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24 Cards in this Set
- Front
- Back
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Retroflection:
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Do to self what you want to do to others- ie, turn anger inwards (Gestalt)
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Confluence
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Absence of boundary between self and environment - feel guilty, resentful, unease with differences in others (Gestalt)
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Self-image
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Bad thing in gestalt- you should be yourself, not your selfimage.
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Solution Focused (DeShazer)
4 things about it: |
Get more of what you talk about so:
Don't worry about etiology of problem Miracle Q Exception Q Scaling Q's |
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Positive Feedback Loop Vs. Negative Feedback Loop
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Positive: Amplifies deviation or change and disrupts, Negative: Reduces deviation and maintains status quo.
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Bowen:
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Extended Fmily Systems:
Multigenerational transmission. Differentiation of self Triangles Family projection process Genogram |
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Structural:
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Boundaries: Rigid/Diffuse
Rigid Triads: Detouring: scapegoat/overprotect Stable Coalition (parent/child gang up) Triangulation- both pull kid in against other Techniques: Joining: tracking & mimesis Evaluate family structure Restructure Enactment & reframing |
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Strategic: (haley)
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All about communication:
Social/Problem/Interaction/Goal Setting Tx: Paradoxial, Ordeals, retraining, positioning (exaggerating), reframing, prescribing the symptom |
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Milan Systems:
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Break family out of fixed patterns through seeing/making choices: Uses team.
Hypothesizing: Early tentative hypothesis Neutrality: ally with entire family, not get recruited Paradox: to push toward solutions *Circular Questions: Ask everyone same question to help highlight diffs. |
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Behavioral FT:
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1. increase + interaction, decrease - interaction, finding effective problem and communication skills, use contingency contracts.
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4 Stages of consultation:
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Entry
Diagnosis Implementation Disengagement: Formative (along the way) & Summative (at the end) evals. |
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Consultations:
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Client Centered Case
Consultee Centered Case Consultee centered admin Program centered admin |
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Smith, Glass & Miller study on psychotherapy
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Found effect size of .85
Average client is better off than 80% of non treated |
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Eysenck Study
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Found small no none effect.
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Most common conditions is older adults:
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20-22% of elderly have psych probs. In order: Anxiety, cognitive impairments, depression.
Elderly respond well but more slowly. Are more varied in presentation. Overall fewer mh probs |
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Howard & Tx length and phases:
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Level off after 26, 75% have improvement
85% at 52 "Dose dependent effect" Phases: Remoralization: first few sessions Remediation: Focus on symptoms next 16 sessions Rehabilitation: unlearning and relearning |
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efficacy vs effectiveness
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efficacy: clinical trials
effectiveness: quasi (former good for seeing if an effect, latter good for seeing how to use it) |
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Dropout rates for minorities:
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Afam higher
Asians lower Whites & hispanics about the same |
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Ethnic matching:
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Increases duration for white, hispanic & asian, but no effect on outcomes.
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Credibility
Giving + |
Two factors important in cross cultural:
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3 x-cultural competencies
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Awareness (of self)
Knowledge (of other) Skills |
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Integration
Assimilation Separation Marginalization |
Integration: Maintain culture, incorporate dominant
Assimilation: Accept majority, relinquish own culture Separation: withdraw from dominant, accept own Marginalization: Does not identify with own/dominant |
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Racial/Cultural Identity Development Model (rcidm)
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Conformity
Dissonance Resistance/Immersion Introspection Integrative Awareness |
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6 Stages of White Awareness:
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Abandon racism
Contact Status Disintegration Status Reintegration Status Adopt nonracism Pseudo-independence Immersion/Emersion Autonomy |
