Download Treatment of Abnormal Behavior

TREATMENT OF
ABNORMAL BEHAVIOR
MODULE 70
HISTORY
HISTORY OF THERAPY
• EARLY TIMES – CAUSED BY EVIL SPIRITS
• GREEKS – CAUSED BY IMBALANCE OF
BODILY HUMORS (BODILY FLUIDS)
• MIDDLE AGES – DEMONS AND SATAN
• ENLIGHTENMENT BROUGHT REFORM
REFORMERS
• PHILIPPE PINEL
• 18TH CENTURY
• FRANCE
• HUMANITARIAN TREATMENT OF
MENTALLY ILL IN ASYLUM
• BELIEVED IN POSSIBILITY OF
IMPROVEMENT OR RECOVERY
• UNCHAINED
REFORMERS
• DOROTHEA DIX
• 19TH CENTURY
• UNITED STATES
• MORAL TREATMENT MOVEMENT
• ESTABLISHED LEGAL PROTECTION
FOR MENTALLY ILL
• CREATED MENTAL HOSPITALS
3 OPTIONS FOR TREATMENT
• Psychotherapy
• Biomedical
• Eclectic
• mixture of Psychotherapy and biomedical
PSYCHOTHERAPY
• Treatment
• Hundreds of different methods and
Techniques to help identify and aid
patients in overcoming challenges
• video
INSIGHT THERAPIES
• PSYCHOANALYSIS
• PSYCHODYNAMIC PSYCHOTHERAPY
• HUMANISTIC CLIENT-CENTERED
• Goal is to help client develop insight about
cause of their problems
• Insight will lead to behavior change
• Problem decreases and self-awareness
increases
PSYCHOANALYSIS
• FREUD
• TREAT BY DISCOVERING THE
UNCONSCIOUS CONFLICTS AND
MOTIVES RESPONSIBLE FOR THE
SYMPTOMS
PSYCHOANALYSIS
• FREE ASSOCIATION
• SAY ANYTHING THAT COMES TO YOUR MIND
• DREAM ANALYSIS
• MANIFEST CONTENT VS LATENT (HIDDEN
MEANINGS) CONTENT
• TRANSFERENCE
• RESPOND TO ANALYST AS THOUGH THEY ARE A
SIGNIFICANT EMOTIONAL PART OF THEIR LIVES
HUMANISTIC THERAPY
• Carl rogers
• Client-centered therapy
• People are innately good and possess free will
• Unconditional Positive regard (TOTAL acceptance)
• Non-directive - Active listening
BEHAVIORAL APPROACHES
• Classical conditioning
• Operant conditioning
• Observational/social learning
• DISCOUNT INSIGHT THERAPIES
• MALADAPTIVE BEHAVIOR LEARNED
THROUGH FAULTY REWARDS AND
PUNISHMENT
• GOAL
• STOP UNWANTED BEHAVIOR AND REPLACE
IT WITH ADAPTIVE BEHAVIOR
CLASSICAL CONDITIONING THERAPIES
• Counterconditioning
• Unpleasant conditioned response is replaced
with pleasant one
• Mary Cover Jones
• “Little Peter” who feared white furry animals
• video
EXPOSURE THERAPIES
• SYSTEMATIC DESENSITIZATION
• JOSEPH WOLPE
• RECONDITIONING
• ANXIETY-PRODUCING STIMULUS IS PAIRED
WITH RELAXATION
• NOT POSSIBLE TO EXPERIENCE TWO
OPPOSITE RESPONSES SIMULTANEOUSLY
• PHOBIAS AND ANXIETY
• THREE STEPS
• RELAXATION
• ANXIETY HIERARCHY
• EXPOSURE
EXPOSURE THERAPIES
• FLOODING
• IMMEDIATELY CONFRONT THE MOST
ANXIETY-PRODUCING SITUATION –
HARMLESS AND NO ESCAPE
• IN VIVO – REAL LIFE
• VIRTUAL REALITY THERAPY
EXPOSURE THERAPIES
• AVERSIVE CONDITIONING
• REMOVE A NEGATIVE BEHAVIOR BY
ATTACHING A NEGATIVE
EXPERIENCE TO THE STIMULI
• EX. ALCOHOL AND ANTABUSE
OPERANT CONDITIONING
• B.F. SKINNER
• BEHAVIOR MODIFICATION
• TOKEN ECONOMY
COGNITIVE THERAPY
• Mental illness – result of problematic, faulty or irrational thoughts
• Three general principles
• Thoughts impact behavior
• Thoughts can be recognized
• Changes in thought patterns can result in changes to behavior
COGNITIVE THERAPY
• AARON BECK
• NEGATIVE COGNITIVE TRIAD
• DEPRESSED INDIVIDUAL’S
NEGATIVE INTERPRETATIONS
ABOUT
• WHO THEY ARE
• THE EXPERIENCES THEY HAVE
• THEIR FUTURE
• COGNITIVE TRIAD THERAPY
• EVALUATE EVIDENCE THE CLIENT HAS FOR
AND AGAINST AUTOMATIC THOUGHTS
• REASSIGN THE BLAME TO SITUATIONAL
FACTORS
• DISCUSS ALTERNATIVE SOLUTIONS
COGNITIVE THERAPY
• Albert Ellis
• Rational Emotive Therapy (RET)/rational emotive behavior therapy(rebt)
• Idea that anxiety, guilt, depression, and other problems result from self-defeating
thoughts
• ABC of Treatment
• Actions
• Beliefs
• Consequences
• Crash course
GROUP THERAPY
• Individual vs Group Therapy
• Group
• Cheaper for clients
• Helps clients discover that others have similar problems
• Less verbal or more resistant clients – might find it easier to open up
• Clients get feedback from peers that may allow them to gain better insight
into their own particular situations