Approaches to Therapy #2 Flashcards
People have the capacity for change and growth. Our thoughts feelings, behaviors and patterns can change with time
The underlying assumption of therapy (besides behavioral).
Different approaches to change: change is most likely to occur when we raise people’s awareness to unconscious psychological material.
Psychoanalysis
Different approaches to change: positive change is most likely to occur by providing necessary and sufficient conditions for successful psychotherapy (empathy, genuine, and unconditional positive regard)
Humanistic
Different approaches to change: positive change is most likely to occur by changing the environment
Behaviorist
Different approaches to change: change/growth is most likely to occur by changing the cognitions. You will live a better life overall.
Cognitive
Can humans help other humans change? Clients and clinicians answer the same:
Yes
Clients: 9/10 people are satisfied with their experience after therapy. But: time is the best healer, (therapy during crisis) and you need to believe that the therapy is worthwhile
Can humans help other humans change?
Clinicians: Case studies written by clinicians show that success almost guaranteed. Many clients enter extremely unhappy and leave less unhappy
Can humans help other humans change?
Eysneck’s 1952 Evaluations: found that 66% of people in therapy showed improvement, but 66% of people who did not go to therapy also improved. Therapy is worthless.
Outcomes of Therapy research. How can we objectively measure the effectiveness of therapy?
- Smith et al.’s meta-analysis: statistical approach for combining the results the results of many studies. Found that the avg patient in therapy improved more than 80% of people who were not in therapy.
Outcomes of therapy research. How can we objectively measure the effectiveness of therapy
No superior type of therapy. Regardless of who provides it, the context, or the length, clients are equally satisfied. Also comparing individual or group therapy and the experience of the therapist.
Are some types of therapy more successful than others?
Therapist/client relationships is more critical than the specific techniques that are sued. Some forms are superior to others in treating psychological problems.
How can different forms of treatment produce the same results?
A supportive relationship, a ray of hope, and an opportunity to open up (cathartic: release psych poisons)
Active therapeutic ingredients of therapy
The study of drug effects on mind and behavior. Revolutionized how we approach mental issues
Psychopharmacology
Drug type. Developed by researchers on accident, dampened people’s responsiveness to irrelevant stimuli by blocking the neuroreceptors for dopamine in the brain
Anti-psychotic drugs
Drug type. Works to dampen the activity of the central nervous system, because anxiety is due to an overstimulation of the CNS, useful for OCD and PTSD
Anti-anxiety drugs
Drug type. Increases the supply on nourenephrin and saratonin in the brain, and works to relieve the symptoms of depression and elevate mood. Increases the positive affect and positive emtions int he person.
Anti-depressant drugs
Drug type. Lithium - used to manage the wild mood swings that make bipolar disorder, reduce the risk of suicide of bipolar disorders.
Mood-stabilizing drugs
“Brain Manipulation” Used to relieve depression. First used medially in 1938, very inhumane. Person strapped to a table, awake. Led so bone breaking seizures, and mind-scrambling. Current form is much more human, anesthetic and muscle relaxant - helps improve severe major depression within 2-4 weeks of ECT.
Electroconvulsive therapy. ECT
Clinician removes or destroys brain tissue to change behavior. Effects are irreversible.
Psychosurgery
Type of psychosurgery. Egas Moniz in the 1930s. Cut nerves that connect the frontal lobe to the controlling centers in the limbic system. Crude, but easy and inexpensive.
Lobotomy
Effective in disconnecting thought from emotions. Permanent lethargy, immaturity, regressed psychologically, and experienced a lack of creativity.
The effects of lobotomies