Psychotherapy Exam 1 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET, Exams of Nursing

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Psychotherapy Exam 1 100%

VERIFIED ANSWERS

2024/2025 CORRECT STUDY

SET

Psychodynamic approaches psychoanalytic - Freud: focuses on unconscious; first 6 years determine personality

• transference and countertrasnference
• supportive intervention
• human nature is predetermined Adlerian - Adler: growth model; assume responsibility, one create's own destiny
• human nature is shaped by childhood (how NOT why) Experiential & relationship-oriented therapeutic relationship existential therapy: quality of the person-to-person therapeutic relationship person-centered therapy - Rogers: places faith in client to deal with problems ; moral support Gestalt - Fritz and Perls: stresses awareness and integration; body and mind connect Cognitive behavioral approaches behavior therapy: resolution of specific behavioral problems; mindfulness cognitive behavior therapy: thinking to influence behavior choice theory/reality therapy: client assumes responsibility in PRESENT

Systems and postmodern approaches feminist therapy: focus on oppression of women before postmodern approach: quick therapy; how you interact is your reality; client is expert on their life family systems therapy: your place in your family shapes you Countertransference the process of therapist seeing in their clients patterns of their own behavior, over identifying with clients, or meeting their own needs through the clients Culture values and behaviors shared by a group of individuals Bracketing ability of counselors to mange their personal values so that they do not contaminate the counseling process Diversity-competent practitioner ongoing process(continuing education) that involves practitioner developing awareness of various cultures so as to work effectively with culturally diverse populations Professional burnout when helpers (therapists) feel drained and depleted as a result of their work giving without expecting much in return can sap helpers' vitality and motivation Self-monitoring ability to pay attention to what one is thinking, feeling, and doing crucial first step in self-care Value imposition counselors directly attempting to define a client's values, attitudes, beliefs, and behaviors

• become aware of own biases, values, cultural norms, and expectations
• gain a knowledge of the dynamics of oppression, racism, discrimination, and stereotyping
• express willingness to learn and respect the culture What must a counselor do to become culturally competent? How might the counselor have to adjust his or her own values to work with clients from differing cultures? *continuing educations, research
• attempt to understand the world from client's vantage point
• study the historical background, traditions, and values of client and be open to learning from him/her
• expand vantage point to explore client's ways of life that are different from own What are some of the issues that beginning therapists/ counselors face?
• dealing with anxieties
• being oneself and self-disclosing
• avoiding perfectionism
• being honest about limitations
• understanding silence
• dealing with demands from clients
• dealing with clients who lack commitment
• tolerating ambiguity
• avoiding losing oneself in one's clients
• developing a sense of humor
• sharing responsibility with the client
• declining to give advice
• defining one's role as a counselor
• learning to use techniques appropriately
• developing one's own counseling style
• self care What are the signs of burnout and how might burnout be treated or prevented?
• depression, sleepiness, anxiety, anger, lack of motivation, illness
• physical activity, eliminate unnecessary work, manage stress, know limits

How is therapist self-care an ethical matter as well as a way to prevent therapist burnout? What are some specific strategies that counselors can take as a way to take care of themselves? can't take care of others if you're dead take care of self, so you can take care of others

• same as before: know limits, counseling, etc Aspirational ethics higher level of ethical practice that addresses doing what is in the best interests of clients Assessment evaluating the relevant factors in a client's life to identify themes for further exploration in the counseling process Boundary crossing departure from a commonly accepted practice that could potentially benefit a client (for example, attending a client's wedding) Boundary violation boundary crossing that takes the practitioner out of the professional role, which generally involves exploitation serious breach that harms the client and is therefore UNETHICAL Confidentiality an ethical concept, and in most states therapists also have a legal duty not to disclose information about a client Diagnosis analysis and explanation of a client's problems may include an explanation of the causes of the client's difficulties, an account of how these problems developed over time, a classification of any disorders, a specification of preferred treatment procedure, and an estimate of the chances for a successful resolution Ethical decisions

mandatory are required by law, aspirational counselor wishes to uphold for themselves What is the purpose of having a professional code of ethics? guidelines and limitations Why is it important for counselors to consider the client's needs before their own when making ethical decisions? What are some of the ramifications of failing to do this? the client is always first What are some steps in making ethical decisions? Is it always appropriate to strictly follow ethics codes? identify prob find good solutions talks to colleagues choose best option for client Describe the dimensions of confidentiality in the therapeutic relationship. Be sure to clearly define the difference between Confidentiality and Privileged Communication What does the informed consent process involve? What information must be presented to clients? Why is this important in counseling? rights, limits of confidentiality, cost, frequency, etc Are there limits? If so, when do these apply? Why are these limits in place? danger to self or others child abuse, abuse of elders, abuse of dependents if under 16, victim of rape, abuse What is the function of Assessment and Diagnosis in counseling? assessment - identifying themes for further exploration diagnosis - identify a mental disorder What is the classic book for guiding practitioners in making diagnostic assessments? Diagnostic and Statistical Manual of Mental Disorders 5th edition

Do most counselors agree as to the utility of assessment? Diagnosis? What, if any, ethical issues arise when providing assessment and diagnosis in psychotherapy? many prefer assessment as a continuing process to understand the focus avoid diagnosis so as not to categorize the client and not dig deeper Define Evidence-Based Practice. What are the advantages and disadvantages of this treatment model? Evidence-based practice (EBP): psychotherapists are required to base their practice on techniques that have empirical evidence to support their efficacy Be familiar with the ethical issues associated with dual and multiple relationships in counseling. you are more than just a therapist, i.e. mom, sister, etc What steps can therapists take to minimize the risk of dual relationships in their professional lives? set boundaries, referring out, work under supervision, consult with colleagues What is the difference between Boundary Crossings and Boundary Violations? What can therapists do to establish appropriate boundaries with their clients? boundary crossing is slightly blurring the line not good or professional boundary violation you crossed the line and are harming the client Stages of psychosexual development oral - can't form relationship; trust & misturst anal - autonomy; can't express anger phallic - accept sexuality & sexual feelings *bring ppl to therapy according to Freud latentcy genital Analytical psychology an elaborate explanation of human nature that combines ideas from history, mythology, anthropology, and religion

reaction formation: doing opposite - hit when you like projection: what you feel the other person is feeling too (you think) displacement: someone hits you, you hit your dog - punching bag rationalization: justify with logical sublimation: channel your anger or feelings into PRODUCTIVE things (working out) regression: revert back to kid coping mechanisms introjection: accept other's values and morals bad- you don't develop your own sense of self identification: identify with groups or genres compensation: make up for what you lack Resistance there must be resistance to challenge 6 major therapeutic techniques maintaining the analytic framework free association - free flow talk interpretation dream analysis - road to unconscious analysis & interpretation of resistance analysis & interpretation of transference Indivisible psychology all dimensions of someone are interconnected