PSYC 200 Lecture Notes - Lecture 13: Telehealth, Agoraphobia, Electroconvulsive Therapy

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PSYC 200 Chapter 13: Therapies
Psychotherapy
Psychotherapy: Any psychological technique used to facilitate positive changes in an
idiidual’s personality or behaviour
Therapy is not equally effective for all problems.
Chances of improvement are fairly good for phobias, low self-esteem, and marital
conflicts.
Complex problems such as a general tendency to be extremely fearful in social
situations can be difficult to solve (effectiveness depends on problem, type of
psychotherapy used & the individual)
Humanistic Therapies
Client-Centered Therapy (Rogers): Non-directive and based on insights from conscious
thoughts and feelings; emphasizes aeptig oe’s true self (big shift, not imposing)
Therapist must maintain:
o Unconditional Positive Regard: Unshakable personal acceptance of another
person, regardless of what they tell the therapist or how they feel
o Empathy: Ability to feel what another person is feeling; capacity to take another
perso’s poit of ie
o Authenticity: Ability of a therapist to be genuine and honest about his or her
feelings (no hierarchy)
o Reflection: Rephrasing or repeatig liets’ thoughts and feelings; helps clients
become aware of what they are saying (I hate fish sounds like you hate fish)
Interpreting
Gestalt Therapy
Focuses on immediate awareness to help clients rebuild thinking, feeling, and acting
into connected wholes
Emphasizes integration of various experiences
Clients are taught to accept responsibility for their thoughts and actions
More DIRECTIVE than client-centered therapy
Difficult to do not seen often
Psychotherapy at a Distance
Media Psychologists: Radio, newspaper and television psychologists; often give advice,
information, and social support (personalized should not be generalized)
o Most helpful when referrals and information are given
Telephone Therapists: 800-number therapists
o Caution! Ma therapists a e othig ore tha telephoe operators ho
have never even taken a psych course, not trained, etc.!
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Cybertherapy
Cybertherapy: Psychological advice, support groups, and self-help magazines on the
Internet (Ex. find self in online chat room)
Online counselling typically is offered for a fee.
o Advantage (+): clients remain anonymous. Person who may hesitate to see a
psychologist can seek help privately online now comfortable
o Disadvantages (-): brief e-mails are NO way to make a diagnosis; cannot make
use of facial expressions or body language (should try meet in person 1st)
Telehealth
Video cameras at both ends so now you can hear AND see therapist
Patient/client can remain anonymous
May be wave of future for those who cannot drive a distance to a therapist or cannot
leae the house e.g., Paula a’t leae the house /c agoraphobia, so therapist comes
to her via Internet!)
Cheaper than traditional psychotherapy
Behaviour Therapy
Behaviour Therapy: Use of learning principles to make constructive changes in
behaviour; any therapy designed to actively change behaviour
Behaviour Modification: Using any classical/operant conditioning principles to change
human behaviour directly
o Deep insight is often not necessary (focus on behaviour, not thoughts/feelings)
o Focus on the present; cannot change the past, and no reason to alter that which
has yet to occur
Classical Conditioning: A form of learning in which reflex responses are associated with
new stimuli PASSIVE
Uses aversion therapy
Aversion Therapy
: Associate a strong aversion (reflex) to an undesirable habit like smoking, overeating,
drinking alcohol
Conditioned Aversion: Learned dislike or negative emotional response to a stimulus
Response-Contingent Consequences: Reinforcement, punishment, or other
consequences that are applied ONLY when a certain response is made
Rapid Smoking: Prolonged smoking at a rapid pace
o Designed to cause aversion to smoking (feel sick from it)
Image: every time sips alcohol gets a mild electric shock
o Later feels emotional state he felt as if he was shocked when drinks
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Document Summary

Psychotherapy at a distance: media psychologists: radio, newspaper and television psychologists; often give advice, information, and social support (personalized should not be generalized, most helpful when referrals and information are given, telephone therapists: 800-number therapists, caution! Ma(cid:374)(cid:455) (cid:862)therapists(cid:863) (cid:373)a(cid:455) (cid:271)e (cid:374)othi(cid:374)g (cid:373)ore tha(cid:374) telepho(cid:374)e operators (cid:449)ho have never even taken a psych course, not trained, etc. Cybertherapy: cybertherapy: psychological advice, support groups, and self-help magazines on the. Internet (ex. find self in online chat room: online counselling typically is offered for a fee, advantage (+): clients remain anonymous. Image: every time sips alcohol gets a mild electric shock: later feels emotional state he felt as if he was shocked when drinks. Image: shown here is a token used in one token economy system; also pictured is a list of credit values for various activities. Tokens are exchanged for items/privileges listed on the board.

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