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Motivational Interviewing
Overview; Self-Disclosure; Gestalt
69
Psychology
Undergraduate 3
04/04/2013

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Term
What are the 3 philosophical foundations of person-centered theory?
Definition
-phenomenology
-humanism
-existentialism
Term
Study of human consciousness; focus on subjective, inner reality
Definition
Phenomenology
Term
All people tend to naturally move towards positive growth
Definition
Humanism
Term
Life as inherently meaningless or neutral until a person creates meaning
Definition
Existentialism
Term
3 conditions promote client change: empathy, counselor genuineness, and unconditional regard
(Approach)
Definition
Person-centered/Rogerian
Term
People must be understood holistically and contextually
(Approach)
Definition
Gestalt
Term
Who developed person-centered theory?
Definition
Carl Rogers
Term
First researcher to record counseling sessions
Definition
Carl Rogers
Term
4 things PCT challenges against the directive and psychoanalytic approaches
Definition
-the assumption that "counselor knows best"

-the validity of suggestion/persuasion, teaching the disorder, and interpretation

-the belief that clients can not resolve their own problems without direct help

-the focus on problems over person
Term
Humanistic vs. Psychoanalytic

Goals
Definition
Promote growth

Cure mental illness
Term
Humanistic vs. Psychoanalytic

How to improve
Definition
Take responsibility for actions and feelings

Bring unconscious conflicts into conscious awareness
Term
Humanistic vs. Psychoanalytic

Role of therapist
Definition
Provide an environment in which growth can occur

Provide interpretation
Term
Humanistic vs. Psychoanalytic

Content of therapy
Definition
Conscious feelings, actual self, and ideal self

Unconscious conflicts
Term
Humanistic vs. Psychoanalytic

Time focus
Definition
Present and future

Past
Term
3 other names for PCT
Definition
Client-centered

Non-directive

Process-oriented
Term
Who determines the goal of PCT counseling?
Definition
the client
Term
PCT places greater attention on ______ ("how" life is experienced) more than what "happens."
Definition
inner processes
Term
3 underlying premises of PCT
Definition
-people are inherently good

-people have an innate need to grow and develop

-people have the ability to solve their own problems
Term
People have the innate need to grow and develop
(PCT)
Definition
actualizing tendency
Term
6 process goals of PCT (increase)
Definition
-ability to identify emotions in the present

-sense of responsibility for own problems and their resolution

-sense of agency and proactive behavior in work life

-frequency of peak experience and flow in work life

-ability to set realistic expectations for self and others to increase acceptance

-ability to trust the evolving and changing nature of the self
Term
One process goal of PCT (decrease)
Definition
use of facades in personal relationships to increase experience of intimacy
Term
3 Core conditions of PCT that are necessary and sufficient for change
Definition
-counselor congruence/genuineness

-unconditional positive regard

-accurate empathetic understanding of the client
Term
Maslow's Hierarchy of Needs

(PCT)
Definition
1. Physiological needs
2. Safety and security
3. Love and belonging
4. Self-esteem
5. Self Actualization
Term
Self-actualization (3)

(PCT)
Definition
-becoming that self which one truly is

-living an authentic. meaningful life

-fulfilling one's potential
Term
7 things PCTherapists do NOT do
Definition
-reassuring cliches
-give advice
-request an explanation
-agree with client
-disagree with client
-give approval
-give disapproval
Term
William Miller and James Rollnick
Definition
Motivational Interviewing
Term
4 forces that block change

(MI)
Definition
diablos concidos
fear of failure
reactance/resistance
lack of alternate coping techniques
Term
the status quo is familiar, change is unpredictable and anxiety-provoking behavior
Definition
diablos concidos
Term
The Spirit of Motivational Interviewing
Definition
-collaborative

-evocative

-honoring patient autonomy
Term
What does MI seek to resolve in order to enhance intrinsic motivation?
Definition
ambivalence
Term
4 Principles of MI
Definition
-express empathy
-develop discrepancy
-roll with resistance
-support self-efficacy
Term
What techniques does a MI counselor use to roll with resistance?
Definition
OARS
O: open ended questions
A: affirmations
R: reflection
S: summarizing
Term
2 Contributions of PCT
Definition
-strong research support for importance of empathy, positive regard, and congruence (necessary but NOT sufficient)

-the focus on individual's subjective experience allows it to be easily adapted to diverse populations
Term
4 Criticisms of PCT
Definition
-non directive approach may be bad for clients who prefer structured, practical approach and who are not able to find their own answers

-difficult to standardize for research because the lack of specific techniques

-rose colored glasses; perhaps overly positive view of human condition

-theory has not evolved much since 60s
Term
5 Pros of therapist self-disclosure
Definition
-normalizes client condition
-validates client
-increases empathy
-increases credibility
-humanizing
Term
4 Cons of therapist self-disclosure
Definition
-may detract from work of therapy
-loss of credibility
-crossing boundaries
-risk of countertransference
Term
Psychoanalytic view of self disclosure
Definition
-discourages it because it favors neutrality

-therapists should be a blank screen upon which clients can project thoughts/feelings

-see neutrality as essential for uncovering, interpreting, and resolving client transference
Term
CBT view of self disclosure
Definition
-can be used to model coping strategies and problem solving techniques

-expressly encourages judicious SD
Term
PCT view of SD
Definition
-it shows therapist is genuine and has positive regard for the client (which are vital to promote openness, intimacy, trust, self-understanding, and change)

-therapists can serve as role models

-equalizes the power in therapeutic relationships
Term
3 Guiding principles of self disclosure
Definition
-disclosure should always be made in service of client's benefit

-be mindful of content

-return focus to client after disclosure
Term
Fritz Perls
Definition
Gestalt Therapy
Term
Why the term "gestalt?"
Definition
Gestalt = whole or form

We are more than just the sum of our parts
Term
Awareness of the here and now and accepting responsibility for one's self
(Gestalt)
Definition
organismic holism
Term
According to Gestalt therapy, when do psychological problems arise?
Definition
When a person avoids direct contact with parts of themself
Term
(Gestalt) People can deal with problems if _______.
Definition
they become aware of what is happening within and outside themselves.
Term
Aim of Gestalt therapy:
Definition
help client achieve greater sense of wholeness, awareness, and aliveness
Term
Perl's 5 part process of becoming more authentic
Definition
1. phony layer
2. phobic layer
3. impasse layer
4. implosive layer
5. explosive layer
Term
(Layer) Person lives according to "shoulds" and habit; inauthentic life
Definition
phony
Term
(Layer) Person becomes worried and fearful that something is amiss
Definition
phobic
Term
(Layer) Person feels stuck and more open to seeking help; don't know where to go
Definition
impasse
Term
(Layer) Person feels empty and lost inside
Definition
impolosive
Term
(Layer) Person lets go of old pretenses, releasing bursts of new energy for authentic action
Definition
explosive
Term
Examined dysfunctions in ailing marriages and functions in working ones

Research-based and data driven
Definition
John Gottman
Term
Gestalt counselors view people as:
Definition
never-ending sequence of polarities or complementary parts
Term
4 examples of polarities/disowned parts
Definition
-social self vs. natural self
-adult vs. child
-perfect vs. failure
-emotional vs. logical
Term
Change happens when:

(Gestalt)
Definition
a disowned part is reintegrated into the rest of the identity
Term
The more one tries to change and be what they're not, the more one stays the same
Definition
The Paradoxical Theory of Change
Term
What is the goal behind the Paradoxical Theory of Change?
Definition
Accept that what "is," is and to make peace with what one is
Term
Shares thoughts, perceptions, and feelings as they occur in session to awaken client's authentic self
Definition
Gestalt therapist
Term
Willing to model for imperfection; does NOT hide behind professional veneer
Definition
Gestalt therapist
Term
Here and now; presence and spontaneity
Definition
Gestalt therapeutic relationship
Term
any incompletely expressed or non-expressed feelings which often become resentment
Definition
unfinished business
Term
Interventions of Gestalt therapy
Definition
-empty chair/2 chair
-body awareness
-dream work
-semantics/language modification
Term
(Intervention)
Talk to empty chair as if another person or part of self
Not venting
Opportunity to experiment with authentic expression in safe context
Definition
Empty chair/2 chairs
Term
(Intervention)
-Every emotion has a physiological component
-Repressed/suppressed emotions are expressed in the body
-Exercise helps clients identify and more effectively manage crisis emotions
Definition
Body Awareness
Term
Differences in Gestalt dream work
Definition
-Therapist does not know more than client
-Integration not interpretation
-Dreams are attempts to integrate the parts of self
-Explore what characters/parts of self may represent, what is neglected or emphasized in a person's life
Term
Direct clients to modify their language to highlight their autonomy, choice, and responsibility
Definition
Semantics
Term
Contribution of Gestalt therapy
Definition
The focus on the individual's subjective experience allows it to be adapted to diverse populations
Term
3 Criticisms of Gestalt therapy
Definition
-little research on process/outcomes (except for chair intervention)
-emotionally reserved clients may find emphasis on feelings offputting
-may not be useful for clients who had difficulty abstracting and imagining
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