Maryville NURS 661 Exam 4 Notes from Bremer's Review Fall 2020(Exam 4 All from Bremer's Review and Wheeler)Updated!

When is termination in CBT Initial phase/1st session When is Termination in IPT Middle phase. What patient type is IPT for? Depression, anxiety, role transition, IP problems What phase is termination for EMDR Final stage/8th stage: when trauma is processed What is SUD in EMDR and what value represents ready for termination? Subject Unit of Disturbance. SUD of 0. What is VOC in EMDR and what value represents ready for termination? Validity of Cognition. VOC of 7. When does reasoning and thinking of others begin in kids? Age 6 Reasons to terminate therapy: Completion; Noncompliance; Nonpayment; Relocation Techniques for self-regulation in kids: Re-engage; Showing restraint; Integration of emotion with a memory What kids to use self-regulation for? Aggressive; Socially withdrawn; Conflict What Dx's is self-regulation good for? ADHD; PTSD; maltreatment; depression; anxiety How to support the development of self-regulation in kids? Manage your own stress; Keep end goal in mind; Model self-regulation; Be supportive & encouraging How to use Strength-based approach in kids? Praise for reinforcement Why use TF-CBT in kids? Trauma; Trauma-focused CBT S/S of ADHD in kids: Inattention; Impulsivity; Hyperactivity (IIH) What part of the brain is affected in ADHD? Pre-frontal cortex TX for ADHD? Meds and therapy. A combo is best. Why use cognitive training in ADHD? Increases working memory What is differentiation? SENSE OF SELF DEGREE OF WHOLENESS ABILITY TO SEPERATE ONES INTELLECTUAL AND EMOTIONAL FUNCTIONING What is fusion? Dysfunctional; Blurring self with others; Single emotional system (over & underfunctioning) 2 undifferentiated people Describe how Multi-gen Transmission Process works Passing on dysfunction patterns; "You're just like your father!" What is a Triangle family Conflict b/t 2 and then they bring in the 3rd What is Undifferentiated Ego Mass They're are stuck together; Can't function independently, a family system with members that are undifferentiated Describe Bowen's Theory; Sibling position concept An eldest child would be compatible to marry a youngest child due to eldest are typically controlling and youngest are more dependent What is Family Projection Process? Parental undifferentiation is transmitted to the child; Usually the child targeted is the most emotionally vulnerable and unprotected, regardless of birth order. What is Emotional Cutoff? Decreasing or cutting contact with a person to decrease anxiety and conflict How to promote self-statements? Use of "I" to separate self from family An example of transforming dysfunctional generational patterns? Therapist: "I notice women in your family marry irresponsible men. Would you like to change this pattern?" Purpose of transforming dysfunctional generation patterns? Decreases conflict and anxiety; de-triangulates the family; repairs cutoffs Define boundaries: invisible lines of protection What is an enmeshed family? Blurred boundaries and overly dependent on one another. Co-dependent. Examples of an enmeshed family: Excessive involvement in kid's conflict; family overwrought over kid's grade; involving the kid in marital issues; parent reading the kid's text messages What is a disengaged family? Rigid boundaries; immature; disconnected Example of disengaged family: Little involvement in the kid's academic or psychological problems What is a coalition in the family? 2 members are against a 3rd family member; 2 against 1 3 types of coalition families: Cross-gen: parent/child against another member Schism: parent/child against a parent Skewed: Spouse compensates for the other spouse What is parentification? Role reversal; Kid acts as the parent Example of boundary making in Enmeshed family: Kid & dad sit nest to each other & have inside jokes. Therapists asks mom to sit between them. Example of boundary making in Disengaged family: