Aswb Clinical Exam, Volume 3: Monitoring Progress And The Effectiveness Of Interventions(Vol3:3).

Front 1

What are the benefits of monitoring progress?

Back 1

1.Maintain continuity and focus.
2.Increases motivation.
3.You can identify what might impede progress.
4.You can evaluate effectiveness of and change interventions.
5.You can determine when to move to another goal or terminate.

Front 2

How can progress be evaluated?

Back 2

1.Apply a scale to measure frequency of a behavior, then compare intake data to treatment data.
2.Have a client self-report progress.

Front 3

What social work technique involves starting each session with a discussion of what's been accomplished?

Back 3

Summarization.

Front 4

What can create resistance in a client?

Back 4

Feeling anxious about needing help or the prospect of changing, nature of the problem, personality factors, and personal variables.

Front 5

Types of resistance are...

Back 5

Long silences, inattention, intellectualizing, changing subject, etc.

Front 6

How do you explore factors underlying resistance?

Back 6

1.Openly bring it up and discuss feelings.
2.Ascribe positive motivation to resistance.
3.Redefine problems as opportunites to grow.
4.Use additive empathy.
5.Use confrontation to eliminate resistance.
6.Place a client in a therapeutic bind.

Front 7

What technique is used to increase a client's self-awareness?

Back 7

Additive empathy.

Front 8

What technique can help a client express and manage feelings?

Back 8

Empathic responding.

Front 9

What should you do to manage a client's transference?

Back 9

1.First consider that the client's reaction is realistic.
2.If you respond in therapeutic ways to things that others have responded to countertherapeutically, you'll disprove these expectations.
3.Help clt identify the source of her distorted perception by exploring how and why they evolved.
4.After clt recognizes the distortion, share your own feelings.
5.After feelings have been explored, help clt figure out if this has happened before.

Front 10

What's it called when you develop negative reactions to a client?

Back 10

Countertransference. (Annoyance, tender feelings, boredom).

Front 11

A response from me is probably effective if the client:

Back 11

1.Continues to explore or stays focused.
2.Expresses new emotions.
3.Explores more deeply.
4.Volunteers personal information.
5.Verbally or nonverbally confirms validity of the response.

Front 12

A response from me is probably ineffective if the client:

Back 12

1.Changes subject.
2.Ignores what you said.
3.Seems confused.
4.Becomes more superficial or impersonal.
5.Argues or becomes angry.
6.Verbally or nonverbally disconfirms your response.

Front 13

What are the steps to successful termination?

Back 13

1.Explore emotions related to termination.
2.Develop a plan that transfers positive outcomes to real-life settings.
3.Acknowledge progress and accomplishments.
4.Note and support the client's efforts.

Front 14

An episode of regression or the reappearance of presenting symptoms at termination is called what?

Back 14

A "flight into illness".

Front 15

Termination should include:

Back 15

1.Reviewing original problems and steps taken to resolve them.
2.Emphasizing the continued use of new strategies.
3.Reviewing/reinforcing new skills.
4.Using anticipatory guidance (how to envision future problems and planning ways to counteract them).
5.Linking clt with resources/services.
6.Expressing faith in clt's ability to cope but enouraging to return if problems are overwhelming.
7.Scheduling "booster" sessions after termination to make sure they're still okay.