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Erikson’s first stage is?
trust vs mistrust - learning to trust people to take care of them or difficulty trusting later in life
Erikson’s second stage is?
Autonomy vs shame - learning to be a bit more independent and autonomous or shame and doubt later
Erikson’s third stage is?
Initiative vs guilt - learning to control environment appropriately or guilt, self doubt and lack of initiative later
Erikson’s fourth stage is?
Industry vs inferiority - learning some new skills or will feel inferior afterwards
Erikson’s fifth stage is?
Identity vs role confusion - develop personal identity or will struggle with who they are and how they fit
Erikson’s sixth stage is?
Intimacy vs isolation - form strong and intimate relationships or will feel isolated
Erikson’s seventh stage is?
Generativity vs stagnation - create things that outlast them or will feel less involved in world
Erikson’s eighth stage is?
Ego integrity vs despair - be content in reflecting on life or will feel bitterness, regret, and despair
What years does Erikson’s 1st stage apply to?
Birth to 1.5
What years does Erikson’s 2nd stage apply to?
2 to 3
What years does Erikson’s 3rd stage apply to?
3 to 5
What years does Erikson’s 4th stage apply to?
6 to 11
What years does Erikson’s 5th stage apply to?
12 to 18
What years does Erikson’s 6th stage apply to?
19 to 40
What years does Erikson’s 7th stage apply to?
40 to 65
What years does Erikson’s 8th stage apply to?
65+
What are Piaget’s 4 stages?
Sensorimotor - 0-2
Pre-operational - 2-6
Concrete operational - 7-12
Formal operational - 12 - adult
What is the age of sensorimotor?
0-2
What is the age of preoperational?
2 to 6
What is the age of concrete operational?
7 to 12
What is the age of formal operational?
12+
Explain what Freud’s 2 key contributions to human development theory as we know it today were?
Explanation should include:
Identification and explanation of roles and relationships between id, ego, and superego
Identification of psychosexual stages
Explanation of general overview of psychosexual stages meaning
What are the key milestones of the sensorimotor stage?
Exploring the world through interaction (think sensori = take in new info and motor = move around)
Development of separation anxiety
Development of object permanence
What are the key milestones of the preoperational stage?
Ability to use words and pictures to represent objects, however, inability to logically reason with objects yet
Ability to pretend
Egocentricity - unable to understand that different people have different perspectives, needs, etc
What are the key milestones of the concrete operational stage?
Can now think logically about concrete objects e.g. holding and counting (think concrete = something concrete you can hold, and operational = manipulating that thing to perform logic operations on it)
Understands conservation
What are the key milestones of the formal operational stage?
Capacity for abstract thinking and reasoning
Capacity for moral reasoning
Explain the very basics of attachment theory
Explanation should include:
Explanation of how the basis of attachment theory is the need for consistent and responsive caregiving for children to see the world as a safe place - link to maternal deprivation theory
Explanation that “inconsistent” caregiving, essentially, neglect, violence, mistreatment, etc, compromises the development of secure attachment, causing alternative styles which influence the way someone relates to others
Explain how attachment theory links to neurobiology
Explanation should include:
We have an inherent requirement for attachment as mammals - Harlow
Quality of early attachment seems to impact the brain and nervous system as it develops
There is evidence that these effects on the brain and nervous system also get transferred biologically
What does attachment theory and research say about caregiving from other caregivers to parents e.g. childcare?
Attachment theory and current research say:
Caregiving and attachments with other caregivers are not inherently a bad thing; in fact, they can be useful by increasing social resources and socialisation if you want to look at it that way
The determinant of the effects of these attachments is the quality of the attachment and relationship - positive if a child is cared for, negative if not
What is each stage of Maslows hierarchy of needs?
Physiological - basic survival needs
Safety - secure and stable environment
Belonging and love - Close relationships and group membership of different kinds and at different levels
Esteem - self respect and respect from others
Self-actualisation
What are the 7 stages of the social work process?
Preparing
Beginning
Problem exploration
Assessment
Contracting
Evaluating
Termination
What are the 5 core principles of pro-social practice?
Identify prosocial comments and behaviour
Reinforce prosocial comments and behaviour
Identify unwanted comments and behaviour
Address unwanted comments and behaviour
Model prosocial comments and behaviour
What are the 6 stages of family life cycle theory?
Unattached young adult
Newly married couple
Family with young children
Family with adolescents
Family with children leaving
Family in later life
What are the key processes involved in stage 1 of family life cycle theory?
Restructuring relationships and family systems (both immediate and extended) to reflect new independence of young adult
What are the key processes involved in stage 2 of family life cycle theory?
Integration of differing values passed on from parents, picking up the ones that work for the couple and leaving the ones that don’t so that the new agreednvalues can work in harmony
Re-evaluation of family systems to reflect addition of family member, and new life stage
What are the key processes involved in stage 3 of family life cycle theory?
Biggest thing is accepting new identity as a parent, including responsibilities that children bring, how life looks very different with them, the need to care for them, etc
Another restructure of the way you relate to other family members
Restructuring roles and responsibilities with partner to reflect children
Being an authority figure to children
What are the key processes involved in stage 4 of family life cycle theory?
Providing the circle of security (to link it back to that), where the child has enough independence to go out and explore the world (relative to their age of course), but are able to, and know they are able to, come back to safety when in trouble if needed
Refocusing on non-child related things as they are already taking up less time and responsibility, and will soon take up even less
What are the key processes involved in stage 5 of family life cycle theory?
Assisting children’s independence across multiple domains
Supporting, not controlling children
Rearranging family system to reflect not having kids in the home anymore, and being back at stage 2 again in a way
What are the key processes involved in stage 6 of family life cycle theory?
Redefining generational roles to reflect changes in independence, maturity, development, roles, etc
Accepting less power and responsibility with older age (although this differs across cultures)
What is the underlying lens of a person-centred approach
That people intrinsically seek to develop and progress throughout life, and that there ability to do so in a therapeutic context is dependent on a strong relationship between the client and the practitioner
What are the key principles of a person centred approach?
Interpersonal skills
UPR
Empathy
Congruency
Allowing the client to go in their own direction rather than directing them (collaboration)
What is the underlying philosophical lens of a strength-based approach?
People are seen through the lens of their resilience, current resources, potential for growth, and therefore capacity to resolve their own problems rather than their deficits; it is their strengths which they will use to grow, not what they can’t do
What are the core principles of a strength based approach?
Everyone has strengths and aims to identify these
Adverse events are not just sources off adversity, but also resilience
Emphasises collaboration over a directive approach
Clients know what is wrong, and they come in to services to get help with this. They therefore are not there just for us to tell them everything that is going wrong
What are the 8 types of questions used to identify strengths in a strength based approach?
You can conceptualise and remember the questions using these 2 categories and subcategories:
Negative:
What you’ve done:
Regular functioning when things aren’t wrong
Coping - How have you coped previously?
What you want:
Desires - What do you want to see?
Differences - What specific differences do you want to see made
Positive:
How you think:
Thinking - What do you think about the situation?
Motivations - What keeps you going?
What you’ve got:
Assets - What resources do you have?
Strengths - What strengths do you have?
You can also use the acronym CARDS TM D - Cards TradeMarked by Darcy
What is a key consideration to be made with strength-based practice?
That although this sees people as always working to better themselves and utilising strengths, resources, etc, even if those methods of working are maladaptive, this view only extends so far, and can have negative implications if things are beyond what a person can deal with themselves. For example, someone who is suicidal might need a more directive approach initially, then a strength-based approach may be able to be used.
What is the underlying philosophical principle of TIC?
Understandings of the neurobiological effects of trauma have generated new insights for appropriate interaction with potentially traumatised people. TIC is something which can be implemented into any model, approach, method, or theory to provide interaction that is reflective of this new knowledge, and what we now know is the most compassionate, effective, human rights and social justice aligned response. Essentially, TIC isn’t about directly addressing trauma, but rather a way of working with people who may be traumatised.
What are the key principles of trauma-informed care (not the TIP’s)?
Maladaptive coping strategies are reflective of strategies which used to be appropriate in traumatic environments, but no longer are. They are not a personal problem/shortfall/failing
Practitioners have the responsibility to engage, not clients, and therefore when clients disengage the onus is on the practitioner to re-engage appropriately
The TIP’s should be incorporated into all practice
What are the TIP’s, and what do they mean?
Safety - Creating safety at all levels, physical, psychological, environmental, and relational
Trust - Being consistent in providing safety and in all other ways, building goodwill and genuineness, demonstrating respect and acceptance
Choice - Providing as much choice over service provision as possible, from what happens in the service to the conditions, timing, parameters, environment, etc. Another way of looking at choice is reasserting clients choice over their reactions through psychoeducation
Collaboration - Working with, rather than for clients by using power appropriately and in a shared way, and working in a shared manner
Empowerment - Helping people to do for themselves, rather then to need to have done or done with. Giving as much power, skills, and knowledge back to clients as possible, so that they may deal with the issues themselves in the future
What are 3 key potential mechanisms for dealing with defences?
Identifying, explicitly drawing attention to, identifying the underlying fear it is protecting the person from, and asking for the clients perspective
Identifying and drawing attention to the defence, and then asking the client what they think it might be protecting them from (thoughts or feelings)
Creating enough safety for the person to identify the defence and explore it of their own accord
What is core to any process of engaging with defensive clients?
Containment - being able to take what the person is saying, comfort them, and create the perception that we can sit with it, we can hold it, and we are competent enough to know how to deal with it and not let it overwhelm or crush us.
What is a heightened emotion?
Any emotion that is felt so strongly that it significantly affects a person’s feelings, physiological response, thinking, and actions
Think the response is like TAPE - Thinking, Actions, Phisiological responses, Emotions that doesn’t come off easily once triggered - to remember the domains effected
What is the neurobiological explanation for why a person can feel heightened emotions that don’t align with their conscious and rational understanding of a situation?
The amygdala, as we know, plays a central part in emotional processing and processing of the emotional part in memories
The amygdala can operate independently from our conscious thinking
Therefore, it is possible for someone to experience heightened emotions about a memory that do not align with the way they consciously think about it
What is a core consequence of heightened emotions?
Heightened emotions can cause people to limit their engagement, to inaccurately interpret messages, and make it significantly easier or harder to remember things, depending on the emotions associated with them.
This is all protective, heightened emotions come from our nervous system and form part of our protective measures in the face of perceived danger.
What are the 4 phases of emotional escalation?
Pre-escalation - what happens just before an escalation, the trigger hides here
Escalation - the process of escalation to a heightened emotions after trigger(s)
Heightened emotion - experiencing the heightened emotion after escalation
Dee-escalation - returning to a baseline state after experiencing the heightened emotion
How do we want to respond to heightened emotions? (stopping them altogether, etc)
Although we may want to prevent heightened emotions to ensure we can work well, we don’t necessarily want to prevent them altogether, and we don’t want to try and stop them immediately when they occur - we want to help people have more choice over when and how they experience and convey any heightened emotions they may have.
How can we prevent and respond to a heightening of emotions when they occur?
By preventing and responding as appropriate based on each stage:
Pre-escalation - prevention - removing triggers and ensuring safety, that the person is happy with the parameters of our work and rules in place, etc
Escalation - prevention through response - identifying a person’s emotions are starting to heighten above baseline, and distracting, reassuring, doing things specific to the person to help them to calm down, verbalising your observations and asking what supports they may need to calm down, or drawing attention to the persons capacity to manage their emotions
Heightened emotion - responding - supporting the person to safely express their emotions in the different emotions and states that they are in (fight, flight, etc), and engaging in structured collaborative (as much as possible) decision making if necessary
De-escalation - responding - creating safety and responding positively to new potential emotions of embarrassment, regret, etc, reviewing any decisions that were made in the heightened state