Chapter 18: Treating Psychological Disorders Flashcards

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1
Q

What does the psychological approach to reducing disorder involve?

A

It involves providing help to individuals or families through psychological therapy, including psychoanalysis, humanistic-oriented therapy, cognitive behavioural therapy, and other approaches.

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2
Q

What is the biomedical approach to reducing disorder based on?

A

It is based on the use of medications to treat mental disorders such as schizophrenia, depression, and anxiety, as well as the employment of brain intervention techniques, including electroconvulsive therapy, transcranial magnetic stimulation, and psychosurgery.

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3
Q

What does the social approach to reducing disorder focus on?

A

Changing the social environment in which individuals live to reduce the underlying causes of disorder. These approaches include group, couples, and family therapy, as well as community outreach programs.

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4
Q

What is a psychological assessment?

A

An evaluation of the patient’s psychological and mental health, used by by a therapist to systematically learn about the patient’s needs.

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5
Q

What is psychotherapy?

A

The professional treatment for psychological disorder through techniques designed to encourage communication of conflicts and insights.

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6
Q

What is psychodynamic therapy?

A

A psychological treatment based on Freudian and neo-Freudian personality theories in which the therapist helps the patient explore the unconscious dynamics of personality.

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7
Q

What is free association?

A

The therapist listens while the client talks about whatever comes to mind, without any censorship or filtering.

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8
Q

What is dream analysis?

A

The therapist analyzes the symbolism of dreams in an effort to probe the unconscious thoughts of the client and interpret their significance.

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9
Q

What is insight? How do patient’s usually respond to insight?

A

An understanding of the unconscious causes of the disorder. Often times a patient will use defence mechanisms to avoid the painful feelings of his or her unconscious.

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10
Q

What is transference?

A

The patient unconsciously redirects feelings experienced in an important personal relationship toward the therapist.

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11
Q

What is humanistic therapy?

A

A psychological treatment based on the personality theories of Carl Rogers and other humanistic psychologists.

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12
Q

What is person-centred therapy?

A

An approach to treatment in which the client is helped to grow and develop as the therapist provides a comfortable, nonjudgemental environment.

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13
Q

What is a therapeutic alliance?

A

A relationship between the client and the therapist that is facilitated when the therapist is genuine, when the therapist treats the client with unconditional positive regard, and when the therapist develops empathy with the client.

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14
Q

What is cognitive behavioural therapy?

A

A structured approach to treatment that attempts to reduce psychological disorders through systematic procedures based on cognitive and behavioural principles.
It does not attempt to address the underlying issues that cause the problem.

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15
Q

What is behavioural therapy?

A

A psychological treatment that is based on principles of learning.

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16
Q

What is exposure therapy?

A

A behavioural therapy based on the classical conditioning principles of extinction, in which people are confronted with a feared stimulus with the goal of decreasing their negative emotional responses to it.

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17
Q

What is flooding?

A

A client being exposed to the source of his or her fears all at once. The therapist offers support throughout the process.

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18
Q

What is systematic desensitization?

A

A behavioural treatment that combines imagining or experiencing the feared object/stimulation with relaxation exercises.
The client and the therapist work together to prepare a hierarchy of fears, starting with the least frightening, and moving to the most frightening scenario surrounding the object or stimulus.

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19
Q

What principle do desensitization techniques use? Describe this principle.

A

Desensitization techniques use the principle of counterconditioning, in which a second incompatible response is conditioned to an already conditioned response.

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20
Q

What is aversion therapy?

A

A type of behavioural therapy in which positive punishment is used to reduce the frequency of an undesirable behaviour.

21
Q

What is cognitive therapy?

A

A psychological treatment that helps clients identify incorrect or distorted beliefs that are contributing to disorder.

22
Q

What is eclectic therapy?

A

An approach to treatment in which the therapist uses whichever techniques seem most useful and relevant for a given patient.

23
Q

What is dialectical behavioural therapy?

A

A cognitive therapy that includes a particular emphasis on attempting to enlist the help of the patient in his or her own treatment.

24
Q

What are biomedical therapies?

A

Treatments designed to reduce psychological disorder by influencing the action of the central nervous system.

25
Q

How do tricyclic antidepressants and monamine oxidase inhibitors work? What are the drawbacks of these drugs?

A

These medications work by increasing the amount of serotonin, norepinephrine, and dopamine at the synapses, but they also have severe side effects including increased blood pressure and the need to follow particular diets.

26
Q

How do selective serotonin reuptake inhibitors (SSRIs) work?

A

These medications are designed to selectively block the reuptake of serotonin at the synapse, thereby leaving more serotonin available in the central nervous system.

27
Q

What are some side effects of SSRIs?

A

Dry mouth, constipation, blurred vision, headaches, agitation, drowsiness, and reduced sex drive.

28
Q

What are antianxiety medications? How do they work?

A

Antianxiety medications are drugs that help relieve fear or anxiety.
They work by increasing the action of the neurotransmitter GABA. The increased level of GABA helps inhibit the action of the sympathetic division of the autonomic nervous system, creating a calming experience.

29
Q

What are antipsychotic drugs (neuroleptics)?

A

Drugs that treat the symptoms of schizophrenia and related psychotic disorders.

30
Q

What are some side effects of antipsychotic drugs?

A

Restlessness, muscle spasms, dizziness, and blurred vision.

Long term use can lead to tardive dyskinesia, which causes uncontrollable muscle movements, usually in the mouth area.

31
Q

What is electroconvulsive therapy (ECT)?

A

A medical procedure designed to alleviate psychological disorder in which electric currents are passed through the brain, deliberately triggering a brief seizure.

32
Q

What is transcranial magnetic stimulation (TMS)?

A

A medical procedure designed to reduce psychological disorder that uses a pulsing magnetic coil to electrically stimulate the brain.
It is used to treat Parkinson’s disease and schizophrenia.

33
Q

What is psychosurgery?

A

Surgery that removes or destroys brain tissue in the hope of improving disorder.
A prefrontal lobotomy is an example of psychosurgery.

34
Q

What is group therapy?

A

Psychotherapy in which clients receive psychological treatment together with others.

35
Q

What is couples therapy?

A

Treatment in which two people who are cohabitating, married, or dating meet together with the practitioner to discuss their concerns and issues about their relationship.

36
Q

What does family therapy involve?

A

Families meeting together with a therapist. In some cases the meeting is precipitated by a particular problem with one family member.

37
Q

What is a self-help group?

A

A voluntary association of people who share a common desire to overcome psychological disorder or improve their well-being.

38
Q

What are community mental health services? Who are they provided by?

A

Psychological treatments and interventions that are distributed at the community level.
They are provided by nurses, psychologists, social workers, and other professionals.

39
Q

What is primary prevention?

A

Prevention in which all members of the community receive the treatment.

40
Q

What is secondary prevention? What are risk factors?

A

Prevention that focuses on those who display risk factors for a given disorder.
Risk factors are the social, environmental, and economic vulnerabilities that make it more likely than average that a given individual will develop a disorder.

41
Q

What is tertiary prevention?

A

Treatment, such as psychotherapy or biomedical therapy, that focuses on people who are already diagnosed with a disorder.

42
Q

What is outcome research? Who is it used by?

A

Outcome research involves studies that assess the effectiveness of medical treatments, used by psychologists to determine the effectiveness of different therapies.

43
Q

What is natural improvement? What is it a threat to?

A

Natural improvement is the possibility that a person might get better over time, even without treatment.
It is a threat to the validity of outcome research.

44
Q

When do nonspecific treatment effects occur?

A

When the patient gets better over time simply by coming to therapy, even though it doesn’t matter what actually happens at the therapy sessions.

45
Q

What are placebo effects?

A

Improvements that occur as a result of the expectation that one will get better rather than from the actual effects of a treatment.

46
Q

What is a meta-analysis?

A

A statistical technique that uses the results of existing studies to integrate and draw conclusions about those studies.

47
Q

Which therapies are empirically supported?

A

Cognitive therapy and behavioural therapy for depression; cognitive therapy, exposure therapy, and stress inoculation training for anxiety; cognitive behavioural therapy for bulimia; behaviour modifications for bedwetting.

48
Q

What is a problem with drug therapies?

A

They provide temporary relief, but do not treat the underlying cause of the disorder. Once a patient stops taking the drug, the symptoms often return in full force.