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chpt 18 txt nts

5 Pages
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Department
Psychology
Course Code
PSYA02H3
Professor
John Bassili

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Chapter 18: The treatment of Mental Disorders
Client- therapist Relationship
oTalk therapy / Therapeutic alliance
Psychodynamic therapy Freuds psychoanalysis= basis
oInsight therapy -- mental energy
oFree association & dream interpretation = Freud (Therapists= detectives)
oResistance and defensiveness & transference
Carl Rogers: Client- Centered therapy (warm & genuine. Make ppl feel worthy)
oTherapist shows Unconditional positive regard
oIs non-directive (acts as mirror/ support, bounces back questions)
oIncongruence: Root cause 4 many probs = real self diff from ideal self
Fritz Perls: Gestalt therapy (here & now, confrontational/ phony)
obe in touch w/ body, mind, envio (depending on envio depending on stronger confident self)
oempty chair technique: feelings towards o/s in the now
gain better understanding of feelings by talking to themselves or inanimate objects
Albert Ellis: Rational- Emotive Therapy (RET) form of cognitive therapy (thinking)
oEmotional disorders caused by irrational beliefs
oSimple declarative sentences (rectifying wrong thoughts)
Aaron Beck: Cognitive Therapy treatment of depression
oCollaborative Empiricism (give& take: listen & works w/ you to gather data)
oLooking for biased thinking beliefs based on unwarranted evidence) correct misconceptions
oSweeping generalization, over generalize, all or nothing thinking (negative) focuses on faulty logic
oSelective abstraction (depressed person focuses only on negatives & misses positives)
oGuided Discovery (identify and prove error in thinking)
ocognitive triad: (-) view of self, world & future
Modernity vs. ancient therapies
Movement that tried to make therapy more brief
Consumer service report: resounding endorsement
www.notesolution.com
oOver 55% helped a lot & 90% helped somewhat (bit lower for ppl w/ less severe probs)
oShort-term therapy or long term therapy? A: long term feels more beneficial
oAll talk-therapies = equal effectiveness (marriage counselling not that effective though)
oFamily docs & mental health specialists:
Family docs: 48% drugs & therapy, 15% counselling, 37% drugs
Specialists: 4% drugs, 80% therapy, 17% drugs & therapy
Early treatment of mental disorders: trephining (drilling holes, escape hatch 4 evil spirits)
Johann Wier: 1st to challenge & argued ppl may be suffering from a mental illness (church banned his wrk)
Philippe Pinel: believed patients would respond to kind treatment
Franz Anton Mesmer: modern treatment of mental disorders began w/ him
omagnetic fluxes manipulate iron rods & bottles of chemicals (reality: hypnotized mesmerism)
Jean Martin Charcot: French neurologist studied therapeutic uses of hypnosis
Freud: Psychoanalysis (insight to unconscious)
Counter-transference- therapist project their emotions onto client (undesirable)
Most therapists use eclectic approach (any method they feel work best for the client @ particular time)
Insight therapies: emphasize talk, identify & understand problem & maladaptive behaviour stops
Goal: interpret/ understand clues about origins of intra-psychic conflict
Psychoanalysis aka psychodynamic therapy – reflect diff b/w now & then
Contemporary therapists address concerns in clients present life rather than childhood
Modern psychodynamic therapists- ego plays more active role
Present therapists- believe + benefits in shortening process (less client dependence on them)
Humanistic theory: + understanding of self potential for growth & actualization
Behaviour & Cognitive therapies: belief that understanding behavioural changes (based on classical conditioning)
oSystematic Desensitization: Wolpe (replace (-) emotional response of feared object w/ relaxation) ex: snake
In vivo exposure: clients exposed to intense levels of feared stimuli in attempt to diminish it through
extinction
Imaginal exposure: graphic description of feared object (goal: diminish fear by extinguishing
avoidance responses)
www.notesolution.com

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Description
Chapter 18: The treatment of Mental Disorders Client- therapist Relationship o Talk therapy Therapeutic alliance Psychodynamic therapy Freuds psychoanalysis= basis o Insight therapy -- mental energy o Free association & dream interpretation = Freud (Therapists= detectives) o Resistance and defensiveness & transference Carl Rogers: Client- Centered therapy (warm & genuine. Make ppl feel worthy) o Therapist shows Unconditional positive regard o Is non-directive (acts as mirror support, bounces back questions) o Incongruence: Root cause 4 many probs = real self diff from ideal self Fritz Perls: Gestalt therapy (here & now, confrontational phony) o be in touch w body, mind, envio (depending on envio depending on stronger confident self) o empty chair technique: feelings towards os in the now gain better understanding of feelings by talking to themselves or inanimate objects Albert Ellis: Rational- Emotive Therapy (RET) form of cognitive therapy (thinking) o Emotional disorders caused by irrational beliefs o Simple declarative sentences (rectifying wrong thoughts) Aaron Beck: Cognitive Therapy treatment of depression o Collaborative Empiricism (give& take: listen & works w you to gather data) o Looking for biased thinking beliefs based on unwarranted evidence) correct misconceptions o Sweeping generalization, over generalize, all or nothing thinking (negative) focuses on faulty logic o Selective abstraction (depressed person focuses only on negatives & misses positives) o Guided Discovery (identify and prove error in thinking) o cognitive triad: (-) view of self, world & future Modernity vs. ancient therapies Movement that tried to make therapy more brief Consumer service report: resounding endorsement www.notesolution.com
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