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Lecture 15

PS101 Lecture 15: chapter 15 lecture (T.A. Lecture)

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Mindi Foster

Chapter 15—Treating Disorders Insight therapies (talk therapy) 1. Psychoanalysis: treatment designed to uncover the unconscious conflicts causing anxiety a. See psychological disorders as unconscious thoughts rising to the surface of consciousness, therefore they try to solve problems through therapy with unconscious • Free association (spontaneous expression of thoughts/feelings) o Talk without feeling censored, first thing that comes to mind is automatic and not necessarily conscious • Resistance (client’s unconscious attempts to hinder therapy) o Silence o If the client is silent there is no therapy occurring o Changing topics, defensiveness • Transference (unconscious transfer of emotions etc. about someone else, onto therapist) o Good process to see clients experience (progress) o Allows expression without fear of retaliation 2. Client Centred Therapy (treatment designed to resolve incongruence that causes disorder) Carl rogers, disorders are a product of incongruence between how you see yourself and how others see you, therefore therapy tries to decrease this incongruence • Genuineness o Trust/being honest vs fake • Unconditional positive regard o Acceptance no matter what, value what client is feeling regardless of how therapist feels • Empathy o Sensitive, make the client feel you feel how they feel • Active listening o Signs and cues that the person is engaged and listening • Paraphrasing o Reflection o Allow clients to see themselves in a mirror 2a. Positive psychotherapy (focus on client’s strengths) • To figure out what is good about you and how to enhance those qualities • Homework after each session that all focuses on positivity and gratefulness 2b.Group therapy (eg. Grief therapy, substance abuse) • client’s role o be the therapist, providing other people in the group with a sense of not being along/support • therapist’s role o be in the background • more cohesive, therefore greater social support 3. Behaviour therapy (changing learned, maladaptive behaviours through new learned adaptive behaviours) 1 • Systematic desensitization: (step by step procedure to reduce sensitivity to a fear stimulus) ✓ Step 1-anxiety hierarchy (small steps with client moving towards fear) o Lowest: agreeing to exercise o Preparation (higher a trainer, put on gym clothes) o Simple movements (walk, run) o Highest (going to class) ✓ Step 2-relaxation training o Breathing techniques, visualization, meditation ✓ Step 3-counterconditioning (fear stimuli + relaxation) o Pair the fear with better learned behaviour, the opposite of anxiety which is relaxation o Paired at each step of the hierarchy • Exposure therapy/flooding o Flood the client with the fear stimulus o Purpose to show them that nothing with happen • Aversion therapy (unwanted behaviour + undesirable/aversive stimulus) o Expose the client to fear and relaxation, attempt to scare them aware from their fearful behaviour o Try to create fear instead of eliminate it • Social skills training (interpersonal skills) o Modeling by others (ob
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