LMSW Licensing Exam

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Information Regrding Individual Practice In Social Work

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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
*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  
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
*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