Abnormal psych Psych 385
U of L
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This 5 page Class Notes was uploaded by Caroline Pirtle on Monday April 18, 2016. The Class Notes belongs to Psych 385 at University of Louisville taught by Dr. Irby in Fall 2015. Since its upload, it has received 4 views. For similar materials see Abnormal Psychology in Psychlogy at University of Louisville.
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Date Created: 04/18/16
Abnormal Psychology Wednesday, September 9, 2015 11:00 AM I. Treatment modalities: a. Medication i. Anti-psychotics: 1. hallucinations ii Anti-depressants: 1. More of these than any 2. Tend to take longer to work; have to be consistent 3. Found viagra this way ii Anti-mania medications: 1. Two broad classes: a. Lithium b. Anti-convulsants ii Anti-anxiety medication b Psychosurgery - surgery on the brain to reduce symptoms i Lobotomy 1 Removal of one of five lobes of the brain; Moniz = would severe frontal lobe from the rest of the brain 2 Walter Freeman - developed trans- orbital duel icepick lobotomy; move along optic nerve to severe the same part of the brain 3 We don't do this today but do still do surgeries for epilepsy but not the same way Sperry did it ii Epilepsy 1 Sperry - seizures that involve whole brain and are recurrent, cause inflammation in the brain; pioneered attempt to limit propagation of seizure activity across cerebral cortex by severing corpus collosum. 2 Visual and language responses had subtle impairments 3 Told us a lot about how different right and left hemispheres do different things b Electroconvulsive therapy - application of electrical current to induce convulsion i Effective treatment for depression ii For some at risk populations (elderly), less intrusive treatment than medications iii Trans cranial magnetic stimulation - focuses magnetic stimulation to activate certain neurons in the brain b Psychotherapy - the talking cure II Treatment providers a Psychiatrists b Psychologists c Clinical social workers d Registered nurses e Other licensed professional II "Efficacy" (actual therapeutic techniques that produce symptom change) v "Effectiveness" (what happens to a therapist in common practice that makes therapist more effective at producing symptom change) a Assessing medication effects i The "gold standard" research design 1 Large sample 2 Random selection 3 Control/placebo groups 4 Double blind conditions 5 Outcome measures b Applying gold star design to psychotherapy i How do you create a control group? ii How do you deal with the influence of expectations? b Comparing medication with psychotherapy i Generally equivalent outcomes over time 1 Medication: symptom relief 2 Psychotherapy: coping skills ii Combining medication with psychotherapy - most treatments nowadays involve both 1 Most effective in producing enduring outcomes b Does psychotherapy work? i Meta-analysis of treatment outcome studies ii Negative outcomes 1 5% experience worsening/decline in success 2 Ethical and professional lapses by therapist b Are some psychotherapies better than others? i Behavior therapies for specific phobias II Common factors in Psychotherapy a Patient factors i Demoralization - can change but not on your own; do not know what to do next combined with.. i Motivation to change b Therapist factors i Patients attribute success in therapy to qualities of the therapist and the relationship ii Empathy - need to be able to see from clients point of view to communicate an understanding of what they're experiencing iii Expertise - strategies for producing change b Relationship factors i Build an alliance - collaborate with each other; mutual ii Develop positive emotional bond iii Contract - an agreement to what treatment is going to do b Frank's Four Effective Features of Psychotherapy i An emotionally charged, confiding relationship with a helping person ii A healing setting that emphasizes the therapist's role as a healer and is safe for the patient iii A rationale or conceptual scheme (myth) that provides a plausible explanation for the patient's experiences and prescribes a procedure (ritual) for resolving their problems iv The procedure requires the active participation of both patient and therapist and is believed by both to be the means of restoring the patient's health v Components of the procedure include exposure and skill development II Theoretical perspectives on abnormality a Psychodynamic perspectives i Etiology of psychotherapy
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