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Eysench's research
1952, led to debates on ineffectiveness of counseling; more recent research has proved it beneficial
Important elements within the client for positive therapy outcomes
readiness for change, access to social support, psychological resources
evidence based practices
therapy methods that have a background in research; therapists use their expertise to understand client's situation and effective treatment
purposes of ethical codes
- protect consumers and professional standing
- make a statement about maturity and professional identity
- make a statement about maturity and professional identity
- guide professionals toward certain behaviors
- framework for ethical decision process
a defense against malpractice
limitations to ethical codes
- they do not address or give clear answers to all issues
- conflicts occur within the code, etc
- difficult to enforce
- public interest is not involved
integrative approach to counseling
therapist develops a core theory by integrating elements of different theories into their approach; stages include chaos, coalescence, multiplicity, and metatheory
chaos
Limited knowledge of theory and involves moment to moment subhjective judgements; limited help to clients
coalescence
Drift toward adherence to one approach, but begin to use some techniques from others
multiplicity
Learn one theory thoroughly and begin to gain solid knowledge on other theories
metatheory
Thought-through approach that defines the theoretical nature of the therapists work; incorperates a number of different elements from many theories
fourth force
the best practice for culturally competent counseling; includes the knowledge to work with wide range of clients, know how theories may have a negative impact on some, and the cultural encapsulation of theories
steps to Corey's model of decision making
- identify problem
- identify potential issues
- review ethical guidelines
- know laws and regulations
- obtain consultation
- consider possible actions
- enumerate consequences of various decisions
- decide on best course of action
culturally competent counseling
the ability to gather positive clinical outcomes in cross-cultural encounters
Kitchner's moral model
autonomy, nonmalefience, benefience, justice, fidelity, and veracity
autonomy
Respecting client's right to self determination and freedom of choice
nonmalefience
Assuring you do no harm
benefience
Promoting the wellbeing of others and of society
justice
Providing equal and fair treatment to all people and being nondiscrimatory
fidelity
Being loyal and faithful to your commitments in the helping relationship
veracity
Dealing honestly with the client; genuineness
Charcot
His support legitimizes hypnosis as treatment for hysteria; freud visited him in Paris
William Fliess
nose surgery can be used to treat neurotic disorders from sexual frustration; worked with freud //
Jung, Adler, and Rank
mentored by freud
Freud's view of human nature
deterministic, rejected divine explanation, humans are motivated by drives
deterministic
our personalities are framed at very young ages and are difficult to change
Id
"it" ; primitive mind; consciously motivates all of our behaviors and is fueled by pleasure principle
Ego
"I" ; the largely executive and conscious reality principle; find socially acceptable ways of meeting the needs of the id
Superego
controls id; internalization of morals and beliefs
Life instinct
eros; meets the needs for heart, intimacy sex and survival
Death instinct
thanatos; unconscious seeking out demise; projected through fear, hate, etc.,
Libido
psychological energy that drives life and death instincts
defense mechanisms
the ego's protective methods of reducing anxiety by unconsciously distorting reality
denial
A defense mechanism that involves forceful refusal to acknowledge an emotionally painful memory
sublimation
defense mechanism that involves channeling or refocusing of unacceptable impulses into socially acceptable forms of behavior
displacement
a defense mechanism that involves redirecting an unacceptable impulse to a more acceptable object/person
projection
defense mechanism that attributes unacceptable qualities in others that the individual actually has
reaction formation
a defense mechanism that the replacing/conversion of an unacceptable impulse into an acceptable one
unconscious
the more primitive mind, true motivator of underlying desires and wants, driven by instincts stored in the id, and the vast portion of all that motivates behavior
transference
a client projecting feelings, thoughts, and attitudes onto the therapists as if they were someone else
counter-transference
an emotional reaction of the therapist that reflects the therapist's inner needs and conflicts onto their patient
resistance
signals a client is close to dealing with an issue; analysts interpret this to assist clients with dealing with a threatening issue
freud's psychosexual stages
oral stage, anal stage, phallic stage, latency stage, genital stage
oral stage
0-18 months, pleasure from the mouth (biting, sucking, etc); overindulged children become needy and demanding adults
oral aggressive personality
occurs when children have problems with teething become verbally aggressive, argumentative, and sarcastic
anal stage
18-36 months, pleasure focuses on bowel and bladder elimination and its conflicting with pleasing parents
anal expulsive
lenience in potty training in which individuals become messy, careless, and defiant
anal retention
faced with punishment during potty training; stubborn, perfectionist individuals
phallic stage
3-6yrs, pleasurable genital sensations; the unconscious desire to possess parent of the opposite sex
oedipus complex
a boy's sexual desires toward his mother and feelings of jealousy and hatred for the rival father
electra complex
the unconscious desire of girls to replace their mother and win their father's romantic love
latency stage
6-puberty, dormant sexual feelings-- repressed libido --, energy is put into appropriate peer relationships
genital stage
puberty-, the resurgence of sexuality
early experiences
experiences occurring very early in development, believed by some to have lasting effects
efficacy of psychoanalysis
difficult to measure, effective with personality disorders, not helpful for unsuccessful long term treatment
parapraxes
errors in speech/behaviors that reveal unconscious meanings that are symbolic of repressed desires (jokes, satire, misspellings, etc)
free association
an individual sheds the cognitive restraints such that they feel free to associate with any thought available
realistic anxiety
anxiety based on reality
moral anxiety
originating from the superego; doing something perceived as wrong, the ego must be told it is unacceptable
neurotic anxiety
related to the Id, the fear the id will take over and cause harm or chaos
Otto rank
split from freud, focused on present, free will, egalitarian relationships, self direction; inspired rogers
rousseau
people are inherently good, inspired rogers
John dewey and Soren kierkegaard
influenced the work of rogers
actualizing tendency
Roger's PCT theory that an individual's striving to reach their full potential
Roger's view of human nature
reality is subjunctive, we are the only ones to experience our reality; we have free will
core qualities of a PCT therapist
- therapeutic allience
- congruence
- unconditional positive regard
- empathy
congruent
to be genuine and in touch with one's self
Q-sort technique
measures the reduction in the gap between client's self concept and their ideal self
conditions of worth
the conditions a person must meet in order to regard himself or herself positively; normally comes from a significant other; response to worth can potentially lead to a false sense of self
most critical factor of PCT
the therapeutic alliance
organismic valuing process
the tendency to move towards experiences that are positive for the actualization process
congruent identity
develops when self-concept aligns with true feelings, experiences, and OVP; being authentic and living for self
What is PCT's view on spirituality?
Spirituality plays a large role in an individual's self discovery and healing which is welcomed by this technique
Cases in which PCT is contraindicated
Severe mental health issues, extreme depression, personality disorders; cases in which individuals need to be guided
Cases in which PCT is efficaious
Self esteem issues, identity exploration, mild-moderate anxiety + depression, and personal growth; self-awareness
Lower level empathetic response
Verbal and behavioral expressions do not attent to or detract significantly from verbal and behavioral expressions
Upper level empathetic response
Responses add signficiantly to the feeling and meaning of the expressions in ways that are fully present in deepest moments
How should angry feelings towards a client be resolved?
Rogers believes that feelings should be acknowledged internally and not acted upon in order to maintain unconditional positive regard and empathy
Locus of control
a person's tendency to perceive the control of rewards as internal to the self or external in the environment
Origin of anxiety (rogers)
Rogers believes that anxiety is rooted in incongruence from one's self ~ the disconnect between self concept and true experiences
Radical behaviorists
No belief in mentalistic concepts, everything is conditioned, individuals are just born and do not have free choice
Modern behaviorists
Anti deterministic, knows the importance of genetics and biology, cognitions can be conditioned, conditioning is a complex process
Watson
Father of behaviorism, baby Albert study ~ conditioned to fear white rats which became generalized to all fluffy objects
Bandura
Social/observational learning, bobo doll experiment ~ children modeled the aggressive behaviors towards the dolls
Skinner
operant conditioning - reinforcement and punishment, skinner's box, believed free will was an illusion
Shaping
Systematically reinforce certain behaviors to a goal
Successive approximation
Behaviors tend to repeat itself until systematically reinforced as a learned behavior
Chaining
each step of a sequence must be learned and must lead to the next until the final action is achieved
Extinction
the diminishing of a conditioned response; occurs in classical conditioning when an unconditioned stimulus (US) does not follow a conditioned stimulus (CS); occurs in operant conditioning when a response is no longer reinforced
Generalization
the tendency, once a response has been conditioned, for stimuli similar to the conditioned stimulus to elicit similar responses
Classical conditioning
Unconditioned stimulus paired with a neutral stimulus to form a conditioned stimulus equaling a conditioned response
Operant conditioning
Schedule of reinforcement/punishment to influenced behavior
Observational (social) learning
Observing behavior then modeling it
Positive reinforcement
Increasing behavior by presenting a positive stimuli
Negative reinforcement
the reinforcement of a response by the removal, escape from, or avoidance of an unpleasant stimulus
Positive punishment
the administration of a stimulus to decrease the probability of a behavior's recurring
Negative punishment
Something good is taken away as a means to decrease probability of a behavior
What must occur for modeling to occur effectively?
- client is attentive to model being offered
- client remembers details of the model
- client must be capable of repeating model
- motivated to repeat model
Ratio schedule
based on number of responses (fixed or variable)
Fixed
Consistent and predictable
Variable
Random, unpredictable