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105 Cards in this Set

  • Front
  • Back

What are the 5 stages of grief?

Denial, anger, bargaining, depression, acceptance

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

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

List the three phases of the cycle of violence

Tension --> Incident --> Honeymoon

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

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

What is fixation, according to Freud?

Inability to progress normally from one stage to another

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

What is castration anxiety?

Boybelieves girl has had her penis cut off, fears that father will do the same tohim for desiring his mother

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

What are Erikson’s 8 stages of psychosocialdevelopment?

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

List Piaget’s 4 cognitive theory stages

List Kohlberg’s 6 stages of moral development (p-c-p)

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

DM: Conversion

Repressed urge disguised as disturbance of bodyfunction (as pain, deafness, blindness, etc.)

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.

Explain the humanistic approach

Clients have the capacity to grow, change, andadapt

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

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

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

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

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)

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

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

Name some signs of marijuana use

Redeyes, loud talking, inappropriate laughter, loss of interest, weight gain

Name signs of cocaine use

Dilatedpupils, euphoria, hyperactivity, anxiety, excessive talking followed bydepression or excessive sleeping

Name signs of heroin use

Contracted pupils, needle marks, sleeping atunusual times, sweating, twitch

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

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

Name medications typically used for anxiety

Ativan(lorazepam) benzo


Buspar(buspirone)


Alprazolam(Xanax) benzo


Klonopin(clonazepam)


Valium(diazepam) benzo

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)

Name typical antipsychotics (mania and schizophrenia)

Haldol(haloperidol) injectable also**


Loxitane(loxapine)


Serentil(mesoridazine)


Thorazine(chlorprozmazine)

Name atypical antipsychotics

Abilify(ariprirazole)


Clozaril(clozapine)


Risperdal(risperidone)


Seroquel(quetiapine)


Zyprexa(olanzapine)

Name mood stabilizers (bipolar)

Depakene,Depakote


Lithium**


Lamictal(lamotrigine)


Topamax(topiramate)

Name stimulants (ADHD)

Adderall(amphetamine)


Concerta


Ritalin, Methylin

What is the halo effect?

Puttingsomeone on a pedestal

Tardive dyskinesia is associated with what types of medications?

Involuntary jaw movements- typicalantipsychotics

Lack of sexual desire can be associated with SSRIs—true or false?

True

At what age can an individual be diagnosed with a personality disorder?

18

What are some of the components of an intervention or service plan?

Tasks, goals, obtainable, time table

What are the stages of the helping process?* (EIAGIET)

Engagement, information gathering, assessing/diagnosis, goal setting, intervention, evaluation, termination

When in a dilemma the SW should first.. and then..

1st check with code of ethics 2ndspeak with supervisor

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

What is duty to protect?

Informindividuals who have been threatened of the homicidal threat, warn victim andinitiate involuntary commitment if necessary (Tarasoff)

When do children understand death is permanent? (Piaget)

7 -11,concrete operations stage

Explain Bowen’s family therapy theories

Interested in improving the intergenerationaltransmission process, improvement in functioning

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

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

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)

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

What are the 6 problem solving steps/ phases of intervention?

Engaging, assessing, planning, intervening,evaluating, terminating

Five case management activities are:

Assessment,planning, linking, monitoring, advocacy

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

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

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

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)

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

In what ways can a social work approachprofessional development?

Consultation,coaching, communities of practice, mentoring, reflective supervision, technicalassistance

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

Explain the difference betweencountertransference and transference

Transference- redirection of client’s feelingstowards SW;




Countertransference- SW feelings towards client

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

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)

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

How should you arrange client files?

Demographics (intake), assessments andreassessments, service plans with goals, discharge plan, release of info andcollateral, correspondence

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

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

What is privileged communication?

Legal rights that, under certain circumstances,protect clients from having their communications revealed in court withouttheir permission

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)

What is the institutionalized view of SW?

Institutional view- preventative focus,individual difficulty is the most important to solve, no stigma

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)

What is the universal program of social welfare?

Universal- program benefits everyone, no mattersituation (costly, fire, police)

What is the selective program of SW?

Selective- restricted to those in need (stigma,narrow criteria; social security)

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

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

What ages do children experience strangeranxiety/ separation anxiety?

Strangeranxiety 6-8mo, separation anxiety- 12 mo, prolonged separation anxiety- 18 mo

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

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

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)

What is dyssomnia?

Dyssomnia- disturbances in sleep, amount timingquality

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)

What’s the difference between hyperthyroidismvs. hypothyroidism?

Hyperthyroidism- mimic sxs of mania; hypothyroidism- can mimic depression

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

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

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

What’s the difference between abuse anddependence?

Abuse- impairment of life, dependency-withdrawal sxs, major impairment

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

What are the 4 P’s of Perlman’s problem solvingapproach?

Perlman’s problem solving: Person, problem,place, process

Explain Adler’s approach

Adler—holistic theory of personalitydevelopment; individuals have single drive or motivation behind all of their bx“striving for perfection”

Explain Gestalt therapy

Gestalt—seekheightened awareness, split-off of selves, process oriented, don’t believe inrepression, take responsibility for actions

DM: Identification

Person patterns himself after SO; personalitydevelopment

DM: Identification with the aggressor

Abusing others because you’ve been abused

DM: Incorporation

Primitive mechanism in which psychicrepresentation of a person are figuratively ingested

DM: Inhibition

Loss of motivation to engage in activityavoided, might stir up conflicts over forbidden impulses

DM: Introjection

Loved or hated external objects are absorbedwithin self

DM: Isolation of affect

Unacceptable impulse separated, removed fromemotional charge

DM: Projective identification

BPD; unconsciously perceiving others’ bx asreflection of one’s own identity

DM: Reaction formation

Person adopts affects, bx opposite of those heharbors

DM: Splitting

BPD; perceives self and others as “all good” or“all bad”

DM: Sublimation

Maladaptive fx or bx are diverted into sociallyacceptable

DM: Substitution

Unattainable or unacceptable goal replaced byanother

DM: Symbolization

Mental representation stands for some otherthings

DM: Turning against self

Defense to deflect hostile aggression fromanother to self

DM: Undoing

Uses words/bx to symbolically reverseunacceptable tx, fx

Why are groups helpful?

Instillation of hope, universality, altruism, interpersonal learning, self-understanding and insight, existential learning