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23 Cards in this Set
- Front
- Back
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Counseling theories based on:
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worldviews
values biases assumptions on how best to bring about change |
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Westernized and emphasize
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choice
uniqueness self assertion ego strength |
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Your theory choice effects
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goals
techniques division of responsibility vw of your role/fx assessment and dx |
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anxious counselors may
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fail to include pt
(using a contract can help) |
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successful outcome determined by
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motivation
severity of sx acceptance of resp to change |
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counselors should provide
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empathy
respect collaboration |
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psychodiagnosis
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IDing emo or beh problem
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differential diagnosis
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distinguishing one form of mental disorder from another by determining which of the two pt has
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Developmental Counseling and Therapy Model (DCT)
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greater attn to environ and context
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assessment/diagnosis
psychoanalytic adlerian existential person-centered gestalt beh CBT reality feminist post modern systemic |
psychodiagnosis
assessment is basic part assessment is pts inner world detrimental done in present moment favor diagnostic stance, value obs pts pattern of thinking informal, no traditional diagnosis criticize classification system no formal diagnosis/categorization ther and pt involved in assessment |
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DSM offers format for
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organizing/communicating data
understanding complexity describing variations among ppl w/ same diagnosis |
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Pro diagnosis:
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obligation
screen for best tx alert to poss problems to fx in MN setting common language theory neutral possible tx strategies possible causal factors ins reimbursement framework for rsrch into tx options |
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Anti diagnosis
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fail to consider ethnic/culture factors
over/under/misdiagnose inaccuracy to underrepresented grps dependence external min uniqueness labels limiting ignores self healing not encouraging self-fulfilling proph narrow therapist's vision subjective reports |
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BASIC ID
(Lazarus) |
beh
affect sensation imagery cog interpersonal relationships grugs/bio factors |
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Tests
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know limitations, only tools
give results, not just scores |
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fee-for-service approach
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practitioners control both supply and demand
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managed care
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preventive rather than curative
time ltd cost effective driven by economics (financial incentive to w/hold tx) professional organizations keep quiet |
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Ethical dilemmas in managed care
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informed consent
confidentiality abandonment utilization rvw (criteria used to eval tx necessity/appropriateness/effectiveness) |
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Therapist legally required to
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provide emergency services regardless of payment
seek approval for add'l services pt genuinely needs (Therapists cant use managed care as a shield) |
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CIGNA
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terminated therapists when requested more sessions
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Research says
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therapy helpful to most
some change fast change due to common factors similar outcomes rltnshp is best predictor therapists learn more from exp than rsrch 10% pts get worse |
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Research does NOT say
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placebo and waitlist controls as effective as therapy
experience is strong predictor long-term more effective |
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informed consent in rsrch
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description
voluntary consequences to refusing/stopping info that would affect willingness answer Qs |
