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Module 33 Psychological Therapies EQ: Evaluate the different therapies and their specific techniques. Module Overview • • • • • Psychoanalysis Humanistic Therapies Behavior Therapies Cognitive Therapies Family and Group Therapies Click on the any of the above hyperlinks to go to that section in the presentation. Psychotherapy • An interaction between a trained therapist and someone who is seeking to overcome psychological difficulties or achieve personal growth. There are over 250 different types of therapy! Four Major Types of Psychotherapy • Most therapies can be divided into: – Psychoanalytic – Humanistic – Behavioral – Cognitive (remember these from our Personality unit?!) Eclectic Approach • depending on the person’s problems, the therapist uses techniques from various forms of therapy • Uses whichever therapy works best for the problem the person has – Cognitive therapy might work best for a young person with depression – Systematic desensitization (behavioral) might be best for someone with OCD Module 33: Psychological Therapies Psychoanalysis Psychoanalysis • Freud’s theory of personality • Also a therapeutic technique • provides insight into thoughts and actions by exposing and interpreting the underlying unconscious motives and conflicts. Psychoanalysis Assumptions • Psychological problems are the result of repressed conflicts and impulses from childhood. • The therapist helps the patient sort through their unconscious Free Association • Freudian technique of discovering the unconscious mind--where the patient relaxes and says whatever comes to mind, no matter how trivial or embarrassing Interpretation • the analyst’s ideas of the meaning behind dreams, resistances, and other significant behaviors to promote insight. Module 33: Psychological Therapies Psychoanalysis: The Psychodynamic Perspective Psychodynamic Approach • A more modern view that retains some aspects of Freudian theory but rejects other aspects • Retains the importance of the unconscious mind • Less emphasis on unresolved childhood conflicts Module 33: Psychological Therapies Humanistic Therapies Nondirective Therapy • Therapist listens without interpreting and does not direct the client (patient) to any particular insight. • Client just talks and therapist listens Carl Rogers (1902-1987) • Humanistic psychologist who developed client-centered therapy and • stressed the importance of acceptance, genuineness, and empathy in fostering human growth. • http://youtu.be/o0neRQzudzw Client-Centered Therapy • the therapist uses techniques such as active listening within a genuine, accepting, empathic environment to facilitate the client’s growth. • The therapy stresses: – Empathy – Acceptance – Genuineness Active Listening • Empathic listening in which the listener echoes, restates and clarifies. Active Listening Characteristics • Active listening entails: – Echoing/Reflecting feelings: mirrors the feelings of the client – Restating/Paraphrasing: uses the words of the client to summarize the conversation – Clarifying: encouraging the client to say more by asking leading questions Try it! Module 33: Psychological Therapies Behavior Therapies Behavior Therapy • applies learning principles to the elimination of unwanted behaviors. • Uses both classical and operant conditioning • Primary concern is to eliminate the disorder’s behavior, not find the cause of the disorder • http://youtu.be/9YzBWJFVIdw Behavior Therapy • Primary concern is to eliminate the disorder’s behavior, not find the cause of the disorder Counterconditioning • A behavior therapy technique that teaches us to associate new responses to places or thing that have in the past triggered unwanted behaviors. Systematic Desensitization • A type of counterconditioning that associates a pleasant, relaxed state with gradually increasing, anxiety-triggering stimuli. • Usually used to treat phobias Systematic Desensitization Process • Establish a hierarchy of the anxietytriggering stimuli • Learning relaxation methods (progressive relaxation) • Slowly think through the hierarchy, working to relax whenever anxiety is felt Virtual Reality Exposure Therapy • An anxiety treatment that progressively exposes people to simulations of their greatest fears, such as airplane flying, spiders, or public speaking. • http://youtu.be/CQgKEp_ NhHk Aversive Conditioning • associates an unpleasant state (such as nausea) with an unwanted behavior (such as drinking alcohol) • The person is replacing a positive but harmful response with a negative response • Example with alcoholism: Lace a drink with a drug that makes the person becomes sick • http://www.youtube.com/watch?v=Lc8rtjxG-eI Aversive Conditioning Token Economy • An procedure that attempts to modify behavior by rewarding desired behavior with some small item. • The tokens can be exchanged for various privileges or treats Module 33: Psychological Therapies Cognitive Therapies Cognitive Therapy • teaches people new, more adaptive ways of thinking and acting. • Based on the assumption that thoughts intervene between events and our emotional reactions • http://youtu.be/0mrgqXoQI80 Cognitive Therapy • Almost half of all therapists at a university setting use cognitive therapies Cognitive Therapy Cognitive-Behavior Therapy • combines changing self-defeating thinking with changing inappropriate behaviors • http://youtu.be/95SNt21Jyyk Module 33: Psychological Therapies Family and Group Therapies Group Therapy • Having a therapist work with a number of patients at one time • Groups usually consist of 6 to 10 people • Cognitive, behavior, and humanistic therapists all can lead group therapies. • http://youtu.be/qrUy6nWJrqg Advantage of Group Therapy • Therapists can help more than one person at a time. • Overall session cost is lower. • Patients interact with others having the same problems as they have. • Builds a sense of community • http://youtu.be/IOVj1s3yylo Family Therapy • views an individual's unwanted behaviors as influenced by other members of the family • positive relationships and improved communication • http://youtu.be/6JjcIiCJaDo Comparison of Psychotherapies The End