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heard what they're saying saw their point of view felt their world as they experience it |
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gestures, phrases, repititions, and other nonverbals |
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shorten, clarify, and feedback other's comments. essence of what they are saying. |
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clarify and feedback lengthy and complex discussions. open and closed sessions. can include facts, thoughts, and emotions. |
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1.sentence stem-"so youre saying..." 2.key words 3.essence of what they said 4.check-out-"is that right?" |
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identify the key emotions of a client and feed them back to clarify affective experience. help client experience and understand emotional state more fully. |
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differences between paraphrasing and reflecting feeling |
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paraphrase-focus on content and clarification. reflecting feeling-focus on underlying emotion. |
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positive emotions-decrease cardiac reactivity, faster recovery from stressful situations, promotes positive meaning in negative circumstances. physicians who experiences pos emotions were less likely to prematurely diagnose a patient. ppl w/ access to more pos emotions showed fewer signs of depression in response to 9/11. |
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both feelings and thoughts influence outcome so it doesnt matter which order they happen in. you are likely to experience resistance from clients who are logical thinkers, come from a culture where public expression of emotion is avoided, ppl who have experienced trauma, look for noticeable absence of emotion. |
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1.sensorimotor-experience emotions fully, wear emotions on sleeve, cant separate themselves from emotion. reflection is difficult bc they are so overcome by emotion. 2.concrete-sepcific naming of emotions. i am sad. difficulty understanding complex feelings. 3.abstract formal-operational-can reflect on their emotions. with the style you may be detached from the experience. 4.abstract dialetic/systemic-can analyze emotions (multi-perspective view). Most logical, thought driven style and least experience of emotion. drawback is you are too intellectually involved to experience emotions. |
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emotionally focused therapy -main objectives |
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promote secure bond bt relationship partners. focus on the present. change happens primarily in session. focus on emotions. |
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emotionally focused therapy -key concepts |
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emotion-tells us what our motivations and needs are. primary-emotions are core reactions to the events in our lives. this includes core emotions such as sadness, fear, hurt. secondary-emotions are our emotional reactions to the primary emotions. ex:i may feel hurt (pri) but I then feel angry (sec) in response to the hurt. |
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emotionally focused therapy -attachment |
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an innate and primary motivating force, people naturally desire secure attachment to partners. attachment injuries-can occur when significant ppl in our lives dont meet our expectations e.g. cheating on spouse. |
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emotionally focused therapy -interaction cycles |
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patterns that are created and maintained by emotional ractions and subsequent behaviors. ex:i am now feeling angry in response to being hurt so i might verbally attack the person by criticizing them. that person is now going to have an emotional response to my criticism. he/she will then have a behavior response to those emotions which i would react to and so on. these cycles can look very similar even when the details change bc they are activating core emotions which we respond to in repetitive ways. |
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collaborative-process consultant maintain safety-EFT contraindicated w/ cases of domestic violence. doesnt work well if both ppl arent commited. |
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stage 1:De-escalation step 1-creating alliance and defining conflict. step 2-exploring the interaction cycle related to the conflict. step 3-explore the emotions underlying the current interaction cycle. step 4-reframe the problem in terms of the interaction cycle, emotions, and attachment needs. Stage 2:changing interactional positions step 5-identification w/ own needs and emotions. step 6-acceptance of partner's experience step 7-expression of needs and creation of bonding events that redefine the interaction. Stage 3:consolidation and integration step 8-new solutions to old problems step 9-new and healthier cycles of interaction |
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1.negative cycle de-escalation 2.withdrawer engagement 3.blamer softening |
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the key facts of the situation. get the central emotions and feelings. an overall summary of the issue. relationship established first, session begins w/ an open q, closed q's for clarification, paraphrases are used to check out the content of client's story, reflection of feeling examines key emotions, summary of the concern expressed by the client, encouragers are used throughout to enrich and evoke details. |
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1.relationship-initiating the session. rapport, trust building and structuring. 2.story and strengths-gathering data. drawing out stories, strengths and feeling. 3.goals-where do you want to be? goals should be specific and measurable. 4.restory-exploring alternatives--ways to reach a goal. 5.action-whats the next step; will you make the changes? |
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confrontation has been used on substance abuse treatment for decades despite no empirical support/evidence proving it works. geared toward attacking the client's defenses and rendering the client dependent on the clinician. confrontation style resulted in more resistance than person centered styles. |
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directive vs. non-directive-directive is best when client is in denial; non-directive is preferred method as directive approach can lead to resistance. holding clients accountable-promote personal choice, back off. |
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prescribed ordeals in therapy. countering the payoff of a problem. you like to smoke, ok--you're gonna smoke a whole pack. ppl will change to avoid the ordeals inherent in being a client. confrontation presents an ordeal that promotes change in the client. |
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confrontation involves listening respectfully; and seeking to help the client examine self or situation more fully. confrontation is "going with" the client, seeking clarification and the possibility of alternatives, which enable resolution of difficulties. confrontation can lead to change and client growth--avoid harshness. |
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1.identify the conflict and/or discrepancy-non verbal behaviors, 2 statements, what one says and what one does, bt 2 ppl. 2.point out and clarify issues of incongruity and work to resolve them-be specific abt the issue, dont accuse the client, use open ended q's. 3.evaluate the change-observation skills (how did they react), open q's. |
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focusing on culture--helps show who the person is when considering cultural components. all about context. what client thinks contributes to who they are. ex: butterfly example |
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like a family tree with coding for various things. |
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use actual ppl to demonstrate family relationships and interactions. proximity is important. |
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