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testing and therapy (Role of therapist (legal help (have to be clear in…
testing and therapy
Role of therapist
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can't push personal agendas, have to gently lead them to opinion you want them to develop
legal help
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help client to develop ability to make decisions in regards to using drugs in the context of arrests, court involvement, and family relationships
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helps if therapist can be related to in some way (race, sex, etc)
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job of therapist is to help client recognize life narrative so they can accept or modify it in the future
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types of therapy
psychoanalytical- giving people insight to their unconscious thoughts so that they understand how and why they interact with the world in the way that they do
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solution-focused therapy
three components- those who want to change, those who want to see change, and those who are there involuntarily
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supply indirect comments so that client recognizes their own resources (ie- how did you know that was the right thing to do?)
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behavior therapy
doesn't suppress urges, just behavior
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family systems theory
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overfunctioning vs underfunctioning- seeing lack and compensating for it vs seeing lack and doing absolutely nothing
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Emotion Focused Therapy
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maps out what is occurring, what is wrong, and how to fix it
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mindfulness therapy
gives sense of control, removes pressure, gives perspective, allows for disconnect from situation
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occurrences in therapy
transference
good if positive feels are being transferred, problematic if they're negative feelings
countertransference
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psychoanalyst are seen to have big problem with this when it comes to different classes, specifically the poor
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cultural differences
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DS-IV had 5 categories as an outline for cultural formulations- cultural identity of the individual, cultural explanations of the individual’s illness, cultural factors related to psychosocial environment and levels of functioning, cultural elements of the relationship between the individual and the clinician, and overall cultural assessment for diagnosis and care
Cultural Assessment Interview Protocol (CAIP) guides clinicians in situating cllients within the relevant cultural context
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therapeutic change
requires responsibility assumption- if you're not responsible for your situation then how can you change it?
the "process" focus- content is the issue itself, process is how the content is expressed and what that mood of expression reveals about the relationship between participating the individuals
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possibility of client never receiving diagnosis and treatment due to not standing out enough or lack of knowledge from family and peers
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sexism
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4 behaviors found to effect women as practitioners and consumers of therapy- fostering of traditional sex roles, communicating bias in expectations/devaluations of women, sexist use of psychoanalytic concepts, and seeing women as sex objects during therapy
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Therapeutic assessments
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sometimes supervisors/experts teach theory and techniques while a student administers measures and reports back to the supervisor
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when assessing family they might be asked to listen to story created from assessment they did at the beginning
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projective testing
(draw a person, tree and house, ink blot, incomplete sentences)- idea is it reveals internal world but the interruption is objective
Family therapies
Byng-Hall Case
Ask about new/old behaviors within the family in order to get them to consider how things could change
the role of scripts
family is required to let go of old script, adopt new script, incorporate change into new script, and review the appropriateness of the old model
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