Rogers, Gestalt, and DBT Flashcards

Explore traditional counseling theories that may appear on the exam, including person-centered, gestalt, and dialectical behavior therapy models. (49 cards)

1
Q

Gestalt Counseling

A

A humanistic approach that focuses on helping people to self-actualize or to become more fully themselves.

The techniques are more emotionally provocative and confrontational than the person-centered approach.

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2
Q

Body Awareness

(Gestalt Therapy)

A

Gestalt counselors believe that every emotion has a physiological component. When a person is cut off from the awareness of an emotion or part of the self, this becomes expressed in the body, usually as a tightening or dysfunction somewhere.

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3
Q

Layers of Neurosis

(Gestalt Therapy)

A
  • Phony layer- Should
  • Phobic layer - Fearful or doubtful of change
  • Impasse Layer- Feel stuck
  • Implosive layer- Empty inside, lost, which opens one to the present moment
  • Explosive layer- Lets go of old pretenses, releasing authentic action
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4
Q

Person of Counselor

(Gestalt Therapy)

A

The primary vehicle for change in Gestalt counseling. The counselor uses their whole personhood to make a real and authentic contact with the client.

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5
Q

Here and Now, Presence, and Spontaneity

(Gestalt Therapy)

A

The counselor is fully in the present moment with the client, living in the now, where past and future fade away. Counselors encourage clients to explore the tightness in their breathing, the spontaneous feelings that arise as they share what is on their mind, and whatever seems to bubble up during the counseling hour.

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6
Q

Imperfect Role Model

(Gestalt Therapy)

A

Counselor is willing to be a role model for imperfection and thus a role model for the processes of integrating polarities. Not hiding behind a professional veneer, and instead they boldly go where many counselors will not.

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7
Q

Dialogic Engagement

A

Process in which an exchange of understanding occurs between the performer and performed or the performer and the audience.

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8
Q

Assessing the Field

(Gestalt Therapy)

A

Assess figure/ground dynamics (context for “problem”)

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9
Q

Contact Boundaries

(Gestalt Therapy)

A

All experience involves “contact”: where the self meets other (non-self). Healthy boundaries are fluid, allowing for contact with others while maintaining separateness.

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10
Q

Encounters

(Gestalt Therapy)

A

Moments of authentic, “here-and-now” contact between people, particularly in a therapeutic relationship

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11
Q

Polarities

(Gestalt Therapy)

A

Gestalt counselors view people as a never-ending sequence of this or complementary parts, as adult versus child, strong versus weak, loving versus hateful.

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12
Q

Disowned Parts

(Gestalt Therapy)

A

Parts of the self that one rejects.

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13
Q

“Shoulds”

(Gestalt Therapy)

A

Gestalt counselor view these as a form of neurotic self-regulation, meaning that the person is regulating emotions in unhealthy ways. Gestalt counselors confront persons living in this way and encourage them to make more authentic choices that are not fear-based or based on social pressure.

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14
Q

Unfinished Business

(Gestalt Therapy)

A

Refers to any incompletely expressed feeling, which most often takes the form of resentment.

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15
Q

The Empty Chair Technique

A

Gestalt experiment, which involves inviting the client to take action in the room by creating a “safe emergency”. An experiment may involve having this conversation by speaking aloud to an imagined person in an empty chair, sharing things the person is too afraid to say to the imagined person directly.

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16
Q

Polsters’ Integration Sequence

(Gestalt Therapy)

A
  • Discovery: New realizations
  • Accommodation: Accommodate new perspective, awkward
  • Assimilation: “Feels like me”
  • Integration: Become authentic self
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17
Q

Semantics and Language Modification

(Gestalt Therapy)

A

Gestalt counselors direct clients to modify the language to highlight their autonomy, choice, and responsibility.

e.g. “I” versus “you” or “it” statements, questions to statements, choose not to versus “can’t”, etc.

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18
Q

Staying with feelings

(Gestalt Therapy)

A

Directing contact with difficult emotions: sensation, awareness, excitement, encounter, integration, assimilation, and withdrawal.

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19
Q

Dream work

(Gestalt Therapy)

A

Gestalt counselors view dreams as attempts to integrate parts of the self and/or as an existential message, and the counselor is not assumed to know the true interpretation better than the client.

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20
Q

Dialectics

(DBT)

A

Finding a balance between or synthesis of two polar opposites.

21
Q

Three Primary Philosophical Assumptions of DBT

A
  • Interrelatedness or wholeness
  • Polarities
  • Continuous change
22
Q

Dialectic Failure in Borderline Personality

A
  • Failure to effectively resolve the dialectic tensions that characterize the human mind, relationships, and life
  • Thinking is “splitting” (e.g. all good or all bad)
  • Failures in seeing how self and others are interrelated
23
Q

Stages of DBT

A
  • Pretreatment stage
  • Stage 1: Reduce crisis behaviors and increase coping skills
  • Stage 2: Reduce trauma-related symptoms
  • Stage 3: Increase life-enriching behaviors
24
Q

Modes of DBT

A
  • Individual Counseling Session
  • Group Skills Training
  • Telephone Consultation
  • Case Consultation for Counselors
  • Ancillary Treatments
25
4 Major Skills in DBT
* Mindfulness and Wise mind * Distress Tolerance * Interpersonal Effectiveness * Emotional Regulation Skills: Recognize emotions (DBT intervention)
26
DBT interventions
* Increase 4 Major Skills * Behavioral Chain Analysis Strategies * Solution Analysis Strategies * Validation: Emotional Behavioral, and Cognitive
27
Emotion Regulation Skills | (DBT)
Recognize **emotions**, reduce **reactivity**, increase **positive emotions**, etc.
28
Interpersonal Effectiveness | (DBT)
How to ask for **what you want and say no** while maintaining self-respect and relationships with others. Working through conflict.
29
Distress Tolerance | (DBT)
Learning how to self-soothe, distracting self and managing crisis.
30
Mindfulness (Wise Mind Skills) | (DBT)
"**What**" skills and "**How**" skills: What am I experiencing? How do I want to respond?
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ACCEPTS (distress tolerance) | (DBT)
**A**ctivities **C**ontributing **C**omparisons **E**motions - use opposite **P**ushing Away **T**houghts **S**ensations
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IMPROVE (distress tolerance) | (DBT)
**I**magery **M**eaning **P**rayer **R**elaxation **O**ne thing at a time **V**acation **E**ncouragement
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PLEASE (emotion regulation skills) | (DBT)
**P** & **L** Treat Physical Illness **E**ating **A**ltering Drugs (no drugs unless it is medication to be taken as prescribed by your doctor) **S**leep **E**xercise
34
DEAR MAN (Interpersonal Effectiveness) | (DBT)
To support objectiveness effectiveness **D**escribe **E**xpress **A**ssert **R**einforce **M**indful **A**ppear Confident **N**egotiate
35
GIVE (Interpersonal Effectiveness) | (DBT)
For Relationship Effectiveness **G**entle **I**nterested **V**alidate **E**asy Manner
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FAST (Interpersonal Effectiveness) | (DBT)
Self-respect Effectiveness **F**air **A**pologies (no Apologies) **S**tick to value **T**ruthful
37
Person-centered counseling
A humanistic-experiential counseling approach that emphasizes the **therapeutic relationship**. ## Footnote Developed by Carl Rogers.
38
Person Centered Therapy Goal
To help people be more **fully themselves**.
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Core Conditions of Person Centered
* Counselor congruence and genuineness * Accurate emphatic understanding of the client * Unconditional positive regard
40
Humanistic Principles and Assumptions
* Focus on helping clients to experience their in-the-moment internal experiences * Techniques are avoided, promoting the client becoming fully and accurately aware of the one's inner world * The relationship is the primary vehicle for change
41
Experience and Communication of Self | (Rogers)
As people become more self-actualized, how they experience themselves changes. The sense of self evolves from a **static entity** to one where the self is more of a process that is constantly unfolding and changing.
42
Recognition of Feelings
Rogers theorized that the more **self-actualized** a person is, the better that person can identify and own emotion.
43
Expression of Emotion | (Rogers)
In the process of self-actualization, people become better able and more **comfortable** with doing this.
44
Present Moment Experiencing | (Rogers)
Refers to the ability to mindfully experience emotions in the **present moment**.
45
Personal Constructs and Facades | (Rogers)
Rogers often described inauthentic living as living behind a "**mask**," or **facade**. These are the personal constructs we use to tell us who we are, how we should behave, and what we are worth.
46
Complexity and Contradictions | (Rogers)
Humanistic counselors also assess for a person's ability to engage the **complexities and contradictions** that characterize our internal lives and life more generally.
47
Perception of Problems and Responsibility | (Rogers)
As people progress through the stages, there is an increasing awareness of one's **responsibility** and **agency** in every situation, and therefore problems are increasingly described with an emphasis on how one is contributing and/or perpetuating the situation.
48
Peak Experience and Flow
Rogers describes the self-actualized self as "**fluid**" and "**flowing**."
49
Self-Actualization
Long-term goal of person-centered therapy in which a person becomes fully themselves. Refers to fulfilling one's **potential** and living an authentic, meaningful life, or, as Rogers explains, "to be that self which one truly is".