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Psychotherapy

Psychotherapy. General Psychology Final Week. Chapter Outline. Psychotherapy Psychodynamic Humanistic Behavioral Cognitive Group Therapy Marital and Family Therapy Drug Therapy Efficacy of Therapy Course evaluation. Therapy. What are the different types of therapy?

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Psychotherapy

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  1. Psychotherapy General Psychology Final Week

  2. Chapter Outline • Psychotherapy • Psychodynamic • Humanistic • Behavioral • Cognitive • Group Therapy • Marital and Family Therapy • Drug Therapy • Efficacy of Therapy • Course evaluation

  3. Therapy • What are the different types of therapy? • Does psychotherapy really work? • Which therapies are most effective? • What type of drugs are used in the treatment of psychological disorders?

  4. Psychodynamic Therapy • Psychotherapy: Procedure in which a trained person provides talk therapy for an individual seeking help • Psychodynamic- disorders stem from hidden inner conflicts • Psychoanalysis- provide insight into hidden inner conflicts by bringing them to the surface • free association- say whatever comes to mind • resistance- refusal to report certain thoughts • transference- intense feelings of love or hate toward the analyst

  5. Goals of psychoanalysis

  6. Humanistic Therapy • Humanistic Therapy- disorders stem from factors in environment that block personal growth • Client-centered therapy- focus on eliminating unrealistic conditions of worth (distorted self-concept) • unconditional positive regard- full acceptance • empathetic understanding- “psychological mirror” • Gestalt therapy- focus on personal “wholeness” • two-chair technique- client assumes role of self and some important person in their life

  7. Behavior Therapy • Behavior Therapy- disorders stem from faulty learning (maladaptive habits) • Therapies based on Classical Conditioning • systematic desensitization- associate relaxation with feared object • Therapies based on Operant Conditioning • token economies- earn tokens for desirable behavior • Therapies based on Observational Learning • modeling- acquire new skills by observing others

  8. Cognitive Therapies • Cognitive Therapy- disorders stem from distorted patterns of thought • Rational Emotive Therapy (Ellis) - recognize and reject irrational thinking • “Everyone should like me” • “If I don’t get that promotion. my career is over” • Cognitive Behavior Therapy (Beck) - recognize and change illogical patterns of thought (e.g., overgeneralize setbacks) that underlie depression

  9. Rational Emotive Therapy • Attempts to modify the irrational beliefs that cause distress • Confrontational and directive • Common Irrational Beliefs • I must be perfect • Everyone must love me • The past determines the future • It is catastrophic when things don't go as planned • I have no control over my happiness • Perfect solutions must be found for life's problems • Happiness just happens

  10. Beck’s Cognitive Therapy • Automatic Thoughts: Thoughts people have about life and the self that may be unreasonable but are accepted as accurate • Automatic thoughts create depression and anxiety • Goal: teach patients to stop the thoughts • Also involves negative views of past, present, and future experiences • Highly effective treatment for depression & anxiety

  11. Group Therapies Note: many are closely linked to psychotherapies • Psychodynamic Group Therapy- help bring inner conflicts into consciousness • psychodrama- act out problems in front of group • Behavioral Group Therapy- change specific behaviors (social skills, assertiveness, self-control) • Humanistic Group Therapy- enhance personal growth and self-knowledge • sensitivity training groups • Self-Help Groups- support groups who share common problem (e.g., AA)

  12. Marital and Family Therapy • Marital (Couple) Therapy- designed to help couples improve relationship (communication) • role-playing, watching videos of their own interactions • Family Systems Therapy- focus is on family dynamics in which each member has a role • improve relations between family members

  13. Efficacy Studies • Efficacy Studies-Controlledresearch designed to test the effectiveness of different types of therapy • Important Criteria • inclusion of experimental (receive therapy) and control group (receive no therapy) • random assignment to therapy/no therapy conditions • rigorous controls- avoid placebo effects • trained therapists using standardized procedures • well-trained blind raters

  14. Is Psychotherapy Effective? Conclusions • over 500 reviews suggest that therapy is more effective than no therapy • the longer therapy goes, the greater improvement • more people report improvements after receiving treatment from psychiatrists/psychologists than general physicians • psychotherapies are roughly equal in effectiveness • many therapists use an eclectic approach

  15. Biomedical Therapy • Drug Therapy • Antipsychotic- reduce hallucinations/delusions • Clozapine- block dopamine receptors in the brain • Antidepressants- counter depression • Prozac- increase the action of serotonin in the brain • Antibipolar (Lithium)- counter manic-depression • Antianxiety- reduce anxiety • Valium- inhibit the CNS in the brain, activates GABA • ECT- shocks to brain used to treat severe depression - controversial • Psychosurgery- brain surgery (lobotomy)

  16. Prevention • Community Mental Health Centers provide: • Affordable mental health treatment • aftercare for outpatients • emergency services- crises intervention • prevention strategies • Primary- prevent occurrence of disorders • risks of drug use, anger management • Secondary- detect problems early before they escalate • diversion programs- steer offenders away from dangers • Tertiary- minimize long-term harm from disorders • training in custodial care

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