Final Exam 545 Questions and Answers
1.No time limits on services: Your membership does not expire. You can participate asmuch or as little as you want. You can return after any length of absence. Memberscan try as many transitional or supported jobs as they need to in order to succeed.
Belonging...
No time limits on services: Your membership does not expire. You can participate as
much or as little as you want. You can return after any length of absence. Members
can try as many transitional or supported jobs as they need to in order to succeed.
Belonging to a group: A Clubhouse is a community of people. You are welcomed and
included for who you are.
A non-medical/clinical focus: At the Clubhouse the focus is on what you want to do
and what you can do—not on a diagnosis or disability.
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, Benefits from Clubhouse model
Includes: Didactic instruction and advice, suggestions and guidance
Maxwell Jones, 1940s, lectured to psychiatric patients about the function of nervous
system
Current practice includes psycho-educational groups (i.e., how medications work)
Specialized problem elucidation (i.e., what causes obesity, or the addictive cycle)
Groups sometimes begin with the presentation of some general principles (i.e., Cole's
group experiences with cultural competence,introductory concepts).
Many groups do not highly value didactic information.
Direct advice
Generally comes from other group members
Most often occurs early in group's development
Much can be learned about interpersonal style of clients through the act of seeking
or offering advice
"Yes, but..."Seeking help = seeking attentionLacking respect for the complexity of
problems of other
Most effective when alternatives are offered
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Imparting Information
Looking inward
De-repression (exposing previously unconscious material)
Self-awareness, understanding, self-discovery
Therapist facilitates insight through analysis of transference and parataxic distortions
Working through (psychoanalytic term) involves group discussion of more realistic
perceptions of self and others, both inside and outside the group.
Four levels of insight in groups:
Clients learn how they are seen by others
Understanding complex interpersonal patterns of behavior (e.g., dependency,
, dominance,competitiveness, need for admiration, etc.)
Motivational insight: Why they do what they do with other people (uncovering deeper
layers of
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Insight
Special interest pleader
Invokes guilt and blame
Blames and judges other members
Doesn't care about being liked, just "right"Usually appears self assured and calm
Will not admit to being wrong or concede in principle
Feels shame on deeper level
Creates maladaptive cycle, similar to HRC
Get group to give SRM feedback on how behavior makes them feel.
Discuss consequences of behavior on relationships with others.
Use empathy to develop trust.Look at pattern of behavior outside group and
consequences for SRM.
Do not tell him he is right.
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Self-righteous moralist
The transdisciplinary approach involves all team members "blurring" roles by crossing
boundaries predetermined by their disciplines.
This model maximizes the effectiveness of each member.
Leadership rotates according to client needs and priorities.
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