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Mod 71: Behavior, Cognitive & Group Therapies Insight therapies: as a person becomes more self-aware, psychological distress SHOULD lessen Psychoanalysis uncover unconscious conflicts gain insight Humanistic more aware of ideal self insight 71.1 Behavior therapies (question how helpful self-awareness is during a panic attack?) treat symptoms of disorder to change person’s behavior change behavior change one’s life Accomplish thru learning theories/principles Classical Conditioning Techniques You already have notes over (1) counterconditioning through virtual reality exposure therapy!! (2) Aversive Conditioning Opposite of exposure therapy actually introduce a negative stimulus to stop a bad habit or unwanted behavior Goal is to stop the behavior [punishment] Thumb sucking, smoking, drinking [give alcoholics Antabuse, causes violent vomiting conditioned taste aversion] Only a short term solution Quickly realize only fear a specific setting like the therapist’s office 71.2 Operant Conditioning You already have notes over operant conditioning through a token economy!! 71.3 Cognitive Therapies You already have notes through Aaron Beck!!! Cognitive Behavior Therapy (CBT) Def: use both cognitive & behavioral therapy become aware of negative thoughts & behaviors/reactions alter both Needs practice!! Work on behavior 1st then thoughts Anxiety & mood disorders have issues with emotional regulation To be effective, need to keep track of positive behaviors & thoughts (and practice) Works well with OCD Attack compulsions by looking at obsession in a different light When start a compulsion realize “It’s my compulsion!” Try to remember it has a biological causereward self for performing a different, positive behavior to stop the compulsion Actually counterconditioning AND retraining your brain & neural circuits Very effective for anxiety, depression, OCD, PTSD & anorexia Can conduct this type of therapy over the internet 71.4 Group & Family Therapies Group Therapy Def: small groups where people can benefit by interacting with each other Benefits: Save time & $$$$ and can be just as effective as individual therapy “Social laboratory” safe environment to practice social skills AND get others’ opinions--feedback Client sees they are NOT alone Family Therapy Def: realize it’s not one person’s problem but that family can influence/reinforce negative behaviors as well as being affected by it [Brian’s mom in Bellevue video] Family tension can exacerbate or cause dysfunction & distress Help family cope & realize effect on the distressed family member Focus on communication [Effective for schizophrenics & anorexics] Self-Help Groups Used by many; groups for illnesses, bereavement, substance abuse Text references AA & its stats & effectiveness Table 71.2 page 725 is EXCELLENT!!!!