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69 Cards in this Set

  • Front
  • Back

3 family rules

Don't talk


Don't trust


Don't feel

Families are like systems


Systems have 6 things

Rules, values,


methods of communication, boundaries, roles and patterns of interaction

Define what a imbalanced family systems means

Maintains rules that do not fit the reality of what is felt and believed

5 types of imbalanced family systems

Rigid


Ambiguous


Overextended


Distorted


Entitled

The rules.... of the rigid family

Strict


Black or white


Communication one way


Drugs to suppress and to numb


Alcohol, heroin

The rules.... of the ambiguous family

Change frequently


Confused mixed messages


Use to kill pain, suppress reality


Hallucinogens

The rules.... of the overextended family

Productive, busy


Feelings for wimps


Decisions based on results


Use to keep working through feelings


Stimulants

The rules.... of the distorted family

Act normal


Maintain illusion despite problems


Limited common perceptions


Use to distort make sense or


Inhalants

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

The 4 styles of Imbalanced patterns of communication Plus solution


Personality

Placaters


Blamers


Intellectualizers


Distractors


--Leveling

Define placaters

Agree to avoid conflict


Feel worthless


Discount themselves


Need others acceptance

Define Blamers

Elevate themselves by discounting others


Down others to avoid looking at self

Define Intellectualizers


Out think problems


Discount their feelings


Unemotional

Define Distractors

Distract from painful feelings Avoid conflicts

Define leveling

When words,body language and feelings are consistent with the message

Define enabling behavior

Taking responsibility for someone else's irresponsibility

The 5 family system roles

Chief enabler


Family hero


Family scapegoat


Lost child


Family mascot

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

4 styles of enabling behaviors

Avoiding and shielding


Attempting to control


Taking over responsibilities


Rationalization and accepting

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

Define denial stage

Family rarely acknowledge something is wrong


Embarrassed, shame, minimization, rationalization


Friends and relatives maintain denial


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

Define bargaining stage

Preceded by major crisis


No longer ignore or deny


Strike and arrangement


Survive chaos


Family may sabotage counselling


Financial bargain

Define feeling stage

No longer deny cover up


Many feelings come to the surface and are easily accessed


Family is forced to seek help

Define acceptance stage

Recognize the family has a problem


Everyone suffering


Courage to get help together. Everyone is ready to do work to heal

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

Goals of good parenting

High level support low level control


Availability and quality important Make a genuine connection

Define shame

The self looking in on itself and finding the self lacking or flawed


Become deep rooted


Never goes away

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

6 things ACA have to do to recover

Recognize flawed belief systems


Unlock feelings


Admit powerlessness


Feeling awareness


Grief work


Group psychotherapy

Define compliance

Changing ones behavior under the direction or request of someone else

Define Conflict avoidance

Problems handling feelings of anger and disappointment


Need to be approved of

Define procrastination

1 reason people don't, won't change


Define exertion

Effort, commitment, perseverance


Needed to overcome procrastination

6 stylez of procrastination

Perfectionist


Dreamer


Worrier


Defies


Crisis maker


Overdoer

Procrastination perfectionist

Waits till the perfect time


Misses opportunity

Procrastination Dreamer

All talk no action


Unrealistic expections

Procrastination worrier

Thinks up fearful reasons to not take action

Procrastination defier

Doesn't follow good advice


Regects help


Continues to have the same problems

Procrastination crisis maker

Creates crises to distract

Procrastination Overdoer

Focus on one part of the problem at the expense of priority issues

6 basic stages of change

Precontemplation


Contemplation


Preparation


Action


Maintenance


Relapse prevention

The ABC's of motivation 8

Advice empathy


Barriers feedback


Choice goals


desirability interest

Motivational interviewing OARS

open ended questions


Affirmation


Reflect


Summarize

3 Às of alternative activities

Acceptable attractive attainable

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

School based prevention


Empowerment

The process of increasing the capacity of individuals to make choices and to transform those choices into desired action

School based prevention


Prevention goal

Empower students


Prevent passive choice of drug addiction

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

4 key components of a community prevention program

Address community needs


Include youth in prevention planing


Promote proactively


Develop long-term perspective

Define resiliency

An internal protective factor and the ability to bounce back

7 factors of resiliency

Insight


Independence


Relationships


Initiative


Creativity


Humor


Morality

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

Emotional intelligence goals

Optimism, motivation, perseverance, self-efficacy

Developmental assets model 8


Support


Empowerment


Boundaries and expectations


Constructive use of time


Commitment to learning


Positive values


Social competencies


Positive identity

5 stages of recovery

Withdrawal


Honeymoon


The wall


Adjustment


Resolution

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

3 major causes of relapse

Negative emotional states


Interpersonal conflict


Social pressure

Relapse prone vs Recovery prone

Relapse =denial and evasion


Recovery = recognition and problem solving

Define habits

Deciding to change a habit is easy


Implementation is hard


Maintaining most difficult


Quiting just the beginning of recovery

Best to do when having cravings and urges

To detach

Define triggers

Stimuli that were repeatedly associated with the preparation, anticipation or use of drugs


Include person place time things emotions

Define HALTS


Hunger


Angry


Lonely


Tired


Sick

Focuses of harm reducing counseling

Harm done, not the drug itself is the focus


Any reduction = success


Confrontation to be avoided

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

Define addiction

Chronic relapsing disorder characterized by compulsion, obsession


Loss of control


Continued despite consequences


Maladaptive to life

Define behaviour addiction

Failure to resist an impulse, drive or temptation to perform an act that is harmful to the person or others

Behavioural vs substance addiction

The ACT is often preceded by tension


Followed by relief


Cravings and tolerance are reported


Psychological withdrawal

Behavioral addictions personality

High levels of Impulsivity and sensation seeking


Low harm avoidance