Brief Therapy
Length of time that designates something a “brief” therapy.
What has no answer.
How a client's presenting problem is formulated in TLDP.
What is a cyclical maladaptive pattern (CMP)?
The name of a brief therapy in which termination is a central focus from the beginning.
What is Time Limited Psychotherapy (TLP)?
All the feelings and thoughts experienced by a therapist in response to a patient.
What is countertransference?
A term of Freud’s utilized by Eng and Han to describe an aspect of the experience of being Asian-American.
What is melancholia?
The creators of the first brief therapies.
Will accept:
Who were early analysts?
Who were Freud, Ferenzi, Rank, Alexander and French?
The two goals of TLDP.
What are a new experience and a new understanding?
Two approaches that are not interested in a client’s past experiences.
What are Dialectic Behavior Therapy (DBT) and Solution Focused Brief Therapy (SFBT)?
Four groups of people that have at one time been deemed unfit for analysis.
What are:
gay men and lesbians
poor people
Black people
people without formal education
The best predictor of whether a client feels that they can create a good rapport with a clinician.
What is authenticity?
Two definitions of brief therapy.
What is a therapy whose termination date is set from the beginning.
What is a therapy in which there is one central focus.
The two roles of a clinician in TLDP vis a vis the patient.
What is a participant and observer?
The three corners of Malan’s triangle of person.
What are current attachment figures, therapist, and early attachment figures?
The method of "reclaiming one's thinking" when caught in an enactment.
What is utilizing the third?
3 of the common factors of therapy according to our class.
What are:
Readiness to change
A frame
Therapist skill/technique
Therapeutic relationship
Something new happens
3 core beliefs held by a brief therapist.
What are:
Belief that change is inevitable over the course of a person’s life
Setting a time limit in therapy increases and intensifies the work accomplished
Belief that most of a patient’s significant changes will take place after therapy is over
Significant and lasting change is possible in brief therapy
2 of the 3 exclusion criteria of TLDP.
What are a patient being unable to attend to verbal give and take,
a patient who can be treated more effectively through other means
and a patient who cannot tolerate the therapy process without entering crisis?
Two approaches that explicitly state a belief in the inevitability of a patient’s orientation/progression toward healing.
What are EMDR and AEDP?
3 reasons a clinician might fail to catch their own participation in an enactment.
What are:
excessive focus on success
burnout
a desire to be a "good object"
lack of awareness of one's own internal dynamics
insufficient training
The two prongs of Dr. Kupers’ approach to improving mental healthcare outcomes for chronically stressed populations in the face of managed care.
What are:
A clinical approach preparing clients for termination and endings (akin to TLP)
A structural approach organizing as providers to demand more funding for low-income populations
3 psychological dynamics or personality traits that would make a clinician more likely to prefer short term therapy
What are a desire not to be an object of too much dependence, a desire for productivity, a comfort with not seeing the fruits of one's labor?
3 of the inclusion criteria for TLDP
What are:
Basic trust
Willingness to consider issues in interpersonal terms
Willingness to consider feelings
In discomfort
Ability to relate to the therapist in a “meaningful way”
3 of the 4 goals of AEDP during the termination phase.
What are:
Access feelings about termination
Process shared experience of termination
Celebrate patient’s achievements and growth
Affirm ongoing nature of the change process that has begun
The paradox of enactment.
What is the balance between falling into a patient’s dynamics enough to understand them, while still maintaining part of oneself outside of the dynamic in order to notice what is happening?
Three themes related to social class that are ripe for psychodynamic exploration.
What are:
Who wins and who loses, who gets what they need and who doesn’t
Shame related to “actual or relational poverty”
A feeling of childhood lack whether concrete or lack of care
Survivor guilt: related to having more than depleted others
Connection to family and ancestry