Nursing 527 Wilkes exam| 57 questions and answers

existential therapy founders Key figures: Viktor Frankl, Rollo May, and Irvin Yalom existential therapy focused on the human search for meaning in existence, emphasizing individuality and choice gestalt therapy *Basic goal = self support, deals with awareness. Here and Now. Taking responsibility for ones own actions enhancing awareness gestalt therapy founder fritz (Frederick and laura?)pers and Paul Goodman central relational paradox concept of relational cultural therapy technique for gestalt therapy empty chair and impasse goal of gestalt therapy self support, acceptance of peers, awareness of present moment dyadic therapy founder Michael Hughes PhD Dyadic therapy mainly deals with what problem experiential approach to trauma and its effect on children Core tenet of dyadic therapy parent-child relationships influence child development Intervention used in Dyadic therapy (acronym) PACE - playfulness, acceptance curiosity, and empathy Relational cultural therapy founder Jean Baker Miller Relational cultural therapy is based on: feminist movement and multicultural changes in psychology RCT compliments which movement? social justice - sex roles, power, dominance, marginalization, subordination and mental health of all people 9 core tenants of RCT 1. People grow through and toward relationship throughout the lifespan. 2. Movement toward mutuality, rather than movement toward separation, characterizes mature functioning. 3. Relational differentiation and elaboration characterize growth. 4. Mutual empathy and mutual empowerment are at the core of growth-fostering relationships. 5. In growth-fostering relationships, all people contribute and grow or benefit; development is not a one-way street. 6. Therapy relationships are characterized by a special kind of mutuality. 7. Mutual empathy is the vehicle for change in therapy. 8. Real engagement and therapeutic authenticity are necessary for the development of mutual empathy. A primary goal of RCT is to create and maintain Mutually-Growth-Fostering Relationships, relationships in which both parties feel that they matter. In RCT,all of the involved parties with healthy relationships experience what is known as the Five Good Things. These are: 1) a desire to move into more relationships, because of how a good relational experience feels; 2) a sense of zest, or energy; 3) increased knowledge of oneself and the other person in the relationship; 4) a desire to take action both in the growth-fostering relationship and outside of it; 5) an overall increased sense of worth. One of the core tenets of RCT is the Central Relational Paradox (CRP). The CRP assumes that we all have a natural drive toward relationships, and in these relationships we long for acceptance. However, we come to believe that there are things about us that are unacceptable or unlovable. Thus, we choose to hide these things; we keep them out of our relationships. In the end, the connections we make with others are not as fulfilling and validating as they otherwise might have been. motivational interviewing key elements *client centered, MI spirit (collaboration, autonomy), change talk, sustain talk, resistance OARS technique for MI open-ended questions affirmation reflection summarization DARN acronym for recognizing change talk Desire, Ability, Reason, Need, Can Existential Therapy is loosely defined and the main value is: * self-awareness. Each person creates his private world. Umwelt, mitwelt are some of the descriptions of the modes of the world. Resistance is a signal to change responses. umwelt *a shared vision of nature - natural world mitwelt *being with others or the social world - public world A neurotransmitter is placed in the chest surgically. Infection could arise from the placement of this device. DBS 4 givens of existence (Yalom) 1. Death: a core existential conflict is the tension between the awareness of the inevitability of death and the wish to continue to be. 2. Freedom and responsibility. Freedom from an existential perspective refers to the complete lack of any external structure to life. He believed that there is a conflict between the groundlessness and randomness of our universe, and a wish for ground and structure. 3. Isolation. We enter this world alone, and we must leave it alone. Yalom thought that another existential conflict was between our innate awareness of our absolute isolation and our desire for continued contact with others and our need to be part of a larger whole. 4. Meaninglessness. Man is, by design, a meaning-seeking creature. But Yalom believed that a fourth existential conflict arises for man because he has been thrown into a universe that has no meaning. Resistance is a signal to change responses Existential founders; May, Yalom, van Deurzen-Smith, Frankl eigenwelt personal/private world uberwelt being-with-the-spiritual or over world (ideal world) attachment theory the development and consequences of the child-caregiver relationship DDP is primarily existential Reactive attachment disorder a disorder marked by an inability to form attachments with caregivers In RAD the child develops a negative working model of the world in which: adults are hurtful, world is chaotic, the child experiences no effective influence on the world, the child attempts to rely only on hisself, the child feels overwhelming shame, defective, bad, unlovable, and evil In RAD the therapy must be experiential A key element of RAD is PACE and PLACE therapist: playful, accepting, curious, empathetic caregiver: playful, LOVING, accepting, curious, empathetic 5 Principles of DDP for RAD: PACE, family focused, trauma is directly addressed, milieu of safety and security must be created, therapy is consensual. Goals of therapy for DDP: emotional development, relationship repair, accepting comfort, increased reflective functioning toward self, increasing awareness of inner lives of others, increasingly coherent and organized autobiography, imitation (seeks guidance from caregivers), self discovery. DDP therapy ends when: therapist and parents see the child developing attachment security within family AND family members can continue process of being emotionally available and intersubjectively connected without help of the therapist Relational Cultural Therapy demonstrates the Primacy of relationships 2 Relational Cultural Therapy concepts: Central Relational Paradox and Mutually Growth Fostering Relationship The two terms relevant to RCT therapy. Mutuality and emotional impact Authenticity is to be capable to bring one's real experience, feelings, and thoughts into relationship, with sensitivity and awareness to the possible impact of one's actions on others. (Therapist need to be authentic) Another important tenant of RCT is for the counselor to provide mutual empathy in a supportive environment. However, this mutual empathy might emotionally affect the counselor because since detachment can interfere with the therapeutic relationship