Chapter 6: Integrative and Biopsychosocial Approaches in Contemporary Clinical Psychology Flashcards

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1
Q

Choice of Theoretical Orientation

A

Depends on Graduate and Post Graduate Training; the Personality of the professional; and the general worldview held of human nature

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2
Q

Unidimensional approaches

A

Found to be lacking and of limited use in their approach to the full spectrum of psychological problems; research has generally failed to demonstrate that one treatment persective is more effective than another; 45% of improvements in psychotherapy may be attribtable to common factors found in all major theories and approaches; Less than 15% of treatment outcome variance can be accounted for by specific techniques

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3
Q

Combination of perspectives and techniques

A

May have powerful and synergistic effects

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4
Q

Free Associations/Automatic Thoughts

A

Immediate and unfiltered thoughts and feelings that come to mind; highly valued and integrated into their understanding and treatment of human behavior

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5
Q

Common Denominators among the Different Theoretical Perspectives

A

Providing the patient with new experiences within and outside of the therapy session
All psychotherapies encourage the patient to engage in corective experiences that they all provide some form of feedback to the patient
A professional office associated with healing and being helped
A trained mental professional who is supportive, thoughtful, professional, and perceived as an expert in human behavior, enhanced hope and thoughts, feelings, and behaviors can change for the better, fees associated with service, and the avoidance of dual relationships

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6
Q

James Prochaska

A

Discussed commonalities among theoretical orientations by examning the process of change across different types of problems and different methods of treatment

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7
Q

Jame’s Prochaska’s Theory of Change

A

Five stages of change; (precontemplation, contemplation, preparation, action, and maintenance), five levels of change (symptoms, maladaptie cognition, current interpersonal conflicts, family/systems conflicts, past interpersonal conflicts); change processes (consciousness raising, catharsis/dramatic relief, self-evaluation, environmental reevaluation, self-liberation, social liberation, counterconditioning, stimulus control, contingency management, and helping relationship)

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8
Q

Theory of Change

A

Has a cognitive-behavioral flavor; atheoretical, not based on any one theoretical perpective and can applied to all perpectives

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9
Q

How efforts at Integration tend to occur

A

Integrating the theories associated with each perspective
Developing an understanding of the common factors associated with each perspective
Using eclectism in a practical way to provide a range of available strategies

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10
Q

Paul Wachtel

A

Significant contributor to the evolving framework of integration between the psychodynamic and behavioral approaches;
Uses the psychodynamic perpective in focusing on early childhood experiences as well as the notion that unconscious conflicts result in problematic feelings and behaiors
Uses the behavioral principal of reinforcement in the present environment to understand various ongoing emotional, psychological, and behavioral problems
Behavioral interventions can improve insight while insight can lead to behavioral change

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11
Q

Theories which are compatible

A

Cognitive-Behavioral & Psychodynamic Theories
Family Systems, Humanistic & Interpersonal Theories
Behavioral Approaches & Family Systems Theory

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12
Q

Multimodal Approach

A

Developed by Arnold Lazarus; Treatment reflects the patient’s needs based on sevel aspects of behavior: Behavior, Affect, Sensation, Imagery, Cognition, Interpersonal Relationships, and Drugs (BASIC ID)

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13
Q

Intervention Strategies

A

Psychodynamic approaches to increase insight and access unconscious anger and resentment
Cognitive-Behavioral Strategies to manage anxiety symptoms and inattentive behavior at school
Referral to a psychiatrist for evaluation of the possible use of medication to address depression
Referral to a pediatrician to evaluate potential medial problems associated with abuse
Social and community support and interventions to address cultural issues as well as legal issues association with victimization
Family systems approaches to help the entire

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14
Q

Irving Weiner

A

Effective psychotherapy is defined not by its brand name, but by how well it meets the needs of the patient

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15
Q

Hans Eysenck

A

Warned that eclecticism can be a mish-mash of theories, a hugger-mugger of procedures, a gallimaufry of therapies; Eclecticism can result in a passing familiarity with many approaches but competence in none, as well as muddled and unfocused thinking

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16
Q

Eclectic Approaches

A

More popular and has been termed multimodal

17
Q

Contemporary Clinical Psychology

A

Multidimensional and integative approaches that reflect a biopsychosocial synthesis has become a trend

18
Q

Tension Headaches Associated with Stress

A

Psychologist must be able to appreciate the biological, psychological, and social influences on the patient’s symptoms; Rule out medical possibilities prior to treating headaches with biofeedback, relaxation, training, psychotherapy, or other psychosocial interventions and strategies in conjunction with anhy appropriate medical treatment

19
Q

Genetically Based Chromosomal Dysfunction

A

Can lead to a number of conditions that involve behavior and learning problems of interest to clinical psychologists

20
Q

Biologically Oriented Factors

A

Emphasize the influence of the brain, neurochemistry, and genetic influence on behavior; lead to biologically oriented approaches to study, assess, and treat a wide range of emotional, psychological, medical, and behavioral problems

21
Q

Evolutionary Oriented Professionals

A

Focus on understanding human behavior in the context of our sociobiological roots

22
Q

Social Relationships

A

Appear influential in protecting individuals from a variety of physical and psychological problems including depression, hypertension, and alcoholism; strong relationship between social support and longevity is strong; powerful that they can lead to death

23
Q

Theories which influenced development of integrative and contemporary biopsychosocial perspective

A

Diathesis-Stress Perspective
Reciprocal-Gene-Environment Perspective
Psychosocial Influence on Biology Perspective

24
Q

Diathesis Stress Perspective

A

Causal perspective for illness or problem; suggests that a biological or other type of vlnerability in combination with psychosocial or environmental stress creates the necessary conditions for illness to occur; States that people have a biological, genetic, cognitive, or other tendency toward certain behaviors and problems. A susceptibility emerges such that certain individuals are more prone to developing potential traits, tendencies, or problems

25
Q

Diathesis

A

Means that someone is susceptible to developing a particular problem due to some inherent vulnerability; when certain stressors emerge or the conditions are right, the problem then becomes manifest

26
Q

The Diathesis-Stress Model

A

Diathesis (Genetic Vulnerability) + Stress (Psychosocial Stressors) = Problem

27
Q

Reciprocal-Gene-Environment Perspective

A

Genetic influences might actually increase the likelihood that an individual will experience certain life events. Thus, certain individuals may have the genetic tendency to experience or seek out certain stressful situations; States that there is a close relationship between biological or genetic vulnerability and life events such that each continuously influences the other

28
Q

Psychosocial Influences of Biology

A

Psychosocial Factors alter biology; psychosocial influences cal alter neurotransmitter and hormonal circuits

29
Q

Biopsychosocial Perspective

A

Published in George Engel’s paper; suggests that all physical and psychological illnesses and problems have psychological illnesses and problems have biological, psychological, and social elements that require attention in any effective intervention; biological, psychological, and social aspects of health and illness influence each other

30
Q

Biopsychosocial Approach

A

States that the interaction of biological, psychological, and social influences on behavior should be addressed in order to improve the complex lives and functioning of people who seek professional health and mental health services

31
Q

Biopsychosocial Framework

A

Applies a systems theory perspective to emotional, psychological, physical, and behavioral functioning; assumes that all human problems are biopsychosocial systems problems, each biological problem has psychosocial consequences and each psychosocial problem has biological correlates

32
Q

J. Miller

A

Discussed 7 levels of systems, each interdependent on the other; these are functioning at the Cellular, Organ, Organism, Group, Organization, Society, and Supernatural Levels

33
Q

Obsessive-Compulsive Disorder

A

An anxiety disorder involving obsessions (recurrent and persistent thoughts, images, impulses) and compulsions (repetitive behaviors such as hand washing, checking, ordering, or acts)

34
Q

Structural Differences between People with OCD and those without

A

Hyperactivity in the orbital surface of the frontal lobe, the cingulate gyrus, and the caudate nucleus; serotonin appears to be particularly active in these areas of the brain (Low seratonin levels)

35
Q

Biopsychosocial Approach to OCD

A

Biological - hyperactivity in certain parts of the brain
Psychological - interventions such as CBT techniques of exposure and response prevention cal alter brain circuitry; interaction between biological and psychological influence is likely to create or reduce OCD behavior
Social Influences - culture, religious faith, and social support influence the nature, course, and pronosis of OCD

36
Q

Biopsychosocial Treatment of OCD

A

Drugs such as Prozac that inhibits the reuptake of serotonin
Neurosurgery
Cognitive-Behavioral Psychotherapy using exposure and response prevention techniques
Social support and education through psychoeducational groups
Psychotherapy which may include marital and/or family counseling as well as supportive and insight-related approaches

37
Q

Panic Attacks

A

Characterized by an intense fear that arises quickly and contributes to a variety of symptoms including heart palpitations, sweating, chest pain, shortness of breath, dizziness, and depersonalization

38
Q

How Biopsychosocial Factors Influence the Development, Maintenance, and Prognosis of Panic Behavior

A

A combination of genetic factors make some people vulnerable to experiencing anxiety or panic attacks
Neurotransmitter activity, specifically the influence of gamma amino butyric Acid (GABA), serotonin, and norepinephrine have been associated with people who experience panic
Psychological contributions to the development of panic involve learning through modeling as well as emotionally feeling out of control of many important aspects of one’s life
Cognitive explanations and situational cues also appear to contribute to panic
Social Factors such as family and work experiences, relationship conflicts, and cultural expectations may all contribute to the development and resolution of panic
Biological Vulnerability coupled with psychological and social factors create the conditions for fear and panic to occur

39
Q

Biopsychosocial Treatment for Panic

A

Medications that impact the serotonin and norepinephrine neurotransmitter systems
Psychological Treatments that involve gradual exposure to the feared situations, relaxation training, breating exercises, cognitive therapy, and both insight-oriented and supportive psychotherapy