Theories Ch. 12: Reality Therapy – Flashcards
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Who developed reality therapy?
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Wiliam Glasser
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What led Glasser to develop Reality Therapy?
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while working in a correctional institution and psychiatric hospital
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2 things Glasser emphasized:
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1) people are responsible for their own behavior and 2) they cannot blame the past, or outside forces, and at the same time achieve a high degree of mental health.
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Glasser asserted that behavior involves _______ and that there are always options open to most people.
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choices
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Though not greeted enthusiastically by the ______ profession (1965), Glasser's theory was well received by many, including corrections personnel, youth workers, counselors, therapists, and educators.
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medical
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Realiy therapy is recognized as a scientific and valid system due to 1) _________ validation 2) the existence of 6 european reality therapy _______
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1) empirical 2) organizations
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Glasser believed that we are an ______ _______, a world in which people are more focused on their identity needs than on their survival needs
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identity society
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Glasser felt that 3 gradual but important changes facilitated the arrival of the identity society:
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1. the passage of laws that guaranteed human rights 2. increased affluence that satisfied the basic need of survival 3. the advent of instant communication via electronic media
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Powers described the brain as an _____ _____ ______, similar to a thermostat that controls the temperature of a room.
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input control system
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Glasser (1984) extended Powers' control theory (or control system theory) by incorporating a system of _______ to explain human ______ and then molded the theory to the clinical setting and the practice of counseling and psychotherapy. Choice theory = brain an input control system Human needs are the source of all human behavior Behavior = output to satisfy needs
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needs; motivation
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human _____ are the source of all human behavior
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needs
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______ = output to satisfy needs
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behavior
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the _____ formulation described by Robert Wubbolding provides a pedagogical tool for learning and practicing the process of reality therapy
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WDEP
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W= implies that the counselor helps clients explore their... D= means that clients describe the direction of their lives as well as what they are currently... E= indicates that the counselor helps in the client's self-_______ by asking such questions as "are your current actions effective?" P= clients are then helped to make simple and attainable action...
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WANTS DOING EVALUATION PLANS
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As people grow, they develop specific _____ unique to themselves. -Though the behavior of all human beings is designed to fulfill inner _______, it differs according to ___ and _____
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wants -needs; age; culture
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Wubbolding emphasizes the necessity of _______ ____ ______ as a facilitative component of healthy development.
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interpersonal quality time
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In order for quality time to serve as a solid support for effective growth and development, it must be characterized by the following traits...
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Effort Awareness of the other person Repetition Free of Criticism and Complaint Need-Fulfilling for all Persons Performed for a Limited Time
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Theory that human beings act on the world around them for a purpose, to satisfy their needs and wants.
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Choice Theory
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According to Glasser, _______ is the main motivator of behavior bc of belief in Identity Society
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belonging
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Glasser speaks of Total Behavior, which is comprised of... -all behaviors contain these 4 elements although one element or another is more obvious at a given time
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-action, thinking, feelings, physiology
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5 main needs outlined in Glasser's theory -Glasser said these inherent, general and universal
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**Belonging -Power -Fun -Freedom -Survival
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Along with _____, which are specific and unique for each person, ______ serve as the motivators or sources of all behavior.
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wants; needs
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Reality therapy rests on the principle that human behavior springs from _____ ________, producing behavior from moment to moment.
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internal motivation
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Idea that human choices are not aimless or random, they are goal-oriented -they serve a purpose, which is to close the gap between the perception of what a person is getting and what he or she wants at any given moment
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teleological
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Because behavior originates from _______, human beings are responsible for their behavior. In other words, we are all capable of ______. This change is brought about by choosing more _______ behaviors, especially the ______ component which is more easily controlled than the other components.
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within; change -effective; action
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Human beings see the world through a __________ system that functions as a set of lenses. -At a _____ level of perception, the person simply recognizes the world, giving names to objects and events, but does not make judgments about them. -At a ____ level of perception, the person puts a positive or negative value on the perception.
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perceptual -low -high
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Wubbolding & Brickell (2009) suggest that in the perceptual system a middle level filter exists whereby human beings see _______ between people, things, ideas, etc., a necessary pre-requisite for placing a value on the perception.
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relationships
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The goal of reality therapy is to help clients...
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fulfill their needs
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The precise wants related to each need are examined so as to help clients fulfill their specific objectives or their ____ ____ _____
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quality world wants.
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what is the aim of the counselor?
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assisting clients to make more effective and responsible choices related to their wants and needs
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choices are seen as motivated by _____ needs and wants -NOT by past traumas, unresolved conflicts, peer pressure, or previous training.
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current
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change occurs when...
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clients decide to change
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major principles in the process of change:
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-present orientation -emphasis on choice -control of action -importance of relationship -
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idea that human behavior springs from current inner motivation and is neither an attempt to resolve past conflicts nor a mere response to an external stimulus.
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Present Orientation
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idea that it is useful to see behavior as a result of one's choices, to treat it as such, and to talk to clients as if they have choices. -The work of the counselor is to reveal more choices to clients and to help clients see that better choices are possible.
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Emphasis on Choice
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choice is the ______ element. -Because people have the most control over the action element, helping them change their actions is more efficacious than helping them think differently or helping them feel better.
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Control of Action -action
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The specific procedures of the WDEP system are based on the establishment of an empathic relationship. -As is abundantly clear from research, the relationship between the client and the counselor is critical in effecting change.
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Importance of Relationship.
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Clients are encouraged to take action in an effort to satisfy their ____ ____ regardless of their history, insight, or even whether they feel good about taking action.
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five needs (belonging, power, fun, freedom, survival)
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Reality therapy had been criticized as merely a ____ ____ problem-solving method.
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short-term
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The methodology employed in reality therapy consists of establishing an appropriate environment or psychological atmosphere and then applying the procedures that lead to change. Together these constitute the "_____ of _______"
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cycle of counseling
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Brief intervention strategies: Create a Positive _______. - the basis for the WDEP system, is built not only on avoiding the uncongenial behaviors of arguing, criticizing, or giving up. Rather, it rests on "tonic" behaviors such as the global admonition to "be friends" in a professional manner.
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Create a Positive Environment
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Brief intervention strategies: Suspend ______ -all behavior is a person's best effort at any given time to fulfill his or her needs. Consequently, a counselor who keeps this principle in mind can more easily see quite harmful choices from a low level of perception, without approval or disapproval.
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Suspend Judgement
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Brief intervention strategies: Do the ________ -unpredictability is a quality that facilitates a helpful counseling or psychotherapy environment. Focusing on a strength, a success, or a time when the client felt good often generates the type of discussion that clients do not expect.
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unexpected
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Brief intervention strategies: Use Humor
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A healthy and democratic sense of humor is a curative factor for the mental health specialist. Victor Borge once remarked that laughter is the shortest distance between two people.
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Brief intervention strategies: Be Yourself.
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Though it is to be expected that students learning counseling skills will adopt the style of their teachers, or that of the leaders in each theory, they also need to adapt the skills that fit their own personality and core beliefs.
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Brief intervention strategies:
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-create a positive environment -suspend judgement -do the unexpected -use humor -be yourself -share yourself -listen for metaphors -listen for themes -summarize and focus -Allow or Impose Consequences. -allow silence -be ethical -Be Redundant or Repetitious Create Suspense and Anticipation. Establish Boundaries. WDEP system -Getting a Commitment to Counseling
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the WDEP system should not be seen as steps to be used __________ or mechanically; may be difficult to implement
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sequentially
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5 levels of commitment (Wubbolding)
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1. "I don't want to be here." 2. "I want the outcome, but not the effort." 3. "I'll try; I might." 4. "I will do my best." 5. "I will do whatever it takes."
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W in WDEP Wants
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wants, needs, perceptions
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D in WDEP Doing
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Discussing Behavioral Direction and Doing (Total Behavior). -The counselor or therapist helps the client review his or her overall direction by using inquiries.
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E in WDEP Evaluation
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helping Clients Conduct Evaluations. -clients look inward and examine the effectiveness of their lifestyle and its specific aspects.
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P in WDEP Planning
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Plans that are truly efficacious have at least eight qualities, which can be summarized by the acronym SAMI2C3: S = Simple A = Attainable M = Measurable I = Immediate I = Involved C = Controlled by the client C = Committed to C = Consistent
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The ____ __ ______ is a design for understanding reality therapy and an outline for knowing how to apply it. -The WDEP formulation is not a system that is intended to be followed in a mechanical manner, but rather a system from which the proper intervention is selected at a given time because of its apparent appropriateness.
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cycle of counseling
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From the point of view of reality therapy, the diagnostic labels described in the Diagnostic Statistical Manual are..
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not static conditions
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Mental disorders are seen as negative ________ (i.e., behaviors generated for a purpose—to fulfill wants and needs). -As goal-directed behaviors, negative symptoms can be replaced by more effective behaviors (i.e., positive symptoms).
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symptoms
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The skilled reality counselor or therapist spends little time discussing _______ symptoms such as hallucinations, compulsions, psychoses, or depression.
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diagnostic
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The counselor and client search for specific _______ related to effective need and want satisfaction especially directed toward a better sense of belonging and healthier relationships.
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solutions
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The reality counselor or therapist treats all behaviors as if some element of choice is present. - In this way, clients feel both _____ and _________
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hope; empowerment
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Reality therapy is an eminently ___-______ method.
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cross cultural -Based on universal psychological principles, the method has been applied to cultures as diverse as Asian, Middle Eastern, South American, African, European, as well as those represented in North America.
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Practitioners using the principles of reality therapy are ________ of their own beliefs and attitudes, about their own culture, and the cultures of their clients.
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aware
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While researchers continue to conduct studies validating the use of reality therapy, the widespread interest in the theory indicates that many practitioners have confidence in its _____
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efficacy
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Limitations: Many clients believe that in order to make changes in their lives or to feel better, they need to gain insight into their past, resolve early conflicts, describe the negative aspects of their lives, or tell how they arrived at their present state.
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Reality therapy doesn't provide for this.
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Limitations: The ______ language of reality therapy may be another limitation. It contains little jargon or technical terminology.
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concrete
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Because the language of reality therapy is _____ understood, its practice can appear to be ______ implemented. Nevertheless, the effective use of reality therapy requires practice, supervision, and continuous learning.
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easily; easily