Clinical Psych Final Ch 11 Reality Therapy

Front 1

William Glasser believed students in school were learning a "______ _______" because lower scorers in 1st grade tended to stay that way

Back 1

failure identity

also, these students do not tend to find socially acceptable outlets for the negative feelings associated with their poor performance

Front 2

In Glasser's school

Back 2

1. the classes set the rules (in a process guided by the teacher) - Guided Group Interaction

2. A necessary precondition for learning is the social contract established by the class

responsibility is the primary issue between the individual and society (social context)

Front 3

__________ are the result of choices we've made in our lives

Back 3

Symptoms

we can choose to think, feel, and behave differently

Front 4

Emphasis is on personal __________

Back 4

responsibility

Front 5

Therapist's function is to keep therapy

Back 5

focused on the patient

Front 6

We often mistakenly choose ______ in our best attempt to meet our needs

Back 6

misery

maybe we don't know we're choosing misery because it comes later

understand that your behaviors have an outcome

Front 7

We act responsibly when

Back 7

we meet our needs without keeping others from meeting their needs

Front 8

All internally motivated behavior is geared toward meeting one or more of our 5 encoded needs:

Back 8

Survival (Physiological)

Love and Belonging

Power or Achievement

Freedom or Independence

Fun

Front 9

Our brain functions as a ______ _______ to get us what we want and monitors our _______ to see if we are achieving these needs

Back 9

control system, feelings

Front 10

Our _____ ________ consists of our visions of specific people, activities, events, beliefs, and situations that will fulfill our needs

Back 10

quality world

youth will find either social acceptable/unacceptable to meet these needs

Front 11

Our best attempts to satisfy our needs

Back 11

doing - active behaviors

thinking - thoughts, self-statements

feeligns - anger, joy, pain, anxiety

physiology - bodily reactions

Front 12

The 3 "R's"

Back 12

Reality - this happens within a specific social context

Responsibility - for getting needs met within the "social contract"

Right and Wrong Thinking - making value judgments

Front 13

8 steps/issues in counseling

key: it is the client's responsibility to get their needs met!

Back 13

1) Counseling is personal (not just rational) – the client needs to know you care
2) Focus on behaviors, not feelings
* Feelings take us from personal responsibility
* Feelings never provide a reason for irresponsibility
3) Focus on present, not the past
4) Make value judgments (“Who might be helped by this decision and who might be hurt?”)
5) Make a plan – to meet needs in a responsible way
6) Elicit commitment – the client has to own it
7) No excuses
8) No punishment

Front 14

Procedures that lead to change: the "WDEP" system

applies reality counseling principles to individuals, groups, and organizations

Back 14

W:
wants, needs, and perceptions
what do you want to be and do? your "picture album" (if you could envision an album with your ideal life, what does it look like? who are you, what do you do, how do you want things to play out?)

D:
Doing and Direction
examining one's total behavior: feelings, effective or ineffective self-talk, and especially their actions. what are you doing? where do you want to go?

E:
Evaluation
sometimes uncomfortable self-evaluation. does you present behavior have a reasonable chance of getting you what you want?

P:
Planning
specific and attainable positive plans for improvement (SAMIC)

Front 15

Planning for change (SAMIC)

Back 15

S
Simple

A
Attainable

M
Measurable

I
Immediate and involved

C
Controlled
can you do this by yourself or will you be dependent on others? can you do this continuously?

Front 16

Group therapy

Back 16

leaders and members jointly determine goals and plans of action

members explore new course of behavior that will bring them closer to what they want out of life

leaders challenge group members to evaluate for themselves if what they are currently doing is working for them

feedback from leaders and group members can help individuals design realistic and attainable plans

group setting encourages members to take an active stance in attaining change in their lives

Front 17

Limitations

Back 17

minimal mention of insight, the unconscious, dreams and transference

trouble viewing serious mental illness as behavioral choice (risk lack of sensitivity)

danger for therapist imposing his or her personal views on clients by defining responsible behavior

often construed as simple and easy to master, but really requires much training to implement properly

more empirical support is needed (good with personality disorders, but need more evidence for other disorders)