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Lecture 15

PSY100Y5 Lecture Notes - Lecture 15: Facilitated Communication, Exposure Therapy, Dissociative Identity Disorder


Department
Psychology
Course Code
PSY100Y5
Professor
Ayesha Khan
Lecture
15

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Chapter 15 Lecture Notes
Treatment of Psychological Disorders
Lecture Preview
Who seeks psychotherapy and who benefits from it?
Describe and evaluate the effectiveness of insight therapies and behavioural
therapies
Explore group and family therapies
Discuss whether psychotherapy is effective
Identify biological treatments for psychological problems
Psychotherapy
Is a very general term
Who goes to therapy?
More women go to psychotherapy and counseling than men
Who practices therapy?
Clinical psychologists goes through an undergrad, then masters in
psychology and PhD in clinical psychological
Psychiatrists has a medical training background; has the ability to
prescribe medications
Mental health counselors, Clinical social workers not regulated by
the government, so you don’t know how much education they had
Who benefits most from therapy?
Patients with some anxiety often do better
A little bit of anxiety is good
Patients who are better adjusted to begin with
Psychoanalysis: The First Therapy
Sigmund Freud believed abnormal behaviour was caused by unconscious
feelings, thus the goal of psychotherapy was to make conscious these
unconscious feelings
Six primary approaches:
1. Free association
The client/patient comes in and talks about whatever is on his/her mind
Ie. School, boyfriend, work, dreams
Patient is expression himself without censorship
2. Interpretation
The therapist will interpret this and formulate some type of theory and
connections the dots
3. Dream analysis
This is where we start to expression our unconscious feelings
As a psychoanalysis, you want to see what is going on, dream analysis is a
good way

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4. Reduce Resistances
Attempts to avoid confrontation and anxiety associated with uncovering
previously repressed thoughts, emotions, and impulses
5. Transference
Projecting intense, unrealistic feelings and expectations from the past onto
the therapist
6. Working through
Confronting and resolving problems, conflicts, and ineffective coping
responses in everyday life
Neo-Freudian Psychoanalysis
Followers of Freud consider conscious, cultural, and interpersonal influences
on behaviour, along with adopting a more positive approach.
Jung’s Analytic Psychology – focused on individuation, the integration of
opposing aspects of the patients personality
You think of yourself into parts- what is the good, the bad in me;
therefore individuation helps you find what your parts are
Amplification patients and therapists expand on dream associations
If someone is experiencing a series of multiple dreams, you start to
connect those dreams
Interpret the connections between those dreams
Prognostic dreams dreams that foretell the future
Making a prognosis
Given all the information that I have about my client, can I make some
sort of assumption of how they will behave in the future
Critical Analysis of Psychodynamic Therapies
Many treatments are not scientifically sound:
Poor external validity Freud and Jung had a limited population of wealthy,
intelligent, successful people
External validity the treatment I am using works for everyone;
applies to the population at large
When we look at Freuds’ patients were very selective, they were
Victorian, well-off women
Jung’s patients were also dimensional where they were selective by
social position
Clinical sessions were never systematically examined and thus could not be
replicated
We want to methodically examine a session
They relied on memories memories are just reconstructions of the
past
Relied heavily on memories from the patient’s past, yet recent evidence has
called into question the validity of these memories
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