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Chapter 17

Psychology 1000 Chapter Notes - Chapter 17: Spontaneous Remission, Psychosurgery, Clozapine

Course Code
PSYCH 1000
Terry Biggs

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March 21st, 2016
Psychology 1000
Chapter 17: Treatment of Psychological Disorders:
“Depatterning”: change ones personality by shocking one in a drug induced coma
The Helping Relationship:
To help people change maladaptive, self defeating thoughts, feelings and behaviour
patterns for healthier and better lives
Depends highly on relationship with therapist
Counseling and clinical psychologists: degree and intensive training for a variety of
psychotherapeutic techniques and research
Psychiatrists: medical doctors who specialize in psychotherapy and biomedical
Psychiatric social workers: community agencies, etc. etc.
Psychodynamic Theories:
Internal conflict and unconscious factors – psychoanalysis as a theory and a mode of
treatment by Freud
Attempt to try and achieve insight: the conscious awareness of psychodynamics that
underlie their problems
oWith treatment psychic energy that is devoted to keep under control can be used
for better ways of living
Free Association:
Constant stream of thoughts, memories, images and feelings in unconscious
Report verbally without censorship any thoughts, feelings, or images that enter awareness
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Provides clues to important themes and issues in person’s thought
Thoughts may stop – indication of repression
Dream Interpretation:
Impulses, fantasies and wishes are under defenses when awake
Dreams: “the royal road to the unconscious”, there is still a disguise to threatening
oSymbols – ask person what they mean
Defensive maneuvers that hinder the process of therapy
oE.g. forget appointment or avoid talking about something
oA sign of anxiety arousing sensitive material is being approaches
oDetermine reasons for resistance
Client responds irrationally to the analyst as if he or she were an important figure from
the client’s past
Very important since it brings out repressed feelings and maladaptive behaviour patterns
Positive transference: when a client transfer feelings of intense affection, dependency or
love to the analyst
Negative transference: irrational expressions of anger, hatred or disappointment towards
Any statement by the therapist intended to provide the client with insight into his or her
behaviour dynamics
Interpret what is near the surface, “deep” interpretations is not good technique
Brief Psychodynamic Therapies:
Rate of improvement highest at the beginning
and decreases over time
Psychoanalytic therapy is more effective in
treating psychological disorders than
psychodynamic therapy?
oPsychoanalytic therapy: similar to
psychodynamic but face to face,
conversation instead of free association,
meet less frequently
oHelp deal with problems (not rebuilding
a personality)
Psychodynamic therapy offers greater improvement in short term groups
oBoth psychodynamic, psychoanalytic are beneficial in their own ways
Interpersonal therapy: highly structures and time efficient – focus on interpersonal
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oMarital conflict, loss of relationship and quickly helps with depression
Humanistic Psychotherapies:
We are capable of consciously controlling our actions by taking responsibility for our
Focus on present and future rather than past
Client Centered Therapy:
Rogers: “active ingredient” in therapy is the relationship that is developed between client
and therapiest
oFoster self growth and greater self acceptance, awareness and self reliance
Therapist attributes
1. Unconditional positive regard: therapist shows they genuinely care about client without
judgment or evaluations – trust
2. Empathy: see through the client’s eyes, sense the feelings experienced and tells client,
reflects back what the client is saying by rephrasing to capture emotion
3. Genuineness: act genuine, can be honest in a negative way but also communicate
Gestalt Therapy:
We typically block out background stuff and concentrate on a figure
oPeople who need treatment’s background have feelings, wishes, thoughts, that are
blocked from awareness – to prevent anxiety
Group therapy with techniques such as:
oRole play different aspects of themselves
Empty chair technique: imagine mom is in chair and carry out a
conversation acting as both the mom and themselves, changing chairs for
each role
To evoke unfinished business
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