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Lecture

Chapter 18 Lecture Notes


Department
Psychology
Course Code
PSYA02H3
Professor
Oren Amitay

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Chapter 18 Lecture Notes
Psychological Disorders and Psychotherapy
Make sure you take a look at history of psychotherapy.
So what about ppl that are possesed? Do they have schizophrenia? & if they do have schizophrenia,
ZvZ}ÁÁZvZÇ^Æ}]_UZv}uZ}ÁZ}v]µvoǵM
(1) E}ÀÇ}vÁZ}]^}_]ooÇvµooÇ}
(2) Not everyone who is possed has schizophrenia t it could be a psychotic disorder. Psyhotic
disorder can happen to anybody [20% of depressed ppl suffer pyschosis]
dZÇÁ}µo^ol_u}v}µy drilling a hole in the head
Know all bold-printed terms.
Insight Therapies
So every therapy except for maybe one major therapy has the same key principle: that is
Making aware that which you are not aware of OR bringing the unconscious to the conscious.
So this also depends on how you describe unconscious.
/[ZÀ]}µ]uZÀ]}µZÇÁZ]Z}v}ZZulÇ]v]oX
So, all major therapies including behaviour therapy has this as a major goal: exposing you to that you
are afraid of or something that causes fear or anxiety to you.
^}]vZÀ]}µZÇU][ÀÇ((]À]vZ}][t exposing to that fear!
Insight Therapies ContinuedY
Psychoanalysis:
t one good thing about this therapy is that ppl that want to become psychoanalysis therapists t they
have to undergo 2 years of psychoanalysis themselves [this is good in a way b/c sometimes ppl go into
therapy [trying to be a therapist] to avoid looking at their own problems]
If the person has problems or trauma t ](Z}v}v[PZoZuoves t ZÇ[ooÆ]v
Z]vPZ}µPZZ]ovZÇÁ}µov[o}ZoZ]]vt ZÇÁ}v[o}
empathize]
dZ[ÁZÇÇZ}voÇ]]]u}vt as it forces the therapist to go through their own therapy.
(1) Insight coming from somebody else is not too good. Somebody gives you advice or tells you
about your problem t ]Á}v[ZÀuµZ}(v((}vÇ}µJ
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Chapter 18 Lecture Notes
So if anyone wants help from you t ](][o](-changing advice t Ç}µ(]v}ÁZ}ÀÁ}v[(}oo}Á]J
][o]ÇJ
Whvo}u}ZÇÇ^/Áv}ulZvP]vuÇo](t I want to change my
}vo]Ç_t when they say that t they really mean that they want the therapist to really change the
world back to when their defense mechanisms used to work.
(2) ^]v]PZ_}lv}ÁoPUµvv]vP}ÁvÁ]Z}µZu}]}vo}vvlu}]}vo
^o]l_]DE/E'>^^J
So just logically coming up with a conclusion does not mean anything & understanding something means
NOTHING. t you need that emotional resonance.
Having the same discussion over & over is meaningless t ][Z&>/E'Z]]u}vX
------------
Free association
As you talk t certain themes will be repeated t good therapists allow the patient to put the pieces
together themselves t ][](Z]v}uµÁ]Z]ZuoÀX
Or for psychoanalysis t it has to be delivered in a way to the patient t }ZZÇ^(o_]v]µ]k
punch]
---
For final exam: know everything about psychoanalysis t }(Á}v[lZ]orical things t know bold-
printed stuff.
µ]}vWÁZ}u}(ZZ]vPZZ}([]vlo]vu]PZZM
(1) ][]Po]Z U}Ç}µlv}ÁZ}ÁZÇ]Á}l]vPt ÁZ[Z]PvZ}u}Ç]
actually making headway in therapy. [when the client wants to stop coming t Z[Zu
1 sign]
/[o]l]vu}À]Ç}µ[Á]]vP(}ZZ}]oµ}Z}ÁµU]}UÇ}µ(lUµ(Ç}µ
get used to it.
Which is what they do in therapy!
Insight Therapies continuedY
Resistance t is the ideZÇ}µ}v[Áv}P}Z^ZzW>X
Freud thought that any attempt that the client made to prevent them from moving forward. He said
that it is unconscious.
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Chapter 18 Lecture Notes
e.g. a patient gets into an accident while driving to therapy - & you say that they unconsciously
sabotaged themselves so that they wouldn't come to therapy t which is a guaranteed way of pissing off
the client
µZ[(t ppl do things unconsciously to be able to not do work t being late or procrastinating is
tehe way even teenagers do it.
-----
Transference t if used properly, is a powerful tool & if used improperly t ][ou}]vµo]vP
In classic psychoanalysis t the theory is that therapist is a blank screen. The idea is that the therapist is a
blank screen; doing nothing aside from helping the client - & the patient starts getting angry or
conversly, they start falling in love with their therapist.
dZ]]ZZo]vl]v]v[ooÇvPÇ}]vo}ÀÁ]ZZZ]XdZÇ}i]vP
old baggage [usually related to their parents] onto the therapist; they are relating to them as they
would relate to their parents in the past as a child = TRANSFERENCE.
Good therapists recognize that the fact is that the therapists do t they do things in therapy; they are not
neutral or a blank screen, if they were, then they would be pretty ineffective.
= everything they [therapist] do could potentially cause a reaction in the patient & they could react to
the therapist. [& not b/c they were projecting on their therapist]
/vZu}v]vÇZ}Çvu]UZ]}Pv]ÌZ]]v}oo}µZ]v[lo]v[
past issues t so even if the therapists is trying to be neutral t they still do bring up things in the
session.
-----
Countertransference t when the client reacts to the therapist through their issues they had with their
patients.
Countertransference t uv}Pv]]}vÇZZ]}(Z]}v}Z]o]v[
projection/baggage.
In object-relations therapy t ][Ç}(ÇZ}Çvu]herapy:
(1) More than any other therapy, it makes sure that the therapist understands their own
baggage/problems.
(2) /[ÀÇ]u}vZZZ]lv}ÁZ}ÁuµZ}(Z]]}v]}Z]}ÁvPPP
or to their client [so they should know their counter-transference]
^}ZZÇvÇ^}lÇUZ[uU/[ooµZ]_Y_ÀÇZ]vPoUuÇ]}v]}Ç}µY_
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