Disorders and Therapy 5 Flashcards
consumer reports study
75-90% of people feel psychotherapy has helped them
longer person stays in therapy, greater improvement
common factors approach
modern approach to eclecticism, focuses on factors common to successful outcomes from different forms of therapy
factors source of success not specific differenes
therapeutic alliance
most important common factor of successful psychotherapy
relationship between client and therapist
should be caring, warm, accepting, empathy, mutual respect
should have protected setting to release private emotions
common factors in therapy effectiveness
opportunity for catharsis (relieving pent-up emotions)
learning and practice of new bx
positive experiences
evidence-based practice
systematic reviews of relevant and valid information that ranges from assessment to intervention
evidence-based treatment
techniques or interventions that have produced desired outcomes or therapeutic change in controlled studies
needed for therapy
therapist understands culture/background of client and can empathize with them
client continues therapy until successful outcome reached
barriers of effective psychotherapy
- culture bound values
- class bound values
- language
- nonverbal communication
culture bound values
differing ones can cause therapist to fail at forming empathetic relationship
class bound values
clients from impoverished backgrounds may have values and experiences that therapist can’t understand
language
different languages problem in understanding what saying and psychological testing
nonverbal communication
differs between cultures
cybertherapy
psychotherapy offered on the internet
cybertherapists
cheaper and more available but no guarantee person has credentials and therapist can’t see body language and emotion
biomedical therapies
directly affect biological functioning of body and brain
drug therapy, shock therapy, surgical treatments, noninvasive stimulation techniques
psychopharmacology
use of drugs to control or relieve symptoms of psychological disorder
often combined with other forms of psychotherapy
antipsychotic drugs
drugs used to treat psychotic symptoms, such as hallucinations, delusions, and bizarre behavior
typical antipsychotics and atypical antipsychotics
typical antipsychotics
block dopamine receptors
prolonged use can cause problems
extrapyramidal symptoms
tardive dyskinesia
tardive dyskinesia
syndrome caused by long term treatment, can persist when typical antipsychotic medications are no longer being used
facial and tongue movements or involuntary jerks
atypical antipsychotics
suppress dopamine to greater degree
also block serotonin receptors, fewer negative side effects
partial dopamine agonists = affect release of dopamine rather than block it
anti anxiety drugs
minor tranquilizers or benzodiazepines
sedative effect, can relieve anxiety quickly
potential for abuse
mood-stabilizing drugs
lithium for bipolar
anticonvulsant drugs also used to treat mania
antidepressant drugs
positive effect on mood
monoamine oxidase inhibitors
class of antidepressants that blocks activity of enzyme gives time for neurotransmitters to do job some negative side effects too
tricyclic antidepressants
increase activity of serotonin and norepinephrine in nervous system by inhibiting reuptake into synaptic vesicles of neurons
selective serotonin reuptake inhibitors
drugs that inhibit the reuptake process of only serotonin
longer to produce effects but fewer side effects
electroconvulsive therapy
delivery of electric shock to either one side or both sides of a person’s head, resulting in seizure or convulsion of body and release of flood of neurotransmitters in brain
immediate improvement in mood, only used in severe cases
memory affected, retrograde amnesia and anterograde amnesia
psychosurgery
cutting into brain to remove or destroy brain tissue for purpose of receiving symptoms of mental disorders
prefrontal lobotomy
connections of prefrontal cortex to other areas of brain are severed
moniz, then freeman and watts
transorbital lobotomy
freeman and watts insert thing into back of eye socket and into brain to sever brain fibers
bilateral anterior cingulotomy
magnetic resonance imaging used to guide electrode to specific area of brain called cingulate gyrus (connects frontal lobes to limbic system)
current through electrode, destroy part of brain cells (lesioning)