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Counseling Interventions
Theoretical Orientations and the Multi-Intervention model used by Mental Health Counselors
107
Psychology
Graduate
09/22/2010

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Cards

Term
Multi-Intervention Theory > Target: The Individual
Definition
The identified client
Term
Multi-Intervention Theory > Target: The environment
Definition
Primary group, Associational group, Institutional Community
Term

Multi-Intervention Theory > 

Target: Primary Group

Definition
Within immediate range of the client. Has direct impact on client (ie: parents, siblings, teachers, friends)
Term

Multi-Intervention Theory>

Target: Associational group

Definition
Groups that the client is associated with (ie: school, work, neighborhood, religious community)
Term

Multi-Intervention Theory>

Target: Institutional group

Definition
Has an indirect impact on client (ie: government, media, laws, culture)
Term

Multi-Intervention Theory >

Bronfenbrenner's Model: Components

Definition
The individual, Microsystem, Mesosystem, Exosystem, Macrosystem
Term

Multi-Intervention Theory >

Bronfenbrenner's Model:

3 things to consider when using the ecological model with clients

Definition

1) Consider the various systematic levels. The individual and beyond

2) The systematic levels impacts where to focus the intervention

3) Consider viewing more than the private/personal, and also the public levels 

Term

Multi-Intervention Theory >

Purpose:
Three types of purposes

Definition

1) Remedial

2) Prevention

3) Promotion

Term

Multi-Intervention Theory >

Purpose:
Remedial

Definition
A known problem to intervene. Reactive in nature.
Term

Multi-Intervention Theory >

Purpose:
Prevention

Definition
Anticipated future problem and take steps to avoid it. Result of predicting and providing.
Term

Multi-Intervention Theory >

Purpose:
Prevention - How best to identify, predict 

Definition
Listen, watch, learn
Term

Multi-Intervention Theory >

Purpose:
Prevention - important considerations 

Definition

1) Consider the developmental level

2) Consider how it can fit into everyday life or an ordinary activity

3) Consider how it can build across lifespan

Term

Multi-Intervention Theory >

Purpose:
Promotion

Definition

Designed to enhance function and developmental potential of healthy individuals, promoting positive growth (ie: Listening skills to students).

 

Not problem-oriented or preventive

Term

Multi-Intervention Theory >

Method

Definition
How the intervention is made.
Term

Multi-Intervention Theory >

Method: foundational factors

Definition
Providing connections and causes for intervention. Methods must be effective and efficient.
Term

Multi-Intervention Theory >

Method: 3 types

Definition

1) Direct Interventions

2) Training and consultation

3) Media

Term

Multi-Intervention Theory >

Method: Direct Services

Definition
Go straight to the source (ie: individual, student & parent, family, group). Consider timeframe: short-term, long-term.
Term

Multi-Intervention Theory >

Method: Training & consultation

Definition
Training professionals or paraprofessionals (ie: teachers). Impacts target indirectly but effects larger number.
Term

Multi-Intervention Theory >

Method: Media

Definition
Billboards, radio/tv commercial public service announcement, articles, websites.  Useful for all purposes: remedial, preventive, or promotion.
Term

Multi-Intervention Theory >

Method: Media

Pros & Cons

Definition

Pros: access, wide-reaching

Cons: impersonalized, assumed access

Term

Multi-Intervention Theory >

What we need to keep in mind for all interventions (REEM)

Definition

Realistic

Efficient

Effective

  Multi-level

Term

Counseling Theory >

Why is it important?

Definition

Without grounded theories, no clear direction. Like flying without a map or navigation tools.

 

"Theory is a bridge between research and practice."

Term

Counseling Theory >

Most common Theoretical Orientations

Definition

1) Cognitive-Behavioral

2) Psychodynamic

3) Humanistic

Term

Counseling Theory >

 

Things to keep in mind

Definition
Each theory comes with some biases and assumptions. Sociocultural interaction effects theories. Zeitgeist influences theories.
Term

Counseling Theory >

Examples of Sociocultural Identities

Definition
Race, ethnicity, social class, gender, age, health, geographic location, sexuality, etc.
Term

Counseling Theory >

Things to consider with Sociocultural interaction

Definition
Identifying if the focus is on the individual, a community, or both. Judging what is normal can vary by culture.
Term

Counseling Theory >

How does Zeitgeist influence psychological theories?

Definition
The spirit of the times means that theories may change or evolve depending on the general intellectual, ethical, cultural, or political climate of an era amongst groups or nations.
Term

Counseling Theory >

Theory of Personality

Definition

1) There are basic concepts about the theory of a person. 

2) There is a picture of what a healthy, well-adjusted person is

3) There is a view of how problems develop and are resolved

Term

Counseling Theory >

Role of the client

Definition
Active, passive, receiver
Term

Counseling Theory >

Things to consider

Definition

How much the the theory encourage or discourage cognition, behavior, affect?

 

Where is the theoretical orientations emphasis?

Term
Psychoanalytical Theory
Definition

Founder: Sigmund Freud

Problems are a result of inner mental conflicts (ie: repressed memories, unconscious desires).

 

Goal is to make these conflicts conscious.

Term

Psychoanalysis >

Structure of personality

Definition
Id, ego, superego
Term

Psychoanalysis >

Structure of Personality: Id

Definition
The demanding child; ruled by pleasure principle
Term

Psychoanalysis >

Structure of Personality: Superego

Definition
The judge; moral principle
Term

Psychoanalysis >

Structure of Personality: Ego

Definition
Traffic cop; reality principle
Term

Psychoanalytical Theory >

Freud's Psychosexual Stages

Definition
Oral, anal, phallic, latency, genital
Term

Psychoanalytical Theory >

Levels of Consciousness

Definition
Pre-conscious, Conscious, Unconscious mind
Term

Psychoanalytical Theory >

Pre-conscious mind

Definition
Not aware of material, but retrievable (ie: what you heard on the radio this morning)
Term

Psychoanalytical Theory >

Conscious mind

Definition
What you are thinking right now; current awareness
Term

Psychoanalytical Theory >

Unconscious mind

Definition
Repressed contents of the mind; Not aware of material; retrievable through free association, slips of the tongue, projective techniques
Term

Psychoanalysis >

Counselor's role

Definition
Address client's underlying fears, positive/negative motives and defense mechanisms. Assume client is not aware of these.
Term

Psychoanalysis >

Counselor's role in curing inner mental conflicts

Definition
Make inferences about client's unconscious conflicts. Once client experiences these conflicts consciously, they can modify them with help of counselor's insight.
Term

Psychoanalysis >

Transferance

Definition

Client reacts to counselor as he/she did in previous experience. Client's unconscious thoughts about a person is directed towards counselor. 

 

Allows client to achieve insight into feelings of the past

Term

Psychoanalysis >

Countertransferance

Definition
Counselor's unconscious reaction towards a client; may interfere with objectivity
Term

Psychoanalysis >

Ego Defense Mechanisms

Definition
Normal behaviors that operate on an unconscious level; Tend to distort reality; Helps individual cope with anxiety; Beneficial unless it becomes a constant way of facing reality
Term

Psychoanalysis >

Ego Defense Mechanisms: Repression

Definition
Primary defense mechanism; Unconscious process of preventing unacceptable feelings from coming into conscious; Remember positive aspects of memory, but repress the unpleasant.
Term

Psychoanalysis >

Ego Defense Mechanism: Denial

Definition
Unconscious process of preventing unacceptable feelings from coming into conscious awareness
Term

Psychoanalysis >

Ego Defense Mechanisms: Reaction Formation

Definition
To do the opposite of your impulse
Term

Psychoanalysis >

Ego Defense Mechanisms: Projection

Definition
To make an impulse external
Term

Psychoanalysis >

Ego Defense Mechanisms: Compartmentalization

Definition
Separating parts of self from awareness (good side from the bad side). Justifying the difference (ie: cheating taxes and being a religious leader).
Term

Psychoanalysis >

Ego Defense Mechanisms: Compensation

Definition
Counterbalancing perceived weakness by emphasizing strengths; Napoleonic complex
Term

Psychoanalysis >

Ego Defense Mechanisms: Intellectualization

Definition
Rationalize emotional reaction process abstractly.
Term

Psychoanalysis >

Ego Defense Mechanism: Displacement

Definition
To channel impulse to a non-threatening target
Term

Psychoanalysis >

Ego Defense Mechanism: Sublimination

Definition
To channel impulse into a social accepted activity
Term

Psychoanalysis >

Other Ego Defense Mechanisms

Definition
Blaming, Minimizing, Isolating
Term

Psychoanalysis >

Ego Defense Mechanisms: Resistance

Definition

To avoid or prevent material from coming to the forefront when anxiety is caused.

 

Interferes with ability to accept changes in life that could lead to more satisfying life.

Term

Psychoanalytical Techniques >

Dream analysis

Definition
Used to bring unconscious material to here and now
Term

Psychoanalytical Techniques >

Free Association

Definition
Client reports immediately without censoring any feelings
Term

Psychoanalytical Techniques >

Interpretation

Definition
Counselor points out, teaches, and explains meanings of whatever is revealed (ie: slips of the tongue).
Term

Counseling Theory >

Non-Freudian Theorists: Alfred Adler

Definition
Suggested importance of childhood social tension
Term

Counseling Theory >

Non-Freudian Theorists: Karen Horney

Definition
Sought to balance Freud's masculine biases
Term

Counseling Theory >

Non-Freudian Theorists: Carl Jung

Definition
This person emphasized the collective unconscious; Concept of shared, inherited reservoir of memory traces from our species' history
Term
Person-Centered Theory
Definition

Founder: Carl Rogers

Goal: Help person take control of own life

Client-centered therapy

Term

Person-Centered Theory >

Zeitgeist influence

Definition
Emphasis on insight of client rather than therapist. Unlike psychoanalytical theory.
Term

Person-Centered Theory >

Foundational Principles

Definition

1) A humanistic theory: emphasis on one's own inner potential for positive growth.

 

2) Focus on respect and trust for client.

 

3) Society imposes conditions of worth via conditional positive regard which influences one's self-concept

Term

Person-Centered Theory >

Phenomenological Perspective

Definition
To understand one's thoughts and behaviors, you must understand their subjective universe (ie: one's unique experiences and how they construe it).
Term

Person-Centered Theory >

Psychological distress arises due to...

Definition

Conflict between a person's inner potential and their self-concept of it which has been influenced by conditional positive regard.

 

Problems arise due to denial of own feelings and distrust of ability to make own decisions.

Term

Person-Centered Theory >

Therapeutic relationship needs:

Definition

1) Unconditional positive regard

2) Empathic listening

3) Genuineness

Term

Person-Centered Therapy >

Goals:

Definition

1) Increase client dependence

2) Focus on person not problem

3) Create conditions necessary for positive growth

4) Develop openness to new experiences, trust in one's self, willingness to grow

Term

Person-Centered Therapy >

Role of the Counselor

Definition

1) Relationship is characterized by equality

2) Diagnosis not necessary

3) Act as sounding board and set stage for client to achieve positive growth

Term

Person-Centered Therapy >

Techniques

Definition
Listening, empathizing, understanding, reflecting on clients words; the best source of knowledge about the client is the client.
Term

Person-Centered Theory >

Limitations

Definition

Some people need more structure and direction.

 

So supportive, fail to challenge client making change difficult.

 

Limits counselor's behavior.

 

Not suitable for all cultures.

Term
Difference between Person-Centered Theory and Psychoanalytical Theory
Definition

Both theories make clients more aware of their inner feelings.

 

Unlike, psychoanalytical theory, person-centered theory views inner feelings and desires as positive and life promoting.

Term
Behavior Theory
Definition

Behavior is shaped by environment.

 

Focus on measurable and observable behavior and stimuli

Term

Behavioral Therapy >

Exposure Treatment

Definition

Often used for phobias.

 

Systematic desensitization: train client in muscle relaxation while combing imagery of feared object. Use increasingly frightening images until desensitized (ie: Flooding).

Term

Behavioral Techniques >

Aversion Treatment

Definition
Used to stop bad habits. Use of operant conditional principles: something that makes bad habit undesirable (ie: antabuse).
Term
Other Behavioral Therapy techniques
Definition

Token economies - exchange system.

 

Contingency contracts - formal written contracts.

 

Social skills/assertiveness training.

 

Modeling adaptive behaviors to client.

Term

Behavioral Therapies >

Limitations

Definition
Not very effective in addressing emotions and personal growth.
Term

Cognitive Therapy >

Three types

Definition

1) Cognitive Therapy

2) Cognitive-Behavioral Therapy

3) Rational Emotive Therapy (RET)

Term

Cognitive Therapy >

Foundational principles:

Definition

1) People disturb themselves with their own thoughts

2) Goal is to identify maladaptive ways of thinking and replace them with adaptive ways of thinking

Term

Cognitive Therapies >

Foundational Principles

Definition
Term
What is Cognition?
Definition
Process of thinking perceiving, judging, and recognizing 
Term

Cognitive Therapy >

What is a Schema?

Definition

A mental representation of underlying assumptions that influence the way a person interprets stimuli.

 

This mental set is influenced by personal experiences, values, and perceived capabilities.

Term
The difference between Person-Centered and Cognitive Theories
Definition

Both focus on conscious mental experience.

 

One theory is problem centered while the other is client centered. One more directive than other.

Term

Cognitive Therapies >

Rational Emotive Therapy (RET)

Definition

Founder: Albert Ellis

 

Negative emotions arise from people's irrational interpretations of experiences. Unpleasant emotional response arise from thoughts rather than events.

Term

Cognitive Therapies >

Rational Emotive Therapy: Musterbations

Definition
Irrational belief that you must or should do something.
Term

Cognitive Theory >

Rational Emotive Therapy: Awfulizing

Definition
Mental exaggeration of setbacks. 
Term

Cognitive Therapy >

Rational Emotive Therapy: ABC Theory of Emotions

Definition

A) Acitivating event in environment

B) Belief triggered in mind by event

C) Emotional consequence of belief

Term

Cognitive Therapy >

Rational Emotive Therapy >

2 most common irrational beliefs

Definition

1) I must be outstandingly competent or I'm worthless

2) Others must treat me considerably, or they are rotten

3) The world should always give me happiness or I'll never be happy

Term

Cognitive Theory >

Rational Emotive Therapy:

Techniques

Definition

1) Therapist uses skills to refute irrational thoughts and teach client to do so:

Is there any evidence of this belief?

What is the worst thing that can happen if you give up this belief?

What is the best thing that could happen?

Term
Cognitive-Behavioral Therapy
Definition

Founder: Aaron Beck

It is not the events that disturb us but what we think about those events

Term

Cognitive Therapy >

Automatic Thoughts

Definition
Rigid, inflexible, distorted interpretations of events that seem to happen by reflex.
Term

Cognitive Therapy >

Faulty thinking

Definition
The process of overestimating the significance of events (ie: client goes for bike ride and experiences shortness of breath. then assumes they are in terrible health and are going to die).
Term

Cognitive Therapy >

Types of faulty thinking

Definition
selective abstraction, overgeneralization, personalization, polarized thinking
Term

Cognitive Therapy >

Faulty thinking: Personalization

Definition
Relating external events with one another when they have no objective connection (ie: student raises hand and is not called on by teacher. student thinks the teacher hates him).
Term

Cognitive Theory >

Faulty thinking: Polarized thinking

Definition
An all or nothing, good or bad approach to viewing the world.
Term

Cognitive Theory >

Irrational Cognitive Process and Rational Intervention

Definition

Irrational Cognitive Process:

A) Activating event

B) Belief caused by event

C) Consequences of belief

 

Rational Intervention:

D) Disputing intervention

E) New effective philosophy

F) New feelings

Term

Cognitive-Behavioral Therapy >

Common uses:

Definition
Used for treatment of depression; depressed people often distort experiences and maintain negative views; minimize positive.
Term

Cognitive-Behavioral Therapy >

Limitations

Definition
Sometimes miss influence or context
Term
Feminist Theory
Definition

Equality, self-nurturance, value diversity and differences, balancing independence, and intradependence.

 

Focus on individual strengths rather than limitations.

 

Client is expert on his/her own life.

Term

Feminist Theory >

Technique: Gender-role analysis

Definition
Assist client in understanding impact of gender-role expectations in their lives.
Term

Feminist Theory >

Techniques: Power analysis

Definition
Emphasis on the power differences between men and women in society. Clients helped to recognize different types of power they posses.
Term

Feminist Therapy >

Techniques: Reframing

Definition
Changes frame of reference for looking at an individual's behavior or situation. Definition of clients problem is changed from intrapersonal to interpersonal.
Term

Counseling Theory >

Integration

Definition
Combining two or more theories (ie: cognitive-behavioral)
Term

Counseling Theory >

Eclecticism

Definition
Use of techniques from two or more theories 
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