Ch. 9 Choice Theory and Reality Therapy – Flashcards
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Choice theory and reality therapy is most closely aligned with which of the following theoretical orientations?
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None of the above (behaviorism, cognitive theory, psychodynamic theory)
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Choice theory holds that humans are:
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Internally motivated
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What factor or phenomenon does Glasser consider to be a "terrible plague that invades every part of our lives.." and cause much misery?
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External control psychology
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From the choice theory perspective you're reading this study manual because:
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Internal values and goals
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Survival (or self-preservation), Love and Belonging, Power (or achievement or inner control), Freedom (or independence), Fun (or enjoyment)
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Glasser's five basic human needs
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Road to human happiness
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Glasser views choice theory as the:
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Creativity in humans is directly related to which of Glasser's five basic needs?
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Freedom
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Which of the 5 basic needs does Glasser consider the primary human need?
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Love and Belonging
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Which of the human needs is most likely to derail or interfere with loving relationships?
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Power
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Glasser believes that children and teens become too focused on freedom and power only when which other human need isn't being adequately met?
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Love and Belonging
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Which of the human need does Glasser consider easiest to satisfy?
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Fun
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In the reality therapy car metaphor, the rear wheels are - and - and are indirectly controlled through front wheel - and -.
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Feelings and Physiology; Acting and Thinking
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Glasser uses verbs like - and - to describe human problems.
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Depressing and Angering
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Which of the following is NOT a feature or technique associated with Choice Theory?
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Systematic Desensitization ( The five basic human needs, Your Quality World, Total behavior, and WDEP are associated with CT)
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What does Glasser consider the main reason why clients come for therapy?
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Unhappiness in an important relationship
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Stan's counselor is practicing reality therapy. One thing Stan has noticed is that his therapist is not inclined to discuss past events..with one exception. What type of past event do you think Stan's therapist is interested in talking about?
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Success (Trauma, Parent-child relationships, failure, and specific childhood memories are the other options)
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Which of the following words is used by Wubbolding to describe the essential ingredients of an effective plan?
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Qualitative
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1)What do you want? (Wants) 2)What are you doing? (Doing) 3)Is it working? (Evaluation) 4)Should you make a new plan? (Planning)
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Robert Wubbolding's four big questions of choice theory (WDEP)
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One of the basic axioms of choice theory is:
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You can only control yourself
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Caitlin is looking for a job and complaining about the bad economy. Her reality therapist asks her if her complaining is helping her get what she wants. What is the purpose of Caitlin's therapist's question?
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To push Caitlin toward a more reasonable self-evaluation
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Which sort of relationship between therapist and client is the best descriptor of how reality therapists interact with clients?
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The therapist is like a coach who sometimes offers guidance.
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Which acronym is used to help us remember the qualities of a good plan? (Simple, Attainable, Measurable, Immediate, Controlled, Committed, Continuous)
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SAMIC^3
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In a recent study comparing the efficacy of a 12 week choice theory based group versus a 12 week motivational interviewing group, researchers found:
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Both groups had approximately the same treatment outcomes.
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According to Wubbolding, there is no exact Japanese translation for the word plan. Therefore:
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Reality therapists must modify their language to help Japanese clients understand and use choice theory.
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A flexible therapy system that allows practitioners to incorporate certain portions of CT/RT, but not others.
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Overall, CT/RT is:
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Choice theory holds that humans are internally motivated.
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How does the philosophy of choice theory differ from behaviorism?
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1) People 2) Things or experiences or activities 3) Ideas or systems of belief
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Three things or entities that make up an individual's quality world:
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1) Acting 2) Thinking 3) Feeling 4) Physiology They are inseparable and always occurring simultaneously
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What are the four components of total behavior and how are they related to each other?
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Glasser does not believe in the existence of mental illness. He doesn't prescribe or recommend psychotropic medications for clients and believes meds are harmful.
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How does Glasser define mental illness and what is his personal/professional opinion about psychotropic medications?
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1) Restraining anger 2) Getting help 3) Avoiding things
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What are Glasser's three explanations for psychopathology or maladaptive behavior?
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Depressing is the most common solution to the problem of anger. A way anger is restrained or managed.
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According to Glasser, how is depression sometimes related to anger?
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Because "there is no such thing as mental illness"
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Why do reality therapists use the terms depressing and headaching?
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Yes, accept that the symptoms are there, but rarely refer to them in therapy. Most psychotic patients can be reached of they concentrate on what they think is sane. Focus on the client-therapist relationship.
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Would a reality therapist work with a psychotic patient? If so, how?
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Many reality therapists don't agree with Glasser's more extreme positions on psychopathology. Glasser relies exclusively on choice theory to guide his treatment approach, while others may incorporate other methods.
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Glasser's perspective on testing, medications, and diagnostic procedures compared with many other reality therapists?
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What do you want?
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Which component of WDEP is the 'cornerstone' in the practice of reality therapy?
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Seven caring: supporting, encouraging, listening, accepting, trusting, respecting, and negotiating differences Seven deadly: criticizing, blaming, complaining, nagging, threatening, punishing, and bribing or rewarding control
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How can the seven caring habits and seven deadly habits guide you as you're developing a therapy relationship?
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The relationship will be damaged, and if continued, it will be destroyed.
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What negative outcomes are likely to occur when someone engages in the seven deadly habits?
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The goal of confrontation is to help clients engage in self-examination. Awareness and insights lead to motivation and eventual change.
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How and why would a reality therapist use confrontation in a therapy session?
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Standing at the door and shaking hands or fist-bumping or somehow making a connection.
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How might a reality therapist use 'human connection' to start up a relationship with students in a classroom setting?
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1) The only person whose behavior we can control is our own 2) All we can give another person is information
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Glasser's first two axioms of choice theory:
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" What are you looking for?" and " Would that be a minus or a plus?"
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Instead of questions like, "What do you want?" and "Would that help" what questions might be more sensitive for reality therapists to use with Japanese clients?
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It doesn't address important social power dynamics.
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In what ways has reality therapy been criticized by feminist therapists?
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Very few well-controlled efficacy or effectiveness studies have been conducted. Also, Glasser thinks he's right about everything, so he doesn't really need any empirical evidence that his theory is effective.
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Summarize the 'empirical status' of reality therapy.
