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1. Purpose of group Relationship with others can be recreated. To discuss problems and concerns
therapy through regular meetings with a leader, learn new bxs/coping skills
2. information giv- presents facts and opinions to the group members
er
3. Basic Premises of 1. that human beings are social animals, and
group therapy 2. that we heal in community. This is why group therapy is so efficacious. This
correlated to Maslow's third level in his hierarchy of needs; the need for love and
belonging. Group therapy provides a
4. cognitive behav- a popular integrative therapy that combines cognitive therapy (changing self-de-
ioral therapy feating thinking) with behavior therapy (changing behavior)
5. Cognitive Behav- Therapy consists of active questioning, homework assignments, and dream sur-
ioral therapy con- vey. The therapist helps the patient consider personal ideas and beliefs in order
sists of to increase the patient's realization about how thoughts influence behaviors.
6. goals of cognitive To establish a nurse-patient therapeutic relationship. Complete a full assessment
behavioral thera- of the patient (via intake interview), Set an agenda for therapy sessions. Give
py constructive feedback to direct the course of the therapy.
7. Cognitive Behav- Helping the individual to alter mood by changing the way he or she thinks. The
ioral Therapy fo- individual is taught to control negative thought distortions that lead to pessimism,
cuses on lethargy, procrastination, and low self-esteem.
8. dialectical behav- Promising treatment for borderline personality disorder that involves exposing
ior therapy (DBT) the client to stressors in a controlled situation, as well as helping the client regulate
emotions and cope with stressors that might trigger suicidal behavior.
9. Dialetical Behav- a treatment designed specifically for individuals with self-harm behaviors, such as
ior Therapy (DBT) self-cutting, suicide thoughts, urges to suicide, and suicide attempts
10.
, 526 Exam 2
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The Three modes 1. Individual therapy (once a week for an hour utilizing cognitive-behavioral
of DBT techniques)
2. Skills group - 2-hour weekly skills group; 4 sets of skills:
Mindfulness
Interpersonal effectiveness (IE)
Emotion regulation (ER)
Distress tolerance (DT)
3. Telephone Crises Management - Contract to call therapist for suicide or
self-harm behaviors.
11. CBT and time For many therapists, CBT is considered among the most effective and rapid in
benefit terms of results obtained. Other forms of therapy, like psychoanalysis, can take
years because it's most often used to treat long standing difficulties. With CBT,
clients are usually aware and understand at the very beginning of the therapy
process that there will be a point when the formal therapy will end. Professionals
will inform clients that CBT treatment will eventually end—a decision made by
both therapist and client.
12. Cognitive Distor- The goal of CBT is to change the patient's irrational beliefs, faulty conceptions and
tions in CBT negative cognitive distortions. The 3 components of CBT: Cognitive restructuring
(how we think), Behavioral activation (how we feel and behave), Problem solving.
13. Overgeneraliza- You make a sweeping negative conclusion that goes far beyond the current
tion in Therapy situation. Example: Because I felt comfortable at the meeting, I don't have what it
takes to make friends.
14. Process of CBT An experienced cognitive behavior therapist accomplishes many tasks at once:
conceptualizing the case, building rapport, socializing and educating the patient,
identifying problems, collecting data, testing hypotheses, and summarizing.
15. Self Disclosure in At times the therapist might use judicious self-disclosure instead of additional
Therapy to Socratic questioning or other methods to demonstrate how you were able to
change similar automatic thoughts that you had: Example: Therapist: You know
, 526 Exam 2
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Sally, sometimes I have thoughts like yours. "I have to make everyone happy". But
then I remind myself that I have a responsibility to take care of myself, and the
work probably wont end if someone is disappointed. Do you think that applies to
you too?
16. Altruism in thera- The group is a place where members can help each other, and the experience of
py being able to give something to another person can lift the member's self-esteem
and help develop more adaptive coping styles and interpersonal skills.
17. Attachment The- the tendency in human beings to make strong affectional bonds with others
ory (Bowlby) coming from the need for security and safety
18. attachment theo- Attachment can be defined as the emotional tone between children and their
ry caregivers, as seen within the 1st month. Originated by John Bowlby.
19. Concepts of at- - Attachment constituted a central motivational force and that mother/infant was
tachment theory an essential medium of human interaction which has important consequences for
later development and personality functioning.
- Can form attachments to more than one person, develops gradually
- It results in the infant wanting to be with the person who is perceived as stronger,
wiser, able to reduce stress and anxiety.
- Gives the infant a feeling of security
- The amount of time spent together is less important than the amount of activity
between the two.
20. First phase (birth to 8-12 wks)- babies orient to their mothers, follow them with their eyes
of attachment- over a 180 degree range, and turn towards mothers voice. Next is
"pre attachment
stage"
21. Second Stage of 8-12 wks - 6 months. Infants become more attached to one or more persons in
Attachment- "in the environment.
the making"