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48 Cards in this Set

  • Front
  • Back

Many theories books claim that __________ is the father of psychotherapy.

Sigmund Freud

What statement best captures the relationship between Freud and Pierre Janet?

From Janet's perspective, Freud's ideas were far from original.

What does "In psychology, even the rats are white and male" mean?

Most psychologoical theories were developed by white men of European descent.

Trephining is similar in some ways to what 20th-century technique?

prefrontal lobotomy

What are the core competencies of multicultural practice?

Self-awareness, knowledge, culture-specific skills

What is the difference between counseling and psychotherapy?

Counselors and psychotherapists engage in the same behaviors in different proportions.

A theory must accurately describe, explain and predict a wide range of therapist and client behaviors. It must also:

Have relevance to its domain, help predict client responses to various therapy techniques, provide therapists with a clear model or foundation from which they can conduct professional service.

In psychology, theories are often used to:

generate hypotheses about human thinking, emotions, and behavior; explain what causes client problems or psychopathology.

What is the role of theory in counseling and psychotherapy?

Theories should explain the causes of mental disorders and outline methods for therapy.

In 1952, who published a critique of the effectiveness of psychotherapy?

Hans Eysenck

Pooling and obtaining an overall average effect size obtained from outcome measures across a diverse range of research studies is called:

meta-analysis

"Does psychotherapy work under specific, well-controlled, experimental conditions?" refers to:

Efficacy

________ studies have strong external validity but weak internal validity.

Effectiveness

__________ factors are believed to be shared by all forms of psychotherapy.

Nonspecific or common

According to Lambert (1992), which factors account for the greatest percentage of therapeutic change?

Client-specific factors and factors that exist in the client's environment (extratherapeutic factors)

What is the Dodo Bird Effect?

The idea that different therapist theoretical orientation and different techniques do not produce different results.

Due to his support of the Dodo Bird Effect theory, Bruce Wampold recommends that training programs should place greater emphasis on training future therapists in:

Core therapeutic skills

Which alternative is not one of the 4 common therapy factors identified by Lambert in his empirical analysis?

Determination

What is one example of a dual relationship between a therapist and a client?

The two having a sexual relationship, a therapist employing a client, the two becoming friends, a therapist providing financial support to a client...

_______ is a central principle of successful counseling and psychotherapy.

Confidentiality

What is informed consent?

Letting clients know about and consent to the ways in which you intend to work with them and the situations in which you are legally required to break confidentiality.

Lilienfield (2007) conducted a systemic review of psychotherapy outcomes to identify approaches that produce negative results. He referred to these therapy approaches as ______

Potentially harmful therapies

The ortgeist is:

The spirit of the place

In Ch. 1, being prepared for the spirit of mischief refers to ________

poltergeist

What does zeitgeist mean?

The spirit of the time

What are 4 alternative historical-cultural realities or perspectives described in Ch. 1?

1. Biomedical perspective (trephining, lobotomies)


2. Religious/spiritual perspective (mystics, shamans, elders, emotional healing)


3. Psychosocial perspective (interactions & relationships)


4. Feminist Multicultural perspective (relationships & community effects)

Counseling or Psychotherapy?


Less directive, a little deeper, longer work, higher fees.

Psychotherapy

Counseling or Psychotherapy?
More directive, perspective of developmental normalcy, work on practical problems, briefer, lower fees

Counseling

Capacity for producing a desired result or effect:

Efficacy

Both counseling and psychotherapy can be defined with four key factors:

1. Process involving a trained professional


2. Practice is based on theory


3. Follows accepted ethical guidelines


4. Professionals have skills and competencies for working with diverse individuals

A good theory can do these 3 things:

Describe, explain, predict

What were Hans Eysenck's findings?

No evidence attested to psychotherapy's beneficial effects.

What is "effect size"?

A statistic used to estimate how much change is produced by a particular intervention

What were Smith & Glass's conslusions in their 1977 meta-analysis of psychotherapy outcomes?

The average client was better off than 75% of people who received no treatment. Later the number was increased to 80%.

What is "the great psychotherapy debate"?

The continuing discussion about whether psychotherapy is more effective than providing no treatment

What are Lambert's common factors and how much does each contribute to the therapeutic outcome?

1. Extratherapeutic factors (40%)


2. Therapeutic relationship (30%)


3. Expectancy or the placebo effect (15%)


4. Techniques (15%)

Efficacy or Effectiveness?


Experimental designs that maximize internal validity; researchers comment on causal mechanisms

Efficacy

Efficacy or Effectiveness?


Experimental designs that maximize external validity; researchers comment on generalizability of their findings

Effectiveness

Manual interventions that show superior results to placebo treatments are:

Empirically supported treatments

Practice principles based on empirically supported treatments are:

Evidence-based practice

What are the three dimensions of good ethics codes?

Competence & informed consent, multicutural competence, confidentiality

What are 3 primary strategies for attaining competence in counseling or psychotherapy?

working out your own issues; working within a learning community; skills practice and feedback

What are 3 dimensions of multicultural competence?

self-awareness, multicultural knowledge, culturally-specific techniques

Why is sexual contact between therapist and client now referred to as sexual abuse of clients?

There's an inherent power imbalance which can cause clients significant psychological and emotional damage

Client deterioration or negative outcomes can be linked to what 3 sources?

therapist factors, client factors, specific psychological interventions

What type of therapist is likely to produce high rates of negative outcomes?

Shows little empathy or warmth, overly confrontational or intrusive therapy methods, using inadequate or inaccurate assessment procedures, personality or approach is a poor fit

What type of client is most likely to obtain negative outcomes?

Low motivation, high psychopathology, limited personal resources

Collecting data (sometimes every session) pertaining to client symptoms or satisfaction is referred to as:

Practice-based evidence