Download B. Biomedical Therapy

Psychological Therapies
I.
Types of Treatments
A.
Psychotherapy
1.
Insight therapies
a)
Freud’s Psychoanalysis
(1)
Review Freud’s Personality Theory
(2)
Assumptions
(3)
Focus
(4)
(a)
Past
(b)
Unconscious conflicts, urges, and desires
(c)
Id
Goals of psychoanalysis
(a)
Personality change
(5)
Role of the therapist
(6)
Therapeutic Strategies
(a)
Free Association: Resistance, transference
(b)
Dream Interpretation
(7)
Comments: Basis premises lack scientific support; requires patient to be verbally
expressive; may last years
b)
Psychodynamic therapy – Example: Interpersonal psychotherapy
(1)
Assumptions
(2)
Focus
(3)
(a)
Important relationships
(b)
Past and present
(c)
Ego or sense of self
Goals
(a)
Insight by looking for common, recurring themes in important relationships
(4)
(5)
c)
Role of the therapist
(a)
Active - Face to face interaction
(b)
Identify and explore defensive thoughts and feelings
Therapeutic Strategies
Humanistic Therapies
(1)
Review Humanistic Personality Theory
(2)
Client-centered therapy
(a)
Assumptions
(i)
(b)
(c)
(d)
(e)
(3)
2.
Maladjustment due to incongruent self and not taking control
Focus
(i)
Match between real self and ideal self
(ii)
Present and future oriented
(iii)
Conscious thoughts
Goals
(i)
Restructure self concept
(ii)
Take control of one’s life
(iii)
Positive growth
Role of the therapist
(i)
Non-directive
(ii)
Create positive atmosphere
(iii)
Active listening
(iv)
Reflection
(v)
Authenticity
Therapeutic strategies
(i)
Therapeutic ‘relationship’
(ii)
Genuineness
(iii)
Acceptance – unconditional positive regard
(iv)
Empathy
Gestalt therapy
Action Therapies
a)
Behavioral Therapy
(1)
Assumptions
(a)
Behaviors are learned
(2)
Focus
(a)
(3)
Goals
(a)
Increase desirable behaviors and decrease undesirable behaviors (remove
troubling symptoms)
(4)
Role of therapist
(5)
Therapeutic strategies
(a)
Classical Conditioning
(i)
Counter Conditioning
(a)
Exposure Therapy
(i)
Systematic desensitization
(ii)
Flooding
(iii)
(b)
(b)
(6)
b)
Aversion Therapy
Operant Conditioning
(i)
Modeling
(ii)
Behavior Modification
(iii)
Token Economics
Other -
Cognitive Therapy: Beck’s Cognitive Therapy
(1)
Assumptions
(2)
Focus
(a)
(3)
Thinking
Goals
(a)
Indentify distorted thinking
(b)
Change to more positive , helpful thinking
(4)
Role of therapist
(5)
Therapeutic strategies
Identify common distortions such as arbituray inference, selective thinking,
overgeneralization, magnification and mininmization
(6)
c)
Other -
Cognitive-behavioral therapy: Rational-Emotive Behavioral Therapy
(1)
Assumptions
(2)
Focus
(3)
Goals
(4)
(a)
Indentify unrealistic beliefs that lead to maladaptive behavior
(b)
Replace beliefs with rational, healthy beliefs
Role of therapist
(a)
Very active
(b)
Teach clients to challenge irrational beliefs and replace with more rational,
helpful statements
(5)
Therapeutic strategies
(6)
Other – Short duration, treats symptoms (not cause), effective for depression, anxiety,
and personality disorders
3.
Group Therapies
a)
Define
b)
Styles
c)
Forms
d)
4.
B.
Family Therapy
(2)
Couples therapy
(3)
Problem based groups
(4)
Self help groups
Advantages and disadvantages
Benefits of psychotherapy
a)
Research challenges
b)
Research findings
c)
Cultural, ethnic and gender concerns
d)
Some common attributes
(1)
Hope
(2)
Caring Relationship
(3)
New Perspectives
Biomedical Therapy
1.
2.
3.
II.
(1)
Drug Therapies
a)
Psychopharmacology-
b)
Antipsychotic drugs
c)
Antianxiety drugs
d)
Anti manic
e)
Antidepressants
Brain Stimulation
a)
Electrorconvulsive therapy
b)
Repetitive transcranial magnetic stimulation
Psychosurgery
A Biopsychosocial Interventions
A.
Review of biological considerations
B.
Review of psychological considerations
C.
Social and cultural considerations
D.
How might each component contribute to the recovery of depression?