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Psychotherapy chapter 16_saltarelli

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Psychotherapy chapter 16_saltarelli

  1. 1. CHAPTER 16 PSYCHOTHERAPY Week 13 of 15
  2. 2. Schedule for Today <ul><li>Group Quiz </li></ul><ul><li>Chapter 16 </li></ul><ul><li>Group presentation prep time </li></ul>
  3. 3. Schedule for Rest of Semester <ul><li>Tues. 4/13 Chapter 16 (Today) </li></ul><ul><li>Tues. 4/20 Presentations (1-3) </li></ul><ul><li>Tues. 4/27 Presentations (4, 5) </li></ul><ul><li>Exam Review </li></ul><ul><li>Fri. 5/7 Final Exam (Chapter 8-16) </li></ul><ul><li>7:45 a.m. to 9:45 a.m. </li></ul><ul><li>(In normal room) </li></ul>
  4. 4. Warm-up <ul><li>In Presentation Groups: Chapter 16 Quiz </li></ul>
  5. 5. Warm-up <ul><li>What so you picture when you think of psychotherapy? </li></ul><ul><li>Who needs it? </li></ul><ul><li>Who benefits from it? </li></ul>
  6. 6. The Elements of the Treatment Process <ul><li>Types of Treatment </li></ul><ul><ul><li>Insight </li></ul></ul><ul><ul><li>Behavior </li></ul></ul><ul><ul><li>Biomedical </li></ul></ul><ul><li>Clients </li></ul><ul><li>Therapists </li></ul><ul><ul><li>Psychologists </li></ul></ul><ul><ul><li>Psychiatrists </li></ul></ul><ul><ul><li>Other mental health professionals </li></ul></ul>
  7. 8. Insight Therapies <ul><li>“ involve verbal interactions intended to enhance clients’ self-knowledge and thus promote healthful changes in personality and behavior”. </li></ul><ul><ul><li>Insight therapies include: </li></ul></ul><ul><ul><ul><li>Psychoanalysis. </li></ul></ul></ul><ul><ul><ul><li>Client-centered therapy. </li></ul></ul></ul><ul><ul><ul><li>Cognitive therapy. </li></ul></ul></ul><ul><ul><ul><li>Group therapy. </li></ul></ul></ul>
  8. 9. Insight Therapies <ul><li>Psychoanalysis: emphasizes the recovery of unconscious conflicts , motives, and defenses through techniques </li></ul><ul><ul><li>Probing the unconscious - free association and dream analysis </li></ul></ul><ul><ul><li>Interpretation - analysis </li></ul></ul><ul><ul><li>Transference - mimicking critical relationships in life </li></ul></ul>
  9. 10. Insight Therapies <ul><li>Client-Centered Therapy : emphasizes providing a supportive emotional climate for clients , clients determine pace and content of therapy </li></ul><ul><ul><li>Therapeutic climate—process is not as important as the emotional climate </li></ul></ul><ul><ul><ul><li>Genuineness </li></ul></ul></ul><ul><ul><ul><li>Unconditional Positive Regard </li></ul></ul></ul><ul><ul><ul><li>Empathy </li></ul></ul></ul><ul><ul><li>Therapeutic process—client and therapist are equals </li></ul></ul><ul><ul><li>“ Non-directive” </li></ul></ul>
  10. 11. Insight Therapies <ul><li>Cognitive Therapy : treatment that emphasizes recognizing and changing negative thoughts and maladaptive beliefs </li></ul><ul><ul><li>Goal: to change the way a client thinks </li></ul></ul><ul><ul><li>Techniques </li></ul></ul><ul><ul><ul><li>Change cognitive distortions </li></ul></ul></ul><ul><ul><ul><li>More directive than client-centered </li></ul></ul></ul>
  11. 12. Insight Therapies <ul><li>Group Therapy </li></ul><ul><ul><li>Generally 5-10 members </li></ul></ul><ul><ul><li>Advantages of the group experience </li></ul></ul><ul><ul><ul><li>Realize that their problems are not unique </li></ul></ul></ul><ul><ul><ul><li>Provides an opportunity for participants to work on social skills in a safe environment </li></ul></ul></ul><ul><ul><ul><li>Some problems are well suited </li></ul></ul></ul>Launch Video
  12. 13. Behavior Therapies <ul><li>General Principles: </li></ul><ul><ul><li>Behavior is a product of learning </li></ul></ul><ul><ul><li>What has been learned can be unlearned </li></ul></ul><ul><ul><li>Once target problem has been identified, specific goals are set and procedures are designed to address specific problem </li></ul></ul>
  13. 14. Procedures <ul><li>Systematic Desensitization: reduce clients’ anxiety responses through counter-conditioning </li></ul><ul><ul><li>Assumption that anxiety responses are acquired through classical conditioning </li></ul></ul><ul><ul><li>1. Build Anxiety Hierarchy </li></ul></ul><ul><ul><li>2. Deep muscle relaxation </li></ul></ul><ul><ul><li>3. Client works through hierarchy, and is encouraged to confront real stimulus </li></ul></ul>
  14. 16. Procedures <ul><li>Aversion Therapy: behavior therapy in which an aversive stimulus is paired with a stimulus that elicits an undesirable response </li></ul><ul><ul><li>Effective for drug abuse, sexual deviance, gambling, shoplifting, stuttering, smoking and overeating </li></ul></ul><ul><ul><li>E.g., nausea paired with favorite drink </li></ul></ul>
  15. 17. Procedures <ul><li>Social Skills Training : designed to improve interpersonal skills that emphasizes shaping, modeling and behavioral rehearsal </li></ul><ul><ul><li>Assumption: people acquire social skills through learning </li></ul></ul><ul><ul><li>Those people with no social skills need to be taught </li></ul></ul><ul><ul><li>Improves social skills </li></ul></ul><ul><ul><ul><li>eye contact, active listening, and assertiveness </li></ul></ul></ul>
  16. 18. Biomedical Therapies <ul><li>Physiological interventions intended to reduce symptoms associated with psychological disorder </li></ul><ul><li>Treatment with Drugs (psychopharmacotherapy) </li></ul><ul><ul><li>Antianxiety drugs </li></ul></ul><ul><ul><li>Antipsychotic drugs </li></ul></ul><ul><ul><li>Antidepressant drugs </li></ul></ul><ul><ul><li>Lithium </li></ul></ul><ul><li>Diagnoses in children: http://www.pbs.org/wgbh/pages/frontline/medicatedchild/ </li></ul>
  17. 19. For Next Week <ul><li>Group Presentations – Groups 1, 2, 3 </li></ul>

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