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Approaches to Therapy *. Treating Psychological Disorders. Psychodynamic Therapy. Psychoanalysis * The “talking cure” Lengthy, expensive Freud’s techniques include: Free association Dream analysis Transference Insight and interpretation Psychoanalysis Video.
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Approaches to Therapy * Treating Psychological Disorders
Psychodynamic Therapy • Psychoanalysis * • The “talking cure” • Lengthy, expensive • Freud’s techniques include: • Free association • Dream analysis • Transference • Insight and interpretation • Psychoanalysis Video
Client (Person) Centered Therapy * • Humanistic Perspective • Focus on Personal Growth • Carl Roger’s Techniques include: • Develop therapeutic alliance: • 1) Therapist is genuine • 2) Unconditional Positive Regard • 3) Empathy with client • Promote congruence between real and ideal self. • Person Centered Therapy Video
Behavior Therapy* • Based on principles of learning • Focus on present, specific change desired • Baseline measured; goals established. • Use of associations, reinforcements, punishment, cues, extinction, shaping, etc. • Specific goals include: skills training, anxiety reduction, elimination of problem behavior. • Virtual reality therapy video
Cognitive Therapy • Includes cognitive behavior therapy (CBT) & Rational Emotive Behavior Therapy (RET or REBT) • Clients identify distorted or incorrect beliefs that are causing problems • Learn to think in a new, more logical ways, e.g. “I can survive” v. “I can’t live without him.” • Reframe situations, e.g. “challenges” or “opportunities” instead of crises or disasters • Homework, short term; new patterns of thinking that can be used in future situations. • Cognitive Therapy Video
Evaluating & Comparing Therapies • Research supports the benefits of psychotherapy. • Specific type of therapy doesn’t matter much. • Cognitive Behavior Therapy has the most research support. • Good therapies share several general features: • They give people hope. • They help them think more carefully about themselves and about their relationships with others. • They provide a therapeutic alliance.
Biological Therapies * • Medical Model • Drugs (anti-anxiety, anti-depressants, anti-psychotics, stimulants, mood stabilizers) • Often combined with talk therapies • If non-response to talk and drugs, may require: • ECT (electroconvulsive therapy) • Psychosurgery • Transcranial Magnetic Stimulation (TMS) Video
What do you think? • Which therapy do you think would best suit your personality? • What would you be willing to consider for a family member if your doctor advised? • Which therapies do you think are appropriate for children? • Which therapies should insurance pay for?