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GPM Exam 2

Chapters 6,7,9,10

What is Stage 1 of the planning process? Work with the client
What is Stage 2 of the planning process? Prioritize the problem
What is Stage 3 of the planning process? Translate the problems into needs
What is Stage 4 of the planning process? Evaluate the levels of intervention
What is Stage 5 of the planning process? Establish the goals
What is Stage 6 of the planning process? Specify the objectives
What is Stage 7 of the planning process? Specify the action steps
What is Stage 8 of the planning process? Formalize a contract
What is Theme 1 of alcoholism, and how does it affect the family? Theme 1: The abuser's use of alcohol becomes "the most important thing in the family's life". Everything revolves around the issue inside the family, and it becomes the thing to hide outside the family
What is Theme 2 of alcoholism, and how does it affect the family? Other members work to keep the family together despite the negative effects of the drinking behavior. Families fight so hard to survive that they create a pseudo-homeostasis (false balance)
What is Theme 3 of alcoholism, and how does it affect the family? Theme 3: Other members often act as enablers Enabling doesn't help. Sometimes family members need to give the alcoholic member an ultimatum, family or the bottle. Have compassion. Sometimes the family member will choose to walk away rather than give it u
What is Theme 4 of alcoholism, and how does it affect the family? Theme 4: Other members often feel guilty Family members will sometimes blame themselves for being the reason their loved one is drinking, or blame themselves for not being able to help/fix it
What is Theme 5 of alcoholism, and how does it affect the family? Theme 5: Other members often "dont know what they want" They are so focused on surviving that they do not know what they really want
What is Theme 6 of alcoholism, and how does it affect the family? Theme 6: Other members feel worthless They do not know how to best help their loved one, and after so many fails they just stop trying. Or if they are blaming themselves for their family members problem, then they may feel worthless
What is Theme 7 of alcoholism, and how does it affect the family? Theme 7: Other members do not trust others Picture this - baseball games, empty stadium and empty promises, hurts less if you don't get your hopes up again so don't trust anyone
What is Theme 8 of alcoholism, and how does it affect the family? Theme 8: Other members have poor communication skills 3 Rules: Don't trust, Don't feel, Don't talk
How do you prioritize problems, and how do you identify them? Identify with the client which problems are most significant and prioritize them in order of importance. Restate each problem by associating it with a behavior. Decide/agree which problem to attend to first.
What are 5 purposes for establishing goals? Specify goals ensures concurrence-Goals provide direction and continuity-aid in identifying, formulating, & evaluating ways to proceed-help practitioners observe and appraise progress-serve as outcome criteria in evaluating effectiveness of intervention
What makes a good objective? Objectives have 3 criteria: Objectivity, Clarity, and Completeness. They are always clear, specific, and measurable (goals are often too complex to measure) Objective Components: Performance (What...) Conditions Standard Level of Performance
Can you give an example of a goal verses an objective? Goal: Facilitate adequate functioning Objective: Derrick must attend the support group at BF Alliance in order to learn how to maintain better anger management
What are the four main components of contracts? 1- specify what is occurring during the intervention process 2- establish an agreement 3- contains 4 types of info: goals, methods, timetables, and mutual obligations 4- written (most formal) or oral
What are the positives and negatives of a written contract? Positives:It becomes a clear, virtually indisputable record.No distortions on what was agreed upon. Can be reviewed to remember the agreement. Participants can sign the contract. Negatives:Take time to create. Clients may feel pressured/uncomfortabl
What are the positives and negatives of an oral contract? Positives: can be made swiftly and easily.Can be a "help" when working with a resistant or untrustworthy client. Negatives: it is easy to forget the details of the agreement
What is the philosophy behind family preservation, and what does it really seek to do? (8 pts) Ch. 7 1- Problem is a social issue (look at poverty, lack of resources, fear may cause them to act out. 2- Condemning and punishing parents is not effective (Parents need help, some never learned proper parenting skills, or the development of kids.
What is the philosophy behind family preservation, and what does it really seek to do? (8 pts) 3- Intervention should not interfere with family dynamics and ongoing activity no more than necessary (If you can keep the family intact, do so, but not at the risk of the child. 4- Concentrate on working constructively with family (building strengths)
What is the philosophy behind family preservation, and what does it really seek to do? (8 pts) 5- Coordinate efforts with other professionals 6- Most maltreating child caretakers can improve their conduct with support and assistance
What is the philosophy behind family preservation, and what does it really seek to do? (8 pts) 7- Keep maltreated children with their own families if at all possible (if impossible, then try kinship care) 8- Clients should always be integrally involved in the intervention
What are the general effects of abuse on children (aggressiveness to passiveness)? Behaviors indicating physical abuse: Extremely passive, accommodating, submissive behavior, low profile to avoid conflict Notably aggressive, hostile Role reversal or dependent Developmental lags
What is the definition of child maltreatment? physical abuse, inadequate care, nourishment, deprivation of adequate medical care, education, exploitation regarding work, exposure to unwholesome or demoralizing circumstances, sexual abuse, emotional abuse, neglect
What is the definition of physical abuse? nonaccidental injury inflicted on a child, usually by a caregiver, other adult, or sometimes an older child
What is the definition of neglect? failure to provide minimally adequate care in the areas of health, nutrition, shelter, education, supervision, affection or attention
What are the developmental influences of abuse? Age & dev. stage influences whether a victim will disclose info. Kids<6 less likely. Kids>6 more likely. Risk goes up when kid enters school Can disrupt normal dev. Interferes w/ attachment process. Delayed response in ability to cognitively process abuse
What are the major concerns of the macro perspective regarding child maltreatment, and what is the primary goal? Focus on prevention. Develop supportive services geared towards resources (directed towards treatment and not case finding), Focus more on treatment outcomes v. process. Locate and develop more community/neighborhood support
What are the different types of decreased power found in adults as they age? Decline in physical health (arthritis, heart disease, hyper tension); health concerns related to functional limitations and increased need for external support; employment variables (social expectation to retire), economic status
What are the different strategies used in working with families? Phase1:Deal w/ the apprehension (ask about their experience in coming) Phase2: Seek their view (ask them whats wrong?) Phase3: Agree on whats wrong (focus on problem family agrees on) Phase4: Deal w/ how members relate (look at problem in greater depth
What are the strategies for working with older adults? Identify and address preconceived beliefs/stereotypes Appreciate the way life experiences differ depending on age Understand that older adults are unique Understand how gender and cultural background influences aging Understand adult developmental cha
What are defense mechanisms? Minimization: can't see how important the substance has become or see its consequences Denial: distortion of reality, tell themselves there's nothing wrong Realization: make excuses for neg. consequences, don't associate consequences with substance
Define abuse (alcohol) maladaptive pattern of use, but the primary characteristic is that people continue to use substance despite negative consequences
Define dependence invovles more of a cluster; compulsive use: drinking more or drinking when they don't intend to. they are no longer making choices about the use. Involves compulsion and loss of control
Define tolerance you have to use more and more of the substance to get the affect/level of mood alteration
Define withdrawal these are symptoms that occur when the body is denied the substance; things like vomiting, depression, abdominal pain, convulsion; types of withdrawal differ depending on the drug
Define intoxication involves a series of symptoms that are related to the substance; doesn't only involve physiological changes, like loss of inhibitions
Define addiction refer to dependence on ay mood altering substance (substance dependence
What is the four stage model of recovery Stage 1:Abstinence- trying to survive w/o using Stage 2:Confrontation- dealing with the stuff that led to the bottle. obsessed with recovery. Stage 3:Growth- beginning a new life Stage 4:Transformation- thriving, not just surviving- alcohol isn't an id
What are the 5 avenues of communication for families? (3) Consonance: degree to which the receiver accurately understands the message of the sender Condemnation: blame each other. often a self enhancement technique Submission: when someone just gives in to someone else's will, maybe cuz they feel guilty/no hop
What are the 5 avenues of communication for families? (2) Intellectualization: emotion is unacceptable, come across as cold, stuff emotions in an unhealthy way and can be explosive when expressed Indifference:can appear very detached and withdraw..can be used to manipulate
Describe family norms Rules that specify what is considered proper behavior within a family group
Describe family roles Individually prescribed patterns of behavior reinforced by the expectations and norms of the family..usually behaviors that work for the benefit of the family
Describe what is the balance of power within the family Power is the ability of prevailing family members to have authority and control over the perspectives or actions of other family members.
What are the challenges and struggles of blended families? Some potential issues are dealing with change and loss, unrealistic belief systems (believing that everything will be like the brady bunch) insiders vs outsiders (will a kid come in on the weekend and fill left out?)
What are the challenges and struggles of blended families? Power (bio dad is chill and stepdad is strict-wait, you're not my dad)Loyalty Conflict (Give kid permission to love the stepparent- loving the step parent does not mean loving the biological parent any less) Boundaries can be vague. Discrepant Life Cycles
Why is seeing the entire family a good thing? Can see how they interact, which provides insight into functioning.Better able to assess problem from each members perspective. More objective. Visible communication patterns among members.
Created by: katelynjoy