Psychotherapy Psy 247
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This 5 page Class Notes was uploaded by KatieAlbritton on Sunday September 6, 2015. The Class Notes belongs to Psy 247 at University of North Carolina - Wilmington taught by Dr. Clemens in Fall 2013. Since its upload, it has received 37 views. For similar materials see Abnormal Psychology in Psychlogy at University of North Carolina - Wilmington.
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Date Created: 09/06/15
Psychotherapy Katie Albritton Study Soup Psychotherapy Primary Universal prevention Vaccination Secondary High risk populations Tertiary Intervening after disease Treatment Psychotherapy can hurt you Bad therapy can do damage Ask the therapist lots of questions Ask what school of thought they follow Humanist Existential Started after World War II More philosophers than psychologists How could this evil have happened Concept of good and evil Victor Frankel Jean Paul Sartre Carl Jung Maslow Hierarchy of needs Maslow Carl Rogers Trained as a psychoanalyst Became uncomfortable with untestable theories Clientcentered therapy Left to own devices with no obstacles people will grow and get better Conditions of worth Psychotherapy should be a place where conditions don39t exist Need genuineness empathy and unconditional positive regard Is falsifiable Genuineness Therapist is real Genuine Empathy Being able to see things from someone else39s point of view Unconditional Positive Regard Nothing the client does makes the therapist like them more or less Very evidencebased approach Lots of psychotherapy research Does not work so well with people who have specific mental disorders Therapy What therapeutic approaches should be used Evidencebased treatment Medication or psychotherapy Combined treatments Never start medicine unless the patient is psychotic Evidencebased treatment Efficacy Determined via randomized clinical trials in which therapy is compared to placebo Methods Backed up by research Doubleblind method is employed Therapies under investigation manualized Empiricallysupported treatment Efficacy studies determine that a therapy works Medication or Psychotherapy Advances in Psychopharmacology Allow many to remain unhospitalized Combined Clinical Practice Medication and psychotherapy combined Used for Schizophrenia and Bipolar Effectiveness Works best for chronic or recurrent depression Behavior therapy Exposure therapy Token economics Modeling Aversion therapy Systematic reinforcement approaches most used Most are operant conditioning but some are classical conditioning Intrinsic Change behavior yourself proud of the accomplishment Thousands of types of behavior therapy Directed to specific symptoms relatively brief Problems Most problems aren39t focal which are treated in behavior therapy Cognitive or Cognitivebehavioral therapy Attempts to change behavior by modifying selfstatements Modifying construal of events Cognitive processe in uence emotions motivation Beck39s Cognitive Therapy Problems like depression result from client39s illogical thinking about themselves and the world around them Albert Ellis Rational emotive therapy Learning your ABC39s A equals antecedent event B equals belief C equal consequences associated with belief D equals disputing belief Therapy E equals evidence Collaborative empiricism Schemas Frameworks that help us filter information Negative cognitive triad Attribution retraining Schemas become automatic Disfunctional attitude scale Efficacy of Cognitive therapy Welldocumented with depression anxiety disorders conduct disorders and bulimia Psychodynamic therapies Psychodynamic therapy basic forms Classical psychoanalysis and others Approaches Strongly interpersonal focus Object relations perspective Attachment based Couple and Family Therapy Marital therapy Shortterm therapy based on social learning model Teaches participant behaviors and con ict resolution through communication and problem solving Teaches people how to manage con ict Teach when to stop Most marriage problems deal with attachment Family Systems Therapy Withinfamily behavior of any particular family members is in uenced by behaviors and communications of other family members Hard work but effective Positive communication introduced Integrative Couple Therapy Increasingly replacing traditional behavioral couple therapy Focuses more on acceptance versus change Structural Family Therapy Form of family therapy that emphasizes new organization of family structure Psychotherapy and Cultural Diversily Members of minorities Underrepresented in treatment research studies Underserved by mental health systems Affected by different backgrounds than their therapists Less likely to seek therapy Many therapists don39t practice culturally competent therapy Biological threatment Antipsychotic drugs Antidepressant drugs Antianxiety drugs Antipsychotic Drugs Used to treat psychotic disorders such as schizophrenia and psychotic mood disorders Atypical antipsychotic drugs Lower risk of side effects Treat positive and negative symptoms Antidepressants Most Widely prescribed Selective Serotonin Reuptake Inhibitors Older ones Monoamine Oxidase Inhibitors Tricyclic Antidepressants Trazodone Widely prescribed as a sleep aide Antianxiety Drugs Very Widely prescribed Benzodiapines Highly addictive Zanax Buspirone Not addictive Lithium and Other Moodstabilizing Drugs Lithium Very effective in treating bipolar mood disorder Monthly blood check Others Divalproic Acid Carbamazepine Electroconvulsive Therapy Shock therapy Treatment for drug refractory depression Can produce retorgrade amnesia Losing memories Prolonged use can be harmful Last resort treatment Neurosurgery Decreased With use of antipsychotic drugs Effective With debilitating 0CD Selfmutilation or anorexia Includes deep brain stimulation Lobotomy is bad Cingulum Area of the brain destroyed in surgery to treat depression Used fro patients Who don39t respond to any other treatment Very very rare
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