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Therapy

Therapy. Insight Therapies. Insight therapies Provide people with better awareness and understanding of their feelings, motivations, and actions Psychoanalysis Psychodynamic Therapy Client-Centered Therapy. Psychoanalysis.

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Therapy

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  1. Therapy

  2. Insight Therapies • Insight therapies • Provide people with better awareness and understanding of their feelings, motivations, and actions • Psychoanalysis • Psychodynamic Therapy • Client-Centered Therapy

  3. Psychoanalysis • Hidden feelings and motives are made conscious for better adaptation. • Common techniques • Free association • Transference • Insight

  4. Client-Centered Therapy • Carl Rogers • (person-centered therapy) • Calls for unconditional positive regard • Conditional positive regard • Love and acceptance comes from conforming to what others want • Unconditional positive regard • True acceptance regardless of actions • Nondirective

  5. Client-Centered Therapy (con’t) • Three core qualities of therapists • Genuineness • Unconditional positive regard • Empathy • Active listening

  6. Behavior Therapies • Focus on behavior change, rather than insight • Belief that all behavior is learned • Maladaptive behaviors themselves are the focus of the therapy

  7. Classical Conditioning • Counterconditioning – replace maladaptive response with new response (relaxation) • Exposure Therapy • Repeated exposure to stimuli that trigger unwanted reactions • Systematic desensitization • Virtual reality • Flooding • Aversive conditioning

  8. Other Behaviorist Techniques • Operant conditioning techniques • Behavior contracting • Token economies • Observational learning • Modeling positive context condition • Modeling neutral context condition • Exposure-positive context condition • Positive-context condition

  9. Cognitive Approaches • Changing clients’ perceptions of themselves and the world • Common approaches • Rational-emotive therapy (RET) • Beck’s cognitive therapy • Cognitive-Behavior Therapy

  10. Group Therapies Self-help groups Family therapy Couple therapy

  11. Effectiveness of Psychotherapy • Success rate • About two-thirds • Success higherwith longer duration of treatment

  12. Randomly assigned to four groups: • Cognitive therapy • Interpersonal therapy • Drug therapy • Control • After 16 weeks, depression lifted for a little over 50% of people in each treatment group but for only 29% of controls

  13. Which therapyis best? No apparent difference in effectiveness of treatments or types/experience of clinicians….

  14. Behavioral conditioning: specific behavior problems (e.g., bed wetting, phobias, compulsions) • Cognitive therapy: depression, reducing suicide risk • Possible explanations: • All offer an explanation for problems • All offer hope • All provide a therapeutic alliance with a therapist

  15. Biological Treatments • Drug therapy • Major types • Antipsychotic drugs • Tardive dyskinesia • Antianxiety drugs • Antidepressant drugs • Lithium carbonate

  16. Biological Treatments Electroconvulsivetherapy

  17. New Alternatives to ECT • Electrical device in chest stimulates vagus nerve to send signals to limbic system • Deep stimulation • Pacemaker stimulates brain to inhibit negative emotions and thinking • Repetitive transcranial magnetic stimulation (rTMS) • Coil sends magnetic field through skull to brain

  18. Insert figure 13.7…

  19. Biological Treatments • Psychosurgery • Prefrontal lobotomy • Cingulotomy

  20. Deinstitutionalization Principles the prevention of inappropriate mental hospital admissions through the provision of community alternatives for treatment the release to the community of all institutionalized who have been given adequate preparation for such a change the establishment and maintenance of community support systems for noninstitutionalized people receiving mental health services in the community

  21. Prevention • Primary prevention • Efforts to reduce new cases of mental disorders • Secondary prevention • Identifying at-risk groups • Tertiary prevention • Helping people adjust after hospital release

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