Ch 11: Intervention Overview Flashcards
What is psychotherapy?
- informed and intentional application of clinical methods
- derived from established psychological principles
- to assist people to modify their behaviours, cognitions, emotions and/or personal characteristics
What other term can be used to refer to evidence-based interventions?
- psychological treatments coined by Barlow
- because it implies it is based on evidence and for clinically significant problems
What is the APA Resolution on Psychotherapy Effectiveness?
- psychotherapy should be included in public health system
- this statement is not generally followed because of the use of the word psychotherapy instead of psychological therapy
What are some of the ethics of intervention?
- prior informed consent
- understanding of services and outcomes
- informed of all evidence-based options
- capacity to consent
- confidentiality
What does evidence-based practice require?
- monitoring service effectiveness
- based on best available evidence and not cause harm
What if there is no evidence-based treatment that matches client needs?
- adopt the one that is closest
- adapt if necessary
- abandon if evidence it does not fit and replace with another EBP
What are the evidence based theoretical approaches?
- short-term psychodynamic psychotherapies (STPP)
- interpersonal psychotherapy (IPT)
- Process experiential therapy (P-ET)
- Cognitive-behavioural therapy (CBT)
What is short-term psychodynmaic psychotherapies (STPP)?
- origins in Freud and psychodynamic theories
- practice in cold way, “blank mirrors” that clients project on to
What is interpersonal psychotherapy (IPT)?
- originates from belief that problems stem from communication difficulties and dysfunctional relationships
- focus on clients relationships with others and how they affect well-being
What is process experiential therapy (P-ET)?
- origins in client-centred, Gestalt and existential therapies
- client-driven, what is going on internally
- emotions schemas
What is cognitive-behaviour therapy (CBT)?
- origins in behaviourism, social learning theory, rational-emotive therapy and cognitive therapy
- actual work is done in the real world between sessions
Why might people seek psychological treatment?
- assistance with managing expectable life changes
- address questions related to identity or self-knowledge
- to alleviate clinical emotional distress
What are the characteristics of those who seek psychotherapy?
- age: young to middle adults
- gender: female
- education: postsecondary education
What are the four interrelated decisions in seeking psychotherapy?
- realizing there is a problem
- deciding therapy may be of value
- actually deciding to seek therapy
- contacting a therapist or clinic
What is the duration and impact of psychotherapy?
- majority attend <10 sessions (most only 1-2)
- with more treatment and evidence-based, better success rate
- difference between treatment as usual (TAU) and evidence-based treatment (EBT)
