Chapter 14: Therapies Flashcards

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1
Q

Trephination

A

An early therapy for mental disorders that involved cutting a hole in the skull

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2
Q

Subsyndromal disorders

A

Versions of psychological disorders that don’t meet the DSM-5 criteria for diagnosis but that may nonetheless cause significant problems

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3
Q

Rapport

A

A client’s sense of trust in, respect for, and comfort with the treatment provider.

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4
Q

Cultural competence

A

An understanding of how clients’ cultural backgrounds shape their beliefs, values, and expectations for therapy

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5
Q

Culturally appropriate therapy

A

Therapy that is conducted in a manner that is sensitive to the client’s cultural background and expectations

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6
Q

Hysteria

A

An older term for a group of presumably psychogenic disorders that included a wide variety of physical and psychological symptoms; the term used today is conversion disorder.

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7
Q

Psychogenic

A

Resulting from a psychological cause rather than from organic damage to the nervous system

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8
Q

Free association

A

A method used in psychoanalytic therapy in which the patient says anything that comes to mind, no matter how apparently trivial, embarrassing, or disagreeable

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9
Q

Resistance

A

In psychoanalysis, a patient’s self-censorship or avoidance of certain topics.

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10
Q

Psychoanalysis

A

A method of therapy, developed by Sigmund Freud, asserting that clinical symptoms arise from unconscious conflicts rooted in childhood

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11
Q

Interpretations

A

In psychoanalysis, explanations of how various thoughts, feelings, and behaviours are linked to prior experiences.

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12
Q

Transference

A

The tendency to treat one person as if they possess the traits or characteristics of another more familiar person. For example, in psychotherapy, clients might respond to a therapist in ways that resemble the dynamic they have with major figures in their own lives

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13
Q

Psychodynamic approaches

A

Therapeutic approaches that derive from psychoanalytic theory, which asserts that clinical symptoms arise from unconscious conflicts rooted in childhood

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14
Q

Ego psychology

A

A school of psychodynamic thought that emphasizes the skills and adaptive capacities of the ego

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15
Q

Object relations

A

A school of psychodynamic thought that emphasizes the real (as opposed to fantasized) relationships an individual has with important others

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16
Q

Interpersonal therapy (IPT)

A

A form of therapy focused on helping patients understand how they interact with others and then learn better ways of interacting and communicating

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17
Q

Humanistic approach

A

An approach to therapy centered around the idea that people must take responsibility for their lives and actions

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18
Q

Client-centered therapy

A

A form of humanistic therapy, pioneered by Carl Rogers, in which the therapist’s genuineness, unconditioned positive regard, and empathic understanding are crucial to therapeutic success; also known as person-centered therapy, client-centered therapy seeks to help clients accept themselves as they are without pretense or self-imposed limits

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19
Q

Motivational interviewing

A

A brief, non confrontational, client-centered therapy designed to change specific problematic behaviours such as alcohol or drug use

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20
Q

Gestalt therapy

A

A form of humanistic therapy, pioneered by Fritz Perls, that aims to help patients integrate inconsistent aspects of themselves into a coherent who by increasing self-awareness and self-acceptance

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21
Q

Experimental therapies

A

The collective term for modern humanistic therapies

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22
Q

Behavioural approches

A

A family of therapeutic approaches based on the idea that problematic behaviours are the result of learning

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23
Q

Exposure techniques

A

Behavioural techniques designed to remove the anxiety connected to a feared stimulus through repeated approach toward the feared stimulus

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24
Q

In vivo exposure

A

A key step in the behavioural treatment of a phobia in which the individual is exposed to the phobic stimulus in the real world or through interactive computer programs

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25
Q

Token economies

A

A behavioural therapy technique based on operant conditioning in which patient’s positive behaviours are reinforced with tokens that they can exchange for desirable items

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26
Q

Contingency management

A

A behavioural therapy in which certain behaviours are reliably followed by well-defined consequences

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27
Q

Modeling

A

A behavioural therapy technique based on observational learning in which patients learn new skills or change their behaviour by watching and imitating another person

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28
Q

Vicarious reinforcement

A

A form of modeling in which the learner acquires a conditioned response merely by observing another participant being conditioned

29
Q

Cognitive approaches

A

A family of therapeutic approaches based on the idea that maladaptive behaviours arise due to errors in thinking

30
Q

Rational emotive behavioural therapy

A

A form of cognitive therapy, pioneered by Albert Ellis, in which the therapist actively challenges the patient’s irrational beliefs

31
Q

Cognitive therapy

A

An approach to therapy that tries to change patient’s habitual modes of thinking about themselves, their situation, and their future

32
Q

Negative cognitive triad

A

Three types of dysfunctional beliefs related to oneself (I am unlovable), the world (it’s a cruel world out there), and the future (things are only going to get worse)

33
Q

Cognitive restructuring

A

A set of cognitive therapy techniques for changing a person’s maladaptive beliefs or interpretations through persuasion and confrontation

34
Q

Cognitive-behavioural therapy (CBT)

A

A hybrid form of psychotherapy focused on changing the patient’s habitual interpretations of the world and ways of behaving; it combines cognitive and behavioural approaches to therapy

35
Q

Third wave therapies

A

The latest generation of cognitive-behavioural therapies, including acceptance and commitment therapy as well as mindfulness-based stress reduction

36
Q

Group therapy

A

A form of therapy in which two or more patients meet with one or more therapists at a time

37
Q

Telehealth

A

The use of telephone, videoconferencing, internet, and streaming media technologies to support health care at a distance

38
Q

Cybertherapy

A

A nontraditional form of therapy in which the therapy is conducted over the internet

39
Q

Web-based therapy

A

A nontraditional form of therapy in which the therapy is conducted over the internet

40
Q

Psychotropic medications

A

Medications that control, or at least moderate, the symptoms of some psychological disorders

41
Q

Typical antipsychotics

A

First-generation antipsychotic medications that block the neurotransmission of dopamine

42
Q

Flat affect

A

Diminished or absent facial expressions of emotion

43
Q

Atypical antipsychotics

A

Newer antipsychotic medications that block the neurotransmission of dopamine but have enhanced benefits in terms of limiting or eliminating negative symptoms

44
Q

Deinstitutionalization

A

A movement that began in the 1950s that aimed to provide better, less expensive care for chronically mentally ill individuals in their own communities rather than at large, centralized hospitals

45
Q

Antidepressants

A

A medication intended to treat the symptoms of depression

46
Q

Selective serotonin reuptake inhibitor (SSRI)

A

A medication (such as Prozac, Zoloft, and Paxil) that increases serotonin turnover in the brain and is widely used to treat depression, eating disorders, anxiety disorders, and many other disorders

47
Q

Atypical antidepressant

A

A medication that works in various ways on serotonin, norepinephrine, and dopamine systems to combat the symptoms of depression

48
Q

Placebo effect

A

The influence of a patient’s beliefs and expectations in bringing about a cure

49
Q

Mood stabilizers

A

A medication (such as lithium) that treats manic, mixed, or depressive states

50
Q

Anxiolytics

A

A type of drug that alleviates the symptoms of anxiety; also called a tranquilizer.

51
Q

Benzodiazepine

A

A common type of drug (such as Xanax, Klonopin, and Activan) used to treat anxiety disorders

52
Q

Beta blocker

A

A medication that controls autonomic arousal and thereby decreases the negative spiral that occurs when an anxious person feels even more anxious when sensing a bodily response to an anxiety-producing situation

53
Q

Psychosurgery

A

Brain surgery performed to alleviate symptoms of psychological disorders that cannot be alleviated using psychotherapy, medication, or other standard treatments; the surgery removes sections of the brain or disconnects them from each other

54
Q

Lobotomy

A

A type of psychosurgery in which the neurosurgeon severs some or all of the connections between subcortical brain structures such as the thalamus and the frontal lobes

55
Q

Electroconvulsive therapy (ECT)

A

A biological treatment, most used for cases of severe depression, in which a brief electric current is passed through the brain to produce a convulsive seizure

56
Q

Vagal nerve stimulation

A

An emerging biological treatment for depression that involves electrically stimulating the vagus nerve with a small battery-powered implant

57
Q

Deep brain stimulation (DBS)

A

The insertion of an electrode deep in a patient’s brain to alter the activity of specific brain regions (e.g., treat depression or obsessive-compulsive disorder)

58
Q

Repetitive transcranial magnetic stimulation (rTMS)

A

An emerging biological treatment for depression that involves applying rapid pulses of magnetic stimulation to the brain from a coil held near the scalp

59
Q

Spontaneous improvement

A

Clinical improvement not associated with a clinical intervention

60
Q

Wait-list control condition

A

In randomized controlled trials, a control condition in which patients receive delayed treatment rather than no treatment. Before being treated, they are compared to patients treated earlier

61
Q

Double-blind study

A

A study in which participants are assigned to experimental conditions while keeping both the participants and the researchers unaware of who is assigned to which group

62
Q

Common factor

A

A factor related to therapy outcome that is common to many different types of treatment (e.g., therapeutic alliance)

63
Q

Meta-analysis

A

A statistical technique for combining the results of many studies on a particular topic

64
Q

Dodo bird verdict

A

An expression used to summarize the comparative effectiveness of different forms of psychotherapy. According to the dodo bird in Alice and Wonderland, “Everybody has won, and all must have prizes.” With regard to psychotherapy, the dodo bird verdict means that all the major forms of psychotherapy are equally effective

65
Q

Therapeutic alliance

A

The relationship between therapist and client that helps many clients feel hopeful and supported

66
Q

Eclecticism

A

An approach to treatment that deliberately weaves together multiple types of therapy

67
Q

Dialectical behaviour therapy (DBT)

A

An eclectic therapy for treating borderline personality disorder, pioneered by Marsha Linehan, that includes elements of cognitive, behavioural, humanistic, and psychodynamic therapies

68
Q

Empirically supported treatment (EST)

A

A clinical method that research has to shown to be effective for treating a given disorder