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Chapter 12

PSY 4372 Chapter Notes - Chapter 12: Videotelephony, Posttraumatic Stress Disorder, Psychoeducation

Course Code
PSY 4372
Andrea Ashbaugh

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Chapter 11: Intervention
Psychotherapy: the informed and intentional application of clinical methods and interpersonal stances derived from
established psychological principles for the purpose of assisting people to modify their behaviours, cognitions,
emotions, and or there personal characteristics in directions that the participants deem desirable.
The Ethics of Intervention
The decision to abandon the use of an evidence based therapy should never be undertaken lightly. In almost all
instances it should be possible to offer other evidence based treatment options which better fir the clients
characteristics and preferences.
Theoretical Approaches
Short-Term Psychodynamic Psychotherapies: a treatment approach that emphasized bringing to awareness
unconscious processes especially as they are expressed in interpersonal relationships, and helping the client to
understand and alter these processes.
most popular in the 60/70s by psychiatricts who proposed theoretical models in which change is proposed to
occur by the therapist challenging the clients defences
ie. supportive expressive therapy and time limited dynamic therapy
having a range of treatment options that vary along an interpretive supportive continuum
interpretive interventions focus on promoting a clients insight into his or her wishes, emotions, and defence
then focuses on setting goals
Compared with traditional psychoanalytic therapists, STPP therapists are active, engaging in dialogue, ad
challenging the client.
Transference: the unconscious application of expectations and emotional experiences, based on important early
relationships, to subsequent interpersonal relationships.
Process-Experimental Therapies
includes client-centred therapies, gestalt therapy, and existential therapy
assumption that human nature is fundamentally growth oriented, trustworthy, and guided by choice
given the emphasis on the uniqueness of each individuals subjective experience, humanistic and experimental
approaches have been the subject of less research
Elliot and Greenberg: prompted a resurgence of well-designed research on the broad process experimental approach
that combines elements of client centred and gestalt.
Process-Experiential Therapy: treatment approach that emphasizes the importance of becoming aware of emotions,
understanding and expressing emotions, and transforming maladaptive to adaptive emotions.
Treatment Principles
1. Fostering a therapeutic relationship: enter and track the clients experience, express empathy and genuine value,
facilitate mutual involvement in setting goals and the tasks of therapy.
2. Facilitating work on therapeutic tasks.
3. Experiential response modes: utilize simple empathy responses, engage in empathetic exploration of client
experience, encourage the client to stay in the moment.
4. Therapeutic Tasks: aid the client in exploring the emotions and experiences, use reflection and active
expressions of client emotional states, use the therapeutic relationship to support and facilitate client exploration.
Cognitive Behavioural Therapy: a treatment approach that emphasizes the role of thoughts and behaviours in
psychological problems and therefor focuses on altering believes expectations and behaviours in order to improve
the clients functioning. All cognitive approaches emphasize the role of thoughts and beliefs in the development and
maintenance of psychological problems.
A cognitive behavioural approach combines both behavioural and cognitive elements in understanding and treating
The earliest application of behavioural therapy was the use of operant conditioning treating patients who were
considered untreatable those with psychotic disorders and those with mental retardation.
reduce undesirable behaviours
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