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What is is involved with Treatment Planning?
- Collaborate with the client
- Decide unit of treatment
- Decide goals and how to measure progress
- Discuss all possible treatment options
- Discuss criteria for discharge
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Describe what a Treatment task is and each treatment phase.
- Treatment Task:
- -Treatment elements the counselor is responsible for
- Initial Phase Treatment Tasks:
- -Establishing foundation for counseling
- -Assess individual, family, and social dynamics
- Working Phase Treatment Tasks
- -Keep the ball rolling
- Closing Phase Treatment Task
- -Develop aftercare plans and maintain progress
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Describe diversity and Treatment Tasks.
- Diversity and Treatment Tasks
- -Addressing diversity issues such as culture, ethnicity, race, sexual orientation, gender, religion, age, etc.
- -How to address counselor-client differences
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Describe Treatment Goals
- -Should reflect diagnosis/impairments
- -Part of the clinical loop
- -SMART: Specific, Measurable, Attainable, Realistic, Time-bound
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Describe how to write interventions.
- -Used to support each counseling task or goal
- -Come from the counselor’s chosen theory
- -Specific to client
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Which theories are Analytic approaches?
- -Psychodynamic
- -Jungian analytic
- -Adlerian individual psychology
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Which theories are Humanistic-existential approaches?
- -Person-centered
- -Existential
- -Gestalt
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Which theories are Action-Based approaches?
- -Behavioral
- -Cognitive-behavioral
- -Systemic/family
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Which theories are Postmodern and multicultural approaches?
- -Solution-based
- -Narrative
- -Collaborative
- -Feminist
- -Reflecting teams
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What are the Psychodynamic Theories?
- Psychoanalysis
- Ego psychology
- Objects relation theories
- Interpersonal analysis
- Self psychology
- Relational and intersubjectivity theories
- Brief psychodynamic theories
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What approach does this describe?
Analyze or conceptualize personality structures and functioning
Foster client insight into their personality dynamics
Work through these insights toward action
Psychoanalytic and Psychodynamic
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What is transference and countertransference, and Corrective emotional experience?
Transference:The client projects onto the therapist attributes stemming from unresolved issues with primary caregivers
Countertransference:The therapist projects back onto clients, losing therapeutic neutrality
Corrective emotional experience: Therapists responds differently than the client experienced in childhood to resolve inner conflict
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Define these terms: Listening and empathy, Interpretation and promoting Insight, and Working Through.
- Listening and Empathy:Listening objectively
- Interpretation and Promoting Insight:Encourage insights into personal and interpersonal dynamics
- Working Through:Getting in touch with repressed strivings and the defense response to make the unconscious conscious
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What is psychoanalysis?
- Psychoanalysis: -Intensive approach designed to create significant and sustainable personality change
- -Sessions typically occur 3 to 5 times a week for several years
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What is Psychodynamic counseling and psychotherapy?
- -Target specific symptoms or problems
- -Sessions typically occur once per week for several months to a couple of years
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In Psychodynamic counseling, what is one-person Relationship vs. Two-person relationships?
one-person psychology:the entire focus and process of analysis is on—you guessed it—one person, the client.
In two-person psychology: analysis includes—bet you can guess this—two people: counselor and client.
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In Psychodynamic Counseling, what is Neutrality and the Blank Slate?
Freudian and ego psychology analysis typically maintain neutrality in relation to clients, to provide a blank slate on which clients can project unconscious material that the analyst can then use to promote insight.
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What is Holding Environment ?
Holding environment refers to the nurturing environment provided by the mother that enables the child to move from an unintegrated state to having a structured, integrated self.
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What is Empathy?
Empathy—the ability to grasp another’s internal reality.
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What is the term for when the counselor confirms the client’s sense of self.
Mirroring
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What is relational Psychoanalysis and Intersubjectivity?
Based on social constructionist theory relational and intersubjective psychoanalysis approaches maintain that the analyst cannot be neutral but is an active agent in the dynamic interactions that occur in session
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What is Intrapsychic Conflict?
emotions that cannot otherwise be consciously acknowledged and/or expressed
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Primary Gains
primary benefit of the symptom
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Secondary Gains
benefits that are not immediately related but a natural consequence nonetheless
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Defense Mechanisms
- Automatic responses to perceived psychological threats and are often activated on an unconscious level.
- Ex- Denial, Introjection, splitting, projection,
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Objects ( Object Relations Theory)
- -Refers to a person, most often one’s mother
- -Can be internal or external
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Good-enough mothering and true self (Objects Relations Theory )
- -Mothers that are able to respond to their infants’ communication and needs
- -“good-enough” mothering facilitates development of child’s true self
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Mahler’s Stages of Separating and Individuation (Objects Relations Theory)
pg 51
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General Goals of Psychoanalysis
- Irrational Impulses
- Stress Management and Defenses
- Ego Strength, Self-Esteem, and Self-Cohesion
- Insight Followed by Agency
- Emotional Maturity and Intelligence
- Perfectionism
- Personality Change
- Mature Dependency and Intimacy
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