NCE Exam - Theories of Counseling & Helping Relationship

Sigmund Freud

Father of Psychoanalysis
(originally worked with Adler, Jung, and Viennese neurologist [re: talking cure])

Alfred Adler

Father of Individual Psychology

Gustav Jung

founded Analytic Psychology

Joseph Breuer

neurologist who taught Freud 'talking cure', or 'catharsis'

Rollo May

existentialist and prime move in this counseling movement.

Berne's Transactional Analysis (TA) posits 3 ego states

the Child (like id)
the Adult (like ego)
the Parent (like superego)

Freud's 3 psychosexual stages

Oral
Anal
Phallic

Freud's topographic notion that the mind is like an iceberg with 2 states:

conscious
unconscious

Incomplete parent (according to TA)

person expects others to parent him or uses lack of parenting as an excuse for poor behavior.

Resolution of Freud's Oedipus complex leads to the development of the superego, which is accomplished by

identifying with the same sex parent (also called aggressor)

transference

projecting feelings toward the therapist that the client originally felt toward a significant other person in their life.

ego

executive administrator of the personality
(seen as the Child in TA)
-acts as a police officer to control impulses of the id (aka instincts, or the Child) and the superego (conscience, or the Parent)
-also called 'reality principle' and houses individual's identity

Thanatos

Greek for 'death'
(i.e., 'Thanatologists study death')

Eros

Greek god of 'love of life'
Freudians use it also to mean 'self-preservation'

Pleasure principle

the id

Reality principle

the ego

Ego ideal

the superego
(the perfect self that the person judges himself against)

Free association

analytic technique, instructing the client to say whatever comes to mind.

Paraphrasing

whenever a counselor restates a client's message in the counselor's own words.

The superego strives for _____ rather than _____ like the id.

perfection, pleasure

The superego

composed of values, morals, and ideals of parents, caretakers, and society

id

chaotic and has no sense of time
(pleasure principle - 'I want it NOW')

Jospeh Wolpe

developed 'systematic desensitization' to weaken a client's response to anxiety-producing stimuli

Systematic desensitization

systematic paradigm that lessens one's anxiety to a stimuli through gradual exposure to it
(form of behavior therapy based on Pavlov's classical conditioning)

Manifest content of dreams

surface meaning of a dream

Latent content of dreams

hidden meaning of a dream

Dream work

consists of deciphering the hidden meaning (latent) of a dream (through symbolism) so the individual is aware of unconscious motives, impulses, desires, and conflicts.

Some counselors feel transference is actually a form of projection, displacement, and repetition in which client treats counselor in same manner as he would an _______ _____from the past.

authority figure.

Insight

novel sudden understanding of a problem.

Psychoanalysts believe a client who is resistant will be reluctant to bring unconscious ideas into the conscious mind.

Nonanalytic counselors use the term 'resistant' to describe clients who are fighting the helping process in any manner.

Little Albert

a famous case, John Watson (pioneer of American Behaviorism) in 1920 - toddler made to fear white furry things

Little Hans

gave Little Albert study a psychoanalytic explanation.

Daniel Paul Schreber

-ex mental patient who spent 9 years in hospital
-wrote Memoirs of a Mental Patient (1903)
-'most quoted case in modern Psychiatry'

Psychodynamic therapy

contasts psychoanalysis:
-utilizes fewer sessions per week
-doesn't utilize a couch, performed face-to-face
(makes use of analytic principles but relies on fewer sessions)

Catharsis

talking about difficulties in order to purge emotions in a curative process

Abreaction

similar to catharsis in that emotions are purged, but when the emotional outburst is very powerful and/or violent.

Accurate empathy

counselor can truly understand what the client is feeling or experiencing

Reflection of emotional content

accomplished when the counselor restates the client's verbalization in such a manner that the client becomes more aware of his emotions.

Rogerians do not emphasize _____ or giving ____.

diagnosis, advice.

Id, ego, superego is to structural theory as _______, _____, _____ are to topographical theory.

unconscious, preconscious, and conscious

Introspection

any process in which the client attempts to describe his own internal thoughts, feelings, and ideas.

Oedipus/Electra complex

Freud's most controversial theory

The most important concept in Freud's theory is the unconscious mind.

...

Subjective units of distress scale (SUDS)

concept used in forming a hierarchy to perform Wolpe's systematic desensitization (aka, technique for curbing phobic reactions and anxiety)

Slips of the tongue

parapraxis
(Freud called it 'the psychopathology of everyday life')

Preconscious mind

capable of bringing ideas, images, and thoughts into awareness with minimal difficulty
-can access info from the conscious as well as unconscious mind

Ego defense mechanisms are

Unconscious processes that minimize anxiety and protect the self from severe id or superego demands
-distort reality and are based on self-deception to protect our self image

Types of ego defense mechanisms

Rationalization, Compensation, Repression, Projection
Reaction formation, Identification, Introjection, Denial, Displacement

Repression

subconsciously forgetting a traumatic or painful event
(Freudians think it is the most important of defenses)

Reaction formation

occurs when a person can't accept a given impulse and this behaves in the opposite manner.

Denial (aka suppression)

similar to repression except that it is a conscious act.

Sublimation

when a person acts out an unconscious impulse in a socially acceptable way (i.e., aggressive person has a career as a boxer)

Suppression differs from repression in that

repression is automatic and involuntary.

Rationalization

intellectual excuse to minimize hurt feelings
(tends to interpret thoughts in a positive manner)

Displacement

occurs when an impulse is unleashed at a safe target.
(man hates boss but kicks dog)

Perception

occurs when you perceive something unconsciously and thus it has an impact on your behavior.

Identification

when a person identifies with a cause or a successful person with the unconscious hope that he or she will be perceived as successful or worthwhile.

Type II error (aka bet error)

a researcher has accepted the null hypothesis

Sour grapes rationalization

underrating a reward (because they didn't get it)

Sweet lemon rationalization

Overrates a reward (to protect self from bruised ego)
(memory: sweets are overrated in our society)

Organ inferiority

methods in which person attempts to compensate for inferiority (Alfred Adler)

Projection

individual attributes his own unacceptable qualities onto others.

Mark is obsessed with stamping out pornography. He is unconsciously involved in this cause so that he can view the material. This is

reaction formation
(the person acts the opposite of the way they actually feel.)

Compensation

evident when a person attempts to develop or overdevelop a positive trait to make up for a limitation.

Resistance

when a client refuses to follow a counselor's directives such as homework, completing psych tests, etc.)

Freud's critics cite that many aspects of his theory are difficult to ____ from a scientific standpoint.

test
Freud's psychoanalysis is the OLDEST major form of psychotherapy.

The purpose of interpretation in counseling is to

make the client aware of their unconscious processes.
(in the hopes that insight will be followed by motivation)

Insight

aha, now I understand!"
-equated with gestalt psychologist Wolfgang Kohler

3 types of learning

-reinforcement (operant conditioning)
-association (classical conditioning)
-insight

C. G. Jung said men operate on logic (aka ____) principle, while women are intuitive, operating on the ____ principle.

Logos, Eros
(Founder of Analytic Psychology)

Transference neurosis

client is attached to the counselor as if he is a substitute parent.

Countertransference

evident when the counselor's feelings are strong enough to hinder the treatment process.

Mandalas

term borrowed from Hinu writings by Jung that stands for a magic protective circle that represents self-unification.

Eidetic imagery (aka photographic memory)

ability to remember the most minute details of a scene or picture for an extended period of time
(children have it but is it gone by adolescence)

Constructivist theories of intervention stress importance of ______ the client's views.

understanding

Two classes of constructive therapy are

Brief therapy - examines what worked in the past
Narrative therapy - attempts to rewrite or 'reconstruct' stories

Neo-Freudians emphasized

social factors
(Adler, Karen Horney, Erik Erikson, Harry Stack Sullivan, Erich Fromm)

Baseline

frequency that a behavior is manifested prior to or in the absence of treatment.

Introversion

introverted person is his own primary source of pleasure
(term is Jungian)

Extroversion

person has tendency to find satisfaction in other people
(term is Jungian)

Myers-Briggs Type Indicator (MBTI)

most widely used measure of personality preference and disposition, 4 bipolar scales
(based on Jung's work)

Four bipolar scales of the MBTI

-extroversion/introversion
-perception/intuition
-thinking/feeling
-judging/perceiving

Rudolph Dreikurs

first to discuss the use of group therapy in private practice.
(also introduced Adlerian principles to treatment of children in school setting)

Thematic Apperception Test (TAT)

Henry Murray's 1938 work, Exploratoin in Personality - subjective test

Personalogy

Henry Murray's term for personality typing.

Social connectedness

Adler's term for a belief that people wish to 'belong'.
(suggests we need one another)

Adler was the first therapist who relied on ______.

paradox
(exaggerate the behavior you want to stop)

Paradoxical strategies

client is instructed to intensify or purposely engage in the maladaptive behavior.
(used by Frankl, and by family therapist)

Jung felt society caused men to deny their feminine side (aka ______) and women to deny their masculine side (aka ____).

anima, animus
(memory: aniMA is feminine; aniMUS as in MUScles)

Collective unconscious

Jungian term, common to all mankind, and passed from generation to generation.

Archetype

Jungian; primal universal symbol that means the same thing to men and women (i.e., the cross), found to be in all walks of life (i.e., myths, fables, religion)

Persona (archetype)

mask or role we present to others to hide our true self.

animus, anima, self archetypes

male, female sides

shadow archetype

the mask behind the persona which contains id-like (child-like) material - denied yet desired
(dark side of the personality)

Jung's assumption was that projection will _____ and individuation will ______ as therapy renders shadow behaviors conscious.

decrease, increase

Confrontation

technique used to illuminate discrepancies between the client's and the helper's conceptualization of a given situation.

Accurate empathy

occurs when a counselor is able to experience the client's point of view in terms of feelings and cognitions.

Empathy

subjective understanding of the client in the here-and-now.

Symptom substitution

psychoanalytic concept which means if one symptom is stopped, a new symptom may start in its place
(behaviorists also believe in this concept)

An eclectic counselor

attempts to choose the best theoretical approach based on the client's attributes, resources, and situation.
(50% of counselors claim to be eclectic)

The word 'eclectic' is most associated with

Frederick C. Thorne
(felt true eclecticism was more a 'hodgepodge of facts')
-preferred the term 'psychological case handling' rather than psychotherapy)

In _________ the counselor's past is projected onto the client and the helper's objectivity suffers markedly.

counter-transference

Lifestyle, birth order, and family constellation are emphasized by _____.

Alfred Adler
(Adlerians believe lifestyle is predictable self-fulfilling prophecy based on psychological feelings about self)

Characteristics of firstborns (Adlerian)

go to great lengths to please their parents, may feel upstaged by 2nd born and prone to feelings of inferiority

Characteristics of 2nd born (Adlerian)

may compete with firstborn and often passes 1st child's performance

Characteristics of middle child (Adlerian)

may feel they are treated unfairly, seen as more manipulative.

Characteristics of youngest child (Adlerian)

baby in the family and can be pampered or spoiled, often exceed older children's performance due to modeling/imitating.

Adlerians are ______ and use homework assignments.

didactic (teaching)

Existentialism is to logotherapy as ________ is to behaviorism.

associationism
(asserts that ideas are held together by associations)

Existentialism is a type of _______.

philosophy

Associationism

asserts ideas are held together by associations.
(roots in Aristotle essay, but in line with John Locke, Hume, Mill, Hartley)

B. F. Skinner's reinforcement theory elaborated on Edward Thorndike's ____ of _____.

law of effect
(responses accompanied by satisfaction will be repeated)

Arnold Lazarus's concept of BASIC ID (multimodal approach)

B - behavior including acts, habits, reactions
A - affective responses like emotions, mood
S - sensations, hearing, touch
I - images, the way we perceive
C - cognitions, thoughts, insights
I - interpersonal relationships
D - drugs, alcohol, legal or illegal

Minnesota viewpoint

attempts to match the client's traits with a career
(created by E. G. Williamson)

unconditioned (unlearned) response

An association that naturally exists 9
(i.e., salivating when food is around)

conditioned (learned) response

something that a person has learned to do when a certain stimulus is presented.

Skinner's operant conditioning is also called

instrumental learning
(memory: Skinner's last name has an 'i' so it is his term)

Respondent behavior

reflexes

All ______ rend to increase probability that a prior behavior will occur.

reinforces

Differential reinforcement of other behavior (DRO)

counselor positively reinforces an individual for engaging in a healthy alternative behavior.

Negative reinforcement requires withdrawal of an aversive (negative) stimulus to increase the likelihood that a behavior will occur.

Negative reinforcement is NOT the same thing as punishment.

All reinforcers strengthen probability that a behavior will occur, but _____ lowers it.

punishment

Behavior modifiers feel _____ temporarily suppresses the behavior.

punishment
(decreases the probability a behavior will occur)

William Glasser

Father of Reality Therapy

Pavlov's famous experiment: using dogs, the bell was the conditioned (learned) stimulus (CS), and the meat was the unconditioned (unlearned) stimulus (UCS)

CS - conditioned stimulus
UCS or US - unconditioned stimulus

The most effective time interval (temporal relation) between the CS and the US is ____.

.5 seconds

Delayed conditioning

when the conditioned (learned) stimulus is delayed until the unconditioned (unlearned) stimulus occurs

Trace conditioning

when conditioned (learned) stimulus terminates before the occurrence of the unconditioned (unlearned) stimulus.

Another term for classical conditioning is

forward conditioning

Stimulus generalization (aka 'second order conditioning')

occurs when a stimulus similar to the conditioned (learned) stimulus produces the same reaction. (i.e., buzzer instead of bell)

Experimental neurosis

When the differentiation process becomes too tough because stimuli are almost identical

John B. Watson is associated with what study?

Little Albert
(demonstrated that fears were learned and not the result of some unconscious conflict)

Behavior MODIFICATION strategies are based heavily on INSTRUMENTAL conditioning (i.e., B. F. Skinner with the 'i'), while behavior THERAPY emphasizes CLASSICAL conditioning (Pavlov).

...

Neal Miller

demonstrated that animals could be conditioned to control autonomic processes. (heart rate, blood pressure)

Law of effect (aka 'trial and error')

Thorndike's suggestion that satisfying associations related to a given behavior will cause it to be 'stamped in' while those associated with annoying consequences will be 'stamped out'.

Analytic psychology is sometimes referred to as

depth psychology

John B Watson is to cause as Mary Cover Jones is to

cure
(demonstrated learning could serve as treatment for a phobic reaction)

Neurolinguistic programming (NLP)

brainchild of linguistics professor John Grinder and mathematician John Bander.

Pioneers in the Behaviorist movement

Pavlov, Jones, Watson

Counseling paradigm

a treatment model
(paradigm = model)

Active therapy (aka 'active-directive' therapy)

therapy to delineate the directive paradigm.

Concreteness (aka 'specificity')

this principle is used to alleviate vague language.

Interpretation

highly valued in analytic and psychodynamic modalities
(takes place when counselor uncovers a deeper meaning regarding a client's situation)

A directive

In counseling, merely a suggestion

Continuous schedule of reinforcement

reinforcing every behavior
(not necessarily the most practical or effective)

Intermittent schedule of reinforcement

Not every desirable behavior is reinforced
(sometimes called 'thinning')

The counselor who is _____ is real and authentic.

congruent

Robert Carkhuff

known for his 5 point scale measuring empathy, genuineness, concreteness, and respect.

Empathy is the ability to experience the client's subjective world.

Sympathy is compassion.

When something is added following an operant, it is known as a ____ ______, and when taken away, it is called a ______ ______.

positive reinforcer, negative reinforcer

Operant

any behavior which is not elicited by an obvious stimulant.

Respondent

consequence of a known stimulus.
(dog salivating)

Higher order conditioning.

when a new stimulus is paired with the conditioned (learned) stimulus and the new stimulus takes on the power of the conditioned (learned) stimulus.

Premack principle

'an efficient reinforcer is what the client himself likes to do.'

Reinforcement schedule

gives guidelines for reinforcement.

Two basic classes of intermittent reinforcement schedules

Ratio - based on # of responses ('variable' often used with this)
Interval - based on time elapsed ('fixed' often used with this)

Variable ratio of intermittent scheduling

the most difficult to extinguish

Fixed interval scheduling is the most _____ of them all.

ineffective

Yerkes-Dodson Law

indicates a moderate amount of arousal or anxiety on a test improves performance.

Secondary reinforcement

a stimulus which accompanies a primary reinforcer takes on reinforcement properties of its own (most popular secondary is 'money')

Token economies

agencies that use tokens as a system of behavior modification

Covert

not observable

In vivo treatment

direct treatment of an overt behavior.

Aversive conditioning

pairing an unpleasant stimulus to a pleasant stimulus to reduce the satisfaction (i.e., Antabuse and alcoholics)

Systematic desensitization hierarchy

from least anxiety-producing to most, ideally with 10 to 15 evenly spaced steps.

Fixed role therapy (aka 'behavioral rehearsal')

client is given a sketch of a person in a role and is instructed to read the script at least 3 times a day to act, think, and verbalize like the person in the script.
(by George A. Kelly who also did 'psychology of personal constructs')

Systematic desensitization consists of 4 steps

relaxation training, construction of anxiety hierarchy, desensitization in imagination, and in vivo desensitization.

Interposition

perceptual term where one item conceals or covers another

Sensate focus

form of behavioral sex therapy, relies on counterconditioning
(by Masters & Johnson)

Wilhelm Reich

felt repeated sexual gratification was necessary for cure of emotional maladies.
(orgone box - later outlawed and Reich died in jail)

Desensitization

to make one less sensitive

Sensitization

one is made more sensitive to a stimulus

Flooding (in anxiety terms)

deliberate exposure with response prevention

Implosive therapy (in anxiety terms)

conducted using the imagination and relies on psychoanalytic symbolism (brainchild of T. G. Stampf)

Sympathy often implies pity, while accurate empathy is the ability to experience another person's subjective experience.

...

EMDR

Eye Movement Desensitization and Reprocessing
(Francine Shapiro)

Attending (counseling behavior)

counselor behaviors that signal he is truly engaged in active listening skills.

Carkhuff's 'scale for measurement' levels for counseling skills

1 - not attending
2 - subtracts noticeable affect from communication
3 - feelings expressed are interchangeable with client's meaning
4 - Counselor adds to client's affect
5 - Counselor adds to client's feelings, meanings

Logotherapy

healing through meaning
Viktor Frankl)

Frankl is the Father of existentialism and ____ _____.

paradoxical intention

Existentialism is considered a humanistic form of helping in which the counselor helps the client discover meaning in his or her life by doing a deed, experiencing value, and suffering.

Existentialism is more of a philosophy of helping than a grab bag of intervention strategies.

Albert Ellis

created Rational-emotive behavior therapy (REBT)

Existentialists focus primarily on

the client's perception in the here-and-now.
(focus is on what the person can ultimately become)

I-Thou relationship

Rogerian and Existentialistic
(relationship is horizontal in nature)

Horizontal relationship

assumes equality between persons.

Arthur Janov

created primal scream therapy

Existentialist speak of 3 worlds:

Umwelt (physical)
Mitwelt (relationship)
Eigenwelt (identity)

Frankl felt that suffering would be transformed into achievement and creativity.

...

Existential counselors emphasize the client's

free choice, decision, and will

Noogenic neurosis (Existentialism)

frustration of the will to meaning

Ontology

metaphysical study of life experience

Rational imagery

used by rational-emotive behavior therapists where client is asked to imagine that he or she is in a situation which has traditionally caused disturbance)

Reality therapy incorporates

control theory and choice theory

Reality therapy's 'BCP'

perception controls behavior

Reality therapy (aka choice therapy)

childhood is usually not explored, present moment of counseling
(therapist makes friends with client)

When the past is discussed in reality therapy, the focus is on

successful behaviors.

Glasser's position on mental illness is that

diagnostic labels give clients permission to act sick

The Interpretation of Dreams

the Bible of Psychoanalysis by Freud

Summarization

when a counselor reviews what has transpired in past counseling sessions he is using
(constitutes a 'synthesis' regarding general tone and feeling of helping process)

William Glasser is to reality therapy as Albert Ellis is to

Rational-emotive behavior therapy (REBT)
(Ellis is father of REBT)

Albert Ellis believes

When you change your thinking, you change your life."
(Ellis known for REBT and work in sexology.)

Epictetus said about thinking

People are disturbed not by things, but by the views they take of them." - very REBT

Tyranny of the shoulds

coined by Karen Horney (neo-Freudian)

REBT suggests the ABC theory of personality in which A is ____, B is the _____, and C is the ______.

activating event, belief system, emotional consequence

REBT's ABC theory of personality believes that the intervention that occurs at D, ____ leads to E, ____.

disputing the irrational behavior at B, leads to a new emotional consequence.

Bibliotherapy

use of books or writings pertaining to self-improvement.
(is a form of homework)

Musturbation (aka 'absolutist thinking')

occurs when client uses too many shoulds, oughts, and musts in his thinking.

Awfulizing (aka 'catastrophizing')

act of telling yourself how difficult,, terrible, and horrendous a given situation really is

Therapeutic cognitive restructuring (aka 'changing thoughts')

takes place when a client begins thinking in a healthy new way using different internal dialogue.

Ellis feels that _____ is at the core of emotional disturbance.

irrational thinking (at point B)

Internal verbalizations are to REBT as ____ ___ ___ ____ are to Glasser's Choice Theory.

pictures in the mind

Rational-behavior therapy

uses rational-emotive imagery regularly, works well for multicultural counseling, by Maxie Maultsby.

Aaron T. Beck

ex-psychoanalytic therapist, created Beck Depression Inventory (BDI), developed cognitive therapy

Beck's contention was that depression is the result of a cognitive _____ of negative beliefs regarding oneself, one's future, and one's experience.

triad

Metacognition

an individual's tendency to be aware of his own cognitions or cognitive abilities

Karpman's triangle

suggested 3 roles necessary for manipulative drama (a 'game' in transaction analysis):
-persecutor, rescuer, and victim

Cycle of violence (3 phases)

-tension building (walking on eggshells)
-acute incident (abuse takes place)
-honeymoon phase (romance, making up)
(by Dr. Lenore Walker)

A life script is actually a life drama or plot:

-never scripts (will never succeed)
-always scripts (always be a certain way)
-after scripts (will be after an event happens)
-open ended scripts (no direction)
-desirable scripts (what they want)

Ulterior transactions

hidden transactions as two or more ego states are operating at the same time.

Eric Bern is to TA as Fritz Perls is to

Gestalt therapy

Jacob Moreno

invented psychodrama
first coined the term 'group therapy' in 1931

Retroflection

act of doing to yourself what you really wish to do to someone else (gestalt concept)

Gestalt can imply that the integrated whole is greater than the sum of its parts.

...

Perls suggested FIVE layers of neurosis:

phony, phobic, impasse, implosive, and explosive

Unfinished business (Gestalt concept)

unexpressed emotions

The peak period of competition between therapies was during the late

1960s

Counseling in 1950s

development psychology

Counseling in 1960s

competing psychotherapies

Counseling in 1970s

biofeedback, behavior modification, crisis hotlines

Counseling in 1980s

professionalism, licensing

Names for Carl. R. Rogers' theory

non-directive, client-centered, and now, person-centered counseling (also called 'self theory')

Forces of psychology

1st - psychoanalysis
2nd - behaviorism
3rd - humanism
4th - multiculturalism

A person-centered therapist would treat all diagnostic categories of the DSM using the ____ _____.

same principles.

Congruence in counselor

external behavior matches an internal response or state.

Rogers' 3 key factors to being an effective counselor

-attitude must be genuine
-unconditional positive regard
-empathic understanding

Phrenology

pseudo-science which asserted one's personality could be determined by the shape of their skull.

Counselors who work as consultants generally do not adhere to one single theory.

...

Consultation theories

-Caplan's psychodynamic mental health consult
-Social learning theory assoc. with Bandura
-Schein's process consultation model

Social power is also called

social influence

EAT (in terms of social power)

E - expertness
A - attractiveness
T - trustworthiness
(by Stanley Strong in 1968)

Key areas that often cause problems for counselor self-image are

competence
power
intimacy

Allen Ivey's 3 types of empathy

-basic: counselor's response is on same level as client
-subtractive: counselor's behavior doesn't convey understanding
-additive: adds to client's understanding and awareness