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PSYC 3390 (102)
Chapter 17

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PSYC 3390
Mary Manson- Hennig

Chapter 17 SummaryPsychotherapy works on the principle that people with psychological problems can change learn adaptive ways of perceiving evaluating and behavingVarious issues come into play when achieving these changes persons view of world distorted selfconcepts environmental factors and timePsychotherapy can be less costly in the long run than alternate routesThis chapter focuses on pharmacological and psychological treatmentsReasons to seek therapy include1stressful life circumstances 2chronic longstanding problemshistory of maladjustments 3indirect sources reluctant clientsspecial note men are more reluctant than females to enter therapypossible reasons for this men less likely to recognize their own feelings experience genderrole confusion and a mismatch for what therapy is available and what they can tolerate4those who are relativelynormal but what to explore their own potential for personal growthThose who provide Psychotherapeutic services 1Physiciansmost are trained to see signs and become trusted advisersoften refer patients 2Clergy may be the first to encounter a person encountering an emotional crisis Three Types In the Mental Health Field 1Clinical Psychologistslook at changing clients behaviour and thought patterns 2Psychiatristsable to prescribe psychoactive drugs and other medical treatmentsa biologicalmedical approach 3Clinical Social Workers Therapeutic RelationshipImportant to establish a working alliance between client and therapist clients who feel pessimistic about the outcome of therapy or ambivalent will respond less to therapyEvidence suggests the therapists own personal characteristics help determine the therapeutic outcomeTherapeutic alliance should have these 3 factors 1 a sense of working collaboratively 2 agreement between patient and therapist about goals of therapy and3 an affective bond between therapist and clientQualities that enhance therapy 1 a motivated client 2 the clients expectation of receiving helpmaybe those who expect to get help will actually engage in the process more 3 providing the client with a safe setting 4 a good match between client and therapistMeasuring success in psychotherapy 1 a therapists impression of changes that have occurred 2 a clients report of change 3 reports from family or friends of the client 4 comparison of pretreatment and posttreatment scoreswhatever tests were used 5 measures of changes in selected overt behaviour ie How many times a client with obsessives about germs washes their hands are valid measures of outcomeall of these have limitationsSometimes an outside independent observer may to determine or evaluate the clients progressAlso tests can have changes that are artificial due to regression to the meanSome other tools used are the BECK Depession Inventory and Hamilton rating Scale for Depression also at times one can see an improvement with fMRI to examine brain activity before and after treatment1
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