NURS 661 Test 4 Exam Graded A+

cognitive behavioral therapy termination start termination at first session gradual termination (increase time between sessions) interpersonal therapy termination termination begins in the middle phase usually 16 sessions total for clients with relationship issues EMDR termination start discussing in 8th phase ready to terminate when subjective units of disturbance is 0 and validity of cognitions 7 (means trauma is processed) reasons for termination goals are reached number of sessions is reached therapist moves patient moves patient can't pay patient doesn't feel helped therapist refers for different care setting ends treatment child reasoning age egocentric to reasoning happens at age 6 child assumptions developmental considerations family inclusion considerations of interacting systems techniques for teaching self reflection neuroscience informs process of developing adaptive thinking child function + attempts by child/family what is self regulation managing behavior what happens if child is not self regulated aggressive, trouble integrating with peers, conduct issues, conflict strengths based approach in peds praise teen for his/her effort at maintaining control of some aspects of their life don't assess to label patient when to use TF-CBT for post trauma aims: practice emotion expression, build emotion cognition connection, process trauma relationship between child and parents is the focus acronym for TF-CBT PRACTICE 3 characteristics of ADHD inattention, hyperactivity, impulsivity brain structures involved in ADHD prefrontal cortex (goes to temporal and parietal areas) visual spacial working memory ADHD therapy cognitive training for enhancing memory differentiation individual separates themself intellectually and decreases risk of dysfunctional family patterns individuated from family clear own values and beliefs fusion can be between anyone blurring of self with another person single emotional system of 2 people can over or under function *dysfunctional transmission process multi generational transmission process "you're just like your aunt because..." transmitted behavior patterns influence sense self triangle family 3 person system; 2 people with conflict get 3rd person involved ex: child triagulated in parents tension undifferentiated people and families and those with fusion are likely to triangulate family projection process parent projects onto a child emotional cutoff limiting or cutting off content especially if there's abuse going on undifferentiated ego mass families that are stuck together symbiotic relationship one can't function without the other members hard for members to find independence Bowens' theory children's role within the family structure determines the personality more than birth order Bowen's sibling position concept older kids more responsible oldest marrying youngest works best oldest + oldest= competitive and both in charge youngest + youngest = over burdened with responsibility how to promote self statements use first person pronouns " I statements" used to help identify their own beliefs boundaries in structural family therapy should be clear and flexible, members can have personal identity enmeshed family extreme family organization, loss of personal autonomy (helicopter parent) parents are overly involved and protective enmeshed therapy boundaries diffuse, permeable disengaged family heightened personal autonomy and independence weak parental authority parents do not care when child has a big issue disengaged family boundaries rigid and impermeable coalition dysfunctional alliance between 2 family members and a 3rd crossgenerational coalition a parent and child side against a third family member schism coalition child joins one parent and that parent devalues the other skewed coalition one spouse overfuncitons for underfunctioning spouse to preserve the marriage and family parentification child takes on parent role therapy focus in structural family therapy focus is on assessing structural dysfunction therapist joining uniting empathetically, temporary part of family system therapist accomodating adjusting and adapting to family's affective style therapist affiliating positive statements to increase self esteem negative statements to absolve person of responsibility for behavior