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University of Guelph
PSYC 1010

Chapter 18The Treatment of Mental Disorders MENTAL DISORDERS AND PSYCHOTHERAPY4 basic approaches to treatment of mental disorders o Insight therapies o Behaviour therapy o Cognitivebehaviour therapies o Treatment of groupsEarly Treatment of Mental DisordersDisorders always there just viewed differentlyexample person with schizophrenia may have been said to be gods voice or spirits possessed with devil or evilTrephining surgical procedure in which a hole is made in the skull of a living personan opening for the spirits of evil to leave the victims headinsults or curses were said to persuade the demon to leave exorcism was attempted to make the body an unpleasant placebeatings starving drowning drinking of foultasting concoctions th 18 century Johann Wier was first to question witchcraftsaid it was an illness insteadEventually people with disorders were sent to asylums kept in chains shown to public for fees tied up doused in cold water bled made to vomit spun in a chairPhilippe Pinel director of hospital in Paris as an experimenttook off chains of patients out of dungeonssuccess hospital was peaceful and quiet The Development of Psychotherapy thth Anton Mesmer end of 18 century early 19 devised theory called magnetic fluxes attempted to effect cures by manipulating iron rods and bottles of chemicals hypnotized patientsEclectic approach form of therapy in which the therapist uses we method he or she feels will work best for a particular client at a particular time combinations of methodsINSIGHT THERAPIESAssume that people are essentially normal but learn maladaptive thought patterns and emotions which are revealed in maladaptive behavioursOnce patient understands causes of problems the behaviour will cease Psychoanalysis and Modern Psychodynamic ApproachesPsychoanalysis Freud form of therapy aimed at providing the client with insight into his or her unconscious motivations and impulsesEarly stage of therapy problems are difficult to identity bc unaware of unconscious conflictsAnalyst asks questions encourages client to talk analyst interprets them to uncover true meaning and get whole pic of unconsciousPurpose of theoryto create setting where clues about the origins of intrapsychic conflicts are most likely to be revealed by client dreams memory reactions etc by exposing client to these clues they gain insightAccurate interpretation is best by therapy with specially trained therapistClient provides description of fear and anxieties thoughts repressed memories defence mechanisms are triggered Psychoanalytic TechniquesFree association procedure in which client is encouraged to speak freely wout censoring possibly embarrassing or socially unacceptable thoughts or ideasDream interpretation evaluation of underlying meaning of dream contentManifest content actual images and events Latent content hidden meaning or significance Manifest masks the latent bc latent is anxiety provoking and causes discomfort
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