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."