Exam 9: Using Integrative Helping Strategies and Interventions
Successful cognitive restructuring is LEAST likely to occur when clients
B
Prepare a chart summarizing cognitive,affective,behavioral,language-focused,and systemic approaches to assisting clients with their presenting concerns.Under each of these five headings,in point form,identify corresponding theoretical orientations,treatment strategies,and manifestations of client problems.
Cognitive Approaches:
- Theoretical orientations: Cognitive Behavioral Therapy (CBT), Rational Emotive Behavior Therapy (REBT)
- Treatment strategies: Identifying and challenging negative thought patterns, cognitive restructuring, homework assignments
- Manifestations of client problems: Negative thinking patterns, distorted beliefs, irrational thoughts
Affective Approaches:
- Theoretical orientations: Person-Centered Therapy, Gestalt Therapy
- Treatment strategies: Empathy, unconditional positive regard, focusing on emotions and feelings
- Manifestations of client problems: Emotional distress, lack of self-awareness, difficulty expressing emotions
Behavioral Approaches:
- Theoretical orientations: Behavior Modification, Applied Behavior Analysis
- Treatment strategies: Behavior tracking, reinforcement, shaping
- Manifestations of client problems: Maladaptive behaviors, lack of motivation, difficulty with self-control
Language-Focused Approaches:
- Theoretical orientations: Narrative Therapy, Solution-Focused Brief Therapy
- Treatment strategies: Externalizing the problem, exploring alternative narratives, focusing on solutions
- Manifestations of client problems: Negative self-talk, limited problem-solving skills, lack of alternative perspectives
Systemic Approaches:
- Theoretical orientations: Family Systems Therapy, Structural Family Therapy
- Treatment strategies: Family mapping, boundary setting, communication exercises
- Manifestations of client problems: Interpersonal conflicts, dysfunctional family dynamics, lack of support systems
Illustrate the application of the following elements of Acceptance and Commitment Therapy: 1)defusion,2)experiential avoidance,3)mindfulness,and 4)values and commitment.What is the helper's role in addressing these elements?
Acceptance and Commitment Therapy (ACT) is a form of cognitive behavioral therapy that focuses on acceptance and mindfulness strategies to help individuals live a more meaningful life. The application of the following elements of ACT can be illustrated as follows:
1) Defusion: Defusion is the process of distancing oneself from unhelpful thoughts and beliefs. In ACT, this can be achieved through techniques such as labeling thoughts as "just thoughts" or using metaphors to help clients see their thoughts as separate from themselves. For example, a therapist may use the metaphor of leaves on a stream to help a client visualize their thoughts passing by without getting caught up in them.
2) Experiential Avoidance: Experiential avoidance refers to the tendency to avoid or suppress uncomfortable emotions or experiences. In ACT, the focus is on helping clients to accept and be present with their emotions, rather than trying to avoid or control them. This may involve mindfulness exercises or exposure techniques to help clients confront their fears and discomfort.
3) Mindfulness: Mindfulness is a key component of ACT, and involves being fully present and aware in the moment. This can be practiced through meditation, breathing exercises, or simply paying attention to one's thoughts and sensations without judgment. The therapist may guide clients through mindfulness exercises to help them develop a non-judgmental awareness of their experiences.
4) Values and Commitment: In ACT, clients are encouraged to clarify their values and commit to taking action that is in line with those values. This may involve identifying what is truly important to the client and setting goals that align with those values. The therapist may help clients explore their values and set meaningful goals for themselves.
The helper's role in addressing these elements is to guide and support the client in developing these skills. This may involve teaching specific techniques for defusion, experiential avoidance, and mindfulness, as well as helping the client clarify their values and commit to taking action. The helper also provides a supportive and non-judgmental environment for the client to explore and work through their experiences. Additionally, the helper may provide accountability and encouragement as the client works towards their goals. Overall, the helper plays a crucial role in facilitating the client's growth and development in these areas.
When a helper includes extended family,community elders,and/or spiritual leaders in the treatment of the client,this complementary extension of the role of traditional helper is referred to as
Summarize the tenets of narrative therapy.Provide a rationale for the use of externalizing questions and questions of unique outcomes.
Which of the following does NOT apply to the self-management strategy of self-monitoring?
Social modeling,rehearsal,feedback,shaping,successive approximation,and in vivo tasks are elements of __________.
According to Lowen (1965),a bioenergetics therapist,__________ emotional problems are manifested in a disturbance in breathing.
Outline the approach you would employ in engaging a client in cognitive restructuring,basing your response on the work of Beck and Meichenbaum.
In order for a client to obtain therapeutic benefit from a helping session,the eliciting and expression of feelings needs to be accompanied by
To determine the personal meaning of a "slip of the body",Perls (1973),a Gestalt therapist,suggested that the client
Define the construct of emotional intelligence and explain its importance in enabling clients to lead fully actualized lives.Outline helping interventions aimed at enhancing the development of emotional intelligence through identification,assessment,eliciting,expressing,understanding,and regulating feelings.
According to Horney (1970),a client who presents as accommodating and cooperative,and who finds it difficult to be assertive and to express anger,is likely to be displaying a _________ interactional pattern.
An adaptive approach that will assist clients in containing difficult feelings and to avoid becoming overwhelmed is to
Imagine that a client has approached you for help with smoking cessation.Outline a self-monitoring program that you and the client might develop and employ,with consideration of what,how,and when to monitor.
Illustrate the application of A-B-C-D-E analysis with a hypothetical client.Identify the client's presenting concern and the manner in which you would assist the client through the analysis process.
Greenberg (2002)contends that clients will not be able to change their emotions unless they
Hanna and Cardona (2013)consider the following precursors for client liberation from oppression EXCEPT
When using incomplete sentences to aid in eliciting and expressing feelings,a client completes a sentence stem such as,"If I felt angry,…" by
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