Transtheoretical Therapy
"The covert or overt activities that people engage in to alter emotion, thinking, behaviour, or relationships related to particular problems or patterns of living."
Processes of change.
Their model of psychotherapy and behaviour change draws from the entire spectrum of the major theories.
"... the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences"
Fill in the blank.
"Mental health professionals in the future will increasingly provide clients with information to change on their own and recommend "___-____-____" therapies"
"Mental health professionals in the future will increasingly provide clients with information to change on their own and recommend "do-it-yourself" therapies"
What does "radical honesty" mean?
Fill in the blank.
The transtheoretical model advocates for the differential application of the processes of change at specific stages of change according to the identified problem level... we have identified the basics of ____ (processes), _____ (stages), and ______ (levels) to change.
Name the five stages of change.
2. Contemplation
3. Action
4. Maintenance
5. Termination
Bonus: Relapse/Recycling
What are the benefits of "positive psychotherapy"?
-teaches people about wellbeing
-increases resiliency
-promotes optimism
empathy, goal consensus, collaboration, positive regard/support, congruence, genuineness, collecting client feedback.
Fill in the blank.
"Boundaries arise from _____."
"Boundaries arise from _____."
Boundaries arise from needs.
Boundaries arise from requests.
Maximum impact: treatments can engage the patient at each and every level of change. This creates a synergy of change interventions.
Level: Symptoms/Situational
Processes: education, counterconditioning, contingency management, self-liberation
"In a study by Lewis-Baxter and colleagues (1992), patients with obsessive-compulsive disorder who were treated with medication or psychotherapy showed normalized changes in the functioning of multiple brain regions."
Advances in neuroscience.
What are the four behaviours that account for most of the chronic health issues in our modern society? Bonus if you can name the fifth behaviour that drives the other four.
Smoking, alcohol abuse, unhealthy eating, and inadequate exercise
Bonus: unhealthy stress
What does "WOE" stand for and mean?
Working On Excellence
-a way to identify people with whom you have an increased accountability and responsibility for manifesting your best life
-unconditional love within friendship
Name all 10 processes of change.
1. Consciousness-raising
2. Catharsis/dramatic relief
3. Self re-evaluation
4. Environmental re-evaluation
5. self-liberation
6. social liberation
7. counterconditioning
8. stimulus control
9. contingency management
10. helping relationship
Match the processes of change with the stage of change.
Environmental re-evaluation and Self re-evaluation
Contemplation
-medications becoming the first treatment option (particularly for children)
-medications for more behavioural or personality mental health concerns
-conflicts between psychotherapist and pharmacologist around patient care
-issues around "big pharma" capitalizing on vulnerable people
What are the pros and cons of "behavioural e-health"?
Pros:
-increased accessibility
-reduced cost
-lower level of commitment needed
cons:
-limited research on effectiveness
-possibility of "scams" and fake services
-legal and ethical concerns (i.e. confidentiality)
Ella Baker says "we who believe in freedom cannot rest". What does this statement mean and how does amb explain how she interprets this statement?
but she rests her body, to not burn out her spirit and mind and to be able to show up fully for the next day.
When applied in the context of addiction treatment, therapies using stages of change usually use the goal of abstinence. How could harm reduction be applied through a stages of change framework?
What are some of the criticisms of the TTM? What are your thoughts on the effectiveness of TTM?
How does the industrialization of mental health care impact social workers?
Examples:
-shift to outpatient care and community services
-restricting access to mental health treatment
-increased demand for counselling services
-increase in short-term, symptoms-focused services
Describe what "proactive treatment of populations" mean, and the part that social workers can partake in this process. How could this be beneficial and what could be some issues in implementing this process?
-being the mediator between psychotherapists and communities
-benefits:
-increase overall health of a population
-offering treatments for previously marginalized groups that may not have had access
possible issues:
-experts defining the "problem" within the population rather than the people within that group
-possible increase in stigma/discrimination by targeting specific populations
-offering "help" where it may not be needed or wanted
-economic, political and ethical issues