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105 Cards in this Set
- Front
- Back
What are the 5 stages of grief? |
Denial, anger, bargaining, depression, acceptance |
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List and explain each of Maslow’s 5 Hierarchy of needs. |
Physiological- food, water, shelter; Safety- safe from harm; Social- feeling loved, relationships; Esteem- respect for self and others; Self-actualization- need to bet oneself, most don't reach this level |
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List the 8 stages of the family life cycle |
a. Familyof origin experiences b. Leavinghome c. Pre-marriagestage d. Childlesscouple stage e. Familywith young children f. Familywith adolescents g. Launchingchildren h. Laterfamily life |
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List the three phases of the cycle of violence |
Tension --> Incident --> Honeymoon |
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Explain the difference between the id, ego, andsuperego |
Id-operates on pleasure level, self, sex, survival; Ego- manages conflict betweenthe id and superego, operates on reality principle; Superego- operates onmorality, society, causes guilt when going against society |
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What is the Oedipus complex? What stage is itdeveloped in? |
TheOedipus complex is a male child’s sexual desire for his mother and hostilitytowards his father; developed in phallic stage |
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What is fixation, according to Freud? |
Inability to progress normally from one stage to another |
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List Freud’s 5 stages of development |
Oral: birth-12 mo; pleasure: mouth, sucking, biting, chewing; result of fixation: excessive smoking, over-eating, dependence on others Anal: 2-toileting; bowel movements; anal retentive (control) or anal expulsive (easily angered) Phallic: 3-5; genitals; guilt/ anxiety over sex Latency: 5-puberty; sexuality is dormant; no fixations Genital: puberty; genitals, sexual urges, no fix |
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What is castration anxiety? |
Boybelieves girl has had her penis cut off, fears that father will do the same tohim for desiring his mother |
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List the three self-object needs ofself-psychology? |
Mirroring- validates the child’s self of self; Idealization- child borrows strength from others and identifies with someonemore capable; Twinship/ twinning- child needs an alter ego for sense ofbelonging |
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What are Erikson’s 8 stages of psychosocialdevelopment? |
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List the four operant techniques |
Positivereinforcement- praise, tokens Negativereinforcement- taking away something (remove shock) Positivepunishment- presentation of undesirable stimulus to decrease/ eliminate bx(hit, shock) Negativepunishment- removing something positive (token, desert), punishment of bx |
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List Piaget’s 4 cognitive theory stages |
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List Kohlberg’s 6 stages of moral development (p-c-p) |
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List the three stages of substance use treatment |
Stabilization-establishing abstinence, acceptance & commitment Rehabilitation/habilitation- establish stable lifestyle, supports Maintenance- stabilizing gains, relapse prevention, termination |
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DM: Conversion |
Repressed urge disguised as disturbance of bodyfunction (as pain, deafness, blindness, etc.) |
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Explain the three stages of cultural identitydevelopment |
Unexaminedcultural, racial, and ethnic identity- lack of exploration, uninterested inculture Cultural,racial, and ethnic identity search- exploration, questioning, growing andawareness; emotional time Cultural,racial, and ethnic identity achievement- clear sense, successfully navigate inworld, increase self-confidence and develop. |
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Explain the humanistic approach |
Clients have the capacity to grow, change, andadapt |
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Name some risk factors for perpetrators of abuse |
Hxof owning weapons and using them, criminal hx, psych dx with coexisting MICA,drug and alcohol abuse, personality dx, hx of impulsivity, angry affect withoutempathy, environmental stressors |
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Briefly explain white families |
Family:divorce common, personal desires over family, parents try to be friends withchildren, avoid physical punishment Communication:long winded and impersonal Spirituality:private affair Values: capitalism, poverty is moral failing, physical appearance,individual rights |
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Briefly explain American Indian families |
Family:complex, family without blood links, group over individual Communication:indirectness, quiet, silent, avoid eye contact Spirituality:part of life, interconnectedness, traditional medicine man Values: holistic, follows nature’s rhythm |
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Briefly explain Asian families |
Family:patriarchal, obligation to elders, family structure Communication:indirect, avoidant, less expressive/ affectionate Spirituality:Confucian and Buddhist philosophies Values: shaming and obligation to others and parents |
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Explain AA families |
Family:strong kinship bonds, informal adoption of children by other relatives,flexible family roles, women “strength of family” Communication:animated, physical touch/ directness Spirituality:turn to community/ religious leaders, church is central Values:strong work orientation, use informal support network (comm) |
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Explain Native Hawaiian families |
Family:immediate family is alien to them, “we are all related” Communication:customs, own language Spirituality:spirits are in nonhuman beings and objects Values:importance of culture and welfare of all living in community |
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Explain Hispanic families |
Family:extended family big, obligation to family, male has power Communication:varied emotional expressiveness (more in Spanish) Spirituality: spiritual values church and commorientation Values: wish to improve life circumstances, heritage is important |
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Name some signs of marijuana use |
Redeyes, loud talking, inappropriate laughter, loss of interest, weight gain |
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Name signs of cocaine use |
Dilatedpupils, euphoria, hyperactivity, anxiety, excessive talking followed bydepression or excessive sleeping |
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Name signs of heroin use |
Contracted pupils, needle marks, sleeping atunusual times, sweating, twitch |
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What does FAREAFI mean? |
Mostuseful in FIRST/NEXT questions; use in hierarchy Feelingsof the client be acknowledged first above all; build rapport Assess Refer Educate Advocate Facilitate Intervene |
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What does AASPIRINS stand for? |
Useful in BEST or MOST reasonable answers Acknowledgeclient/ patient; build rapport Assess Startwhere patient is Protectlife (danger to self?) Intoxicateddo not treat; refer Ruleout medical issue Informedconsent Non-judgmentalstance Supportpatient self-determination |
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Name medications typically used for anxiety |
Ativan(lorazepam) benzo Buspar(buspirone) Alprazolam(Xanax) benzo Klonopin(clonazepam) Valium(diazepam) benzo |
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Name medications typically used for depression |
SSRIs: Celexa(citalopram) Lexapro Paxil(paroxetine) Prozac(fluoxetine) Zoloft(sertraline) MAOIs (restrictions): Nardil and Parnate Tricyclics Other- Wellbutrin (bupropion) |
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Name typical antipsychotics (mania and schizophrenia) |
Haldol(haloperidol) injectable also** Loxitane(loxapine) Serentil(mesoridazine) Thorazine(chlorprozmazine) |
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Name atypical antipsychotics |
Abilify(ariprirazole) Clozaril(clozapine) Risperdal(risperidone) Seroquel(quetiapine) Zyprexa(olanzapine) |
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Name mood stabilizers (bipolar) |
Depakene,Depakote Lithium** Lamictal(lamotrigine) Topamax(topiramate) |
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Name stimulants (ADHD) |
Adderall(amphetamine) Concerta Ritalin, Methylin |
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What is the halo effect? |
Puttingsomeone on a pedestal |
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Tardive dyskinesia is associated with what types of medications? |
Involuntary jaw movements- typicalantipsychotics |
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Lack of sexual desire can be associated with SSRIs—true or false? |
True |
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At what age can an individual be diagnosed with a personality disorder? |
18
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What are some of the components of an intervention or service plan? |
Tasks, goals, obtainable, time table
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What are the stages of the helping process?* (EIAGIET) |
Engagement, information gathering, assessing/diagnosis, goal setting, intervention, evaluation, termination |
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When in a dilemma the SW should first.. and then.. |
1st check with code of ethics 2ndspeak with supervisor |
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What are the COE 6 core values? |
Service-help people in need and address social problems Socialjustice- pursue social change, equality of opportunity Dignityand worth of the person- cultural and ethnic diversity Importanceof human relationships- central importance of relationships Integrity-behave in trustworthy manner Competence-practice within areas of competence, refer out if not knowledgeable |
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What is duty to protect? |
Informindividuals who have been threatened of the homicidal threat, warn victim andinitiate involuntary commitment if necessary (Tarasoff) |
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When do children understand death is permanent? (Piaget) |
7 -11,concrete operations stage |
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Explain Bowen’s family therapy theories |
Interested in improving the intergenerationaltransmission process, improvement in functioning |
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What are the 8 constructs of Bowen’s family therapy? |
Differentiation-core concept, individualization within family, voids external or internalemotional pressures Emotionalsystem- (result of poor interpersonal boundaries) family members share emotions Multigenerationaltransmission- connection of past and current generations Emotionaltriangle- network of relationships between 3 people, stable until anxiety isintroduced Nuclearfamily- basic unit of society, clients who form relationships outside of NFpick others with same differentiation level Familyprojection- parents transmit emotional problems to child Siblingposition- determines personality, how they relate to parents/ siblings Societal regression- depletion of natural resources |
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What is structural family therapy? |
Stresses importance of family organization forfunctioning of group and well-being of members; SW “joins” family torestructure it; boundaries and rules are established |
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What are the three concepts of structural family therapy? |
Interpersonalboundaries define individuals members and promote differentiation and autonomy,yet interdependent functioning Boundarieswith outside world define family unit while being permeable enough to maintainopen system Hierarchical organizations in families of all cultures is maintained by generationalboundaries (rules, obligations) |
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What is the purpose of advocacy efforts? |
Obtainservices or resources not otherwise provided, modify or influence policies thatadversely affect groups, promote legislation that will result in provision ofresources |
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What are the 6 problem solving steps/ phases of intervention? |
Engaging, assessing, planning, intervening,evaluating, terminating |
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Five case management activities are: |
Assessment,planning, linking, monitoring, advocacy |
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Management of conflict entails four goals.. |
Relievethe impact of stress with emotional and social resources Returnclient to previous level of functioning Helpstrengthen coping mechanisms during crisis period Developadaptive coping strategies |
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What are the four steps of managing conflict? |
Therecognition of an existing or potential conflict Anassessment of conflict situation Theselection of an appropriate strategy Intervention |
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What are the six stages of change? |
Pre-contemplation-denial, ignorance of the problem Contemplation-ambivalence, conflicted emotions Preparation-experimenting with small changes, collect info Action-taking direct action towards achieving goal Maintenance-maintain new bx, avoid temptation Relapse- feelings of frustration and failure |
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In termination the SW and pt should.. |
Evaluate the degree to which a client’s goalshave been attained, acknowledge and address issues related to end ofrelationship, plan for subsequent steps a client may take relevant to problemthat don’t involve SW (new services) |
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What are the four steps of community decision-making? |
Orientationstage- community members meet for first time Conflictstage- disputes, fights, arguments, eventually worked out Emergencestage- see and agree on course of action Reinforcementstage- finally make decision and justify why its correct |
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In what ways can a social work approachprofessional development? |
Consultation,coaching, communities of practice, mentoring, reflective supervision, technicalassistance |
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Explain Gottman’s couples theory |
Gottman (couples) Focuses on conflicting verbalcommunication in order to increase intimacy, respect, and affection; removesbarriers that create a feeling of stagnancy in conflicting situations, createsheightened sense of empathy and understanding |
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Explain the difference betweencountertransference and transference |
Transference- redirection of client’s feelingstowards SW; Countertransference- SW feelings towards client |
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What are some values that may inhibittherapeutic relationship? |
Universalism-one acceptable norm for everyone Dichotomous-“either-or” thinking; differences are inferior, wrong, bad versus differencesare just different Heightenedability/ value on separating, categorizing, numbering, “left-brain” versusright-brain or whole picture Highvalue on control, constraint, restraint versus being flexible Measureof self comes from outside and is only in contrast to others versus comes fromwithin Power is defined as power over others, mastery over environment versuspower through or in harmony with others |
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When should a client be provided with theirrecords? |
SW should limit client’s access to theirrecords, or portions of their records, only in exceptional circumstances whenthere is compelling evidence that such access would cause serious harm to aclient (should be documented) |
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What is the SOAP format? Why is it used? |
Wayof keeping client files up to date (used in healthcare) Subjective:how client has been doing since they came into txt Objective:vital signs, labs, etc. objective indicators of problems Assessment:pulls together subjective and objective findings and consolidate them intoassessment Plan: what will be done as consequence of A |
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How should you arrange client files? |
Demographics (intake), assessments andreassessments, service plans with goals, discharge plan, release of info andcollateral, correspondence |
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What are the eight components of the MSE? |
Appearance Orientation Speechpattern Affect/mood Impulsive/potential for harm Judgment/insight Thoughtprocess/ reality testing Intellectual functioning/ memory |
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What’s the difference between exogenous and endogenous depression? |
Endogenous depression- caused by biochemicalimbalance rather than psychosocial stressors; Exogenous- caused by external eventsor psychosocial stressors |
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What is privileged communication? |
Legal rights that, under certain circumstances,protect clients from having their communications revealed in court withouttheir permission |
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What’s the difference between expressive vs. receptive language? |
Expressive- articulation, basic, ability tocommunicate; Receptive- more advanced, ability to express feelings and emotions(listen and understand) |
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What is the institutionalized view of SW? |
Institutional view- preventative focus,individual difficulty is the most important to solve, no stigma |
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What is the residual view of SW? |
Residual view- services provided only when othersystems fail, short term emergency-based, receiver has obligations (stigma, Band-Aid approach) |
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What is the universal program of social welfare? |
Universal- program benefits everyone, no mattersituation (costly, fire, police) |
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What is the selective program of SW? |
Selective- restricted to those in need (stigma,narrow criteria; social security) |
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Name and explain the three levels of the mind |
Unconscious- tx, fx, desires, memories in which we’reunaware; Preconscious- tx, fx can be brought into consciousness; Conscious-mental activities of which we’re fully aware |
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What’s Mahler’s object relation’s theory? |
Autisticphase birth-1mo- mom needs to be there Symbioticphase 1-5mo- develop first human bond, positive stimuli and relief ofdiscomfort, develop trust Hatching5-9mo- aware of differentiation between self and mother, increasingly aware ofsurroundings, use mom as point of reference Practicing9-16mo- first crawling then walking, explore actively, independence, experiencesself as one with mom Rapprochement15-24 mo- differentiate herself, psychic separateness Objectconstancy 24-36 mo- knows mom will return |
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What ages do children experience strangeranxiety/ separation anxiety? |
Strangeranxiety 6-8mo, separation anxiety- 12 mo, prolonged separation anxiety- 18 mo |
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What are the three parenting styles? |
Authoritarian-very restrictive, don’t explain rules, forceful punishment Authoritative-flexible, autonomy with restrictions, achievement oriented Permissive- lax parenting, few demands, no monitoring, impulsive |
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What is the responsibility of a SW for a clientwith DV? |
DV: medical needs met, not under legalobligation to report DV, encourage to be safe, no fam therapy |
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What’s the difference between culturalrelativism and pluralism? |
Cultural relativism- an individual human’sbeliefs and activities should be understood in terms of his or her own culture; Pluralism- small groups within a larger society maintain their unique culturalidentities (Native Americans) |
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What is dyssomnia? |
Dyssomnia- disturbances in sleep, amount timingquality |
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What’s the difference between factitious dx vs.malingering? |
Malingerer fakes or produces sxs to obtainexternal reward; factitious dx- pt produces sxs due to psychological need toadopt “sick role” (Munchausen) |
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What’s the difference between hyperthyroidismvs. hypothyroidism? |
Hyperthyroidism- mimic sxs of mania; hypothyroidism- can mimic depression |
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Explain the three personality dx clusters anddx’s associated |
Cluster A: odd and eccentric: paranoid, schizotypal, schizoid Cluster B: dramatic, erratic: borderline, antisocial, histrionic, narcissistic Cluster C: anxious, fearful: avoidant, dependent, obsessive-compulsive |
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What’s the difference between post-morbid,premorbid, and promomal? |
Post-morbid- subsequent to onset of illness;premorbid- prior to onset of illness; promomal- period of time before onset ofserious illness during which subtle sxs
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What would someone use benzodiazepines and whatare some common side effects? |
Safer than barbiturates, less addictive;impaired muscle coordination, psychomotor functions, impairment of ST memory |
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What’s the difference between abuse anddependence? |
Abuse- impairment of life, dependency-withdrawal sxs, major impairment |
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What are the six stages of CPS process? |
Intake, initial assessment and investigation,family assessment, case planning, service provision, evaluation of familyprogress and case closure **permanency plan |
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What are the 4 P’s of Perlman’s problem solvingapproach? |
Perlman’s problem solving: Person, problem,place, process |
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Explain Adler’s approach |
Adler—holistic theory of personalitydevelopment; individuals have single drive or motivation behind all of their bx“striving for perfection” |
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Explain Gestalt therapy |
Gestalt—seekheightened awareness, split-off of selves, process oriented, don’t believe inrepression, take responsibility for actions |
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DM: Identification |
Person patterns himself after SO; personalitydevelopment |
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DM: Identification with the aggressor |
Abusing others because you’ve been abused |
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DM: Incorporation |
Primitive mechanism in which psychicrepresentation of a person are figuratively ingested |
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DM: Inhibition |
Loss of motivation to engage in activityavoided, might stir up conflicts over forbidden impulses |
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DM: Introjection |
Loved or hated external objects are absorbedwithin self |
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DM: Isolation of affect |
Unacceptable impulse separated, removed fromemotional charge |
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DM: Projective identification |
BPD; unconsciously perceiving others’ bx asreflection of one’s own identity |
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DM: Reaction formation |
Person adopts affects, bx opposite of those heharbors |
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DM: Splitting |
BPD; perceives self and others as “all good” or“all bad” |
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DM: Sublimation |
Maladaptive fx or bx are diverted into sociallyacceptable |
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DM: Substitution |
Unattainable or unacceptable goal replaced byanother |
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DM: Symbolization |
Mental representation stands for some otherthings |
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DM: Turning against self |
Defense to deflect hostile aggression fromanother to self |
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DM: Undoing |
Uses words/bx to symbolically reverseunacceptable tx, fx |
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Why are groups helpful? |
Instillation of hope, universality, altruism, interpersonal learning, self-understanding and insight, existential learning |