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Chapter 1
Values as Context for Therapy
23
Psychology
Graduate
05/13/2013

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Term

An enduring belief that a specific mode of conduct or end-state of existence is personally or socially preferable to an opposite or converse mode of conduct or end-state of existence.

 

Reflects more than opinions or preferences, but move us to take actions that demonstrate our commitment to them.

Definition

Values

Term
An array of value-based decisions fall into 2 categories of actions:
Definition
  1. Mandatory Actions
  2. Discretionary Actions
Term
Mandatory actions allow for few options because they involve: (2)
Definition
  1. Obligations  (i.e., things we must do)
  2. Prohibitions (i.e, things we must not do)
Term
Actions involving a variety of options based on the values of the individuals.
Definition

Discretionary Actions

Term

Our values take form in our experiences in a context, then they become the context for our lives, shaping our perceptions and becoming a template and reference point for decisions, behaviors, asperations, expectations, and motivations.

 

Yet, our values are unique, shaping our individuality. 2 processes provide a framework for value structures of both therapists and the clients they serve:

Definition
  1. Acculturation
  2. Identity Development
Term

The configuration of learned behavior and the result of behavior whose components and elements are shared and transmitted by the members of a particular society.

 

Institutions, communications, values, religions, sexual orientations, disabilities, thinking, artistic expressions, and social and interpersonal relationships.

Definition

Culture

Term
Process by which the values and traditions advanced by those persons and agencies who hold a place of significance for an individuals (e.g., family, community, religion, etc) become a unique template for understanding and interpreting our interactions and experiences.
Definition

Process of Acculturation

Term
The acculturation process is not uniform within (intragroup) or between (intergroup) cultural groups, meaning that the process of using one's experiences to form one's value's is ultimately an ________.
Definition

Individual Process

Term
Emphasizes the significance of racial, ethnic, regional, economic, or social community that exhibits characteristic patterns of behavior sufficient to distinguish others in the dominant society or culture.
Definition

Subculture

Term
Reflects a client's educational background, SES, acculturation, and urban and rural background.
Definition

Intraculture

Term

Understanding the acculturation process is critical in understanding how our values evolve to influence our decisions when faced with ethical, legal, and professional dilemmas.

 

6 common dimensions of cultural difference that affect the acculturation process:

Definition
  1. Gender
  2. Ethnic/Racial Heritage
  3. Social Class or SES
  4. Sexual Orientation
  5. Disability
  6. Religious/Spiritual Traditions
Term

Represents a more composite picture of one's association with a reference group distinguished on the basis of a variety of cultural factors; reflects individual experiences as a member of a reference group, some of which may conform/diverge from the majority perspective of that group.

  • Self in relation to others
  • overriding cognitive frame of reference influencing most of individuals perceptions/values
Definition

Worldview

Term
Term used to reflect respect for differences and duties; particularly relevant notion for the discretionary actions of therapists int heir attempts to resolve ethical, legal, or professional dilemmas.
Definition

Value-Sensitive Care

Term

Means for therapists to clarify their worldview and duties; assumes that

  • thoughtfully reflecting on one's beliefs is better than not doing so 
  • considering alternatives and their consequences is better than not considering them
  • acting consistently with one's most cherished beliefs is critical
Definition

Values Clarification

Term
The essence of therapy depends on a therapist's prizing, choosing, and promoting certain foundational beliefs of helpers, including: (5)
Definition

a) respect for differences

b) hope for and commitment to the process of change

c) qualitatively unique therapy relationship for clients

d) appreciation for professional peers and their values

e) devotion to continued development in knowledge/skills

Term
2 approaches to multicultural awareness which are critical in promoting value-sensitive care:
Definition
  1. Etic Perspective
  2. Emic Perspective
Term
Emphasizes similarities and dissimilarities between one's acculturation and that of others; lends itself through comparison of selected cultural dimensions.
Definition

Etic Perspective

Term
Emphasizes one's culture without comparison to others; lends itself to learning about the nature of acculturation through close examination of self.
Definition

Emic Perspective

Term
4 implications of Context in Value-Sensitive Care:
Definition

1. Comtemporary Complexity

  • Increased amount/quality of info available through media, etc.
  • Change and multiple demands (economic/government)

2. Valuing Values (vs. values or valuing)
3. Valuing Uniqueness (promotes respect/prizing of differences)
4. Valuing Reality (balancing uniqueness with reality)

Term
4 implications for Therapist Roles/Duties in Value-Sensitive Care:
Definition
  1. Grounding in Professionalism
  2. Establishing Limits of Responsibility
  3. Derivatives of Duty
  4. Clarifying Expectations for Therapy

 

Term
Derivatives of Duty for therapists providing value-sensitive care involve obligations beyond mandatory actions. Rather, they involve discretionary actions that revere therapy as a means of promoting change.These derivatives concern: (4)
Definition

1.  Practicing w/out Objective Knowledge

 

2. Taking Personal Responsibility

 

3. Taking Professional Responsibility for Pathologizing

 

4. Accepting what is

Term
4 implications for the Process of Therapy in Value-Sensitive Care:
Definition
  1. Client Motives for Therapy
  2. Client Resistance to Therapy
  3. Risk and Adaptation (to change) through Therapy
  4. Addressing Inequalities (valuing voices and worldviews) in Therapy
Term
6 implications for the Goals of Therapy in Value-Sensitive Care:
Definition
  1. Valuing Values
  2. Respect for Client Differences
  3. Personal Responsibiligy of Clients
  4. Client Self-Awareness and Insight
  5. New Client Skills
  6. Courage for Honest Evaluations of (Un)Successful Goal Outcomes
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