Model
theraputic style that can adapt
to each member in an unique
way. perspective is based on
concepts and techniques from
various theories
personality reconstruction
"boot camp". therapy where basic
structure of ct is restructured to
create an integrated individual.
Therapy makes the unconscious
conflict conscious and examines
them.
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Piaget
Cognitive Development. Schema: infants born with
mental structure that organizes perceptual input
and connect it to appropriate response.
assimilation: incorporating new information into
existing schema. accomodation: alteration of
existing schema to adapt to new information.
equilibration: change in thinking allows child to fit
pieces of knowledge together
picaeating of nutrious
substances
positive reinterpretation
reframing a members negative
behavior into a positive light.
member is able to view his behavior
as more manageable. leader able to
see behavior in compassionate light.
Principle of equifinality
same end. a single effect or
outcome may result from
several different causes
principle of multifinality
many ends. a single action
(one cause) may produce
many different effects or
outcomes.
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probability
reports likelihood of a
particular distribution
occuring by chance if a
normal distribution is
assumed
projection
others are seen as being
responsible for one's own
shortcomings or
unacceptable behavior
Psychodynamic Theory
helping individuals understand
better their thoughts and conflicting
feelings. recognizes power of
emotions and inner conflicts that
arise in trying to cope with them in a
socially acceptable manner
reaction formation
person defends against
troublesome thoughts, feelings,
impulses by rigidly adhering to
exactly opposite set of thoughts
and behaviors
reflecting
re-stating the effective section
of cts msg. demonstrate
emotional awareness so ct
feels understood.
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reliabilityconsistancy, stability, and
dependability
retroflection
we may do something to
self that one really wanted
to do or would have done to
someone else
rhetts disorder
head growth deceleration,
loss of hand skills,
impairments in
coordination
rumination disorder
repeated regurigitation,
rechewing of food w/o the
apparent nausea or disgust.
self preservationstrive to meet the needs of
hunger and thirst
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Social Development:
Adolescense
Identity vs. Role Confusion
(ages of adolescense).
opportunity to develop an
integrated sense of self as
distinct from other people
Social Development: Death
and Dying
1) reponse to death of loved
one and 2) response to our
own impending death
Social Development: Early
Adulthood
Intimacy vs Isolation. main
concern is to develop
capacity to share intimacy
with others.
Social Development: Early
Childhood
Autonomy vs Shame and
Doubt (1-3yrs). Toilet
training and some
independence
Social Development:
Infancy
Trust vs. Mistrust: (1st yr)
care and attachment
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Social Development:
Middle Adulthood
generativity vs Stagnation.
sense of responsibility to guide
the next generation and be
meaningfully productive in
one's work.
Social Development:
Middle Childhood
Industry vs Inferiority (6-11 yrs).
children start learning skills of their
culture. social funtioning extends
beyond family to school and
neighborhood
Social Development: Old
Age
Self Integrity vs despair.
reflect on lives and see
themselves as productive
and satisfying
Social Development:
Preschool age
Initiative vs Guilt (ages 3-6).
function socially w/in family, try new
activities, learning to balance
initiative against others desires and
needs
Solution Focused Model
brief therapy; 1-12 sessions. focuses
on nature of ct's solutions to a
problem rather than nature of the
problem. emphasizes solution finding
by the ct.
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standard deviation
tells how much dispersion from the
mean exists in the scores of the
sample being studies. the more the
scores deviate from the mean, greater
the SD score
Strategic Family Therapy
Erickson and Haley. brief therapy. focus
on the process, not the past. focus on
communication- report vs. command.
goals of therapy: 1) define resolvable
complaints. 2) identify attempted
solutions. 3) understand languate for
describing problems
Strengths Perspective
Purpose is to ensure that sowkr
is attentive to client strengths.
Provides conterbalance to ct
problems and pathology
Structural Model
giving adequate and appropriate
attention to cts social environment
and to social change. Change cts
environment first. problems viewed
as manifestation of inadequate social
arrangements
Super Ego
storehouse of an individuals
values and moral attitudes
learned from society and
parents. morality principle;
insists on doing what is right
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Task Centered Model
use of an intervention structure that
emphasizes action steps by the ct.
belief that people are more likely to
change as a result of taking action
than as a result of simply discussing
their thoughts and feelings.
Transactional Analysis
Eric Berne. Focuses on interactions of ppl.
Relies on Id, Ego, Superego, thepry of
personality, and an organized system of
interactional therapy. We make current
decisions based on past premises that were
at one time appropriate for our survival
Transference
a clients thoughts, feelings,
and conflicts from past and
current relationships onto
the therapist
validity
meaningful, actually
meaning what you intend to
measure
variancemeasures degree of
dispersion or scatter
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what to do next questions
Feelings, Assess, Refer,
Educate, Advocate,
Facilitate, Intervene