LMSW Licensing Exam

Psychosocial Problem Solving Crisis Intervention, Task Centered Planned short-term treatment

Psychoanalytic Theory Ego-Psychology/Psychoanalytic Social Science Social sciences Biological Theories

SIgmund Freud

Ego functions & adaptation Defendse mechansims (Anna Freud) Adaptation to an average "expected" enviornment (Hartman) Ego-mastery &development thru life cycle (Erickson) Separation/Idividuation (Mahler)

*Indivduals seen within context of their enviornment, interacting with family, other sociasl systems, these influence earlier personal experiences. * Conscious, unconscious, rational & irrational motivations govern behavior * Individuals can change & grow under appropirate conditions thru life cycle

*Disequilibrium evokes anxiety and releases energy to change * Conscious & unconscious needs & wishes *Relationship with the clinician or group in a treatment setting

* Developent of insight & resolution of emotional conflicts lead to possibility of behavioral change *Corrective emotional experience in relationship with the worker *Changes in affective, cognitive, or behavioral patterns that cause change in interpersonal relationships *Changes in enviornment

*Conscious use of relationship can stimulate change *Corrective emotional experience *Client and client's needs are central *Transference: client brings his/her own relationship history to treatment *Cournter transference: worker be aware of problematic interpersonal patterns Heirarchial: worker seen as more competant than client and as "expert" who will fix the client

*Dynamic understanding: how do different apects of a client's personality & their relationships influence their functioning *Etiological understanding: What are the causative factors that produce the porblem and that influence the client's attempt to deal wth it *Clinical Understanding: Formulation of the clients functioning, mental status, defensees and coping styles and if needed a clinical diagnosis

*Key characteristic is the development of a unique plan based on the clients situation *Clients goals and ability to meet them, given the clients strengths, capabilities and weaknesses. *Treatment plan is aimed at changing the individual, enviornment, or the interaction between the two

*engagement/assessment *contracting/goal *ongoing treatment/intervention *termination

*Transition from applicant to client *Enhancing motivation *Eealing with initial resistance *Establishing relationship with client. *Establish informed consent regarding confidentiality and the client/worker's roles, rights and responsibilities

*Mutual understanding betwn. client and worker about goals, treatment process, the nature of relationship and roles, & the intended alloted time

*Work to alleviate agreed upon problems *Major focus is on currrent functioning and conscious experience *Deal with ongoing transfernce and counter-transference

*Potential for growth, recap of major themes of treatment *Experience feelings about ending the relationship