UMass Amherst PSYCH 383 - Study Guide for Exam 2 (6 pages)

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Study Guide for Exam 2



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Study Guide for Exam 2

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Pages:
6
School:
University of Massachusetts Amherst
Course:
Psych 383 - Theory and Practice of Counseling and Psychotherapy
Theory and Practice of Counseling and Psychotherapy Documents
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Psych 383 Study Guide for Exam 1 Person Centered Therapy Understand the main tenets of Rogerian Person Centered Therapy personality theory conceptualization of health pathology theory of psychotherapy key therapeutic contents processes Personality theory individuals have creative powers to shape their own phenomenological world Conceptualization of health pathology health self concept congruence between perceived experiences self and ideal valued self Psychopathology failure to be in process discrepancy between experienced ideal self powerful need for self regard over actualization need to feel loved by others more than see self live according to conditions of worth conditional love if I act a certain way then I will be loved e g I should do this rigid shoulds I am a failure for not sticking to rigid shoulds when not get love wanted from actions established by others doesn t have to be said perceived through their actions e g parents only give attention for good grades keep getting perfect grades trying to be perfect to try to get attention Theory of psychotherapy assumption that patients can be trusted to make their own therapeutic decisions individual has capacity to understand what is causing pain the tendency to reorganize himself in direction of selfactualization to promote greater internal comfort therapist does little but little done to create growth climate Know the primary elements of the person centered therapeutic relationship Therapist neither an instrument of love nor an educator therapist conditions are hypothesized to help the patient to examine problems in a manner that shifts responsibility from others to self experience emotions in the moment accept uniqueness of self accept aspects of self formerly denied to awareness raise level of self regard without having to cater to external conditions of worth Know the main research findings for person centered therapies Rogers a parent of psychotherapy research especially process research therapist conditions neither necessary nor sufficient but helpful more effective than no treatment slightly less effective than CBT for some conditions most effective in increasing self esteem Know the primary critiques limitations of person centered approaches Really a fuzzy form of extinction actually a transference relationship with conditions of worth actually technique centered treatment too much faith in patient knowing best overemphasis on verbal report Understand the main tenets of Motivational Interviewing covered in the P N text extra slides on Moodle Person centered yet directive approach 4 main principles express empathy develop discrepancy roll with resistance support self efficacy efficacious for addictions anxiety depression PTSD eating disorders etc particularly effective with ethnic minority patients resistive patients implemented as stand alone treatment prelude fully integrated Familiarize yourself with key terms in chapter 5 of P N Actualization all humanity has but one basic motivational force a tendency towards actualization Actualizing tendency the inherent tendency of the organism to develop all its capacities in ways which serve to maintain or enhance the organism Allegiance effect tendency of the investigators to favor their own preferred treatment in conducting studies Autonomy inner control Client markers represent and expressed or inferred readiness for specific change tasks Client centered therapy Rogerian therapy Conditions of worth cannot regard themselves positively as worthy unless they live according to these conditions either consciously or subconsciously put in place by important other people Counterresistance therapists who respond to client resistance with confrontation or arguments are responding with this Dissemination implementation dissemination refers to spreading the evidence based treatment to professionals and the public implementation refers to practitioners using the treatment and thereby altering their clinical behavior Empathy sense the client s private world as if it were our own without our own anger fear or confusion getting bound up in the experience Existential living people let the self and the personality emerge from experience Fully functioning person demonstrate organismic trusting Genuineness means that therapists are freely and deeply themselves with the actual experiences of the therapists being accurately represented in their awareness of themselves Heteronomy control by others and the environment Incongruence difference between what is being experienced and what is symbolized as part of a person s self concept Motivational discrepancy provides motivation that triggers behavior change Motivational interviewing MI person centered directive approach that enhances intrinsic motivation to change by helping clients explore and resolve ambivalence Necessary sufficient conditions contained within the therapeutic relationship six conditions relationship vulnerability genuineness unconditional positive regard accurate empathy perception of genuineness Nondirective therapy clients come to treatment in distress they can be expected to express personal experiences that are troubling them Organismic valuing allows us to positively value those experiences perceived as maintaining or enhancing our lives and to value negatively those experiences that would negate our growth Person centered approach Process research concerns the interactions between client and therapist Project MATCH one of the largest psychotherapy outcome studies in history four sessions of an early form of MI was compared to 12 sessions of CB coping skill training and to 12 sessions of 12 step facilitation therapy Reflection of feelings therapist acts as a mirror or a reflection of the client s feelings Roll with resistance using the energy in the current the client to steer the interaction Self authority Self concept includes our perceptions of what is characteristic of I or me our perceptions of our relationships to others and to the world and the values attached to these perceptions Self regard individuals learn to regard themselves in much the same way as they experience regard from other people liking or disliking themselves as a total configuration for a particular behavior Subception the ability of the organism to discriminate stimuli at a level below what is required for conscious recognition Unconditional positive regard accepting and respecting others as they are without judgment or evaluation Gestalt and


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