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5 Premises of MI
Motivation is elicited, not imposed.
Ambivalence is normal. (feeling conflicted about change).
Autonomy is central.
Collaboration over confrontation.
Change talk predicts change
MI core skills (4)
Open questions
Affirmations
Reflective listening
Summarizing
MI additional skills (4)
Elicit change talk.
Highlight discrepancies.
Roll with resistance.
Promote self efficacy.
5 Stages of change
Precontemplation.
Contemplation.
Preparation.
Action.
Maintenance.
5 Stages of a counselling session
Empathetic relationship. (rapport and trust building).
Story and strengths. (open questions, paraphrasing).
Goals. (collaborative).
Restory. (summarise the situation, generate possibilities).
Action. (homework).
8 Models of family therapy
Structural.
Strategic.
Contextual.
Solution focused.
Normative.
CBT.
Psychodynamic.
Emotionally-focused.
Learning theory
Classical conditioning: neutral stimulus causes a reaction.
Operant conditioning: uses rewards or punishment to change a behaviour.
***Punishment: decreases a behaviour.
***Reinforcement: Increases a behaviour.
***Both of which can be positive (adding) or negative (taking away).
Dichotomous thinking
Type of distortion. Considering only extremes.
Overgeneralising
Type of distortion. A single instance is viewed as indicative of a broader class.
Selective abstractism
Type of distortion. Only paying attention to the bad parts of a situation.
Mind Reading
Type of distortion. Attitudes of others are assumed with no evidence.
Personalizing
Type of distortion. Assuming something is directed toward oneself.
“Should statements”
Type of distortion. What you “should be”. (“I must be smart at all times”).
Catatrophizing
Type of distortion. Assuming extreme negatives. “He didn’t text me back, he prob died”.
Minimizing
Type of distortion. Downplaying the significance of positive outcomes.
3 elements of cognitive theory
autonomic thoughts.
distortions.
core beliefs.
4 stages of reflection of meaning and interpreting/reframing
Reflect feeling
Paraphrasing.
Reflect meaning.
Interpret + reframe.
6 Premises of psychodynamic therapy
Psyche (psychological experience, mostly emotional pain and conflict).
Psychic determinism (unconscious motives/desires/conflict shape action, thought, feeling).
Dynamic (Dynamic process of psychic pain - different parts of self).
Development (early childhood experience shape later experiences and relationships).
Unconscious (material out of awareness that needs to be brought into awareness).
Distress and change (protect from painful feelings = distress. feelings that have been repressed in conflict with another need/desire = change).
5 defenses
Denial.
Repression.
Projection.
Displacement.
Dissociation.
7 Stages of crisis counselling
Plan and conduct risk assessment.
Establish rapport and relationship.
Identify pertinent issues.
Deal with feeling/emotion.
Generate and explore alternatives.
Implement concrete action plans.
Follow up.
Four theories of mental distress
Psychological.
Systemic.
Critical/post modern.
Biomedical.