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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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Insight Therapies • Insight therapies • Provide people with better awareness and understanding of their feelings, motivations, and actions • Psychoanalysis • Psychodynamic Therapy • Client-Centered Therapy
Psychoanalysis • Hidden feelings and motives are made conscious for better adaptation. • Common techniques • Free association • Transference • Insight
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
Client-Centered Therapy (con’t) • Three core qualities of therapists • Genuineness • Unconditional positive regard • Empathy • Active listening
Behavior Therapies • Focus on behavior change, rather than insight • Belief that all behavior is learned • Maladaptive behaviors themselves are the focus of the therapy
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
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
Cognitive Approaches • Changing clients’ perceptions of themselves and the world • Common approaches • Rational-emotive therapy (RET) • Beck’s cognitive therapy • Cognitive-Behavior Therapy
Group Therapies Self-help groups Family therapy Couple therapy
Effectiveness of Psychotherapy • Success rate • About two-thirds • Success higherwith longer duration of treatment
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
Which therapyis best? No apparent difference in effectiveness of treatments or types/experience of clinicians….
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
Biological Treatments • Drug therapy • Major types • Antipsychotic drugs • Tardive dyskinesia • Antianxiety drugs • Antidepressant drugs • Lithium carbonate
Biological Treatments Electroconvulsivetherapy
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
Biological Treatments • Psychosurgery • Prefrontal lobotomy • Cingulotomy
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
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