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TREATMENT OF
PSYCHOLOGICAL DISORDERS
Psychoanalysis (Sigmund Freud)
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A form of Insight Therapy
Utilizes Free Association to access Unconscious.
 Talk freely (whatever comes to mind)
Focuses on unresolved conflicts stemming from
childhood relationship with parents.
Resistance
When a patient unconsciously
tries to avoid talking about a
topic & becomes defensive.
Therapist: “Tell me about your relationship with your dad.”
Patient: “I already did!”
Therapist: “No, you have not yet discussed that.”
Patient: “I though I did, my brother is in the army.”
Therapist: “I am sorry, but talk to me about your dad”
Transference
Directing emotions towards the
therapist that were meant to be
directed towards the intended
source of their conflict or problems
Patient: “YOU WERE NEVER THERE FOR ME- WHY DID YOU LEAVE ME”
Therapist: “I never left you, I am right here:”
Patient: “I can NEVER trust you”
Therapist: “Your mom is not here, I am”
Psychodynamic Therapy
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Utilizes many psychoanalytic concepts.
focuses on current issues and problems, and requires
fewer therapy sessions than Psychoanalysis
People are more interested in discussing and
developing resolution with current problems- not
spending time discussing childhood events.
Client-Centered Therapy (Carl Rogers)
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A form of Insight Therapy
No formal diagnosis or label is given to problems.
Goal is for clients to solve their own problems.
Therapist provides:
1) Unconditional Positive Regard
2) Empathy
3) Active Listening-Restating
4) Genuineness
It is like having a conversation with your friend where
you ask quite a few questions and answer them all
yourself. (Should I break up with them?…..You’re
right… I should….I’m going to do it.!
Systematic Desensitization (Joe Wolpe)
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A form of Counterconditioning
Useful for Anxiety-Provoking Stimuli (Anxiety Hierarchy)
Involves visualizing or confronting the source of anxiety,
and learning to replace the fear response with a
pleasant response.
Includes Exposure Therapy & Virtual Reality Therapy
Having Little Albert eat his
favorite food when presented with
a rabbit or having him watch other
kids happily play with a rabbit.
Aversive Conditioning
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A type of Counterconditioning
Helps reduce unpleasant behaviors (Bed Wetting, Smoking)
You pair an unpleasant state w/ an unwanted behavior
Bell & Pad Treatment
Body arousal (UCS) should automatically
cause child to get out of bed (UCR).
If they don’t, a bell can be hooked up to
their sheets and anytime pee hits the sheet
the bell goes off- taking the place of their
body waking him or her up.
UCS
(foul odor)
UCR
(nausea)
CR
CS
(cigarette smoke)
Person with an alcohol problem takes a drug
(UCS) that when combined with alcohol
automatically causes nausea (UCR)
Behavior Modification
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Operant Conditioning (Reinforcement & Punishment
Criticism: Taking away free-will
Often done w/ a Token Economy
(rehab Centers)
Extinction (non-reinforcement) of a response can also
reduce unwanted behaviors
Cognitive Therapy (Aaron Beck)
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A form of Insight Therapy
Based on belief that a patient’s negative thoughts are
responsible for psychological problems. (We think
therefore we feel)
Especially applicable for Depression.
Goal: Change ones’ irrational thoughts & create more
positive self-talk.
Cognitive-Behavioral Therapy (Albert Ellis)
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Often used for Anxiety issues.
Changing your thought patterns is important, but
sometimes not enough to get rid of irrational
anxiety.
You need to ALSO practice positive behaviors that
challenge your flawed way of thinking.
Patient: “No girls find me interesting and want to go out with me”
Ellis: “Next time you are out I want you to initiate a conversation with a girl.”
Patient: “What if the girl does not take an interest in me”
Ellis: “You will not know until you try!”
Next session:
Ellis: “How did it go?”
Patient: “I went up to a girl, but she said she did not want to talk?”
Ellis: “Maybe she had a boyfriend?”
Patient: “I did not think about that.”
Psychopharmacology
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Operate according to the Medical Model
tardive
Antipsychotics: Block activities of dopamine
dyskinesia
Thorazine
(prevent hallucinations & delusions)
Clozapine
Can cause disruption of motor functioning
Antianxiety: Boosts levels of GABA (Slows down Brain)
Valium
Xanax
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Antidepressants: SSRIs slow reuptake of Serotonin
Prozac
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Mood Stabilizers: Used treat Bipolar Disorder
Lithium
Depakote
Electroconvulsive Therapy (ECT)
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Brief electrical current sent through entire brain
Used to treat Depression
Effect is temporary, causes memory loss & seizures
Repetitive Transcranial Magnetic Stimulation (rTMS)
Only penetrates to the Brain’s surface
No Side Effects