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PSYC 1010 (1,086)
Chapter 15

Psych Notes (Chapter 15).docx

11 Pages

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PSYC 1010
Gerry Goldberg

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Chapter 15 Treatment of Psychological DisordersThe Elements of the Treatment Process Freud was influenced by the Anna O case study that helped him come up with psychoanalysisTreatments How Many Types Are There There are more than 400 approaches to treatmentso Classified into 3 major categories1 Insight Therapies o talk therapy o Clients engage in complex verbal interactions with their therapists o Goal is to pursue increased insight regarding the nature of the clients difficulties and to sort through possible solutions o Can be done in groups or individually o Ie Family therapy and marital therapy2 Behaviour Therapies o Based on principles of learning o Efforts to change problematic responses ie phobias and maladaptive habits ie drugs o Involve classical conditioning operant conditioning or observational learning3 Biomedical Therapies o Interventions into a persons biological functioning o Drug therapyelectroconvulsive shock therapymost widely used procedures used by medical physicians Clients Who Seeks Therapy If improvements are not forthcoming or if people suffer from unexpected difficulties they may seek professional assistanceTwo most common problems are excessive anxietydepressionPeople delay before seeking professional helpPeople compare seeking therapy with admitting to personal weaknessTherapists Who Provides Professional Treatment Psychologists o Clinical psychologistscounselling psychologists specialize in the diagnosis and treatment of psychological disorders and everyday behavioural problems o Clinical psychologists training emphasizes the treatment of fullfledged disorders o Counselling psychologists training is slanted toward the treatment of everyday adjustment problemso Both require doctoral degree PhD PsyD or EdDo Most likely to use behavioral techniquesalso use insight approacheso Treatment by psychologists is not part government medical insurance funding systemPsychiatrists o Psychiatristsphysicians who specialize in the diagnosis and treatment of psychological disorders o Also treats everyday behavioural problems oMore focused on severe disorders schizophrenia mood disorders and less time to everyday marital family job and school problems o MD degree o Emphasize drug therapies nonmed professional cannot provideOther Mental Health Professionals o Hospitals and other institutions clinical social workerspsychiatric nurses often work as part of a treatment team with a psychologist or psychiatristPsychiatric nurses bachelors masters degree play a major role in hospital inpatient treatmentClinical social workers masters degree work with patients and their families to ease the patients integration back into the communityo Counsellors provide therapeutic servicesUsually found in schools colleges youth centres etcSpecialize in particular types of problems such as vocational counselling marital counselling rehabilitation counselling and drug counsellingInsight Therapies Insight therapiesinvolve verbal interactions intended to enhance clients selfknowledge and thus promote healthful changes in personality and behaviourPsychoanalysis Psychoanalysisis an insight therapy that emphasizes the recovery of unconscious conflicts motives and defences through techniques such as free association and transferenceSigmund Freuds theoryProbing the Unconscious o Free associationclients spontaneously express their thoughts and feelings exactly as they occur with as little censorship as possibleThey say whatever comes to mind even if its silly embarrassing trivial etc o Dream analysisthe therapist interprets the symbolic meaning of the clients dreams People were trained and encouraged to recall their dreams and describe it in therapy Then the therapist analyzes the dream to get the meaning out of itInterpretation o Interpretationrefers to the therapists attempts to explain inner significance of the clients thoughts feelings memories and behaviours o Analysts move forward inch by inch offering interpretations that should be just out of clients own reachResistance o Resistancerefers to largely unconscious defensive manoeuvers intended to hinder the progress of therapy o People may resist because they may not want to face the painful disturbing conflicts that they have buried in their unconscious o Resistance can happen in many forms ie Come late to therapy sessions pretend to engage in free association orhostility towards therapists
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