Treatment of Abnormal Behavior

1. Treatment of Abnormal Behavior Module 70 history

2. History of Therapy • Early times – Caused by evil spirits • Greeks – caused by imbalance of bodily humors (bodily fluids) • Middle ages – demons and satan • Enlightenment brought reform

3. Reformers • Philippe pinel • 18th century • France • Humanitarian treatment of mentally ill in asylum • Believed in possibility of improvement or recovery • unchained

4. Reformers • Dorothea dix • 19th century • United states • Moral treatment movement • Established legal protection for mentally ill • Created mental hospitals

5. 3 Options for Treatment • Psychotherapy • Biomedical • Eclectic • mixture of Psychotherapy and biomedical

6. Psychotherapy • Treatment • Hundreds of different methods and Techniques to help identify and aid patients in overcoming challenges • video

7. Insight Therapies • Psychoanalysis • Psychodynamic psychotherapy • Humanistic client-centered • Goal is to help client develop insight about cause of their problems • Insight will lead to behavior change • Problem decreases and self-awareness increases

8. Psychoanalysis • Freud • Treat by discovering the unconscious conflicts and motives responsible for the symptoms

9. Psychoanalysis • Free association • Say anything that comes to your mind • Dream Analysis • Manifest content vs latent (hidden meanings) content • Transference • Respond to analyst as though they are a significant emotional part of their lives

10. Humanistic therapy • Carl rogers • Client-centered therapy • People are innately good and possess free will • Unconditional Positive regard (TOTAL acceptance) • Non-directive - Active listening

11. Behavioral Approaches • Classical conditioning • Operant conditioning • Observational/social learning • Discount insight therapies • Maladaptive behavior learned through faulty rewards and punishment • Goal • Stop unwanted behavior and replace it with adaptive behavior

12. Classical conditioning Therapies • Counterconditioning • Unpleasant conditioned response is replaced with pleasant one • Mary Cover Jones • “Little Peter” who feared white furry animals • video

13. Exposure Therapies • Systematic desensitization • Joseph wolpe • Reconditioning • Anxiety-producing stimulus is paired with relaxation • Not possible to experience two opposite responses simultaneously • Phobias and anxiety • Three steps • Relaxation • Anxiety hierarchy • exposure

14. Exposure Therapies • Flooding • Immediately confront the most anxiety-producing situation – harmless and no escape • In vivo – real life • Virtual reality therapy

15. Exposure therapies • Aversive conditioning • Remove a negative behavior by attaching a negative experience to the stimuli • Ex. Alcohol and antabuse

16. Operant conditioning • B.F. Skinner • Behavior modification • Token economy

17. Cognitive Therapy • Mental illness – result of problematic, faulty or irrational thoughts • Three general principles • Thoughts impact behavior • Thoughts can be recognized • Changes in thought patterns can result in changes to behavior

18. Cognitive Therapy • Aaron Beck • Negative cognitive triad • Depressed individual’s negative interpretations about • who they are • The experiences they have • Their future • Cognitive triad therapy • Evaluate evidence the client has for and against automatic thoughts • Reassign the blame to situational factors • Discuss alternative solutions

19. Cognitive therapy • Albert Ellis • Rational Emotive Therapy (RET)/rational emotive behavior therapy(rebt) • Idea that anxiety, guilt, depression, and other problems result from self-defeating thoughts • ABC of Treatment • Actions • Beliefs • Consequences • Crash course

20. Group Therapy • Individual vs Group Therapy • Group • Cheaper for clients • Helps clients discover that others have similar problems • Less verbal or more resistant clients – might find it easier to open up • Clients get feedback from peers that may allow them to gain better insight into their own particular situations