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Chapter 6 Basic Features of Clinical Interventions.pdf

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PSY 257
Donna Darbellay

Chapter 6 : Basic Features of Clinical Interventions October-09-12 8:10 PM 1. What is Psychotherapy? A process with a goal. ◦Application of therapeutic interventions ◦Contractual relationship (preferred in the application of a treatment; cooperation is no violation of boundaries) With a Goal (relief) ◦Assist the client with a mental health. ◦Modification of behavior (goal is relief) ◦Social or personal functioning 2. Participants in the Process The Client ◦Client? or patient? ◦Implications ◦Current prevalence The Therapist ◦Contractor? or doctor? Is there an openness? Contractual relationship? ◦Implications ◦Current prevalence – calling people “clients.” The culture Disorders fastens disorder (Bowen & Bronfenbrenner) Delayed treatment, untreated (e.g. divorce) 3. The Client Manifestation of disorders ◦State - situational/temporal ◦Trait - characterological ◦Role of coping/defense mechanisms Prevalence of disorders ◦Anxiety ◦Mood ◦Self-regulation/ behavioral (ODD, CD, substance abuse & addictions  All at the top Disorders are increasingly prevalent at earlier ages. 4. Client Variables that affect Treatment Thorndike’s Law of Readiness: Cooperative and open vs. resistant (Joseph) ◦LFK (if tested, will reflect openness or resistance) Motivated ◦Referral source & identifying information  Wife? Mom? Judge? Self? View? Gender: (Garfield 1994) Expectations: perception of therapy Perception of therapist *pill or problem* (SOLERP) Personality or coping style FRANZ: the reason the person is in therapy is due to an inadequate coping. Serious orders usually develop during childhood. 5. Problems in the Process associated with the client Delay *tends to delay seeking help* ◦Disorder factors ◦Attitude: fears, self-image, Law of readiness: Interfering with a personal goal & forcing someone to do something when they are not ready or to not do something that is satisfying for them. ◦Family doctor ◦Values ◦Gender/education/race 6. The Therapist Macroskills (strong interpersonal skills & strong intrapersonal skills)  self-aware, self- regulation ◦Empathy (N-V, V) Personality-inquisitive, listening, reflective (personal experiences & in/out of therapy room) ◦Communication skills ◦Self-awareness & self regulation ◦Internalized perso
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