PSYC5313 Final Review In Class/Midterm
high level of self-efficacy
A client would be inclined to persevere with a challenging task
Validation
A DBT practitioner conveys to the client that their behavior makes sense and is understandable in the context of their lives.
positive
A client praises herself for completely her daily exercise. Self-praise would most likely be considered a(n)_________________ reward.
Microaggression
A client shares that she left work in tears after her boss made several racially derogatory comments to her. The counselor responds, "Your boss was probably having a bad day." The counselor's response may be defined a
confrontation
A client smiles as she describes how angry she is with her supervisor. The helper responds, " You're smiling as you're telling me about your anger." The helper's response is an example of a(n
not confirming the client's belief through showing acceptance
A client unconsciously believes that if he expresses feelings of anger during his therapy, the helper will withdrawal and reject him. The client tests the helper by disagreeing with her on small misinterpretations. The disagreements escalate in intensity over a few sessions until the client angrily confronts the helper. In working with the client's " tests", the helper would response
paralinguistics
A client's voice lowers to a whisper when he talks about being physically assaulted by a co-worker. This change in vocalization would be categorized
Maintenance of culture (vs. acculturation)
A helper and client trace the history of the client's ethnic group to identify moments of crisis and challenge through which the ethnic group survived and triumphed. These lessons of history are used to inspire the client to overcome current obstacles. This activity represents a multicultural intervention focusing on
Collaboration
A helper frequently checks in with the client to ensure mutual understanding and they are working towards the same goals.
Competence
A helper has a challenging, new client. He decides to brainstorm with his supervisor to determine how to proceed. Seeking supervision in a sign of
Agency in others
A helper has confidence in his client's capacity for change. According to Osborn's salutary suggestions for stamina, the helper is practicing
Clarification
A helper is having difficulty understand how the client feels about their current relationship due to the vague explanations the client has offered. The helper will most likely utilize
Burnout
A helper no longer finds meaning or purpose in their work. Skovholt and Trotter-Mathison (2011)
therapeutic presence
A helper practices mediation before working with a challenging client because it helps him/her be available and centered with client. Accessibility ( availability) and centeredness are components
in vivo
A helper provides services "in the field" (such as home visits) rather than a clinical setting. This setting is considered
HIPAA's Security rule
A mental health agency's computer is hacked due to an inadequate firewall program. Client's personal information is accessed. This would be a violation of
focusing on the immediate relationship
A statement such as "It appears that you are feeling really angry with me right now and I wonder what is happening between us, " suggests helpers intent to address client transference via
Self-awareness
Ability to be introspective and reflect on oneself from different dimensions
covert positive reinforcement
After a client completes a target response, the client imagines that he is on a beach in Bermuda and listening to the waves crash against the rocks. This reward would most likely be considered:
measurement and managing one's skills, talent, resources and strengths
Applying Osborn's salutary suggestions for stamina, a helper who is mindful to maintain healthy boundaries with clients is practicing
Second Helping Stage
Assessment and goal setting
Listening Responses
Clarification, Paraphrase, Reflection, Summary
verbal listening responses
Clarification, paraphrasing, reflection, and summarization
somatic
Client complains of chest pains and a tightness in his throat while experiencing a panic attack. These symptoms would be considered a(n)____________ component.
Kinesics
Client's nonverbal behavior "eye roll" would be categorized
maintenance
Client: " I have been sober for 7 months and it's so different. My daughter has started talking to me again. Our relationship isn't great, but we're going to work on it. My job is going good. I haven't missed a day yet and really want the attendance bonus. My husband and me are getting along. Not drinking is the way to go." According to the Transtheoretical Model of Change, the client is most likely in the stage of:
Precontemplation
Client: " To be honest, I'm here because my wife said she won't leave me if I get some help. She thinks I have 'anger issues' but if she had the problems I got, she would understand. My boss finds fault with everything I do, I barely keep up with the bills, and the car seems to break down every day. I don't have anger issues It's called Life" According to the Transtheoretical Mode of Change , the client is most likely in the stage of
rewarding oneself for handling a stressful situation
Client: "I was so angry, but I was able to do deep breathing and I didn't lose my temper. I was so proud that I treated myself by watching my favorite movie." This stage in the phases of stress reactions would most likely be reflected in:
True of confidentiality
Confidentiality is the promise to respect and honor another's privacy, Helpers who breach client confidences can do serious and often irreparable harm to the helping relationship, Practitioners generally are not free to reveal or disclose information unless they have first received written permission from clients
ADDRESSING
Culturally sensitive interviewing protocol example. Developed by Hays. Includes Age, Developmental, Disabilities, Religious, Ethnicity, SES, Sexual, Indigenous, National origin, and gender
sympathetic, parasympathetic
Diaphragmatic breathing serves to balance the ______________nervous system and _____________ nervous system.
First Helping Stage
Establishing effective therapeutic relationship and rapport
Fourth Helping Stage
Evaluation and termination
ACT - Assertive Community Treatment
Evidence-based practice that improves outcomes for people with severe mental illness who are most at-risk of homelessness, psychiatric crisis and hospitalization, and involvement in the criminal justice system
DBT - Dialectical Behavioral Therapy
Evidence-based practice that is highly structured, multi modal for suicidal clients/borderline personality
affective
Feelings and mood states such as depression and anxiety
empathic mirroring and limit-setting responses
In order for the helper to act as a container and to offer a therapeutic holding environment, the following processes are required
purpose of assessment
In the stage of assessment, the helper gives the client an expectation of what will occur during the interview and why it is important for the helper and client,
Have an inherent tendency to strive towards growth and self-actualization
One of the fundamental tenets of client-center therapy is that individuals
How questions
Questions that are associated with sequence or process or emotions.
What questions
Questions that tend to elicit facts and information
cognitive distortions
Refer to errors in cognitive processing, such as irrational beliefs.
Cognitive deficiencies
Refer to the absence of certain thinking processes, such as the failure to realize the consequences of one's actions
STAMINA
Self-care to assist helpers. Include Selectivity, Temporal, Accountability, Measurement and Management, Inquisitiveness, Negotiation, and Acknowledgment of Agency
Third Helping Stage
Strategy selection and implementation
relaxation, exercise, biofeedback
Stress management approaches that focus on the symptoms or phenomenology of the stress itself might include
Consequences
are external or internal events that influences the current problem by maintaining, increasing or decreasing it
Confidentiality
The clinician's obligation not to disclose confidential information about a client,
Common factors
The contributions to counseling outcomes of: 1) client characteristics, 2) theories and techniques, 3)The therapeutic relationships, and 4) hope and expectancy have been referred to as _
provide services to clients that have been supported by research
The intent of evidence-based practice is to
problem definition and formulation
The purpose of the _________________step in problem solving is for the helper to help the client gather as much objective information about the problem as possible.
self-enhancing thought before a problem situation
The self-statement, " I'm just going to be myself when I meet his person" is an example of a client engaging in
non-maleficence
To do no harm is the ethical principle of
salutary goals
are health promoting provide sustenance promote something that is beneficial
decision making
When engaged in the problem-solving process, a client is asked to decide upon the best solution after judging and comparing the proposed alternatives. The stage is known as
decision rule
a series of mental questions that the helper constantly asks himself or herself during interviews in order to match interventions to client and their identified concerns.
Appropriate use of Self-disclosure
build rapport, strengthen the therapeutic alliance, client normalization and empowerment
Reactance
comprises the behaviors exhibited ( e.g opposition, defiance) and the feelings experienced ( e.g., frustration, rage) when an individual's personal freedom has been threatened or eliminated.
secondary gains
payoff of additional attention and admiration by peers may be identified as
Privilege
deals with the patient's right to exclude from a legal proceeding communications made to a treating clinician.
characteristics of a culturally skillful practitioner
developing the appropriate intervention strategies and techniques, helper's awareness of their own assumptions, values, and biases, understanding the worldview of the client
frequency, intensity, and duration
dimensions commonly used to measure the direction and level of change in goal behaviors
helpers must keep timely and accurate records for the following three primary reasons
fiscal, clinical and legal accountability
major categories in a mental status exam
general description and appearance of the client, mood and affect, orientation to time, place, and people
characteristics of privileged status
having access to power in a particular society, having access to decision-making in a particular society, being part of the dominant group in a particular society
Information giving
identify and evaluate alternatives.
Direct interviewing
is a form of assessment that involves the helper and client identifying concerns through verbal and nonverbal exchanges
Cognitive modeling
is procedure in which practitioners demonstrate to clients what to say to themselves while performing a task.
Empathy
is the ability to understand people from their frame of reference
Critical commitments that helpers make to grow into clinical competence
lifelong learning, collaboration, values-based practice.
Proxemics
nonverbal behavior of spatial distance in interactions
Baseline data
prior to treatment or intervention would be collected to determine frequency, intensity and duration of a concern
Purposes of treatment goals
provide direction for help, generating hope for the client to accomplish what they desire, give the helper some basis for selecting and using a certain strategy or intervention
purposes of treatment goals
provide direction for help, generating hope for the client to accomplish what they desire, give the helper some basis for selecting and using a certain strategy or intervention
components of covert listening are
receiving and processing a message
reflection
rephrases feelings
paraphrasing
restates content
Influencing Responses
self-disclosure and confrontation questions and interpretations information giving and immediacy
True of sub-goals
should be ranked based on immediacy, simpler and easier responses are sequenced before more difficult ones, should be ranked for complexity and degree of difficulty
When engaging in a self-management approach
the client's work occurs mainly between formal sessions
Synchrony
the helper's nonverbal are in agreement with the client's nonverbal behavior
Privilege
the legal right that protects the client from the forced disclosure of personal and sensitive information in legal proceedings
Strategy and Selection
third stage in the helping process
helper's misuse of power
using a client's nickname without permission, assuming we know more about the client's situation or experience than is possible, convincing a new client that their diagnosis is "right."