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Side A ------ Side B Psychodynamic Theory What are the Psychodynamic Theory based SW Approaches? ------ Psychosocial Problem Solving Crisis Intervention, Task Centered Planned short-term treatment Psychosocial theory base (5 items) ------ Psychoanalytic Theory Ego-Psychology/Psychoanalytic Social Science Social sciences Biological Theories Psychoanalytic theory greatest influence was: ------ SIgmund Freud Ego-Psychology is based with what specific focus: ------ Ego functions & adaptation Defendse mechansims (Anna Freud) Adaptation to an average "expected" enviornment (Hartman) Ego-mastery &development thru life cycle (Erickson) Separation/Idividuation (Mahler) Psychosocial assumptions about human behavior: ------ *Indivduals seen within context of their enviornment, interacting with family, other sociasl systems, these influence earlier personal experiences. * Conscious, unconscious, rational & irrational motivations govern behavior * Individuals can change & grow under appropirate conditions thru life cycle Psychosocial motivations for change: ------ *Disequilibrium evokes anxiety and releases energy to change * Conscious & unconscious needs & wishes *Relationship with the clinician or group in a treatment setting Psychosocial vechiles for change: ------ * Developent of insight & resolution of emotional conflicts lead to possibility of behavioral change *Corrective emotional experience in relationship with the worker *Changes in affective, cognitive, or behavioral patterns that cause change in interpersonal relationships *Changes in enviornment Psychosocial Role of Relationship: ------ *Conscious use of relationship can stimulate change *Corrective emotional experience *Client and client's needs are central *Transference: client brings his/her own relationship history to treatment *Cournter transference: worker be aware of problematic interpersonal patterns Heirarchial: worker seen as more competant than client and as "expert" who will fix the client Psychosocial Assessment: ------ *Dynamic understanding: how do different apects of a client's personality & their relationships influence their functioning *Etiological understanding: What are the causative factors that produce the porblem and that influence the client's attempt to deal wth it *Clinical Understanding: Formulation of the clients functioning, mental status, defensees and coping styles and if needed a clinical diagnosis Psychosocial: Treatment Planning ------ *Key characteristic is the development of a unique plan based on the clients situation *Clients goals and ability to meet them, given the clients strengths, capabilities and weaknesses. *Treatment plan is aimed at changing the individual, enviornment, or the interaction between the two Psychosocial Phases of treatment: ------ *engagement/assessment *contracting/goal *ongoing treatment/intervention *termination Engagement and Asssessment: ------ *Transition from applicant to client *Enhancing motivation *Eealing with initial resistance *Establishing relationship with client. *Establish informed consent regarding confidentiality and the client/worker's roles, rights and responsibilities Contracting/goal setting: ------ *Mutual understanding betwn. client and worker about goals, treatment process, the nature of relationship and roles, & the intended alloted time Ongoing treatment/interventions ------ *Work to alleviate agreed upon problems *Major focus is on currrent functioning and conscious experience *Deal with ongoing transfernce and counter-transference Termination ------ *Potential for growth, recap of major themes of treatment *Experience feelings about ending the relationship Treatmen tskills/Technique ------ *Sustainment: partialization, universalization, support, direct influence, ventilation, drscription and exploration. *Reflective consideration of current person-situation Work with significant others and social systems on behalf of the client *cCltural competence in working with various clients Social workers associated with Psychosocial approach: ------ Mary RIchmond Gordon Hamilton Florence Hollis, Frances Turner, Mary Woods Problem-solving Approach Problem-solving appriach is derived from: ------ Psychosocial and functional approaches Theory base: ------ Psychodynamic in it;s psychological theory base with major influence from Ego psych Erickson (capacity to chage thru life) *Robett White (coping, adaptation & masttery of the enviornment) *Hartman (use of conflict-free ego) Assumptions about Human Behavior ------ Individuals: *are involded in life-long problem solving and adaptation motivation for change: ------ * Diseqilibrium betw what is and what the client wants *Consciuos desire for change *Positive expectations based on new possibilities *Strength of relationship with worker Vechiles for change: ------ 8Imporved skills in problem resolution *Gratification, encouragement, and support *Repetition and "drill" of problem solving methods *Insight, resolution of conflicts & change in feelings *Changes in person & enviornment Role of relationship: ------ *Sipportive SW relationship to motivaet problem solving *SW guides client thru process Assessment: ------ FOcus problem idnetification andperson/enviornment *Assess motivtion, capacity and opportunity (mco)for problem solving *Assessment is a joint activity with SW & client Treatment Planning: ------ Psychosocial:based on assessment of the problem and clients (MCO) *Functional: based ion the function of the agency as boundary of service (e.g. adoption agency) *Interagency: uses resources of other agencies to network services needed Treatment skills/Techniques: ------ The four P's: A Person had a Problem, comes to a Place for help given through a Process Crisis Intervention Theory base: ------ *Psychodynamic, especially ego psychology (Freud, Erickson, Hartmen) and Lindemann's work on loss and grief I*ntellectual development (piaget) *Social sciences: stress theory, family, structre, role theory Assumptions about behavior: ------ * People naturally preveil over regression * Stress in crisis creates disequilibrium and anxiety creates an chance to develop new coping mechanisms. *Crisis occurs when old coping skills do not work . Crisis imposes various affective, cognitive & behavioral tasks. It can reactiviate old problems *Person in crisis is not sick, no DSM-IV diagnosis *crisis affected by past , but present more important Motivation for change: ------ *Disequalibrium brought on by stressful event etc. *Energy from anxiety *Supportive relationship Vechile for change: ------ *Reorganizationof coping skills *Growth occuring as the ego develops more coping skills and organizes them into more complex patterns Role of relationship: ------ *client can develop ntense attachment *SW role baed on expertise and is authortative and directive *Clent encouraged to be active & rality oriented, work towards finding new way of coping*minimal transference and countertransference Assessment: ------ *Explore stress producing situation or event and the clients reponse *Chara. signs &phases, patterns of adaptation & maladaptation to crisis (PTSD) Phases of tratment: ------ *Identify events that precipitated crisis *Promote awareness of cog. and emotional impact of crisis *Manage affect lading to tension discharge mastery *Seek resources in indv., family, social network & community * Identify specific tasks associated with healthy resolution of crisis
Side A ------ Side B Psychodynamic Theory What are the Psychodynamic Theory based SW Approaches? ------ Psychosocial Problem Solving Crisis Intervention, Task Centered Planned short-term treatment Psychosocial theory base (5 items) ------ Psychoanalytic Theory Ego-Psychology/Psychoanalytic Social Science Social sciences Biological Theories Psychoanalytic theory greatest influence was: ------ SIgmund Freud Ego-Psychology is based with what specific focus: ------ Ego functions & adaptation Defendse mechansims (Anna Freud) Adaptation to an average "expected" enviornment (Hartman) Ego-mastery &development thru life cycle (Erickson) Separation/Idividuation (Mahler) Psychosocial assumptions about human behavior: ------ *Indivduals seen within context of their enviornment, interacting with family, other sociasl systems, these influence earlier personal experiences. * Conscious, unconscious, rational & irrational motivations govern behavior * Individuals can change & grow under appropirate conditions thru life cycle Psychosocial motivations for change: ------ *Disequilibrium evokes anxiety and releases energy to change * Conscious & unconscious needs & wishes *Relationship with the clinician or group in a treatment setting Psychosocial vechiles for change: ------ * Developent of insight & resolution of emotional conflicts lead to possibility of behavioral change *Corrective emotional experience in relationship with the worker *Changes in affective, cognitive, or behavioral patterns that cause change in interpersonal relationships *Changes in enviornment Psychosocial Role of Relationship: ------ *Conscious use of relationship can stimulate change *Corrective emotional experience *Client and client's needs are central *Transference: client brings his/her own relationship history to treatment *Cournter transference: worker be aware of problematic interpersonal patterns Heirarchial: worker seen as more competant than client and as "expert" who will fix the client Psychosocial Assessment: ------ *Dynamic understanding: how do different apects of a client's personality & their relationships influence their functioning *Etiological understanding: What are the causative factors that produce the porblem and that influence the client's attempt to deal wth it *Clinical Understanding: Formulation of the clients functioning, mental status, defensees and coping styles and if needed a clinical diagnosis Psychosocial: Treatment Planning ------ *Key characteristic is the development of a unique plan based on the clients situation *Clients goals and ability to meet them, given the clients strengths, capabilities and weaknesses. *Treatment plan is aimed at changing the individual, enviornment, or the interaction between the two Psychosocial Phases of treatment: ------ *engagement/assessment *contracting/goal *ongoing treatment/intervention *termination Engagement and Asssessment: ------ *Transition from applicant to client *Enhancing motivation *Eealing with initial resistance *Establishing relationship with client. *Establish informed consent regarding confidentiality and the client/worker's roles, rights and responsibilities Contracting/goal setting: ------ *Mutual understanding betwn. client and worker about goals, treatment process, the nature of relationship and roles, & the intended alloted time Ongoing treatment/interventions ------ *Work to alleviate agreed upon problems *Major focus is on currrent functioning and conscious experience *Deal with ongoing transfernce and counter-transference Termination ------ *Potential for growth, recap of major themes of treatment *Experience feelings about ending the relationship Treatmen tskills/Technique ------ *Sustainment: partialization, universalization, support, direct influence, ventilation, drscription and exploration. *Reflective consideration of current person-situation Work with significant others and social systems on behalf of the client *cCltural competence in working with various clients Social workers associated with Psychosocial approach: ------ Mary RIchmond Gordon Hamilton Florence Hollis, Frances Turner, Mary Woods Problem-solving Approach Problem-solving appriach is derived from: ------ Psychosocial and functional approaches Theory base: ------ Psychodynamic in it;s psychological theory base with major influence from Ego psych Erickson (capacity to chage thru life) *Robett White (coping, adaptation & masttery of the enviornment) *Hartman (use of conflict-free ego) Assumptions about Human Behavior ------ Individuals: *are involded in life-long problem solving and adaptation motivation for change: ------ * Diseqilibrium betw what is and what the client wants *Consciuos desire for change *Positive expectations based on new possibilities *Strength of relationship with worker Vechiles for change: ------ 8Imporved skills in problem resolution *Gratification, encouragement, and support *Repetition and "drill" of problem solving methods *Insight, resolution of conflicts & change in feelings *Changes in person & enviornment Role of relationship: ------ *Sipportive SW relationship to motivaet problem solving *SW guides client thru process Assessment: ------ FOcus problem idnetification andperson/enviornment *Assess motivtion, capacity and opportunity (mco)for problem solving *Assessment is a joint activity with SW & client Treatment Planning: ------ Psychosocial:based on assessment of the problem and clients (MCO) *Functional: based ion the function of the agency as boundary of service (e.g. adoption agency) *Interagency: uses resources of other agencies to network services needed Treatment skills/Techniques: ------ The four P's: A Person had a Problem, comes to a Place for help given through a Process Crisis Intervention Theory base: ------ *Psychodynamic, especially ego psychology (Freud, Erickson, Hartmen) and Lindemann's work on loss and grief I*ntellectual development (piaget) *Social sciences: stress theory, family, structre, role theory Assumptions about behavior: ------ * People naturally preveil over regression * Stress in crisis creates disequilibrium and anxiety creates an chance to develop new coping mechanisms. *Crisis occurs when old coping skills do not work . Crisis imposes various affective, cognitive & behavioral tasks. It can reactiviate old problems *Person in crisis is not sick, no DSM-IV diagnosis *crisis affected by past , but present more important Motivation for change: ------ *Disequalibrium brought on by stressful event etc. *Energy from anxiety *Supportive relationship Vechile for change: ------ *Reorganizationof coping skills *Growth occuring as the ego develops more coping skills and organizes them into more complex patterns Role of relationship: ------ *client can develop ntense attachment *SW role baed on expertise and is authortative and directive *Clent encouraged to be active & rality oriented, work towards finding new way of coping*minimal transference and countertransference Assessment: ------ *Explore stress producing situation or event and the clients reponse *Chara. signs &phases, patterns of adaptation & maladaptation to crisis (PTSD) Phases of tratment: ------ *Identify events that precipitated crisis *Promote awareness of cog. and emotional impact of crisis *Manage affect lading to tension discharge mastery *Seek resources in indv., family, social network & community * Identify specific tasks associated with healthy resolution of crisis
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