Ctw's

Front 1

Reality therapist is most interested in the client's ________

Back 1

responsibility for their issues
introspection
social roles
deindividuation

Hint 1

responsibility for their issues

Front 2

Mahler's Object Relations is primarily about:

Back 2

parallel process
triangulation
separation-individuation
parataxic modes

Hint 2

separation-individuation

Front 3

Structural therapist would see family problems as a result of:

Back 3

Communication problems
stable coalitions
enmeshment
triangulation

Hint 3

enmeshment: because its about boundary, so it would be enmeshment (diffuse) or rigid/ disengaged

Front 4

Family therapy: Mother makes a comment and father and daughter criticize this. What is it?

Back 4

Triangulation
Stable Coalition
Postive Feedback
Negative Feedback

Hint 4

Stable Coalition is the better answer than triangulation. Coalition is a kind of triangle, so this is more specific.

Front 5

Solution-Focused therapist is working with a couple who fight too much. What techniques would SF Therapist use?

Back 5

a. have couple talk directly to therapist
b. direct couples to take time-outs
c. ask them to remember a time without fighting
d. assign them to fight for a half an hour nightly.

Hint 5

c: an SF Therapist would "look for the exception" and also consider scaling questions and the miracle question.

Front 6

Which is Consultee-Centered Case Consultation?

Back 6

a. help teacher see signs of teen drug use
b. help therapist design tx plan for child with disorder the therapist doesnt know well.
c. help executives in company identify ways to improve productivity
d. Administer testing to client of a colleague who doesnt know the test.

Hint 6

a. helping(centering on) teacher (consultee) with skills for a population (case)

Front 7

Eysenck:

Back 7

a. Treated and untreated both show few gains
b. treated and untreated about equal in improvement
c. treated slightly better off
d. untreated somewhat better off

Hint 7

d. Untreated a little better off.

Found 72% get better with nothing, 66 with electroshock, 44 with psychoanalytic.

1952, most get better by spantaneous remission.

Front 8

Client says they feel therapist is in a power-up position. Feminist therapist does what?

Back 8

a. Provide empathic support
b. acknowledge the power differential
c. use the power to therapeutic advantage
d. reassure client that the relationship is egalitarian

Hint 8

b. Feminist would acknowldge, then work to minimize, the inherent power differential.

Front 9

When working with a native american family:

Back 9

a. refer to native american therapist
b. ensure a value free environment
c. assess level of acculturation of each family member before creating treatment plan
d. treat family like any other unless you see reason to do otherwise.

Hint 9

c. assess acculturation level.

(NA's want a value environement)

Front 10

ADHD symptoms must be present before:
a. No age limit
b. 18
c. 7
d. Puberty

Back 10

Age 7, and affect 2 areas of functioning.
60% with have symptoms as adults, primarily inattention.

Front 11

"Disinhibition hypothesis" explains:
a. Social Behavior
b. ADHD
c. The effects of alcohol and drugs on behavior
d. ODD

Back 11

ADHD- its about not being able to regulate behavior to match situational demands.

Front 12

Categorical Approach

Back 12

Divides symptoms into criteria sets

Front 13

Polythetic:

Back 13

Only need x amount of symptoms for diagnosis. Thus a condition can manifest differently.

Front 14

Axis I:
Axis II:
Axis III:
Axis IV:
Axis V:

Back 14

I. Mental Disorders
II. Personality, Mental Retardation
III. Medical
IV. Psychosocial/Environmental
V. GAF 1-100

Front 15

Marlatt & Gordon's Model of Addiction & Relapse:

Back 15

Addiction: Overlearned maladaptive habit pattern.
Relapse: due to strong negative emotions.
Relapse reduced if one attributes using to: specific, controllable, external factors.

Front 16

PKU

Back 16

-Genetic syndrom cant metabolize certain protein, cause of retardation. Can adapt with diet.

Front 17

Autism:

Back 17

Social/Communication/Stereotyped

70% Retarded

Prog: 1/3 have partial independence, best prognosis if verbal by age 6, higher IQ, later onset symptoms

Etio: Bio- small cerebellum, large ventricles, abnomral serotonin, dopam, norep. 50-100x higher in sibs.

Front 18

Lovaas:

Back 18

Shaping and discrimination training for communication in Autistic.

Front 19

ADHD Brain:
a. caudate nucleus, globus, prefrontal cortex
b. prefrontal cortex, amygdala
c. prefrontal cortex, cerebellum,
d.

Back 19

a. these are either smaller and/or less active in ADHD

Front 20

Delirium:

Back 20

Confusion in consciousness and perception.

1. disturbance in conscious
2. change in cognition/perception

Risk Groups: 1. older 2. demented 3. postcardiotomy 4. burn 5. addicts

Tx: treat cause and treat behavior through environment.

Front 21

Dementia

Back 21

MEmory... A's... Executive

Cortical: memory
Subcortical: personality, executive fx, speech, motor + memory

Front 22

Pseudodementia:

Back 22

unlike true dementia:
ABRUPT (insidious)
SHOW CONCERN
UNCOOPERATIVE
Recall may be screwed, but recognition okay (hence they worry)

Front 23

Alzheimer's & Stages:

Back 23

Is 65% of dementias. ACh indicted.
1:1-3: Anterograde, visuaspatial, indifference, irritability, sadness, anomia.
2:2-10: More retro, flat/labile, restless/agitated, delusions, aphasia, acalcula, apraxia
3:8-12: Severly deteriorated intel, apathy, incontinence, limb rigidity.

Front 24

Vascular Dementia:

Back 24

Stepwise, Fluctuation, Patchy.

From diseases, stroke, etc.

Front 25

HIV Dementia/AIDS Dementia:

Back 25

0
.5 minimal, no impairment
1. impairment, no assistance
2. cant work, but can self-care, maybe assistance.
3. major motor/intellectual
4. vegetable

Front 26

Korsakoff Syndrome:

Back 26

Amnesia from alcohol - retro and antero + compensatory confabulation. MAybe from thiamine deficiency.

Front 27

Schizophrenia:
Prognosis/Onset

Back 27

6 months or more:
Slightly higher for male.
Onset 18-25m, 25-35f.
PROG: Complete remission rare, but positive decline over time/negative rise. Better prog for female, later onset, precipitating event, good premorbid, brief active, insight, fx history of mood not schiz.

Front 28

Types of Schizophrenia:

Back 28

Paranoid: Primarily hallucination/delusion thematic.
Disorganized:
Catatonic: motoric, negative/mute, echolalia/praxia
Undiff: essentially NOS
Residual: Some odd ideas/speech, but not so florid.

OR: Type 1: Positive (ok prog), II negative (bad prog)

Front 29

Schizophrenia: Prevalence, Etio:

Back 29

.5-1.5%
Concordance:
Bio Sib: 10
Frat Twin: 17
ID Twin: 48
Child: 46

Front 30

Schiphrenia:
Schizophreniform:
Schizoaffective:

Back 30

6+
1-6 months
Concurrent mood and schizophrenia, but also 2 wks just psychotic symptoms.

Front 31

Hypomanic Episode:

Back 31

4 days, 3 manic symptoms. No hospitalization, no marked impairment, no psychotic.

Front 32

Mixed:

Back 32

A week of rapid cycling.

Front 33

DD: Bipolar I & II:

Back 33

BPI: 1 or more manic/mixed, withough depressive episodes.
BPII: History of depressive.