Psychology 3301F/G Chapter Notes - Chapter 11: Interpersonal Psychotherapy, Drive Theory, Cognitive Therapy

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Chapter 11: Intervention Overview
Intro
Majority of psych iteretios are deliered i oe to oe sessios i the psychologist’s office, eidece
that other modes of treatment delivery (couples, family, group_ also efficacious
Norcross defined psychotherapy as:
o The informal and intentional application of clinical methods and interpersonal stances derived
from established psychological principles for the purposes of assisting people to modify their
behaviours, cognitions, emotions and other personal characteristics in directions that the
participants deem desirable
Barlow: suggested term psych treatment be used to refer to evidence-based interventions to treat
clinically significant problems
Ethics of Intervention
Mot jurisdictios title psychotherapist is’t licesed or restricted
Core ethical issue: psychologist cat proceed ith ay psych serices ithout the cliet’s agreeet to
receive the services
o Must be based on a reasonable understanding of what the services will entail and the likely
outcomes of receiving or not receiving services
Ethical obligations to inform patients about treatment options
Child who is not competent to give consent still has a right to have procedures explained in a simple
manner and asked to give assent, which is the verbal form of consent
Psychologist has ethical responsibility to monitor effectiveness of services
Ethical practice requires that the psychologist be attentive to the ongoing and potentially changing fit
between the treatment plan, clients plan and clients responses to treatment
Psychologist base treatment for a client on the best available evidence
When limited evidence about treatment efficacy, client should be informed of this and asked to consent
to treatment will full knowledge about limited scientific basis
Based on extent to which the client is similar to participants in research trials, psychologist should adopt,
adapt or abandon an evidence based treatment
o If reasonable fit should adopt and offer
o If reasonable but modifications required then adapt
o Abandon should never be under taken lightly
Theoretical Approaches
Below are ones with strongest research support
Each approach based on a distinct theory of psych functioning and change processes
ST Psychodynamic Psychotherapies
As a response to concerns about cost and effectiveness of extended psychoanalytic and psychodynamic
interventions
Treatment approach that emphasizes bringing to awareness unconscious processes, especially as they are
expressed in interpersonal relationships, and helping client to understand and alter these processes
Freud: drive theory emphasizes importance of innate bio drives we must control
Psychodynamic theories assume that indiv are prone to conflicts b/w id and ego
o Resolved when ego learns to accept and tolerate id impulses
Say inevitable that the clients core interpersonal conflicts will be repeated in the relationships wit the
therapist through process of transference
Helped to see core conflicts, how they develop, how they affect their lives
Therapy is considered to be a process of understanding stages of psych development, bringing to
awareness unconscious processes, re-enacting in the relationship with the therapist issues that have
troubled the client in the past
Face to face sessions, once or twice week 16-30 sessions
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