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69 Cards in this Set
- Front
- Back
3 family rules |
Don't talk Don't trust Don't feel |
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Families are like systems Systems have 6 things |
Rules, values, methods of communication, boundaries, roles and patterns of interaction |
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Define what a imbalanced family systems means |
Maintains rules that do not fit the reality of what is felt and believed |
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5 types of imbalanced family systems |
Rigid Ambiguous Overextended Distorted Entitled |
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The rules.... of the rigid family |
Strict Black or white Communication one way Drugs to suppress and to numb Alcohol, heroin |
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The rules.... of the ambiguous family |
Change frequently Confused mixed messages Use to kill pain, suppress reality Hallucinogens |
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The rules.... of the overextended family |
Productive, busy Feelings for wimps Decisions based on results Use to keep working through feelings Stimulants |
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The rules.... of the distorted family |
Act normal Maintain illusion despite problems Limited common perceptions Use to distort make sense or Inhalants |
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The rules.... of the entitled family |
Don't apply Money status who you know See others as less Use for pleasure, show off Anything, ecstasy |
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The 4 styles of Imbalanced patterns of communication Plus solution Personality |
Placaters Blamers Intellectualizers Distractors --Leveling |
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Define placaters |
Agree to avoid conflict Feel worthless Discount themselves Need others acceptance |
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Define Blamers |
Elevate themselves by discounting others Down others to avoid looking at self |
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Define Intellectualizers |
Out think problems Discount their feelings Unemotional |
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Define Distractors |
Distract from painful feelings Avoid conflicts |
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Define leveling |
When words,body language and feelings are consistent with the message |
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Define enabling behavior |
Taking responsibility for someone else's irresponsibility |
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The 5 family system roles |
Chief enabler Family hero Family scapegoat Lost child Family mascot |
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Treatment for imbalanced family |
Family as a whole as a system is effected and changed by events in each person's life Therapy should be both individual and group |
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4 styles of enabling behaviors |
Avoiding and shielding Attempting to control Taking over responsibilities Rationalization and accepting |
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5 stages of recovery plus the process |
Process is not linear or ridged there are twists, turns and not at the same pace Denial, anger, bargaining, Feelings, and acceptance |
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Define denial stage |
Family rarely acknowledge something is wrong Embarrassed, shame, minimization, rationalization Friends and relatives maintain denial |
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Define anger stage |
Effective defense to keep family from talking about issues Confusion, fear, Control chaos but may ask for help Cover up real issues |
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Define bargaining stage |
Preceded by major crisis No longer ignore or deny Strike and arrangement Survive chaos Family may sabotage counselling Financial bargain |
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Define feeling stage |
No longer deny cover up Many feelings come to the surface and are easily accessed Family is forced to seek help |
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Define acceptance stage |
Recognize the family has a problem Everyone suffering Courage to get help together. Everyone is ready to do work to heal |
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5 Risks of early attachment issues with parents unavailable or impaired parents |
Development problem Poor self-concept Feelings of abandonment Trouble with healthy relationships Substance abuse |
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Goals of good parenting |
High level support low level control Availability and quality important Make a genuine connection |
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Define shame |
The self looking in on itself and finding the self lacking or flawed Become deep rooted Never goes away |
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3 major family system variables necessary to prevent problem behavior |
Family cohesion- emotional bonding Flexibility - ability to alter roles in response to situations Communication clarity -ability to understand each other |
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6 things ACA have to do to recover |
Recognize flawed belief systems Unlock feelings Admit powerlessness Feeling awareness Grief work Group psychotherapy |
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Define compliance |
Changing ones behavior under the direction or request of someone else |
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Define Conflict avoidance |
Problems handling feelings of anger and disappointment Need to be approved of |
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Define procrastination |
1 reason people don't, won't change |
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Define exertion |
Effort, commitment, perseverance Needed to overcome procrastination |
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6 stylez of procrastination |
Perfectionist Dreamer Worrier Defies Crisis maker Overdoer |
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Procrastination perfectionist |
Waits till the perfect time Misses opportunity |
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Procrastination Dreamer |
All talk no action Unrealistic expections |
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Procrastination worrier |
Thinks up fearful reasons to not take action |
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Procrastination defier |
Doesn't follow good advice Regects help Continues to have the same problems |
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Procrastination crisis maker |
Creates crises to distract |
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Procrastination Overdoer |
Focus on one part of the problem at the expense of priority issues |
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6 basic stages of change |
Precontemplation Contemplation Preparation Action Maintenance Relapse prevention |
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The ABC's of motivation 8 |
Advice empathy Barriers feedback Choice goals desirability interest |
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Motivational interviewing OARS |
open ended questions Affirmation Reflect Summarize |
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3 Às of alternative activities |
Acceptable attractive attainable |
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Positive alternative 4 musts |
Must contribute to identity independence Must offer active participation and involvement Must offer chance for commitment Must provide feeling of being part of something |
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School based prevention Empowerment |
The process of increasing the capacity of individuals to make choices and to transform those choices into desired action |
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School based prevention Prevention goal |
Empower students Prevent passive choice of drug addiction |
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School based prevention Capability development: model for developing capable children involves 6 |
-ID with viable role models -Faith in personal resources to solve problems - responsibility -communication - well developed situation skills - adequately developed judgment skills |
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4 key components of a community prevention program |
Address community needs Include youth in prevention planing Promote proactively Develop long-term perspective |
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Define resiliency |
An internal protective factor and the ability to bounce back |
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7 factors of resiliency |
Insight Independence Relationships Initiative Creativity Humor Morality |
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Emotional intelligence defined by 4 things |
Able to motivate and persist despite frustration Able to control impulses& delay gratification Able to regulate mood, keep distress from swamping ability to think Able to empathize and hope |
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Emotional intelligence goals |
Optimism, motivation, perseverance, self-efficacy |
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Developmental assets model 8 |
Support Empowerment Boundaries and expectations Constructive use of time Commitment to learning Positive values Social competencies Positive identity |
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5 stages of recovery |
Withdrawal Honeymoon The wall Adjustment Resolution |
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9 goals of family treatment |
-Develop family commitment to Recovery -ID enabling behaviors and counter them -Encourage open communication -validate others feelings regarding abusing member & consequences - educate family on disease model - specify concrete rules, consequences, behavioral changes -plan & define family leisure activities - solidify the parental coalition - prepare relapse prevention guidelines and family response |
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3 major causes of relapse |
Negative emotional states Interpersonal conflict Social pressure |
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Relapse prone vs Recovery prone |
Relapse =denial and evasion Recovery = recognition and problem solving |
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Define habits |
Deciding to change a habit is easy Implementation is hard Maintaining most difficult Quiting just the beginning of recovery |
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Best to do when having cravings and urges |
To detach |
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Define triggers |
Stimuli that were repeatedly associated with the preparation, anticipation or use of drugs Include person place time things emotions |
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Define HALTS |
Hunger Angry Lonely Tired Sick |
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Focuses of harm reducing counseling |
Harm done, not the drug itself is the focus Any reduction = success Confrontation to be avoided |
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Difficult patients 4 categories of behavior patterns And counseling approach |
Dependent clingers Demanders Manipulative help rejecteders Self destructive deniers Setting appropriate boundaries and clear expectations most effective |
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Define addiction |
Chronic relapsing disorder characterized by compulsion, obsession Loss of control Continued despite consequences Maladaptive to life |
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Define behaviour addiction |
Failure to resist an impulse, drive or temptation to perform an act that is harmful to the person or others |
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Behavioural vs substance addiction |
The ACT is often preceded by tension Followed by relief Cravings and tolerance are reported Psychological withdrawal |
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Behavioral addictions personality |
High levels of Impulsivity and sensation seeking Low harm avoidance |