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Chapter 15

Psychology 2035- Psychotherapy- Chapter 15

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Psychology 2035A/B
Doug Hazlewood

1Chapter 15 PsychotherapyWhat most people imagine when they think about psychotherapy couch in therapists office asking penetrating questions and providing sage advice that therapists routinely tell their patients how to lead their livesPsychotherapy diverse approach all the diverse approaches to the treatment of psychological problemsThe Elements of the Treatment Process immense diversity of therapeutic treatments makes defining the concept of psychotherapy difficult Jeffrey ZeigI do not believe there is any capsule definition of psychotherapy on which the 26 presenters couldagree we can identify a few basic elements that the approaches to treatment have in common involve a helping relationship the treatment between professional with special training thetherapist and another person in need of help client diverse nature of psychotherapyTreatments How Many Types are There discussion emotional support persuasion conditioning procedures relaxation training role playingdrug therapy biofeedback group therapy less conventional methods rebirthing petry therapy primal therapy one estimation there are over 400 distinct types of psychotherapyApproaches to Treatment Three Major Categories1 Insight Therapies talk therapy Freuds psychoanalysis type of treatment you envision when you think of psychotherapy clients engage in complex verbal interactions Goals pursue increased insight regarding the nature of the clients difficulties and to sortthrough possible solutions can be conducted with a group or just one individual2 Behaviour Therapies based on principles of learning and conditioning focuses on direct efforts to alter problematic responses and maladaptive habits instead ofemphasizing personal insights ie phobic behaviours drug use goa changing overt behaviours3 Biomedical Therapies interventions into a persons physiological functioning widely used therapies drug therapy and electroconvulsive therapy traditionally been provided only by physicians with a medical degree usually psychiatrists changing psychologists have been campaigning for prescription privileges rationale for this campaign many rural areas and underserved populations have inadequate access topsychiatrists some psychologists have provided concerns about the wisdom of pursuing the right toprescribe medication the movement seems to be gathering momentum regardless2Clients Who seeks therapyTherapeutic Triad Therapist treatments clients greatest diversity is seen amongst the clients1999 Surgeon Generals report on mental health 15 of the US population use mental health services in a given year these people bring anxiety depression unsatisfactory interpersonal relations troublesomehabits poor self control low self esteem marital conflicts self doubt emptiness personal stagnation Two most common problems excessive anxiety depression people delay finding treatments for their problems bipolar disorder and drug dependence 6 years depression 8 years generalized anxiety disorder 9 years panic disorder 10 years client in treatment does not necessarily have an identifiable psychological disorder only about half of the people who use mental health services in a given year meet the criteria for a full fledgedmental disorder raises concern that valuable treatmentresources may be misallocated follow up study found that most of the people seeking treatment without a full blown disorder DIDhave significant health issues many had history of mental illness grappling with severe stress only about 8 of people seeking treatment appeared to be relatively free of psychiatric problems study even when people perceive a need for professional assistance only 59 actually seek professional help women are more likely than men to receive treatment whites are more likely than blacks or hispanics to obtain therapy also more likely for treatment when people have medical insurance and more education many people who i need therapy do not receive it do not seek it for a variety of reasons lack of health insurance and cost concerns major barriers Surgeon Generals report biggest roadblock is the stigmamany people equate seeking therapywith admitting personal weaknessTherapists Who Provides Professional Treatment not friends familythey may provide great advice about personal problems but does not qualify as therapy professionals with special training common source of confusion about psychotherapyvariety of helping professions involved therapy also provided by social workers psychiatric nurses counselors etcTypes of TherapistsTitleDegreeYears BeyondTypical Roles andBachelorsActivitiesclinical or counselingPhD57diagnosis psychologicalpsychologistPsyDtestingEdDinsight and behaviourtherapyPsychiatristMD8diagnosis insight
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