ASWB Advanced Generalist flashcards
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- Duration criterion for major depression
- Depressed mood or anhedonia plus at least four other symptoms must persist for two weeks or more and cause clinically significant impairment or distress.
- Persistent complex bereavement disorder
- In adults, disabling yearning or preoccupation with the deceased persists beyond twelve months after the loss, with accompanying emotional and functional impairment.
- Differential diagnosis purpose
- The process of distinguishing among conditions with overlapping presentations by weighing onset, course, symptom pattern, and exclusion criteria to select the best-fitting diagnosis.
- Mental status examination
- A structured observation of appearance, behavior, speech, mood, affect, thought process and content, perception, cognition, insight, and judgment used to document current functioning.
- Static versus dynamic risk factors
- Static factors are historical and unchangeable, such as prior attempts; dynamic factors are current and modifiable, such as ideation, access to means, and substance use.
- Screening versus assessment
- Screening identifies probable cases needing further evaluation; assessment is a comprehensive process that establishes diagnosis, severity, and treatment implications.
- Halo effect in evaluation
- A rater's global impression of a client, positive or negative, biases ratings on specific separate dimensions, inflating consistency and distorting the assessment profile.
- Cultural bias in instruments
- Standardized measures developed on one population may misclassify members of other groups because of language, norms, education, or culturally specific symptom expression.
- Functional impairment requirement
- Most diagnostic categories require evidence that symptoms cause significant distress or impairment in social, occupational, or other important areas of functioning.
- Stages of change model
- Prochaska's sequence of precontemplation, contemplation, preparation, action, maintenance, and relapse, used to match intervention to a client's current readiness.
- Motivational interviewing spirit
- Partnership, acceptance, compassion, and evocation; the practitioner draws out the client's own reasons for change rather than persuading or confronting.
- Cognitive restructuring
- A cognitive behavioral technique that identifies distorted automatic thoughts, tests them against evidence, and replaces them with more balanced, accurate appraisals.
- Crisis intervention focus
- Short-term, structured work prioritizing immediate safety, emotional stabilization, and linkage to ongoing services rather than long-term insight or personality change.
- Trauma-informed principles
- Safety, trustworthiness, peer support, collaboration, empowerment, voice, and cultural humility; services avoid re-traumatization and maximize client choice.
- Circular causality
- A family systems assumption that behavior is maintained by reciprocal interaction patterns among members rather than caused linearly by one identified patient.
- Triangulation in families
- A pattern in which tension between two members is displaced onto or detoured through a third member, stabilizing the system while obscuring the original conflict.
- Treatment plan objectives
- Statements that are specific, measurable, achievable, relevant, and time-bound, derived from the client's prioritized goals and reviewed at documented intervals.
- Task-centered model
- A brief structured approach in which worker and client agree on explicit problems, limited tasks, and a time frame, with progress reviewed each session.
- Relapse in change model
- A return to earlier behavior treated as an expected stage in the cycle of change, prompting renewed contemplation and revised planning rather than termination.
- Evidence-based practice elements
- Decision-making that integrates best available research evidence, client values, preferences, and circumstances, and practitioner expertise and judgment.
- Informed consent elements
- Disclosure of nature of services, risks, benefits, alternatives, fees, confidentiality limits, and the right to withdraw, given voluntarily by a client with capacity.
- Confidentiality exceptions
- Disclosure without consent is permitted for imminent danger to self or others, mandated abuse reporting, court order, or client waiver, limited to necessary information.
- Multiple relationship evaluation
- Assess whether a secondary relationship risks exploitation or impaired professional judgment; sexual relationships with current clients are always prohibited.
- Supervisor accountability
- The supervisor remains responsible for client welfare and must ensure supervisee competence, disclose supervisee status to clients, and document ongoing supervision.
- Client abandonment
- Unilateral termination without pretermination counseling, notice, or appropriate referral; it violates ethical standards and may cause harm to the client.
- NASW core values
- Service, social justice, dignity and worth of the person, importance of human relationships, integrity, and competence, which anchor ethical decision-making.
- Case versus cause advocacy
- Case advocacy pursues outcomes for an individual client; cause advocacy targets policy, program, or systemic change affecting a population or class of clients.
- Cultural humility
- A lifelong stance of self-reflection, awareness of power and privilege, and institutional accountability rather than assumed mastery of another group's culture.
- Mandatory reporting duty
- Statutory obligation to report reasonable suspicion of child or vulnerable adult abuse or neglect to designated authorities, regardless of confidentiality or client objection.
- Minimum necessary disclosure
- The ethical and legal standard of releasing only the information required for a specific purpose to a specific recipient, avoiding broader disclosure.
- Ethical decision-making model
- A structured sequence: identify the dilemma and stakeholders, consult the code and law, weigh principles, consider alternatives, consult, decide, document, and evaluate.
- Community organizing approaches
- Methods such as locality development, social planning, and social action, selected according to the target population, conflict level, and desired systemic outcome.