🔑 Key Definitions
MI 💪: Client-centered, directive approach to enhance motivation for change - especially useful with resistant clients
Schema 🧩: Deep cognitive/emotional patterns formed in childhood through unmet needs - self-perpetuating and maladaptive
Therapeutic Community 🏠: Residential treatment where the community ITSELF is the treatment
👤 Important Figure
- Jeffrey Young - Developed Schema Therapy for personality disorders
💪 OARS - MI Core Principles (MEMORIZE!)
- O - Open questions - Encouraging elaboration
- A - Affirmations - Acknowledging strengths
- R - Reflective listening - Demonstrating understanding
- S - Summarizing - Pulling together key points
🗣️ Change Talk Types
- Desire - "I want to change"
- Ability - "I can do this"
- Reasons - "Because..."
- Need - "I need to stop"
- Commitment - "I will..."
- Taking steps - "I've started..."
🧩 Schema Modes
- Vulnerable Child - Scared, abandoned, defective
- Angry Child - Rage at unmet needs
- Detached Protector - Emotionally cut off
- Punitive Parent - Harsh self-criticism
- Healthy Adult - Balanced functioning
🏠 TC Core Principles
- Democracy - Shared decision-making
- Communalism - Living & working together
- Reality confrontation - Honest peer feedback
- Permissiveness - Allowing behavior to emerge
💡 Exam Tips
- OARS = Open questions, Affirmations, Reflective listening, Summarizing
- MI Spirit = Partnership, Acceptance, Compassion, Evocation
- Schema Therapy = Jeffrey Young, for personality disorders
- TCs = Community IS the treatment, residential 6-12 months