Exam 20: Solidifying Understanding of Treatment Systems

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Choose two treatment approaches reviewed in Chapter 20 that represent different areas of focus in the BETA model. Compare the two theories on the following dimensions: ●area of focus in the BETA model ●underlying theory/view of change ●important concepts ●treatment of background, emotions, thoughts, and actions ●important strategies ●the therapeutic alliance ●applicability to various diagnostic and demographic groups ●extent of research validation

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The two treatment approaches reviewed in Chapter 20 that represent different areas of focus in the BETA model are Cognitive-Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT).

Comparing the two theories on the dimensions provided:

1. Area of focus in the BETA model:
- CBT focuses on the cognitive and behavioral aspects of the BETA model, with an emphasis on identifying and changing negative thought patterns and behaviors.
- DBT, on the other hand, focuses on emotional regulation, distress tolerance, and interpersonal effectiveness, addressing the emotional and behavioral aspects of the BETA model.

2. Underlying theory/view of change:
- CBT is based on the theory that thoughts, emotions, and behaviors are interconnected, and changing negative thought patterns can lead to changes in emotions and behaviors.
- DBT is based on the theory that individuals with emotional dysregulation struggle with managing their emotions, and through validation, acceptance, and skill-building, they can learn to regulate their emotions and behaviors.

3. Important concepts:
- CBT emphasizes identifying and challenging cognitive distortions, behavior activation, and relaxation techniques.
- DBT emphasizes mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills.

4. Treatment of background, emotions, thoughts, and actions:
- CBT addresses background through exploration of past experiences and how they influence current thoughts and behaviors. Emotions, thoughts, and actions are treated through cognitive restructuring and behavioral experiments.
- DBT addresses background through validation of past experiences and focuses on emotional regulation, identifying and labeling emotions, and using skills to manage them effectively.

5. Important strategies:
- CBT uses cognitive restructuring, behavioral experiments, and homework assignments to help clients change their thought patterns and behaviors.
- DBT uses skills training, validation, and dialectics to help clients regulate their emotions and improve their interpersonal relationships.

6. The therapeutic alliance:
- Both CBT and DBT emphasize the importance of a strong therapeutic alliance in the treatment process, with empathy, validation, and collaboration being key components.

7. Applicability to various diagnostic and demographic groups:
- CBT has been widely studied and validated for a range of mental health disorders and demographic groups.
- DBT was initially developed for individuals with borderline personality disorder but has since been adapted and studied for other populations, such as those with substance use disorders and eating disorders.

8. Extent of research validation:
- Both CBT and DBT have a substantial body of research supporting their effectiveness for various mental health disorders, with numerous randomized controlled trials and meta-analyses demonstrating their efficacy.

In summary, CBT and DBT represent different areas of focus within the BETA model, with CBT emphasizing cognitive and behavioral aspects and DBT focusing on emotional regulation and interpersonal effectiveness. Both approaches have strong empirical support and can be applied to a wide range of diagnostic and demographic groups.

Which of the following is not a criterion of sound treatment theories?

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C

Which of the following treatment approaches rarely makes use of between-session tasks?

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B

Which of the following treatment approaches focuses most on people's actions?

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Among the treatment approaches reviewed in Chapter 20, the most frequently recommended type of therapeutic alliance is

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In the future, managed care is expected to require proof of outcome effectiveness.

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Identify the category in the BETA model (background, emotions, thoughts, actions) that is the focus of each of the following treatment approaches: ?cognitive therapy ?solution-focused brief therapy ?individual psychology ?rational emotive behavior therapy ?analytical psychology ?reality therapy ?brief psychodynamic therapy ?person-centered counseling ?existential therapy ?Gestalt therapy ?behavior therapy ?cognitive-behavioral therapy

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Choose two other treatment approaches: (1) one of your preferred approaches, and (2) one of your least preferred of those studied. Compare them on the following dimensions and then explain why each of the two theories does or does not appeal to you: ●area of focus in the BETA model ●underlying theory/view of change ●important concepts ●treatment of background, emotions, thoughts, and actions ●important strategies ●the therapeutic alliance ●applicability to various diagnostic and demographic groups ●extent of research validation

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An increase in the use of brief psychodynamic treatment approaches is unlikely.

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Which of the following is not one of the common factors that Lambert and Bergin believe accounts for client improvement?

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Describe at least four factors that usually play a part in a clinician's choice of preferred treatment orientations. Which of these do you think will have the greatest influence on you? Explain why.

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Which of the following treatment systems has received the most empirical validation of its effectiveness?

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C.J., a 46-year old man, sought your assistance because he feels "down." He recently lost his job because of a company downsizing, and he feels that his new job does not make good use of his skills and knowledge. He is concerned that his persistently negative mood may be affecting his job performance. He is wondering whether he should look for another job or continue in his current one. He has never sought counseling before and seems ambivalent about seeing you. Choose a theoretical approach that you might use to treat C.J. What particular strategies or interventions would you use? What sort of therapeutic alliance would you seek to establish? What might you do to enhance the likelihood of success with C.J.? Provide a rationale for all of your choices.

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Which of the following treatment approaches pays the least attention to emotions?

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A decrease in the prescriptive matching of treatment to diagnosis is anticipated.

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The number of clinicians who opt out of insurance plans is likely to increase.

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Which of the following treatment approaches does not emphasize early childhood experiences?

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One of the most consensual commonalities of effective treatment is

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Technology, such as virtual reality, Skype, and email is likely to be banned in counseling.

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Eastern traditions such as mindfulness, meditation, and acceptance will increasingly be incorporated into treatment.

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