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Lecture 3

PSY240 Lecture 3- Treatments for abnormality/ Childhood disorders.docx

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Tina Malti

PSY240 Jan 21  Major types of treatment  Pharmacotherapy affects neurotransmitters  Psychotherapy involves talk based approach with therapist, patient, family  The psychotherapy approach may be preferred over the other  Herbal medicine alternative to prescription medication  Safety remain a debate  Bio treatments: drug therapies  Most frequently used drugs are Prozac (mood stabilizers)  Antipsychotic drugs reduce symptoms of psychosis  Antidepressants  Lithium/mood stabilizers  Antianxiety drugs  Social impact of bio approach to therapy  Responsibility of sufferer?  Side effects? With schizophrenia treatment patients suffer from weight gain and other effects  Is there an ease to drugs that allows us to forget other issues?  What are implications of medication maybe not as happy as a person wants to be ( mild symptoms yet still taking drugs)  Psych therapies used separately in practice  Psychodynamic  Therapeutic alliance relationship bn therapist and person seeking help…need to establish good relationship to have the patient trust you  Free association IMP golden rule of any treatment lie on couch and the patient speaks freely without a specific topic, and without intervention, sense spontaneous thoughts  Resistance KEY CONCEPT as uncomfortable thoughts and feelings start coming to the surface, the patient will shut down completely, and use defense mechanisms to resist  Counter-transference react to unconscious feelings of the patient (in transference)  Working through and catharsis releasing emotions  Transference patient isn’t satisfied with the analyst and the patient sees in the therapist some figure (imp in their life)….transfers feelings onto prototype towards the analyst …sees in you the way of the some other figure  Humanistic therapies  Client-centered therapy (CCT)  Talk about client  ^ seeks to reflect the client’s experience  Humans all need recognition, related to philosophy  Communicate your role as a helper and be as genuine as you can, unconditional pos regard, communicate as best as you can  Humanistic and existential theories of abnormality Gloria tapes Fritz Perls  Imagination and movement in Gestalt therapy use imagination as a method to help clients explore diff interpretations of their beings  Behavior therapies  Focus on behavior and how to reinforce pos behavior, and how to punish maladaptive behavior  Behavioral assessment  Look at diff situations related to negative behavior  Methods used in behavioral therapies  Remove the reinforcements putting the person out of situation, try to remove positive rewards connected to that situation  Response shaping through operant conditioning give positive reinforcement when they do something adaptive, bc that will increase adaptive behaviors  Relaxation exercises relax a person  Deep breathing focus only on breathing  Imagery imagining something you really like  Progressive muscle relaxation focus on specific parts of body, and relaxing those muscles  Proposed therapeutic mechanism use when disorders of anxiety and fears  Systematic desensitization combine relaxation with confrontation to reduce panic attacks  Behavioral contracting/token economy set up a reward system (ex. for every 10 stickers you collect, you get a reward)  Modeling and observational learning therapist can model behaviors,  Role playing use role play in practice and then real life where they practice new skills (ex….practice how a person can be more assertive…then give them homework, and f someone cuts them off in the store, how to constructively deal with the problem)  Social skills training teach ppl how to deal with problems and develop social skills  First step to problem solving is to look at person and make eye contact  Say exactly what you would like the person to do, and why you need that  Tell the person how you would feel if the request is carried out  Handling confrontations with social skills  Distraction techniques  Flooding or implosive therapy overwhelming the person to an extent where they cannot get more aroused, and after a specific amt of time, the body can’t have the intense reaction any more, then they have to stop  Cog therapies  Identify irrational thought ex/ If I leave my house I will die  Test irrational beliefs ex… give a person the stats on dying if they leave the house, and ask how many times does it actually occur to even their families  Assist client in facing worst fears about a situation  Techniques  Question evidence  Reattribute reattribute causes and consequences  Examine options and alternatives  Decatastrophize  Fantasize consequences  Examine advantages and disadvantages let them write them all out so they can see how irrational they are  Though stopping  Labeling of distortions  Activity case example (slide 18 of 60)  Can use psychoanalysis maybe something happened in the past, could have gone terribly wrong and does not do them anymore  Maybe every time the child spoke up the public the mother would make them stay quiet  Maybe child doesn’t feel accepted by mother developed fear of being in public  Can use free association to talk freely about it…at some point maybe the patient will transfer the anger that the patient has towards the mother to the therapist  Humanistic approach  try to understand the problem that she is not achieving her social potential  Treat it by expressing empathy, supposed to watch body movements and how the patient expresses themselves  Cog therapies  Fear of being judged by others (dysfunctional)  Treatment imagine the worst situation that could happen and evaluate pros and cons  Behavior therapygetting lots of negative reinforcement  May have always had negative experiences
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