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Second last psychology lecture.docx

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Western University
Psychology 1000

Second last psychology lecture • Drug therapy • Psychoanalysis • Humanistic therapy • How do antipsychotic drugs work? • What are the essential elements of psychoanalysis? • How does the humanistic approach differ from psychoanalysis Anti-Mania • Lithium carbonate (Eskalith) • Prescribed for bipolar disorder • Eliminates manic phase and depression does not return Few side effects: - But dosage is critical - Too little – nothing happens - Too much – toxic for your body nd Seems effective BUT patients often report that they miss the initial “high” aka the mania, 2 therapy required if this is the case. Antipsychotic - Thorazine is the #1 prescribed to patients with schizophrenia. - It reduces symptoms of schizophrenia and blocks dopamine receptors. Two major pathways: - Brain stem (Parkinson’s disorder) - Cerebral cortex and frontal limbic – what we want to target. Unfortunately, does not discriminate…patients develops a temporary movement disorder. With Prolonged use: - Tardive dyskinesia - Facial grimacing, involuntary tongue, mouth movements and troubles breathing. - Symptoms are temporarily relieved by increasing dosage. Clozapine: - Little, if any, movement side effects (but possible blood disorder) - Blocks dopamine and serotonin receptors - More effective on the positive symptoms. Effectiveness: Drugs - Double-blind studies yield profound to moderate results - Most effective when used with some “talk” therapy. Psychotherapy – the use of talking therapy. - Many different types, differ primarily in theory of psychopathology. - Different theories imply different treatments. Psychodynamic approach (classical psychoanalysis) - Based on Freudian concepts - Goal is to uncover hidden conflicts and unconscious impulses (insight therapy) Techniques: - Patients lies on a couch, therapist out of view - Free association - Dream analysis - Gets patients ego out of the way. Interpretation - Providing a context or meaning to patients thoughts - Want the patient to provide him or herself, but the therapist must guide and help the patients to understand. Resistance - Patient avoids topic - Becomes angry at interpretation - Misses appointments - Fails to pay - Difficult stage has been
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