MIDTERM ACTUAL EXAM COMPLETE REAL QUESTIONS AND WELL
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What patients would be best for supportive therapy?
1) individuals in acute crisis or a temporary state of disorganization and
inability to cope (including those who might otherwise be well functioning)
whose intolerable life circumstances have produced extreme anxiety or
sudden turmoil (e.g., individuals going through grief reactions, illness,
divorce, job loss, or who were victims of crime, abuse, natural disaster, or
accident); (2) patients with chronic severe pathology with fragile or
deficient ego functioning (e.g., those with latent psychosis, impulse disorder, or
severe character disturbance); (3) patients whose cognitive deficits and
physical symptoms make them particularly vulnerable and, thus, unsuitable for
an insight-oriented approach (e.g., certain psychosomatic or medically ill
persons); and (4) individuals who are psychologically unmotivated, although not
necessarily characterologically resistant to a depth approach (e.g., patients
who come to treatment in response to family or agency pressure
and are interested only in immediate relief or those who need assistance in
very specific problem areas of social adjustment as a possible prelude to
more exploratory work).
,Name the therapy: _________ is appropriate for clients with unresolved,
disorganized attachment styles and clients with a neurotic defense
schema. It is along with dialectical behavioral therapy, is the preferred form of
psychotherapy for clients with a borderline personality disorder or
borderline character structure. The goals of therapy include processing of
relational trauma and learning emotional self-regulation. Therapy sessions are
typically provided several times per week. Helps to bring conflict to the
surface. Techniques used include transference, counterconditioning, and
desensitization to past traumatic relationships. These sessions can be up to 1-3 times
a week lasting 30 min- 1 hr.
Expressive psychotherapy-
The persons best suited for the expressive psychotherapy approach have
reasonably well-integrated egos and the capacity to both sustain and
detach from a bond of dependency and trust. They are, to some degree,
psychologically minded and self-motivated, and they are generally able, at
least temporarily, to tolerate doses of frustration without decompensating.
They must also have the ability to manage the rearousal of painful feelings
outside the therapy hour without additional contact. Patients must have some
capacity for introspection and impulse control, and they should be
able to recognize the cognitive distinction between fantasy and reality.
Limited regression is encouraged.
.Desensitization occurs as relationships are no longer perceived as
dangerous, and triggers of fear, anger, distrust, and avoidant behaviors are
changed so that relationships are seen as a source of support rather than
pain.
,Name the therapy: _________ is used for clients who experience anxiety
disorders, obsessive-compulsive disorder, depressive disorders,
personality disorders, and sexual dysfunction. It may also be helpful for clients
whose personality traits are interfering in their relationships (APSA,
n.d.). The goals include the development of a deeper understanding of self and a
desire to create change. Mainly for people with a strong ego and
strong coping mechanisms.
Long-term process that is usually for deep seeded issues and is usually the
most in depth. This therapy can be at a length of years 3-5 years and the sessions
can last at least up to 50 minutes about 4-5 times a week.
Psychoanalysis
Clients who are likely to benefit from psychoanalysis include reality-
oriented clients with mature defenses and a strong sense of self and clients
with neurotic to healthy personality organization. To be successful, the
client should be able to think in the abstract and be self-motivated.
Contraindications include clients who are not motivated, those who have
poor impulse control, clients who are concrete thinkers, and those amid a
major physical or emotional crisis.
recollection: reconstructing the memory of past events
repetition: using transference to replay emotions and interactions in a safe
space
working through: integrating repressed memories into current consciousness
free association: client talks spontaneously about anything that comes to mind
which allows for thoughts and feelings to surface more easily
transference: client redirects feelings for a significant person in their lives,
typically a figure from childhood, onto the psychotherapist, then explores
,