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Theories Exam #2

TermDefinition
Carl Rogers - understood ppl were aware of their own problems - clinical psychologist 1931 - opened field to research/ published studies on therapy/ effectiveness
Humanism People are self-actualizing → tendency to develop their potential Phenomenological= each person has subjective experience to reality
Optimistic Humanism (assumptions) 1. Phenomenological is central 2. People do have free will 3. People are basically good
Positive psychology what’s going right w/ people/ what is the science of happiness - People want to grow/ have the capacity to grow, but need support
View of Human Nature: Optimistic Humans are trustworthy Capable of change Gravitate towards self-actualization
Rejects (person-centered) counselor is NOT the expert NO Advice, suggestion, persuasion, teaching, diagnosis, interpretation
GOAL help people grow/ counselor promote growth
PCT Emphasizes Personal characteristics of the therapists Quality of the therapeutic relationship Counselor’s creation of a growth promoting climate Person’s capacity for self-directed growth
Growth-Promoting Climate: Key Conditions 1. Congruence 2. Uncondition positive regard 3. Accurate empathic understanding
6 Therapeutic Core Conditions 1. Psychological contact 2. Client experiences incongruence 3. therapist is congruent 4. therapist experience unconditional positve regard 5. therapist experience empathy/ communicate 6. communicate client minimal
1. Psychological contact two people are interacting w/ each other/ sharing
2. Client experiences incongruence state of incongruence (inconsistency between one’s concept of self/ experiences or ideal self)
3. The therapist is congruent there self concept matches their experiences or ideal self / do their own work + work on themselves
4. Therapist experiences unconditional positive regard attitude acceptance/ caring
Health (is a process) Positive self-concept, unconditional self-reagrd → positive sense of self (all want that/ care abt ourselves)
Congruent person perception of self is consistent w/ what they experience Be creative, take risks in life, not be afraid to challenge themselves
Dysfunction Not challenging or aware of those conditions of worth Don’t challenge conditions might be defensive or be rigid/ create anxiety Become disorganized which reaches psychosis
Incongruence inconsistent between self and experience
Therapist for person-centered Generally rejects diagnosis/ traditional assessment Provides a therapeutic enviroment in which the client is the agent of change Serves as a model of CONGRUENCE NOT structured / non-directive
Part 2- Therapist for person-centered Trauma may be an area where this therapy would not work as well Is congruent (genuine + authentic) Openly express feelings/ attitudes that are present in the relationship w/ the client Is invested in own growth
Nature of Therapy (PCT) Counselor is NON-expert + client is in the “driver’s seat” → nondirective → client + counselor are equals
Therapy Goal (PCT) NOT technique focused; is a stance - reflecting feeling - parahrasing/ summarizng - immediacy
Reflecting feeling restate/ explore the clients emotions (affect)
Paraphrasing/ summarizing paraphrasing of what client says/ summarize shares a list of things/ come back to summarize what the client brought up
Immediacy contemporary psychodynamic, adlerian, existential - talking about something in the present moment w/ client
Diversity Strength (PCT) 1. Major impacts on the field of human relations w/ diverse cultural groups 2. Rogers’ work is in 30 countries; writings translated into 12 languages 3. Therapist a fellow explorer w/ client 4. Understand phenomenological world
Diversity Limitations (PCT) 1. very nondirective 2. abstract/ difficult 3. Individualistic
Contributions of PCT 1. extensive research support the effectiveness of PCT 2. Open field to research (record sessions) 3. Philosophy/ principles used by more therapist
More Limitations of PCT (1-3) 1. Lack of stated techniques (low precision/ testability) 2. Beginning therapists difficult to provide support/ challenges to clients 3. Therapist own limitations inhibit development of a genuine relationship 4. anxiety will limit genuine connection
More Limitations of PCT (5-8) 5. NOT having clear idea of role (power dynamics) 6. therapist comfortable w/ own emotions 7. directive approach will get in the way 8. feelings towards client get in way
Gestalt Founders Fritz Pearls (psychiatrist) + Laura Pearls He picks/ pushes at clients, which could be harmful Love group therapy
Gestalt Therapy GOALS expand awareness of what clients are experiencing in present moment Focus on integration → re-owing own parts of your identity/ whole person
Human Nature- Optimistic Humans are growth-oriented, adaptable, can self-regulate Humans driven to satisfy needs Holism
Holism humans can’t be divided into parts/ driven by the whole/ everything that makes you (dreams, thoughts, feelings) → meaning all one (whole)
GT focuses on... 1. I and thou here and now (therapist/ client connect w/ each other) 2. WHAT + HOW experience (what's in present moment/ how its happening for that person) 3. Creativity/ Spontaneity 4. Process, NOT content
Principle of GT 1. field theory 2. figure formation process 3. organismic self-regulation
Field Theory the clients environment which consists of the therapist/ client and the space around them → changing field and constantly shifting perspective
Figure formation process how individuals organize their experiences based on something that emerges into the foreground and something that fades into the background
Foreground figure
Background ground
Organismic self-regulation different needs will emerge in the figure and disturbe equiliebrium
The Now (GT) 1. Our power is in the present 2. Nothing exists except the now → past is gone, future not arrived
Unfinished Business GT 1. Past still have affect on our awareness/ self 2. Feelings abt the past that are unexpressed / going to inferre w/ present moment 3. Lack of presence 4. Seen blocks in body
Energy + Block Energy Emotional energy Gestalt therapists focus on energy Develop insight/ transform blocked energy instead on defending against them
Block energy form of defensive behavior that may result in unfinished business
Contact (GT) - seeing, hearing, smelling, touching - boundary disturbances/ resistance to contact- defenses against presence
Defenses numbing feelings, shallowing breathing, looking away from therapist when intense convo, choking off sensations (feeling like ur choking) → not making contact w/ that emotion
Contact Boundary Disturbances (GT) 1. Introjection 2. Projection 3. Retroflection 4. Deflection 5. Confluence
Introjection accepting others beliefs without questioning or thinking abt it
Projection disown certain aspects of ourselves by assigning them to enviro or others
Retroflection do to yourself what u want to do to others or visa versa (feel guilty and do something to urself/ punish urself)
Deflection someone distracts from whatever is being felt in the moment (questions rather than statements, humor, abstract generalizations)
Confluence blurring of differentiating between self + enviro (blending in to avoid conflict) (agreeing outwardly w/ everything ppl say just to blend in)
Cycle of Experience GT 1. sensation 2. excitement 3. action 4. contact 5. reflection 5. withdrawal
Sensation (someone feels/ disturbs homostasis)
Excitement (aware of sensation/ person has this need)
Action (mobalizing to meet the need/ act in someway to meet the need)
Contact (cycle) (meet the need- eating/ let self feel it/ becomes satisfied)
Reflection (reflect on experience)
Withdrawal (met the need and retrack/ done w/ need and fade into background and something else will emerge)
Health (GT) Self-aware → aware of what u need/ aware of experience Aware to attend to present needs Authentic → not puting on a false front
Dysfunction (GT) Unmet needs via resisting contact → needs NOT met Unfinished business → past still affecting the person Unaware/ lack of awareness Avoidance of emotions
Components of GT Methdology 1. Continuum of experience 2. Here & Now 3. Paradoxical theory of change 4. Experiment 5. Authentic encounter 6. Process-oriented diagnosis
Continuum of experience go thru cycle or block it/ experience it further if choose to in present + period of reflection + satisfy need → move forward
Here + Now whats happening in moment is key (present moment)
Paradoxical Theory of change authentic change occurs from being rather than trying to be who we are not, embrace all that we are now
Experiment experiential method/ experiment + activity to use to engage (help client experience the topic/ emerges from dialouge between therapist/ client)
The authentic encounter therapist is seeking to be present in fluid + active way and very creative (effort for therapist/ client to be present)
Process-oriented diagnosis process itself is curative, its abt the experience and exploration process not the actual label
GOALS of GT Therapy 1. Increase awareness 2. Integration (integrate our personalities into ourselves) 3. Choice + Change (make new choices/ able to change)
GT Techniques "Safe Emergencies" 1. Two chair 2. empty chair 3. reverse technique 4. exaggreation exercise 5. staying w/ the feelings 6. Dream work
Two chair theraist have client sit in one chair and face another chair and take to a part of themselves in the other chair
Empty chair someone sits in a chair and faces empty chair and talk w/ them as if they are in the room (one sided convo)
Reverse Technqiue when ask client to play a opposite role of how they actually are
Exaggreation exercise client sends subtle ques through certain movements → therapists will ask the client to exaggerate the movement / talk abt what the experience is like
Staying with the feeling client is talking abt something and they start crying or having certain emotions → therapist will say lets stay w/ the feeling for a moment
Dream work the dream is a part of your personality (it is a projection of the client’s self/ integrate all parts of personality)
Unsafe Emergency GT 1. Highly active (evoke intense emotions) 2. Techniques used arouse intense emotions 3. Need to use technique with proper training to limit harm 4. Have to be trained to help client reflect intense emotions
Diversity Strengths GT 1. Experiments tailored to fit clients/ subjective culture experience 2. Helps ppl integrate internal polarities 3. Creative experiments can emphasize nonverbal behaviors
Diversity Limitations GT 1. Individualistic framework/ personal responsibility 2. Clients from cultures "reserved" may find emotional expression 3. Superficially to elicit emotion may lead clients to drop out
GT Contributions (1-4) 1. Creative/ lively to move clients from talk to action 2. clients provide tools for new facets of themselves 3. Holistic values aspect of one's experience 4. dreamwork is unique way to increase awarness of themes in life
GT Contributions (5-6) 5. Increase emotional intelligence --> one's understanding of own's emotions 6. key strengths= attempt to integrate theory, practice, research
GT Limitations 1. potential abuse of power by using powerful techniques without proper training 2. NOT useful for clients who cant imagine/ role play 3. emphasis on therapist authenticty/ self-disclosure
Behavior Therapy Founders John B Watson, Rosile Rader, BF Skinner, Ivin Pavlov
Basic philosophy of BT Focuses on overt behavior that deviates from social norms → what is abnormal in behavior School of though– learning (learn behaviors)
Radical behaviorism (skinner) environment determines behavior
Principle of BT 1. Classical conditioning (Pavlov/ Watson) 2. Operant conditioning (skinner) 3. Social learning (bandura) 4. Target of change 5. Scientific approach 6. Current/ problematic behaviors, not past
Human Nature- Neutral (BT) Behaviorists do NOT posit assumptions abt human nature Humans adapt to their enviroment for survival
4 areas of development (BT) 1. Classical conditioning 2. Operant conditioning 3. Social learning 4. Cognitive behavioral therapy (CBT)
Classical conditioning Involuntary learning that creates a behavioral response through pairing
Unconditioned stimulus (US) leads to uncondition response (UR)
Neutral stimulus (NS) + uncondition stimulus (US) neutral stimulus (NS) becomes conditioned stimulus (CS)
Conditioned stimulus (CS) leads to conditioned response (CR)
Little Albert (Watson) present white fuzzy thing and instilled a loud sound for little albert to associate the white fuzzy thing w/ fear
Operant Conditioning Voluntary behavior learned through consequences (reinforcement + punishment)
Reinforcement want behavior to increase
Pos Reinforcement increase a behavior by adding something pleasant EX: if you do this chore, give u $5
Neg Reinforcement increase a behavior by removing something unpleasant EX: study more, don’t have to clean afterwards
Punishment decrease/ stop a behavior
Pos Punishment decrease a behavior by adding a punishment (unpleasent) EX: your grounded for sneaking out + make them do extra chores or yelling
Neg Punishment decrease a behavior by removing something pleasent EX: person grounded and takes away phone (pleasent)
Extinction decrease or limit a behavior/ no longer providing reinforcement - reinforced this behavior in past, but NOT want to reinforce it anymore
Social Learning (Albert Bandura) Learning through observation (watching adults do things, kids model what they do)
Bobo Doll experiment (bandura) punches a bobo doll + child watches her → much more likely to mimic that punching behavior
BT Characteristics 1. clinical procedures relying on experimental findings of research 2. action-oriented, directive, educational 3. behaviors can be operationalized 4. insight NOT required for behavior change
BT Goals 1. Reduce maladaptive behaviors (ones that are bad) 2. Teach adaptive responses/ behaviors 3. Prescribe behavior (do next session to help symptoms)
Functional Assessment of Behavior (ABC model) A- antecedents B- behaviors C- consequences
Antecedents something (event) that triggers behavior
Behaviors reaction that comes from the antecedent
Consequence from that behavior
Health BT adaptive behaviors
Dsyfunction BT maladaptive behaviors
BT Techniques 1. relaxation training 2. exposure therapy (flooding, systematic desensitization) 3. aversive techniques 4. training (social skills, assertiveness, self-guided)
Relaxation training (progressive muscle relaxation) Popular method of teaching people to cope w/ stress (a way to relax body when stressed)
Flooding Social anxiety and therapist is gonna exposing person to high level fears and the fear decline bc body will naturally calm down over time
Systematic desensitization Reduce fear via gradual exposure + relaxation skills - start small w/ one's fear
In vivo desensitation going out in real world and doing something scary
imaginal exposure being in a fear situation/ imagining it and not actually being in it
Aversive techniques modeling (showing people how to do things)
Social skills Helps clients develop interpersonal competence (effectiveness) being able to communicate better w/ others - involve behavioral procedures
Self-guided Self-managment prorams are self-guided programs (essentially workbooks) - these workbooks have activities in them to complete/ person needs to be self-motivated
Prolonged exposure (PE) work on coping skills, then ask client to take abt memory that is most tramuatic that they are avoiding the most (go in a lot of detail/ depth- 15 to 20 sessions)
Cognitive Processing Therapy (CPT) write about your trauma, think they + world are dangerous and challenge that type of thinking
Eye Movement Desensitizatin & Processing (EMDR) uses imaginal exposure by following a moving light (little as 5 sessions)
Diversity Strengths BT 1. Appeal to culturally diverse clients for many reasons 2. Cultures who have hiearchy of power/ respect elders 3. Could include environmental, social, political conditions that contirbute to client’s program
Diversity Limitations BT 1. focus on specific behavioral problems ONLY/ not the underlining issue of those problems 2. Therapist who do not assess the interpersonal/ cultural dimensions may not adequately treat the client (very narrow) 3. Focus on symptoms/ behaviors
BT Contributions 1. Very practical approach 2. variety of behavioral techniques (classical, operant, social leanring) 3. Interventions are research-friendly + rigorous (easy to study) 4. Emphasizes ethical accountability w/ clients + challenge to show effectiveness
BT Limitations (1-3) 1. Heavy focus on behavioral change may detract from emotions 2. The therapist’s role as a teacher may deemphasize therapist/ client relationship (not value relationship) 3. Ignores insight
BT Limitations (4-6) 4. Focus on symptoms rather than underlying causes 5. Potential for therapist to manipulate the client using this approach 6. Clients may find the directive approach mechanistic (robotic)/ impersonal
Cog Behavioral Approaches (1-3) 1. Psychoeducation (teaching client skills) 2. Psychological distress maintained by cognitive processes 3. Changing cognitions produces desired changes in affects/ behavior
Cog Behavioral Approaches (4-6) 4. Present-centered, time-limited focus (usually) --> not spend much money 5. active + directive stance 6. educational treatment focusing on specific/ structured taregt problems
Human Nature- Neutral humans adapt/ change, but also have thoughts that can create problems
Health 1. challenge of dispute negative thoughts as they arise (challenge them w/ evidence or let them go) 2. change behaviors as needed
Dysfunction 1. Negative thoughts control you 2. Maladaptive behaviors 3. Prolonged suffering (distress) due to dysfunctional thinking patterns/ beliefs
Albert Ellis's REBT premise: cognitions, emotions, behaviors are going to interact/ have reciprocal cause/ effect relationship - our emotions stem from our beliefs, evaluations, interpretations, reactions to life situations - highly didactic (teaching/ talks a lot)
CBT theorists say... thoughts come first and then emotions follow
REBT educational process learn to identify interplay of thoughts, feelings, behaviors; identitfy/ dispute IRRATIONAL beliefs
General goals CBT 1. stop absolutist thinking (all good or bad), blaming, repeating false beliefs 2. replace these w/ rational thoughts/ effective cognitions
ABC (DEF) Theory- REBT Activating event belief consequence disputing intervention effective philosophy new feeligns
Activating event (A) similar to antcedent- event triggers belief
Belief (B) the belief is what drives the behavior
Consequence (C) the consequence
Disputing intervention (D) im not a failure, just not a good fit for school or my essay needs tweaking
Effective philosophy (E) try again, make things more impressive
New feelings (F) move forward despite the setback/ pride in oneself
Albert Ellis= IRRATIONAL BELIEFS
3 basic "Musts" internalized lead to self-defeat 1. I MUST do well/ be loved + approved by others 2. other people MUST treat me fairly, kindly, well 3. The world/ my living conditions MUST be comfortable, gratifying, juts, providing me w/ what I want in life
REBT Techniques (1-2) Disputing IRRATIONAL beliefs → actively disput faulty beliefs/ teach client to do that on their own Doing cognitive homework → record irrational beliefs that client has
REBT Techniques (3-4) Changing one’s language → make language less extreme/ more reasonable (NO should or must) → soften language Psychoeducational methods/ bibliotherapy (reading books outside of therapy) → therapist teaches client something
REBT Techniques (5-6) Rational emotive imagery → vividly imagining something happening to you until it slowly decreases Using humor → don’t want to take self too seriously/ bring some light-heartednes into the sessions
REBT Techniques (7-8) Role playing → practice situations that are fearful Shame-attacking exercises → client do something that looks stupid on purpose
Diversity Limitations (REBT) 1 REBT negative view on dependency clashes w/ collectivist cultures
Diversity Limitations (REBT) 2 The rapid-fire active approach ised by some clinicians may alienate those who value reflection → some ppl don’t like therapist talk too much
Diversity Limitations (REBT) 3 Terms like “irrational” or “maladapive” may seen insensitive to clients who’ve been marginalized
CT Aaron Beck
CT Core beliefs (1-4) I am unworthy. I am unlovable. I am stupid. I am ugly.
CT Core beliefs (5-8) People are untrustworthy. I’m not good enough. I am a failure. The world is dangerous.
CT Cognitive Distortions (1-2) Selective abstraction: forming conclusions based on isolated detail of an event EX: get bad grade on quiz, assume bad grade in class Overgeneralization: sees negative event as never-ending pattern of defeat
CT Cognitive Distortions (3-4) Magnification: when something bad happens, person exaggerates the importance of an event EX: that’s it your not my friend anymore Minimization: person give less attention or minmize what they have accomplished
CT Cognitive Distortions (5-6) Personalization: tendency to relate external events to yourself even when there is no connection Labeling + Mis-labeling: person labels themselves after an extreme thing when things gone wrong (negative things)
CT Cognitive Distortions (7) Dichotomous thinking: categorize experiences in either or extremes EX: people are either good or bad
CT Cognitive Triad of depression 1. Negative view of self 2. Negative view of the world 3. Negative view of the future
CT Techniques (1-2) Cognitive restructuring → modify core beliefs/ automatic thoughts/ anything changes cognition Homework → assign things for client to do
CT Techniques (3-4) Questioning → what was going through your mind when talked abt this (increase clients insight) Thought recording → assign this as homework ( go home record thoughts/ challenge those thoughts and write what used to challenge them )
CT Techniques (5) Behavioral experiments → encourage client to do something differently and see their behavior
CT focuses... - changing negative thoughts/ maladaptive beleifs - Clients are operating from automatic thoughts + negative stems from core beliefs - Cognitive distortions + unpleasant emotions combine to exaggerate initial problem
automatic thoughts (quick/ don’t think abt them- cognitive distortions) usually negative
core beliefs (fundamental/ absolute that developed abt him/ her/ others/ world)
collaborative empiricism Through questioning → clients will test validiaity of their cognitions
Application of CT Length of therapy varies greatly/ determined by the therapy protocols used for speific diagnoses (typically 16-20 sessions)
CBT Diversity Strengths 1 1. Clients beliefs system/ worldview is part of the method of self-exploration
CBT Diversity Strengths 2 Action-oriented → emphasis on cognitiion/ action + relationship issues could appeal to clients from diverse backgrounds → more structured
CBT Diversity Strengths 3 CBT & multicultural therapy share common assumptions that make intergration possible → incorporating worldview in thoughts will help clients
Created by: lils33
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