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13 Cards in this Set
- Front
- Back
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What are some characteristics of Axis II disorders?
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-affect all aspects of functioning to some degree
-become more problematic when under duress -less capable of maintaining homeostasis but they have limited homeostatic reserve |
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What is Millon's conceptualization of Axis II disorders?
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Socio-behavioral
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What did Ellis & Beck focus on in working w/people with Axis II disorders?
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Using personal insight, introspective techniques to modify person's personality in vitro & in vivo
- separating manifest problems & inferred structures |
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How is CBT approach to Axis II different from the analytical approach?
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-CBT maintains that the behaviors & cognitive errors are a product of biased judgments made off of dysfunctional schema. In contrast, analytic schools see these thoughts/behaviors as caused by response biases or motivations
- Misattributions lead to behaviors |
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What usually brings Axis II individuals to treatment?
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-an Axis I condition
-socio/occup problem -marital/relationship issue |
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What are complications in working w/people with Axis II disorders?
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-often live in a well-established support system
-"ego-syntonic" so rarely recognize need to work on their thought process -attribute their problem to external sources |
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What is the major limiting factor in treating a person with an Axis II pathology?
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The established social system they live in
-->Target w/systems interventions |
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What do you treat when working with someone with an Axis II disorder?
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The presenting problem (Axis I); then lifestyle and relationship issues. Rarely do you refer to the Axis II disorder
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What do people with Axis II problems usually require more of than people with Axis I problems?
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Genuineness; their issues are largely interpersonal so humor, self-disclosure, anecdotes, & metaphors can facilitate treatment
Boundaries Flexibility (esp for people w/BPD or Schizotypal) |
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What are some specific techniques that are particularly useful when working w/a person with an Axis II disorder?
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Guided discovery
Search for idiosyncratic meaning Labeling of distortions Examining Explanations Scaling Reattribution Deliberate Exaggeration Examining Advantages & Disadvantages Decatastrophizing |
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What does the CBT technique, SCALING, entail?
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Translating extreme statements into probabilistic terms to counteract dichotomous thinking
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What does the CBT technique, Reattribution, entail?
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exploring & reassigning responsibility for actions & outcomes
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What does the CBT technique, Examining Explanations, entail?
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whenever "other" statements are made, the implications of the statements are explored for underlying assumptions, beliefs, etc.
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