trama midterm latest

MP 1.2 Mp what are the earliest expressions of pastoral care in the OT and NT (give 2 of 4

Phophetic reminds warns, shephardly caring for the people(king) Preistly standing before god and representing the people Physician disease healing..

3.6 What is the correct order of operations in the Triage Assessment System?

Predispositioning, Problem Exploration, Providing Support, Examining Alternatives, Planning, Obtaining Commitment, and Follow-up

1.7When a crisis worker hopes that the client gains insight from some earlier childhood experience to help solve the crisis, the crisis worker is employing which theory?

Psychoanalytical

MP 1.3 describe 1 of the 3 roots of x care giving the differentiate pastoral care from modern psychology

Scripture is the basis for truth and solutions to real life problems

3.14 If the client hesitates when the crisis worker is obtaining a commitment, the crisis worker may need to revisit a previous task.

True

4.11 The use of owning feelings is an example of a fundamental listening skill.

True

4.13 Closed-ended questions typically begin with verbs.

True

4.2 What are three of the nine basic strategies of crisis intervention?

, create awareness, provide support, provide guidance,

4.12 Empathy is synonymous with sympathy and distancing.

. False

2.5 What is the term for individual identifiers that go beyond race, sex, and skin tone that makes us the specific and unique individuals that reside in a cultural group?

. Social locations

2.11 There is no universal measure of "normal" behavior.

. True

3.5 Describe two of the six limitations of contemporary classification systems:

1 Harmful Diagnostic Labels 2. Product of Committees

MP 3.4 Provide 2 of the 4 theories that serve as the theoretical perspective in contemporary classification

1. Biophysical determines physiological processes are the primary determining factor, heredity 2.intrapsychic - assumes psychological factors determinine abnormal psychological functioning, cognative behavioral oriented

MP 2.1 Describe 2 of the 4 broad models of abnormality within the field of psychology

1. Psychosocial broad paradigm related to complex interactions that help us understand Mental ill. Behavorial, existential,cognative,psycodynamic, humanistice 2. Biological - MI reflects malfunctions of brain , looks at brain function 3. Sociocultural - focuses on the social and cultural influneces 4. Spiritual - sin connected with behavior and psycopathologies

mp 3.3 describe 2 of the 8 ways DSM 4 innovated classifications of psychopaatholiolgies

1. preeminance given to empiracal data 2. operationally defined what MI looked like 3. explicit definitions 4. disorder versus diagnosis 5. more socio economic adjustments

3.9 What is the range for a Triage Assessment Form score for moderate severity?

11-19

2.7What are two DO'S of multicultural crisis intervention?

2.7 Normalize the traumatic event and take your time when triaging the client

The term "metastasizing crisis" refers to which of the following?

A small isolated incident that is not contained and begins to spread.

4.8 What is one key aspect of facilitative listening?

Assisting the client in comprehending the full impact of the crisis

mp 5.1 According to the section on "Themes in Pastoral Care", what are some of the Biblical bases for someone to effectively manage challenges with anxiety?

Christian worldview - the sovereignty of God, themes represent an all inclusive appraoch.

3.2 After accomplishing Task 1 of the Hybrid Model of Crisis Intervention by initiating contact, what is typically your second task?

Defining the crisis

2.4If a helping professional encounters a client from an Individualistic culture, he or she should use which of the following types of communication?

Direct and with low-context

2.12 Professional counseling is superior to natural support systems.

FALSE

Basic Crisis Theory and Brief Therapy use the same techniques but are administered by two different types of helping professionals.

FALSE

People who are really mentally tough are immune to the disequilibrium of a crisis.

FALSE

Those exposed to a traumatic event will always experience psychopathology that will lead to a state of crisis.

FALSE

Transcrisis points are frequent, predictable, and have a linear progression

FALSE

3.12 The crisis intervention model supported by this text is a linear stage model.

False

3.13 During the problem identification stage, the helping professional should identify all of the psychological artifacts of the client's past.

False

3.15 The crisis worker should obtain a complete history of the client.

False

4.14 The crisis worker should use "we" at the beginning of the intervention to reference their affiliation with an organization.

False

4.15 The crisis worker should refrain from using the phrase "I understand."

False

3.1When you are called in to provide crisis intervention, you should initially engage with the client by:

approaching slowly and introducing yourself

4.9 What triage score range represents a collaborative approach to crisis intervention?

High single digits to middle teens

3.7 Which of the following is often the first sign of disequilibrium?

Incongruent affect

MP 1.1 According to m.p. ch 1 what is at least 1 benefit to pastoral care?

It provides a deep understanding of the human condition based on spiritual truth

MP 3.2 Describe one false assumption about the nature of M. disorders that occured prior to our contemp. c;ass. sys.

Mideveil history related MI to demon possession some tied this phases of the moon lunacy , greeks fluids

1.1What were the major events that helped to spawn the crisis intervention movement?

National Save-a-Life League (1906), Cocoanut Grove night club fire (1942), and the Community Mental Health Centers Act of 1963

4.10 Which of the following types of counseling are ideal when a client is able to initiate and carry out his or her own action steps?

Nondirective counseling

2.3The term "etic" refers to a

Objectively-identified by an outsider

3.5 What individuals are allowed to use the Triage Assessment Form?

Para-professionals and professionals trained in crisis intervention

MP 2.5 which of the 4 models are the most effective?

Spiritual because if done correctly can focus on the whole person and can use combination of the others since the spiritual recognizes common grace in its belief system,

2.1 What are three obstacles to effective multicultural crisis intervention

Spirituality, language barriers, rural geographic locations

2.13 A person from an Individualist culture has a similar sense of family obligation as a person from a Collectivist culture.

TRUE

2.14An individual from a low-content culture prefers to not use metaphors as a method of communication.

TRUE

2.15 A shortcoming of multicultural counseling is that much of its literature has not been peer reviewed and/or is not empirically based

TRUE

A crisis can be considered both a danger and an opportunity

TRUE

Doing nothing in a crisis means that a person is actually making a choice to do something.

TRUE

Eclectic crisis intervention is characterized by the intentional and systematic selection and integration of valid concepts and strategies from all available therapeutic approaches.

TRUE

Psychosocial transition model extends outside the individual and promotes change in the systems in need.

TRUE

The Equilibrium model of crisis intervention is most appropriately used when the person is out of control and needs to be stabilized.

TRUE

Which of the following suppositions is true of Interpersonal Theory?

The crisis cannot be sustained when people believe in their ability to overcome the crisis

3.10 The Triage Assessment System supports the client in gaining:

autonomy and mobility

4.1Why are open-ended questions an effective intervention employed by helping professionals?

They help to focus on plans

3.3 A good crisis intervention plan should:

be immediate and behaviorally specific

4.4 Why might a helping professional ask closed-ended questions?

To enable the crisis worker to make a quick assessment of the client

4.6 What are two reasons to use owning statements?

To make value judgments about the client's behavior and to set clear personal boundaries

3.11 The Triage Assessment Form assesses both the client and the crisis worker.

True

An Existential crisis revolves around the struggle to survive after a traumatic event.

false

3.8 Crises may be cognitively perceived as:

a transgression or threat

MP 2.3 describe 2 lessons that can be learned from exploring a biological foundation of mental illness

advances in the last 20 years have been significant but there are still shortcomings pills not cure all, medications have side effects, ignore spiritual dimension

2.2 The term "emic" refers to a

an approach to the study or description of a particular language or culture in terms of its internal elements and their functioning rather than in terms of any existing external scheme.

1.9An effective crisis intervention worker possesses the following characteristics:

creativity, assertiveness, and poise

The term "individual crisis" refers to the perception of an event as an intolerable difficulty that exceeds the person's:

current resources and coping mechanisms

4.3 Relational markers are used to:

describe a method of shortening the psychological distance between the crisis worker and the client

1.8An event in typical human development that produces an abnormal response is referred to as a:

developmental crisis

4.5 The continuum of the crisis worker's level of involvement moves from:

directive to collaborative to non-directive

MP 1.4 describe 1 danger of the segregation of the psychological and spirtual according to text

discounts both the realities of sin and its dramatic efffect through the evil one

2.9 What are two of the four attributes possessed by an effective multicultural crisis interventionist?

empathetic, caring Basic knowledge of a variety of cultures and knowledge of one's own culture

4.7 A client who is suffering from severe shock, bereavement, or loss is most likely to be:

immobile

2.10 What are two DON'TS of multicultural crisis intervention?

impose own values to person, Attempt to resolve the client's long-held issues or stereotype the client or culture

3.4 The time frame for completing Task 7: Follow-up is:

minutes to days

MP 3.1 Describe at least one of the main components of the definition of a mental disorder

observation of deviant behavior related to some social norm. This is flawed because social norms involve value judgments which may or may not be true.

The field of crisis intervention:

originated as a grassroots movement prior to being formally recognized by the helping professions

2.8An individual from a low-uncertainty culture

possesses a laid-back attitude towards accepting life's events

MP 1.5describe one consideration in any attempt to embark on the desegration of the souls according to the text

should be rooted in an understanding of the soul encomposing the personhood of the individual

MP 2.4 according to sociocultural models of mental illness what is at least one method that might be utilized to prevent MI rather than merely treating it after it arises

socio cultural looks at the socio condition emphasizing the belief that low income people are more prone to MI if they were treated earlier you could prevent serious issues

2.6 The letters in the acronym SAFETY model stand for:

stability, affect, friction, environment, temperament, and yearning

The primary providers of crisis intervention work are:

trained volunteers

The term "transcrisis state" is used to refer to:

• A transcrisis state occurs when unresolved issues from a previous traumatic event resurface because of a current stressor

mp 4.4 According to the text, what are some possible ways that a person's own individual sins might impact their mental health?

• Addictions - substances, behaviors, relationships, anger • Sinful thinking - obsessive thoughts could be in the form of idolatry • Guilt - often associated with depression, anxiety, isolation • Elevate and worship good things in creation - love of money, relationships, steal peace • Disordered eating - perceptual disturbance, the image that a person has in their mind becomes

mp 5.2 describe generalized anxiety disorder

• Generalized Anxiety Disorder (GAD) o Excessive worry more days than not o Must occur more than 6 months o Symptoms associated with 3 or more of the following: Restlessness Being easily fatigued Difficulty concentrating Irritability Muscle Tension Sleep disturbance (hard time falling asleep, difficulty staying asleep, feel exhausted when you wake up. o Clinically distressing or causing some kind of functional deficit o No substance abuse issue o No other disorder

mp 4.3Describe some of the ways in which other people's sin might contribute to our own psychopathology. At least two case studies were described within the text; however, feel free to discuss a similar example of your own.

• PTSD - any kind of assault, abuse, neglect, etc. • Impacts individual's physical health and well-being • Impacts how we think of others • Can distort one's view of authority • Can distort one's view of God • Shame/Guilt

mp 5.3 Provide a brief description of the antecedents (biological, psychosocial or sociocultural factors) to problems of anxiety: Generalized Anxiety Disorder (GAD), Phobias, Panic Disorder, Obsessive-Compulsive Disorder (OCD), Acute Stress Disorder, and Post-Traumatic Stress Disorder (PTSD).

• Post-traumatic Stress Disorder o Biological - Levels of norepinephrine and cortisol can change dramatically when there is a significant insult and injury to one's sense of self. o Psychosocial/Sociocultural - Lack of social support, poor coping skills, no sense of meaning and purpose in life, significant wear and tear on our sense of self in our formative years (domestic abuse and violence, chronic mental illness in the home, ongoing marital or familial discord). o The internal and external stressors tend to be even more intense and overwhelming

mp 5.4 Provide a brief description of the possible treatments for that particular disorder: Generalized Anxiety Disorder (GAD), Phobias, Panic Disorder, Obsessive-Compulsive Disorder (OCD), Acute Stress Disorder, and Post-Traumatic Stress Disorder (PTSD).

• Post-traumatic Stress Disorder o Medication as an interim solution o Professional grief counseling and grief therapy o Cognitive Processing Therapy (CPT) Write trauma account (imaginal) • Include behaviors • Include thoughts • Feelings • All 5 senses Teach about stuck points • Recovery is a natural process • Usually thoughts about the event o Self - it is my fault o People - All people are dangerous o World - Is always dangerous • List stuck points Impact statement • Because of this trauma... Help them to challenge their beliefs You go through the major areas of PTSD and stuck points • Impacts your trust • Intimacy • Safety • Identity • Future/Hope You can weave biblical concepts and scripture into this approach o Prolonged Exposure Imaginal • Use tape recordings - Record the veteran talking through the trauma event • They close their eyes • They go over all 5 senses, thoughts, and feelings • After every 5 minutes, you check on their SUDS rating • They will do this over and over. You do this for approximately 30 minutes in the session. In Vivo • You create a SUDS scale and every week you are giving them an assignment to pick something on their scale to practice Out of the session, they do 30 minutes of in vivo daily and they listen to their tape (imaginal) every day This is primarily behavioral

Describe either a primary, secondary or tertiary prevention method for anxiety disorders. Only select one of the three main methods for prevention described in your text.

• Primary Prevention - something that can be done to improve anyone's physical or emotional well-being o Providing adequate housing o Meaningful and gainful employment o Competent providers of health care and human services o Adequate nutrition

mp 4.21What are some ways in which our own fallen nature might impact our mental health. This is described in your text within the section about "Human Incompleteness".

• Sin can be thought of as specific acts and as a state or condition • The DSM is not a catalog of sin but a kind of catalog of the state and consequences of sin • An increased awareness of the reality of the Fall helps us put in perspective the challenges and constraints that we and others face in this life

4.2 What are some ways that sin impacts people as a result of our fallen nature?

• The noetic effects - we are blind to our own sin and blind to truth and to conviction • Our bodies are fallen - neurotransmitters are out of whack (Serotonin, Dopamine) - google "mouse party" • May feel more sad, less well-being • Affects Parent/Child relationships - no perfect parenting, rebellious spirit conflict • Impacts our relationship with God - we are constantly looking for that Sabbath rest/peace • We have pain • There is suffering

4.1 Describe at least one reason given by the text to explain why connecting sin and psychopathology has become less popular for practitioners and scholars within the mental health field. In other words, why is sin often neglected as an aspect of psychopathology by the modern scientific community?

• They want to distance themselves from "moralistic bullyboys" • Concern that their secular peers will view them as unscientific.

mp 4.5 What are some of sin's effects on the structures of society? In other words, how does sin negatively impact the fallen world in which we live?

• War - constant fear • Slavery • Media affects what we value. • Entire disorders are directly attached to what a culture values (anorexia, bulimia) • Media makes you unhappy and discontent