PMHNP ANCC Review 100% PASSSED
Characteristics of a Therapeutic Relationship
Genuineness
Acceptance
Nonjudgement
Authenticity
Empathy
Respect
Professional boundaries
Single most important goal in transformation of mental health care in the past two decades
Recovery
Sadness can be pathological when...
It is disproportionate to events and sustained over a significant time period;
It significantly impairs normal social functioning (occupational, social, school, relational) or somatic
functioning (eating, sleep); it is apparently unrelated to any identifiable event or situation in a person's
life
Psychodynamic Theories
Object Loss Theory
Aggression-Turned-Inward Theory
Cognitive Theory (Beck 1979)
Learned Helplessness-Hopelessness Theory
Benefits of Group Therapy
(ISCC) Insight, Social Skills, Cost-effective, Community
Increases insight about oneself
Increases social skills
Is cost-effective
Develops a sense of community
Who created Humanistic Therapy?
Carl Rogers
,Person-Centered Therapy is also known as
Humanistic Therapy
Who created DBT?
Marsha Linehan (born 1943)
Who developed definition of group phases?
Tuckman
Name the group phases
Pregroup
Forming
Storming
Norming
Performing
Adjourning
Pregroup Phase
Leader considers direction and framework of the group
Purpose, goals, membership size, pregroup interview, informed consent
Forming Phase
Members worried about self-disclosure and being rejected.
Goals and expectations identified, boundaries established
Development of trust and rapport very important in this phase
Storming Phase
Members resistant; may use testing behaviors.
Issues begin to surface related to inclusion, control, affection
Leader's tasks: Allow expression of positive and negative feelings, assist group in understanding
underlying conflict, examine nonproductive behaviors
Norming Phase
,Resistance to group overcome by members
Strong attraction to group and others emerges
Open and spontaneous communication occurs
Group norms established
Performing Phase
Group's work becomes more focused.
Creative problem-solving & solutions emerge
Experiential learning takes place.
Group energy directed towards completion of goals
Adjourning Phase
Preparation made to end group
Members & leaders express their feelings about each other and termination
Discussion about what was learned and what issues still exist takes place
When does work of termination begin (what group stage)?
First stage
Solution-Focused Therapy - what techniques are involved?
Miracle Questions
Exception-finding questions
Scaling questions
Focus of Solution-Focused Therapy
To rework for the present situation solutions that have worked in the past
Strategic Therapy - techniques?
Straightforward directives
, Paradoxical directives
Reframing belief systems
Family Systems Theory
One could not understand any family member (part) without understanding how all family members
operate together (system)
Family Homeostasis
Tendency of families to resist change and to maintain a steady state
Morphogenesis
A family's tendency to adapt to change when changes are necessary
Morphostasis
Family's tendency to remain stable in the midst of change
Who created Family Systems Therapy?
Murray Bowen
Family Systems Therapy - summarize
Originated by: Murray Bowen
Focus on: Chronic anxiety within families
Treatment goals: Increase family's awareness of each member's function within the family and increase
levels of self-differentiation (level at which one's sense of self-worth is not dependent on external
relationships)
Cognitive Therapy - creator?
Aaron Beck, 1979
Primary Prevention - what is it?
Aimed at decreasing the incidence (number of new cases) of mental disorders
Examples of Primary Prevention?
Helping people avoid stressors or cope with them more adaptively:
Smoking prevention classes
Characteristics of a Therapeutic Relationship
Genuineness
Acceptance
Nonjudgement
Authenticity
Empathy
Respect
Professional boundaries
Single most important goal in transformation of mental health care in the past two decades
Recovery
Sadness can be pathological when...
It is disproportionate to events and sustained over a significant time period;
It significantly impairs normal social functioning (occupational, social, school, relational) or somatic
functioning (eating, sleep); it is apparently unrelated to any identifiable event or situation in a person's
life
Psychodynamic Theories
Object Loss Theory
Aggression-Turned-Inward Theory
Cognitive Theory (Beck 1979)
Learned Helplessness-Hopelessness Theory
Benefits of Group Therapy
(ISCC) Insight, Social Skills, Cost-effective, Community
Increases insight about oneself
Increases social skills
Is cost-effective
Develops a sense of community
Who created Humanistic Therapy?
Carl Rogers
,Person-Centered Therapy is also known as
Humanistic Therapy
Who created DBT?
Marsha Linehan (born 1943)
Who developed definition of group phases?
Tuckman
Name the group phases
Pregroup
Forming
Storming
Norming
Performing
Adjourning
Pregroup Phase
Leader considers direction and framework of the group
Purpose, goals, membership size, pregroup interview, informed consent
Forming Phase
Members worried about self-disclosure and being rejected.
Goals and expectations identified, boundaries established
Development of trust and rapport very important in this phase
Storming Phase
Members resistant; may use testing behaviors.
Issues begin to surface related to inclusion, control, affection
Leader's tasks: Allow expression of positive and negative feelings, assist group in understanding
underlying conflict, examine nonproductive behaviors
Norming Phase
,Resistance to group overcome by members
Strong attraction to group and others emerges
Open and spontaneous communication occurs
Group norms established
Performing Phase
Group's work becomes more focused.
Creative problem-solving & solutions emerge
Experiential learning takes place.
Group energy directed towards completion of goals
Adjourning Phase
Preparation made to end group
Members & leaders express their feelings about each other and termination
Discussion about what was learned and what issues still exist takes place
When does work of termination begin (what group stage)?
First stage
Solution-Focused Therapy - what techniques are involved?
Miracle Questions
Exception-finding questions
Scaling questions
Focus of Solution-Focused Therapy
To rework for the present situation solutions that have worked in the past
Strategic Therapy - techniques?
Straightforward directives
, Paradoxical directives
Reframing belief systems
Family Systems Theory
One could not understand any family member (part) without understanding how all family members
operate together (system)
Family Homeostasis
Tendency of families to resist change and to maintain a steady state
Morphogenesis
A family's tendency to adapt to change when changes are necessary
Morphostasis
Family's tendency to remain stable in the midst of change
Who created Family Systems Therapy?
Murray Bowen
Family Systems Therapy - summarize
Originated by: Murray Bowen
Focus on: Chronic anxiety within families
Treatment goals: Increase family's awareness of each member's function within the family and increase
levels of self-differentiation (level at which one's sense of self-worth is not dependent on external
relationships)
Cognitive Therapy - creator?
Aaron Beck, 1979
Primary Prevention - what is it?
Aimed at decreasing the incidence (number of new cases) of mental disorders
Examples of Primary Prevention?
Helping people avoid stressors or cope with them more adaptively:
Smoking prevention classes
