CMN 548 MODULE 3 EXAM REPORTED QUESTIONS AND ANSWERS
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Course
CMN 548
Institution
CMN 548
CMN 548 MODULE 3 EXAM REPORTED QUESTIONS AND ANSWERS
•Adaptive Information Processing: - Answer-The hypothesis is that treatment with EMDR allows the client to access and reprocess negative memories, which leads to decreased psychological arousal associated with the memory
Those for whom cog...
CMN 548 MODULE 3 EXAM
REPORTED QUESTIONS
AND ANSWERS
•Adaptive Information Processing: - Answer-The hypothesis is that treatment with
EMDR allows the client to access and reprocess negative memories, which leads to
decreased psychological arousal associated with the memory
Those for whom cognitive therapies are probably not useful: - Answer-•Those too
depressed to participate in homework assignments
•Those who have limited cognitive capacities
•Those who have shown resistance to such treatments in the past
•Those who are too psychotic to "cognitive restructure" anything
•Those who wish to talk more about & process feelings
•Those with severe behavior problems for whom reward systems are a better way of
changing behaviors
PLAY THERAPY - Answer-•Originated with Anna Freud (psychoanalyst) and Melanie
Klein (psychoanalyst who never met Freud; she re-worked many of his concepts and
terms)
•Typically used with children ages 3 to 11 years
•Generally, two types:
• Psychodynamic-oriented (Non-directive play therapy, not highly structured, use of toys
and may include the use of a sand tray (also used in Jungian Analysis with adults)
•Cognitive-Behavioral (Directive play therapy, restructuring ideas and behaviors in a
definite way to change dysfunction)
•May be coupled with Family Therapy for a more beneficial and comprehensive
treatment plan
SUPPORTIVE PSYCHOTHERAPY - Answer-•Helps the patient to find new ways of
coping (emotional, physical, spiritual, financial)
•Useful with both a neurotic and psychotic population
•Keeps goals limited
•Seeks to have the patient make better choices for themselves
•Tries to keep patients "going" so they do not deteriorate in their level of functioning
•Can be easily used as a tool when combining medication management with providing
support:
•No attempts to "uncover" repressed issues and feelings as in psychodynamic
•No use of homework as in CBT
•Allows the patient to vent their feelings around a given situation (frustrations, hopes,
desires, wishes)
•Therapist communicates to the patient:
-That the patient has choices, even if limited ones
-Empathy for their situation
-Review of emotionally healthy choices
-Resources for practical assistance (support groups, 12 step groups, etc.)
ETHICAL ISSUES IN THERAPY - Answer-•Appropriate level of post-graduate training
(graduation from NP program generally not sufficient; more education needed)
•Informed consent that therapy may help people to get better or make them worse in
some cases
•Refrain from sexual behaviors always
•Knowing thyself: the best therapists usually spend a fair amount of time in therapy
themselves (hence, the personal analysis required in psychoanalytic training)
•Awareness of ones' own countertransference issues
•Tarasoff warnings for homicidal
•Strategies for dealing with patients who become suicidal (calling police, family, etc.)
•Confidentiality (can be particularly an issue when treating children)
•Not pressing your own values onto a patient
•Awareness of their cultural background and the impact of that culture on patient's
choices, beliefs, willingness to disclose, etc.
•What to do when a patient becomes unexpectedly violent (shouldn't be in a building
alone with patients)
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