chapter 17: therapies Flashcards
biological treatments
- psychopharmacology
- neurostimulation treatments (electrical/magnetic stimulation)
psychotropic agents def and the 5 types
- meds that affect a person’s neurobiological/psychological functioning
- types: antidepressant, anxiolytics, antipsychotics, mood stabilizers, and stimulants
antidepressants
- treats: depressive disorder and comorbid disorders (anxiety, OCD, and eating disorders)
- MAOIs, tricyclics, SSRI, SNRI, NDRI
- can induce mania
anxiolytics
- treats: anxiety (and related disorders)
- benzodiazepine
- effects within minutes
Antipsychotics
- treats: schizophrenia and related disorders (positive symptoms)
- typical: the og, bad side effects, extrapyramidal effects
- atypical:bind to dopamine receptors differently, need routine blood tests to monitor white blood cells
- reduce symptoms within a few weeks(hallucinations)/days (delusions)
mood stabilizers
- treats: bipolar disorder and related mood disturbances
- target highs and lows
-lithium
stimulant
- treats: ADHD
- increase activity in CNS giving more alertness and focus
- amphetamine-based (adderall, increase norepinephrine and dopamine) or methylphenidate based (ritalin, increase both but mainly dopamine)
neurostimulation treatments
- TMS (magnetic pulses to the brain to create temporary lesions, all neurons reset at once) used for: major depression, OCD, and eating disorders
- ECT (medically induced seizure) used for: major depression, bipolar, schizophrenia. usually requires 6-15 treatments for mood disorders, more for schizophrenia
- Vagus Nerve Stimulation (implant device stimulating vagus nerve with electrical impulses) for: treatment resistant depression
treatment modalities
- individual therapy, group therapy, family therapy, and couple therapy, etc
most common theoretical orientation
- Cognitive behavioural
treatment efficacy vs effectiveness
- efficacy: how well treatment works in ideal conditions
- effectiveness: how well treatment works in real world
moderator vs mediator
- moderator: for whom and under what conditions the therapy works
- mediator: how a therapy works/mechanisms
psychodynamic
- freud
- ppl’s probs can be understood in terms of conscious psychological process
- modify internal structures
- openly speaking clients
- transference
- one-person models: client’s intrapsychic processes, what occurs within the client’s mind, and position the therapist as a neutral observer
- two-person models: inter-psychic or interpersonal processes, interactions between the client’s psychology and the relational environment, which include the contributions of the therapist and therapeutic relationship
universality
when in group therapy ppl realize others are going through similar situations
group process
- dev and exploration of relationships within the group
EFCT
- emotionally focused couple therapy
- based in attachment theory
family therapy movement was influenced by _____ theory
- systems
- puts emphasis on family influence
humanistic-experiential approaches
- rejects determinalistic views of traditional therapies
- examines: death, freedom, isolation, and meaninglessness (also, love, isolation, creativity and destiny)
- safe, empathetic enviro, put yourself in clients shoes
- linked with existential psychotherapy
- most successful version: Emotion focused therapy
self-psychology
- first used to treat NPD
- difficulties in how once sees themselves
- wants validation (mirroring transference)
gestalt therapy
- empty chair work (speak to empty chair that is imaged to be a part of them)
- reduces psychological process into elemental parts (stimulus and response)
Cognitive behavioural approaches
- human behaviour is based on behavioural principals of learning, modelling, and conditioning
- ex. token reward, exposure therapy
- issues can be helped by identifying and modifying maladaptive patterns
- cognitive mediation model (the way a person thinks affects their response)
- brief
third wave therapies
- mindfulness based cognitive therapy
- acceptance and commitment therapy
- DBT
______ ____ is when clients and therapists take on scientist roles to test validity of a clients thought, used in ______
collaborative empiricism, CBT
CBT interventions
- cognitive restructuring (thought record)
- cognitive defusion (step back)
- exposure therapy
- behavioural activation (reinforcement)
- committed action (goals)
- reinforcement (operant conditioning)
- assertiveness training (communicate needs)
- problem solving training
- relaxation training
five principals Goldfried argued were a part of all psychotherapy
- increasing ppls positive expectations and motivation for treatment