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Lecture 18

Thorough Notes on Lecture 18. Feedback appreciated :D

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University of Toronto Scarborough
Marc A Fournier

PSYB30 Personality Wed, March 232011 Lecture 18 PART III: Overview of Part III Life-Story Revision Psychotherapy Outcomes Disclosure and Therapy Process Psychotherapy as Life-Story Revision Schools of Psychotherapy Most psychotherapists ascribe to one of the following classifications of psychotherapy when dealing with a patient Psychodynamic Therapies Conflict Anxiety Unconscious Defenses Transference Interpretation Insight Resistance These therapists will talk about the conflicts inherent in their patients Conflicts between the Id & Ego, conflicts between the Ego & superego are sources of symptoms within the psychodynamic patient These conflicts produce anxieties and it is the nature of the psyche to respond to those anxieties with a number of defense mechanisms When all of these fail, theres the chance of developing symptoms The therapist becomes an object on which the patient projects all the underlying problems they have (transference) The therapist provides an interpretation of that projection (interpretation) This produces some insight within the patient into the conflict heshe has (Insight) The insight, however, is distressing because the mind naturally wants to keep the problem within the unconscious so there is then resistance where patient struggles, which leads to transference again (Resistance) The goal is to provide repeated opportunities to give patient insight into the what the underlying conflict is, then the patient will overtime be able to resolve the underlying conflict Cognitive-Behavioural Therapies Antecedent Behaviour Consequence Cognitive Restructuring & Behavioural Experiments Antecedent events elicit behaviours, these behaviours can be overt (observable) or covert (thoughts), and they lead to consequences. Whether those consequences are rewarding or punitive, you will be more or less likely to engage in that behaviour in the future. This therapist employs an entirely different repertoire of techniques than the above therapist Example of Behavioural Experiment: A socially anxious patient will avoid situations that make him or her anxious. This avoidance provides relief to the person, but this relief
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