Download - Therapy 101
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Therapy 101Therapy 101
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PsychotherapyPsychotherapy
Literally:Literally:
Treatment of the PsycheTreatment of the PsycheMinds or personalities Minds or personalities
in distressin distress
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PsychotherapyPsychotherapy is a process by which you examine is a process by which you examine
your thoughts, feelings, actions and your thoughts, feelings, actions and relationships, relationships,
evaluate where problems exist, and evaluate where problems exist, and learn how to make whatever changes learn how to make whatever changes
are necessary to achieve better life are necessary to achieve better life adjustment and satisfactionadjustment and satisfaction
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Therapeutic Relationship
Varies with approachesVaries with approachesObjectiveObjectiveEthicalEthicalConfidentialConfidentialProfessionalProfessional
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Patient/Therapist Relationship Terminology: Patient vs. ClientTerminology: Patient vs. Client
How well patients relate to therapists and vice How well patients relate to therapists and vice versa is important to the progress that they versa is important to the progress that they make in therapy.make in therapy. According to much of the research on According to much of the research on psychotherapy, a positive therapeutic psychotherapy, a positive therapeutic relationship may even be more important relationship may even be more important for recovery than the type of therapy for recovery than the type of therapy usedused..
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Elements of Counseling RelationshipElements of Counseling RelationshipRapportRapport-the patient and therapist seem -the patient and therapist seem to "click with one another."to "click with one another." Trust-Trust-the patient views the therapeutic the patient views the therapeutic relationship as helpful and the therapist relationship as helpful and the therapist finds the patient interested in changing.finds the patient interested in changing. Confidentiality-Confidentiality- a therapist keeps what a therapist keeps what is said in therapy between himself and is said in therapy between himself and the patient except when the patient or the patient except when the patient or others are in danger. others are in danger.
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Empathy-Empathy- an empathic therapist an empathic therapist tries to understand the situations tries to understand the situations and feelings through the patient 's and feelings through the patient 's eyes. eyes. Insight-Insight- the patient is able to the patient is able to understand how his/her illness, understand how his/her illness, attitudes and behaviors affect attitudes and behaviors affect his/her life, (i.e. self-understanding). his/her life, (i.e. self-understanding). Motivation-Motivation-the patient has a desire the patient has a desire to feel better and improve his/her to feel better and improve his/her situation. situation.
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Therapeutic GoalsTherapeutic Goals
Fostering InsightFostering InsightEncouragementEncouragementReducing emotional discomfortReducing emotional discomfortProviding new informationProviding new informationFacilitating changeFacilitating change
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Continuum of CareContinuum of Care
ConsultatioConsultationn OutpatienOutpatien
tt Intensive Intensive outpatientoutpatient
Day Day TreatmentTreatmentResidentialResidential
Supervised livingSupervised livingInpatient Inpatient HospitalizationHospitalization
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One on one delivery of services One on one delivery of services focused on theoretical perspective focused on theoretical perspective and client needand client needBrief, solution focused therapyBrief, solution focused therapySupportive therapySupportive therapyMatch client needs with orientationMatch client needs with orientation
Individual TherapyIndividual Therapy
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Group TherapySimultaneous treatment of serveral Simultaneous treatment of serveral individualsindividualsYalom’s theory of group therapyYalom’s theory of group therapyTherapist’s trainingTherapist’s trainingScreening of candidatesScreening of candidatesGroup compositionGroup compositionOpen, closed, size, other Open, closed, size, other considerationsconsiderations
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Family TherapyFamily Therapy
Identifying and changing Identifying and changing patterns of family interactionpatterns of family interaction““Identified client”Identified client”Systems viewSystems viewStructural, strategic viewStructural, strategic viewVirginia SatirVirginia Satir
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Family TherapyFamily TherapyFamily therapy focuses on change Family therapy focuses on change within the family, and recognizes than within the family, and recognizes than family relationships all have an impact family relationships all have an impact on the feelings and behavior of each of on the feelings and behavior of each of the members of a family.the members of a family. Instead of meeting with an individual, Instead of meeting with an individual, all or most family members are all or most family members are involved in the therapy process.involved in the therapy process.
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Occasionally, the non-custodial parents are also Occasionally, the non-custodial parents are also involved in family therapy, but this depends on the involved in family therapy, but this depends on the potential for divorced parents working together to potential for divorced parents working together to help their children resolve psychological problems. help their children resolve psychological problems. Family therapy is most frequently used when a child Family therapy is most frequently used when a child or adolescent is identified as having a psychological or adolescent is identified as having a psychological problemproblemFor example, a teen with chronic depression or For example, a teen with chronic depression or substance abuse problems might benefit from family substance abuse problems might benefit from family therapy to address the impact of their problem on therapy to address the impact of their problem on family relationships, while also receiving individual family relationships, while also receiving individual psychotherapy to directly address their personal psychotherapy to directly address their personal change issues. change issues.
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Relationship counseling, couple Relationship counseling, couple therapytherapyFocus on interaction, Focus on interaction, communicationcommunicationDynamicsDynamicsLegal issuesLegal issuesProblem solvingProblem solvingTherapist’s mine field !Therapist’s mine field !
Marital Therapy
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Relationship CounselingCouple Therapy
(Marriage Counseling)Couple therapy is often seen as somehow Couple therapy is often seen as somehow different from psychotherapy because one different from psychotherapy because one individual is not identified as having a specific individual is not identified as having a specific psychological problem.psychological problem. All psychological problems involve both All psychological problems involve both individual symptoms and changes in individual symptoms and changes in interpersonal relationships. interpersonal relationships. Couple therapy focuses on the problems Couple therapy focuses on the problems existing in the relationship between two people. existing in the relationship between two people.
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These relationship problems always These relationship problems always involve individual symptoms and involve individual symptoms and problems, as well as relationship conflicts.problems, as well as relationship conflicts.
Changes may be different ways of Changes may be different ways of interacting within the relationship, or may interacting within the relationship, or may be individual changes related to other be individual changes related to other psychological problems. psychological problems. Couple therapy involves learning how to Couple therapy involves learning how to communicate more effectively, and how to communicate more effectively, and how to listen more closely. listen more closely.
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Couples must learn how to avoid Couples must learn how to avoid competing with each other, and need to competing with each other, and need to identify common life goals and how to identify common life goals and how to share responsibilities within their share responsibilities within their relationship. relationship. Sometimes the process is very similar to Sometimes the process is very similar to individual psychotherapy, sometimes like individual psychotherapy, sometimes like mediation, and sometimes educational. mediation, and sometimes educational. The combination of the three is what The combination of the three is what makes it effective. makes it effective.
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Who’s Who in Mental Health?Who’s Who in Mental Health?Psychiatrist (MD)
College, four years of medical College, four years of medical school, four years of a psychiatry school, four years of a psychiatry residency.residency.Diagnose and treat patients with Diagnose and treat patients with medication and/or therapy. Oversee medication and/or therapy. Oversee patient care.patient care.
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Clinical PsychologistClinical Psychologist (Ph.D./PsyD)
College, five to seven years of graduate study, a written dissertation on a specialized topic, specialized clinical training.Diagnosis, psychological testing, and therapy. May refer people for medication but do not prescribe medication.
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Counselor/TherapistCounselor/Therapist (MA/MS)
College, two year graduate study in College, two year graduate study in psychology or counseling.psychology or counseling.
Counseling or therapy, psychological Counseling or therapy, psychological testing.May refer people for medication but testing.May refer people for medication but do not prescribe medication.do not prescribe medication.
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Psychiatric NursePsychiatric Nurse (RN/BSN)
RN: Two or three year hospital or community Two or three year hospital or community college program. college program. BSN: college degree in nursing. Psychiatric nurse certification: specialty Psychiatric nurse certification: specialty training in medication management and training in medication management and group therapy .group therapy .
Works in inpatient and outpatient settings. Works in inpatient and outpatient settings. Plans, implements, and evaluates patient Plans, implements, and evaluates patient care; monitors medications;and provides care; monitors medications;and provides individual and/or group therapyindividual and/or group therapy
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Social Worker (MSW)Social Worker (MSW)
College, two years of graduate study College, two years of graduate study which includes clinical training.which includes clinical training.
Usually works in outpatient settings. Usually works in outpatient settings. Diagnosis, therapy, and medication Diagnosis, therapy, and medication management under the supervision management under the supervision of a physician.of a physician.
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Therapist OrientationsTherapist Orientations
(APA Data, 1989)
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Therapy TypesTherapy Types
Insight TherapiesInsight Therapies
Behavioral TherapiesBehavioral Therapies
Cognitive TherapiesCognitive Therapies
Biological TherapiesBiological Therapies
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Not All Psychotherapy Is Psychoanalysis
Many people have misconceptions Many people have misconceptions about what psychotherapy is. Some about what psychotherapy is. Some people think psychotherapy involves people think psychotherapy involves laying on a couch and talking with a laying on a couch and talking with a psychoanalyst who just says "tell me psychoanalyst who just says "tell me more.". more.". Most therapies focus on reducing Most therapies focus on reducing symptoms quickly and returning the symptoms quickly and returning the patient to a relatively normal level of patient to a relatively normal level of functioning.functioning.
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Insight TherapiesInsight TherapiesPsychodynamicPsychodynamic
Person-centered Therapy Person-centered Therapy
Gestalt Therapy Gestalt Therapy
Existential TherapyExistential Therapy
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Comparing Major Therapies
PerceivedPerceivedCause of Cause of DisorderDisorder
GoalsGoals ofof TherapyTherapy
MethodsMethods usedused
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PsychodynamicPsychodynamic
Cause Goals Methods
Unconscious Unconscious sexual and sexual and aggressive aggressive urges/conflictsurges/conflictsFixationsFixations
Bring Bring repressed repressed information information into into conscious conscious mindmind
Dream Dream InterpretationInterpretationFree Free AssociationAssociation
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PsychodynamicPsychodynamicUsually lengthyFree Association and Dream AnalysisBarriers: Resistance, TransferenceExploring unconscious
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PsychodynamicPsychodynamic
Free associationFree association
Analysis of ResistanceAnalysis of Resistance
Dream analysisDream analysis
Analysis of TransferenceAnalysis of Transference
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PsychodynamicPsychodynamic
Minimizes patient responsibility
Neglects conscious motives and the present
Fairly costly
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Psychoanalytic Orientation
The Nature of PsychoanalysisTechniques in psychoanalysis:Analysis of free associationsAnalysis of resistancesAnalysis of dreamsAnalysis of transferenceOffshoots of psychoanalysis
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Freud’s Psychoanalysis
Psychoanalysis - an insight therapy based on the theory of Freud, emphasizing the revealing of unconscious conflicts.
Dream interpretationManifest content – the actual content of one’s dream.Latent content – the symbolic or hidden meaning of
dreams.Free association – Freudian technique in which a patient was encouraged to talk about anything that came to mind without fear of negative evaluations.
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Freud’s PsychoanalysisResistance - occurring when a patient becomes reluctant to talk about a certain topic, either changing the subject or becoming silent.Transference - in psychoanalysis, the tendency for a patient or client to project positive or negative feelings for important people from the past onto the therapist.
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Psychoanalysis TodayPsychodynamic therapy - a newer and more general term for therapies based on psychoanalysis, with an emphasis on transference, shorter treatment times, and a more direct therapeutic approach.Nondirective - therapy style in which the therapist remains relatively neutral and does not interpret or take direct actions with regard to the client, instead remaining a calm, nonjudgmental listener while the client talks.Directive - therapy in which the therapist actively gives interpretations of a client’s statements and may suggest certain behavior or actions. Psychoanalysis today is more directive.
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14. _______________ formed a large part of Freud’s psychoanalytic method.
a) Reflectionb) Empathyc) Dream interpretationd) Unconditional positive regard
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14. _______________ formed a large part of Freud’s psychoanalytic method.
a) Reflectionb) Empathy
c) Dream interpretationd) Unconditional positive regard
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HumanismHumanism
Only the client can judge if he or she is Only the client can judge if he or she is betterbetter
No way to independently verify No way to independently verify successsuccess
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Person CenteredCauses Goals Methods
Incongruence Incongruence between real and between real and desired self. desired self. Overdependence Overdependence on positive on positive regard from regard from othersothers
Increase self Increase self acceptance acceptance and self and self understandingunderstandingEnhance Enhance personal personal growthgrowth
Empathy, Empathy, unconditionalunconditionalPositive Positive regardregardReflection of Reflection of feelingsfeelings
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Person-Centered Therapy
A Humanistic therapy
Founded by Rogers
Uses mirroring & unconditional positive regard to promote self actualization
Therapist must genuinely like the client
Therapist must have empathy for the client
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Person Centered (Nondirective)
Warm, supportive environmentWarm, supportive environmentUnconditional positive regardUnconditional positive regardReveal true feelings to achieve self-Reveal true feelings to achieve self-growthgrowthUnderstand past conditions of worthUnderstand past conditions of worthNeed for therapist to identify with client Need for therapist to identify with client (empathy)(empathy)
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Gestalt Therapy
Founded by Perls
Therapist directs client to get in touch with feelings, resolve unfinished business
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GestaltGestaltChallenge with questions, Challenge with questions, activities designed to activities designed to challengechallenge clients to clients to increase self-awarenessincrease self-awarenessRole playingRole playingConfrontation, but Confrontation, but encouraging, supportiveencouraging, supportive
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Today’s View of Humanistic Therapy
Humanistic therapies are not based in experimental research and work best with intelligent, highly verbal persons.
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Humanistic Orientation
Person-Centered Therapy; Carl Rogers
Reflection of feelings main techniqueUnconditional positive regard
Gestalt Therapy; Perls
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Roger’s Person-Centered TherapyPerson-centered therapy - a nondirective insight therapy based on the work of Carl Rogers in which the client does all the talking and the therapist listens.Four Elements:
1. Reflection - therapy technique in which the therapist restates what the client says rather than interpreting those statements.
2. Unconditional positive regard - referring to the warmth, respect, and accepting atmosphere created by the therapist for the client in person-centered therapy.
3. Empathy - the ability of the therapist to understand the feelings of the client.
4. Authenticity - the genuine, open, and honest response of the therapist to the client.
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What did Carl Rogers view as a cause of most personal problems and unhappiness?
a) reinforcement of maladaptive behavior patterns b) unrealistic modes of thought employed by many
peoplec) mismatch between an individual’s ideal self and real
selfd) unresolved unconscious conflicts occurring
between the id and superego
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What did Carl Rogers view as a cause of most personal problems and unhappiness?
a) reinforcement of maladaptive behavior patterns b) unrealistic modes of thought employed by many peoplec) mismatch between an individual’s ideal self
and real selfd) unresolved unconscious conflicts occurring between the
id and superego
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Gestalt Therapy form of directive insight therapy in which the therapist helps clients to accept all parts of their feelings and subjective experiences, using leading questions and planned experiences such as role-playing.Try to help clients deal with things in their past that they have denied and will use body language and other nonverbal cues to understand what clients are really saying.
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Which of the following is a key component of Rogers’s person-
centered therapy?a) cognitionb) resistance
c) dream interpretationd) unconditional positive regard
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Which of the following is a key component of Rogers’s person-centered therapy?
a) cognitionb) resistancec) dream interpretationd) unconditional positive regard
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BehavioralBehavioralCauses Goals Methods
Learning Learning maladaptive maladaptive behaviors, behaviors, failure to failure to learn learn appropriate appropriate behaviorsbehaviors
Help acquire needed social skills,Extinguish maladaptive behaviors, Replace with Positive behaviors
Based on classical and operant conditioning:Exposure,ReinforcementFloodingModeling
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BehavioralBehavioralUse learning principles to reduce Use learning principles to reduce or eliminate maladaptive or eliminate maladaptive behaviorsbehaviorsIgnores unconscious conflictsIgnores unconscious conflictsSystematic desensitization, Systematic desensitization, flooding, modeling, token flooding, modeling, token economy, aversive conditioningeconomy, aversive conditioning
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Behavioral TherapyBehavioral Therapy
Problems arise from failure to learn adaptive behavior or learning of maladaptive behavior
Change through operant and classical conditioning techniques
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Systematic Desensitization
Teach relaxationTeach relaxation
Create a hierarchy ranging from least to Create a hierarchy ranging from least to most feared stimulusmost feared stimulus
Work through hierarchy while Work through hierarchy while maintaining calmmaintaining calm
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Exposure & Response Prevention
Exposing the person to the Exposing the person to the situation producing anxietysituation producing anxiety
Preventing the person from Preventing the person from performing their ritualsperforming their rituals
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ModelingModeling
Providing a role model lacking the Providing a role model lacking the anxiety anxiety
Participant modeling works bestParticipant modeling works best
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Behavioral Therapy and Classical ConditioningBehavior therapies - action therapies based on the principles of classical and operant conditioning and aimed at changing disordered behavior without concern for the original causes of such behavior.Behavior modification or applied behavior analysis – the use of learning techniques to modify or change undesirable behavior and increase desirable behavior.
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Behavioral Therapy and Classical Conditioning
Systematic desensitization - behavior technique used to treat phobias, in which a client is asked to make a list of ordered fears and taught to relax while concentrating on those fears.
Counterconditioning - replacing an old conditioned response with a new one by changing the unconditioned stimulus.
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Behavioral Therapy and Classical Conditioning
Aversion therapy - form of behavioral therapy in which an undesirable behavior is paired with an aversive stimulus to reduce the frequency of the behavior.Flooding - technique for treating phobias and other stress disorders in which the person is rapidly and intensely exposed to the fear-provoking situation or object and prevented from making the usual avoidance or escape response.
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Menu
LO 15.8 Behavior therapists’ use of classical conditioning
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Modeling - learning through the observation and imitation of others.
Participant modeling - technique in which a model demonstrates the desired behavior in a step-by-step, gradual process while the client is encouraged to imitate the model.
Reinforcement - the strengthening of a response by following it with a pleasurable consequence or the removal of an unpleasant stimulus.
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Token economy - the use of objects called tokens to reinforce behavior in which the tokens can be accumulated and exchanged for desired items or privileges.Contingency contract – a formal, written agreement between the therapist and client (or teacher and student) in which goals for behavioral change, reinforcements, and penalties are clearly stated.
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Extinction – the removal of a reinforcer to reduce the frequency of a behavior.
Time-out - an extinction process in which a person is removed from the situation that provides reinforcement for undesirable behavior, usually by being placed in a quiet corner or room away from possible attention and reinforcement opportunities.
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Effectiveness of Behavioral TherapyBehavior therapies can be effective in treating specific problems, such as bedwetting, drug addictions, and phobias.Can help improve some of the more troubling behavioral symptoms associated with more severe disorders.
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CognitiveCognitive
Causes Goals Methods
Irrational, negative assumptions and ideas about self and others
Change faulty, irrational, negative thinking
Identify negative thoughts and replace with rational thinking
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Cognitive TherapiesCognitive Therapies
Rational Emotive Therapy (Ellis) Rational Emotive Therapy (Ellis)
Beck's cognitive therapyBeck's cognitive therapy
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CognitiveCognitiveUses learning principles to Uses learning principles to challenge irrational thoughtschallenge irrational thoughtsCognitive distortions: Cognitive distortions: overgeneralization, black/white overgeneralization, black/white thinking, mind readingthinking, mind readingRational Emotive Rational Emotive Self defeating behaviors/thoughtsSelf defeating behaviors/thoughtsSubstitute more positiveSubstitute more positive
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Rational Emotive Therapy
Attempts to modify the irrational Attempts to modify the irrational beliefs that cause distressbeliefs that cause distress
Confrontational and directiveConfrontational and directive
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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
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Common Irrational Beliefs
I have no control over my happiness I have no control over my happiness
Perfect solutions must be found for Perfect solutions must be found for life's problems life's problems
Happiness just happensHappiness just happens
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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
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Beck’s Cognitive Therapy
Also involves negative views of past, present, and future experiences
Highly effective treatment for depression & anxiety
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Cognitive Orientation
Rational-Emotive Therapy: Albert Ellis
Goal is changing irrational beliefsA-B-C Theory of Emotion
Cognitive TherapyGoal is changing negative beliefs about the world, the self and the future
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The A-B-C Theory of Emotion
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Cognitive TherapyCognitive therapy - therapy in which the focus is on helping clients recognize distortions in their thinking and replace distorted, unrealistic beliefs with more realistic, helpful thoughts.Cognitive Distortions based on Beck’s Cognitive Therapy:
Arbitrary inference – distortion of thinking in which a person draws a conclusion that is not based on any evidence.Selective thinking - distortion of thinking in which a person focuses on only one aspect of a situation while ignoring all other relevant aspects.
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Cognitive Distortions:Overgeneralization - distortion of thinking in which a person draws sweeping conclusions based on only one incident or event and applies those conclusions to events that are unrelated to the original.Magnification and minimization - distortions of thinking in which a person blows a negative event out of proportion to its importance (magnification) while ignoring relevant positive events (minimization).Personalization - distortion of thinking in which a person takes responsibility or blame for events that are unconnected to the person.
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Cognitive-behavioral therapy (CBT) - action therapy in which the goal is to help clients overcome problems by learning to think more rationally and logically.Three goals:
Relieve the symptoms and solve the problems.To develop strategies for solving future problems.To help change irrational, distorted thinking.
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Rational-Emotive TherapyRational-emotive behavior therapy (REBT) - cognitive-behavioral therapy in which clients are directly challenged in their irrational beliefs and helped to restructure their thinking into more rational belief statements.
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Success of CBT
CBT has seemed successful in treating depression, stress disorders, and anxiety.Criticized for focusing on the symptoms and not the causes of disordered behavior.
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Biomedical
Causes Goals Methods
Genetic inheritance,Biochemical abnormality within the brain
Eliminate or control biological causes.Restore balance of neurotransmitters
Medication,Medication,PsychosurgeryPsychosurgeryECTECT
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BiomedicalBiomedicalDrug therapiesDrug therapiesAntianxiety agentsAntianxiety agentsAntipsychotic agentsAntipsychotic agentsAntidepressantsAntidepressants
Electro convulsive therapy (ECT)Electro convulsive therapy (ECT)PsychosurgeryPsychosurgery
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Biological TherapiesBiological TherapiesPsychoactive drugs highly successful in reducing in-patient population
Mental Hospital
Population
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Antipsychotic DrugsAntipsychotic Drugs
Neuroleptics -- phenothiazine, butyrophenones
Neuroleptics may cause Tardive dyskinesia
Clozapine and risperidoneClozapine has a risk of producing blood clots
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AntidepressantsAntidepressantsTricyclicsTricyclics
Serotonin Selective Reuptake InhibitorsSerotonin Selective Reuptake InhibitorsSSRIs (Prozac, Anafranil) have fewer side SSRIs (Prozac, Anafranil) have fewer side
effects effects
MAO inhibitorsMAO inhibitorsMAO inhibitors can't be taken with certain MAO inhibitors can't be taken with certain
foodsfoods
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Antimania Drugs
Lithium Carbonate evens out the Lithium Carbonate evens out the mood swings of bipolar patientsmood swings of bipolar patients
Must be carefully monitoredMust be carefully monitored
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TranquilizersTranquilizers
Benzodiazapines (Librium, Valium, Benzodiazapines (Librium, Valium, Xanax)Xanax)
Xanax more effective but somewhat Xanax more effective but somewhat addictive addictive
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Electroconvulsive Therapy
An effective treatment for depression & An effective treatment for depression & mania not responsive to drugsmania not responsive to drugs
May cause temporary memory lossMay cause temporary memory loss
Works by altering neurotransmitter Works by altering neurotransmitter balancebalance
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PsychosurgeryPsychosurgery
Lobotomies done from 1935-1955Lobotomies done from 1935-1955
Cingulotomies and other Cingulotomies and other microsurgeries sometimes done todaymicrosurgeries sometimes done today
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Lobotomy Site
Portions of the Portions of the frontal lobefrontal lobeare separated from are separated from the the thalamusthalamus
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PsychosurgeryPsychosurgery
Negatives:
Results are unpredictable
Consequences are irreversible
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Biopsychological Orientation
PsychosurgeryPrefrontal lobotomy
Electroconvulsive TherapyBrief electric current induces brain seizuresProduces retrograde amnesia
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Drug TherapyAntianxiety Drugs e.g., Valium, Xanax Work by stimulating GABA
Antidepressant Drugs e.g., tricyclic antidepressants and SSRIs
Antimania drugs e.g., lithium Can produce dangerous side effects
Antipsychotic drugs e.g., thorazine Motor side effects
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Drug Treatments
Biomedical therapies – therapies that directly affect the biological functioning of the body and brain.Psychopharmacology - the use of drugs to control or relieve the symptoms of psychological disorders.
Antipsychotic drugs - drugs used to treat psychotic symptoms such as delusions, hallucinations, and other bizarre behavior.
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Antianxiety drugs - drugs used to treat and calm anxiety reactions, typically minor tranquilizers.Antimanic drugs - used to treat bipolar disorder and include lithium and certain anticonvulsant drugs.Antidepressant drugs - drugs used to treat depression and anxiety.
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Electroconvulsive TherapyElectroconvulsive therapy (ECT) - form of biomedical therapy to treat severe depression in which electrodes are placed on either one or both sides of a person’s head and an electric current is passed through the electrodes that is strong enough to cause a seizure or convulsion.
Bilateral ECT - electroconvulsive therapy in which the electrodes are placed on both sides of the head.Unilateral ECT - electroconvulsive therapy in which the electrodes are placed on only one side of the head and the forehead.
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PsychosurgeryPsychosurgery - surgery performed on brain tissue to relieve or control severe psychological disorders.
Prefrontal lobotomy - psychosurgery in which the connections of the prefrontal lobes of the brain to the rear portions are severed.Bilateral cingulotomy - psychosurgical technique in which an electrode wire is inserted into the cingulated gyrus area of the brain with the guidance of a magnetic resonance imaging machine for the purpose of destroying that area of brain tissue with an electric current.
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Danger of Treating Children with Antidepressants
All but one antidepressant drug has been associated with an increased risk of suicide when used to treat depression in children and adolescents.
Prozac, the one safe antidepressant for children and adolescents, has been found to be more effective when combined with psychotherapy.
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Clicker Review
Therapy
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Lulu sees a professional once a month to manage the medication she is taking to help alleviate the symptoms of her anxiety disorder. The type of therapy Lulu is undergoing is called ______________.
a) psychotherapyb) biomedical therapyc) physical therapyd) electroconvulsive shock therapy
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Lulu sees a professional once a month to manage the medication she is taking to help alleviate the symptoms of her anxiety disorder. The type of therapy Lulu is undergoing is called ______________.
a) psychotherapy
b) biomedical therapyc) physical therapyd) electroconvulsive shock therapy
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The psychoanalytic patient who lets her thoughts flow without interruption or fear of negative criticism from her therapist is using ______.
a) dream interpretation
b) positive transference
c) regressiond) free association
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The psychoanalytic patient who lets her thoughts flow without interruption or fear of negative criticism from her therapist is using ______.
a) dream interpretation
b) positive transference
c) regression
d) free association
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The therapist’s feeling of respect and affection for the client that exists without any strings attached, no matter what the client may say or do, is called __________.
a) conditions of worthb) empathyc) catharsisd) unconditional positive regard
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The therapist’s feeling of respect and affection for the client that exists without any strings attached, no matter what the client may say or do, is called __________.
a) conditions of worthb) empathyc) catharsisd) unconditional positive regard
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14.56. What do behavior therapists see as the cause of abnormal or undesirable behaviors?
a) learningb) unconscious conflictsc) distortions in thinkingd) discrepancy between the real self and ideal
self
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14.56. What do behavior therapists see as the cause of abnormal or undesirable behaviors?
a) learningb) unconscious conflictsc) distortions in thinkingd) discrepancy between the real self and ideal
self
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14.67. Every time Jarrad opens his cigarette case or uses his lighter, he gets a painful electric shock. Jarrad’s friends and family have been asked not to give him any cigarettes or light any cigarettes for him, so he must use his own lighter if he wants to smoke. Eventually, Jarrad loses his desire to smoke, thanks to ______.a) negative transferenceb) behavioral contractingc) systematic desensitizationd) aversion conditioning
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14.67. Every time Jarrad opens his cigarette case or uses his lighter, he gets a painful electric shock. Jarrad’s friends and family have been asked not to give him any cigarettes or light any cigarettes for him, so he must use his own lighter if he wants to smoke. Eventually, Jarrad loses his desire to smoke, thanks to ______.a) negative transferenceb) behavioral contractingc) systematic desensitization
d) aversion conditioning
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14.61. Which method of treating phobias involves progressive relaxation and exposure to the feared object?
a) extinction b) punishment c) token economy d) systematic desensitization
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14.61. Which method of treating phobias involves progressive relaxation and exposure to the feared object?
a) extinction b) punishment c) token economy
d) systematic desensitization
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Estella is afraid of cats. To help her overcome her fear, her mother calmly pets and strokes a cat while Estella is watching. Her mother encourages her to imitate her behavior. Estella’s mother is using_________.
a) reinforcementb) token economy c) modelingd) punishment
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Estella is afraid of cats. To help her overcome her fear, her mother calmly pets and strokes a cat while Estella is watching. Her mother encourages her to imitate her behavior. Estella’s mother is using_________.
a) reinforcementb) token economy
c) modelingd) punishment
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Which of the following is one of the criticisms of behavior therapy?
a) It focuses on the underlying cause of behavior and not the symptoms.b) Therapy typically lasts for several years and is very expensive.c) It focuses too much on the past.d) It only relieves some symptoms but does not treat the overall disorder.
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Which of the following is one of the criticisms of behavior therapy?
a) It focuses on the underlying cause of behavior and not the symptoms.b) Therapy typically lasts for several years and is very expensive.c) It focuses too much on the past.d) It only relieves some symptoms but does not treat the overall disorder.
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Therapy that depends on identifying and changing distorted thinking and unrealistic beliefs is ______ therapy.
a) cognitiveb) psychoanalyticc) behaviord) person-centered
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Therapy that depends on identifying and changing distorted thinking and unrealistic beliefs is ______ therapy.
a) cognitiveb) psychoanalyticc) behaviord) person-centered
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Which of the following is a basic goal of cognitive-behavioral therapy?
a) to help clients uncover unconscious conflicts and sexual urgesb) to help clients develop a closer match between real and ideal selvesc) to help clients change irrational thoughts to rational thoughtsd) to help clients complete unfinished business and become whole
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Which of the following is a basic goal of cognitive-behavioral therapy?
a) to help clients uncover unconscious conflicts and sexual urgesb) to help clients develop a closer match between real and ideal selvesc) to help clients change irrational thoughts to rational thoughtsd) to help clients complete unfinished business and become whole
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Which of the following is an advantage of cognitive and cognitive-behavioral therapies?
a) Clients do not need to be verbal.b) They treat the underlying cause of the problem.c) They are less expensive and short term than typical insight therapies.d) The therapist decides which of the client’s beliefs are rational and which are irrational.
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Which of the following is an advantage of cognitive and cognitive-behavioral therapies?
a) Clients do not need to be verbal.b) They treat the underlying cause of the problem.c) They are less expensive and short term than typical insight therapies.d) The therapist decides which of the client’s beliefs are rational and which are irrational.
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The EndThe End