PSY100Y5 Lecture Notes - Automatic Negative Thoughts, Group Psychotherapy, Psychoanalysis
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Feb/29/2004, Sunday CHANAPS
Notes From Reading
CHAPTER 15: TREATMENT OF PSYCHOLOGICAL DISORDERS
I. The Elements of the Treatment Process
A. Treatments: How Many Types Are There?
1. Insight Therapy – i.e. “talking therapy”. Roots found in Freudian psychology.
Clients engage in complex verbal interactions with therapists.
a. Goal – pursue increased insight regarding the nature of client’s difficulties
and sort through possible solutions.
b. i.e. Family/Marital Therapy.
2. Behavior Therapy – based on principles of learning. Make direct efforts to alter
problematic responses (i.e. phobias) and maladaptive habits (i.e. drug use).
a. Involves classical, operant and observational learning.
3. Biomedical Therapies – involve interventions into a person’s biological
functioning, through drug and electroconvulsive (shock) therapy i.e.
B. Clients: Who Seeks Therapy
1. Most popular treatments for anxiety and depression.
2. 15% of population receives mental health service in a year.
3. Reason’s people don’t pursue treatment – cost, lack of insurance, stigma
C. Therapists: Who Provides Professional Treatment
1. Psychologists –
a. 2 Types – clinical psychologists and counseling psychologists – both
specialize in diagnosis and treatment of psychological disorders and
everyday behavioral problems.
b. Clinical – treatment of full fledged disorders.
c. Counseling – treatment of everyday adjustment problems in normal
d. Must earn doctoral degree.
e. Psychologists more likely to use behavioral techniques.
2. Psychiatrist – physicians who specialize in the diagnosis and treatment of
a. MD Degree
3. Other Mental Health Professionals
a. Hospitals – clinical social workers, psychiatrist nurses as part of a team.
b. Counselors – schools, etc. – marital/drug counseling.
II. Insight Therapies
Involve verbal interactions intended to enhance the client’s self knowledge and thus
promote healthful changes in personality and behavior.
1. Psychoanalysis – an insight therapy that emphasizes the recovery of
unconscious, conflicts, motives, and defenses through techniques such as free
association and transference.
2. Freud – neurotic problems are caused by unconscious conflicts left over from
early childhood. Inner conflicts of Id, ego, and superego.
3. Probing the Unconscious – two techniques
a. Free Association – clients spontaneously express their thoughts and
feelings exactly as they occur, with as little censorship as possible.