Chapter 16: Therapy Flashcards

1
Q

psychotherapy

A

treatment involving psychological techniques; consists of interactions between trained therapist and someone seeking to overcome psychological difficulties or achieve a personal growth

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2
Q

biomedical therapy

A

prescribed medications or procedures that act directly on the person’s physiology

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3
Q

eclectic approach

A

an approach to psychotherapy that uses techniques from various forms of therapy

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4
Q

psychoanalysis

A

Sigmund Freud’s therapeutic technique. Freud believed the patient’s free associations, resistances, dreams, and transferences - and therapist’s interpretations of them - released previously repressed feelings, allowing the patient to gain self-insight

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5
Q

resistance

A

in psychoanalysis, the blocking from consciousness of anxiety-laden material

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6
Q

interpretation

A

in psychoanalysis, the analyst’s noting supposed dream meanings, resistances, and other significant behaviours and events in order to promote insight

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7
Q

transference

A

in psychoanalysis, the patient’s transfer to the analyst of emotions linked with other relationships (such as love or hatred for a parent)

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8
Q

psychodynamic therapy

A

therapy deriving from the psychoanalytic tradition; views individuals as responding to unconscious forces and childhood experiences, and seeks to enhance self-insight

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9
Q

insight therapies

A

a variety of therapies that aim to improve psychological functioning by increasing a person’s awareness of underlying motives and defenses

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10
Q

client-centered therapy

A

a humanistic therapy, developed by Carl Rogers, in which the therapist uses techniques such as active listening within a genuine, accepting, empathic environment to facilitate client’s growth (also called person-centered therapy)

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11
Q

active listening

A

empathic listening in which the listener echoes, restates, and clarifies. A feature of Roger’s client-centered therapy

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12
Q

unconditional positive regard

A

a caring, accepting, nonjudgemental attitude, which Carl Rogers believed would help clients develop self-awareness and self-acceptance

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13
Q

behaviour therapy

A

therapy that applies learning principles to the elimination of unwanted behaviours

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14
Q

counterconditioning

A

behaviour therapy procedures that use classical conditioning to evoke new responses to stimuli that are triggering unwanted behaviours; include exposure therapies and aversive conditioning

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15
Q

exposure therapies

A

behavioural techniques, such as systematic desensitization and virtual reality exposure therapy, that treat anxieties by exposing people (in imaginative or actual situations) to the things they fear and avoid

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16
Q

systematic desensitization

A

a type of exposure therapy that associates a pleasant relaxed state with gradually increasing anxiety-triggering stimuli. Commonly used to treat phobias

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17
Q

Virtual reality exposure therapy

A

an anxiety treatment that progressively exposes people to electronic simulations of their greatest fears, such as airplane flying, spiders, or public speaking

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18
Q

aversive conditioning

A

a type of counterconditioning that associates an unpleasant state (such as nausea) with an unwanted behaviour (such as drinking alcohol)

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19
Q

token economy

A

an operant conditioning procedure in which people earn a token of some sort for exhibiting a desired behaviour and can later exchange their tokens for various privileges or treats

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20
Q

cognitive therapy

A

therapy that teaches people new, more adaptive ways of thinking; based on the assumption that thoughts intervene between events and our emotional reactions

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21
Q

cognitive behavioural therapy (CBT)

A

a popular integrative therapy that combines cognitive therapy (changing self-defeating thinking) with behaviour therapy (changing behaviour)

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22
Q

group therapy

A

therapy conducted with groups rather than individuals, permitting therapeutic benefits from group interaction

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23
Q

family therapy

A

therapy that treats the family as a system. Views an individual’s unwanted behaviours as influenced by, or directed at, other family members

24
Q

meta-analysis

A

a procedure for statistically combining the results of many different research studies

25
Q

Evidence-based practice

A

clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences

26
Q

therapeutic alliance

A

a bond of trust and mutual understanding between a therapist and client, who work together constructively to overcome the client’s problem

27
Q

psychopharmacology

A

the study of the effects of drugs on mind and behaviour

28
Q

antipsychotic drugs

A

drugs used to treat schizophrenia and other forms of severe thought disorder

29
Q

antianxiety drugs

A

drugs used to control anxiety and agitation

30
Q

antidepressant drugs

A

drugs used to treat depression, anxiety disorders, obsessive-compulsive disorder, and post traumatic stress disorder. (several widely used antidepressant drugs are selective serotonin reuptake inhibitors - SSRIs)

31
Q

electroconvulsive therapy (ECT)

A

a biomedical therapy for severely depressed patients in which a brief electric current is sent through the brain of an anesthetized patient

32
Q

repetitive transcranial magnetic stimulation (rTMS)

A

the application of repeated pulses of magnetic energy to the brain; used to stimulate or suppress brain activity

33
Q

psychosurgery

A

surgery that removes or destroys brain tissue in an effort to change behaviour

34
Q

lobotomy

A

a psychosurgical procedure once used to calm uncontrollably emotional or violent patients. The procedure cut the nerves connecting the frontal lobes to the emotion-controlling centres of the inner brain

35
Q

resilience

A

the personal strength that helps most people cope with stress and recover from adversity and even trauma

36
Q

posttraumatic growth

A

positive psychological changes as a result of struggling with extremely challenging circumstances and life crises

37
Q

How do psychotherapy and the biomedical therapies differ?

A
  • psychotherapy: treatment involving psychological techniques
  • biomedical therapy: treats psychological disorders with medications or procedures that act on a person’s physiology
38
Q

What are the goals and techniques of psychoanalysis, and how have they been adapted in psychodynamic therapy?

A
  • to give self-insight and relief from disorders by bringing anxiety-laden feelings and thoughts into conscious awareness
  • psychodynamic therapy doesn’t believe in ego, id, or superego. it is briefer, less expensive, and more focused on helping clients find relief from current symptoms
  • PDT helps clients understand how past relationships create themes that may be acted out in current relationship
39
Q

What are the basic themes of humanistic therapy? What are the specific goals and techniques of Rogers’ client centered approach?

A
  • insight therapies; self-awareness and self-acceptance
  • therapist’s most important contributions are to function as a mirror through active listening and to provide a growth-fostering environment of unconditional positive regard
40
Q

How does the basic assumption of behaviour therapy differ from the assumptions of psychodynamic and humanistic therapies? What techniques are used in exposure therapies and aversive conditioning?

A
  • behaviour therapies are not insight therapies; they apply learning principles to modify behaviour problems
  • classical conditioning techniques (exposure therapy: systematic desensitization, virtual reality exposure) and aversive condition work through counterconditioning
41
Q

what is the main premise of therapy based on operant conditioning principles, and what are the views of its proponents and critics?

A
  • voluntary behaviours are strongly influenced by their consequences
  • critics believe that techniques such as those used in token economies may produce temporary behaviour changes and that deciding which behaviours should change is authoritarian and unethical
  • proponents argue that treatments with positive reward is more human than punishment or institutionalization
42
Q

What are the goals and techniques of cognitive therapy and of cognitive-behavioural therapy?

A
  • cognitive therapy: assume that our thinking influences our feelings, and that the therapist’s role is to change self-defeating thinking
  • cognitive-behavioural therapy: combines the two kinds by helping clients regularly act out their new ways of thinking/talking in everyday life
43
Q

What are the aims and benefits of group and family therapy?

A
  • group therapy: less cost per person, help more people, develop social skills, learning from others that have similar problems
  • family therapy: family is an interactive system and attempts to help members discover the roles they play and to communicate more openly and directly
44
Q

Does psychotherapy work? How can we know?

A
  • cannot prove that it works
  • placebo effect makes it difficult to judge whether improvement occurred because of treatment
  • meta-analysis has shown that those without treatment also improve, but those with psychotherapy improve more quickly with less chance of relapse
45
Q

Are some psychotherapies more effective than others for specific disorders?

A
  • therapy is most effective for those with clear-cut, specific problems
  • behaviour condition: more effective for specific disorders (BUT WHAT DISORDERS MAN??? LIKE THANKS FOR THAT CLARIFICATION)
  • psychodynamic therapy: depression, anxiety
  • cognitive, behavioural-cognitive: anxiety, PTSD, depression
46
Q

How do alternative therapies fare under scientific scrutiny?

A
  • eye movement desensitization and reprocessing (EMDR) has shown some effectiveness, due to its exposure therapy nature
  • light exposure therapy seems to relieve depression
47
Q

What three elements are shared by all forms of psychotherapy?

A
  • hope for demoralized people
  • a new perspective leading to new behaviours
  • an empathic, trusting, caring relationship
48
Q

How do culture and values influence the therapist-client relationship?

A
  • values influence goals in therapy and views of progress

- may create problems if they differ

49
Q

What should a person look for when selecting a therapist?

A
  • treatment approach, credentials, fees, feels comfortable, able to establish a bond
50
Q

What are the drug therapies? How do double-blind studies help researchers evaluate a drug’s effectiveness?

A
  • psychopharmacology: study of drug effects on mind and behaviour
  • antipsychotic drugs, antianxiety, antidepressant
  • antidepressants: selective serotonin reuptake inhibitors (SSRI)
  • lithium and depakote are mood stabilizers for BPD
  • double-blind is to avoid placebo effect and researchers bias
51
Q

How are brain stimulation and psychosurgery used in treating specific disorders?

A
  • electroconvulsive therapy (ECT) is used to treat severely depressed people who have not responded to other treatments
  • repetitive transcranial magnetic stimulation (rTMS) and ‘deep brain stimulation that calms overactive brain regions linked with negative emotion’ also treat depression
  • psychosurgery removes or destroys brain tissue in hopes of modifying behaviour
  • lobotomy, brain surgery, is irreversible
52
Q

How, by taking care of themselves with a healthy lifestyle, might people find some relief from depression? How does this reflect our being biopsychosocial systems?

A
  • stress affects our body chemistry and health, which can cause imbalances. these imbalances can be alleviated by social support or lifestyle changes
53
Q

What is the rationale for preventative mental health programs, and why is it important to develop resilience?

A
  • based on the idea that many disorders could be prevented by changing oppressive, esteem-destroying environments into more benevolent, nurturing ones that foster growth, self-confidence, and resilience
54
Q

side effects of drug therapies?

A
  • Antipsychotic: tardive dyskinesia, increased risk of obesity and diabetes
  • Antianxiety: physically and psychologically addictive
55
Q

steps to active listening

A

1) paraphrase (no “I know how you feel”) check your understanding by repeating it back to them
2) invite clarification: what might be an example of that?
3) reflect feelings: it sounds frustrating

56
Q

stress inoculation training

A

teaching people how to handle their stress and restructure their thinking