Chapter 16 - Therapy Flashcards

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1
Q

What are the four major types of psychotherapy?

A

Psychoanalytic, humanistic, behavioral, cognitive.

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2
Q

What is psychotherapy?

A

A trained therapist uses psychological techniques to change behavior, thinking, relationships, and emotions.

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3
Q

Define biomedical.

A

The use of medications / other biological treatments to reduce symptoms of mental disorders.

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4
Q

What is psychoanalysis therapy?

A

(Freud) A set of techniques for releasing the tension of repression and resolving unconscious inner conflicts.

Techniques include: free association and dream interpretation.

Very time consuming and expensive with no immediate benefit or good outcome.

Freud’s views have since been modified into psychodynamic therapy and interpersonal therapy.

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5
Q

What is psychodynamic therapy?

A

A less intense version of psychoanalysis.

Involves discovering themes across important relationships.

The focus is on improved self-awareness and insight into unconscious thoughts and feelings which may be rooted in past relationships.

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6
Q

What is interpersonal therapy?

A

A further extension of psychoanalysis.

Less focused on insight into the past, rather focused on improving relationship skills and communicating emotions more effectively.

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7
Q

What is humanistic therapy?

A

An attempt to boost self-fulfillment by helping people gain self-awareness and self-acceptance - “client centered therapy.”

Therapists should exhibit empathy and unconditional positive regard and should listen without judging or interrupting.

The present and future are more important than the past.

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8
Q

What is behavior therapy?

A

Sometimes insight and self-awareness so not reduce symptoms. Behavioral therapists believe maladaptive symptoms are learned behaviors that can be replaced by adaptive behaviors. It uses the principles of learning, especially classical and operant conditioning.

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9
Q

What is counterconditioning?

A

Linking new, positive responses to previously aversive stimuli.

If you have been conditioned to fear stores because you have had a panic attack in one, you could be led into a store and helped with relaxation exercises. The goal is to associate stores with relaxation, a state incompatible with fear.

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10
Q

What is exposure therapy?

A

Avoidance of the feared stimuli worsens a conditioned fear. Avoidance is reinforced because it quickly reduces anxiety.

Guided exposure to the feared situation eliminates avoidance.

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11
Q

What are some types of exposure therapy?

A

Systematic desensitization.

Virtual reality therapy.

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12
Q

Define systematic desensitization.

A

Constructing a hierarchy of anxiety triggering situations.

Gradually increase the exposure intensity while using relaxation techniques.

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13
Q

What is aversive conditioning?

A

When a person has been conditioned to have a positive association with a drug.

Aversive conditioning can associate a drug with a negative response - condition as aversion to something the person should avoid.

In order for this to work, a person must want to quit.

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14
Q

What is operant conditioning therapy?

A

Belief that behaviors are influenced by their consequences.

Desired behaviors are rewarded and reward is withheld from undesired behaviors.

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15
Q

What is token economy?

A

Rather than rewarding every good behavior, reward desired behaviors with tokens or checks on a chart to earn a “prize.”

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16
Q

What is the theory behind cognitive therapy?

A

Our thinking influences our feelings. If thinking patterns can be learned, then they can be replaced.

In the cognitive perspective, the cause of depression is not bad events, but our thoughts about those events.

17
Q

Who were two major early proponents of cognitive therapy?

A

Albert Ellis and Aaron Beck.

“Change people’s thinking by revealing the absurdity of their self-defeating ideas.” - Albert Ellis

18
Q

What do cognitive therapists believe?

A

Many problems arise from irrational thinking or errors in thinking (catastrophizing).

The goal is to change negative self-talk into positive self-talk.

19
Q

What is cognitive behavior therapy?

A

Best therapy type.

Works to change both cognitions and behaviors that are part of a mental health disorder.

20
Q

What are three types of cognitive behavior and define?

A

Family therapy - family as a social system, communication, conflict, parenting strategies.

Group therapy - one therapist and 6 - 9 individuals, less cost per person, clients realize others share their problems, can develop social skills.

Self-help groups - led by group members instead of a therapist, focus is more on support rather than fixing problems during the group session.

21
Q

What is biomedical therapy?

A

Using drugs to treat psychological disorders.

22
Q

Define psychopharmacology.

A

The study of drug effects on the mind and behaviors.

23
Q

What are some types of drugs biomedical therapists use to treat their patients?

A

Antipsychotic - schizophrenia.
Anti-anxiety.
Anti-depression - takes a couple weeks to feel effects.
Mood stabilizers - bipolar disorder. Uses lithium.
ADHD stabilizers - controls impulses and need for stimulus.

Many medications increase synaptic neurotransmitter levels by inhibiting reuptake.

24
Q

What is electroconvulsive therapy?

A

Shock induced seizures.

For patients who have not responded to drug therapy, ECT works very well to relieve severe depression.

25
Q

What are some benefits to a therapeutic lifestyle change?

A

The human brain is designed for physical activity and social behavior. The effects of regular exercise and a full night’s sleep are similar to the effects of anti-depressive drugs.