Dysfunctional Behaviour - Treatments of Dysfunctional Behaviour Flashcards

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1
Q

What was the aim of McGrath’s study?

A

To treat a girl with specific noise phobias using systematic desensitisation

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2
Q

What is the behavioural study on treatments of dysfunctional behaviour?

A

McGrath

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3
Q

What was the method of McGrath’s study?

A

A case study that details the treatment of a noise phobia in one girl

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4
Q

Who was the participant in McGrath’s study?

A

Lucy, a 9-year-old girl who had a fear of sudden loud noises. These included balloons, party poppers, guns, cars backfiring and fireworks. She had a lower than average IQ, and was not depressed, anxious or fearful (tested with psychometric tests), so only had one specific phobia.

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5
Q

What was the design in McGrath’s study?

A

A single-participant design.

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6
Q

What was the procedure in McGrath’s study?

A

Lucy was brought to the therapy session and taught breathing and imagery to relax, and was told to imagine herself at home on her bed with her toys. She also had a hypothetical ‘fear thermometer’ to rate her level of fear from 1 to 10. She would pair the stimulus of the loud noise with relaxation etc. This would lead her to feel calm and associate the noise with feeling calm and after 4 sessions she had learnt to feel calm when the noise was presented. She did not need to imagine herself at home with her toys anymore.

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7
Q

Wait were the findings of McGrath’s study?

A

By the end of the fourth session, Lucy was able to signal a balloon to be burst 10 meters away, with only mild anxiety. In the fifth session Lucy allowed a small balloon to be burst in the consulting room, at the end she was able to pop the balloons herself. Party poppers were then introduced over the next three sessions and went from not allowing them into the consulting room to being able to pop one if the therapist held it. Cap guns were then introduced and were used outside but Lucy was quickly able to agree to one being fired in the consulting room. By Lucy’s tenth and final session, her fear thermometer scores had gone from 7/10 to 3/10 for balloons popping and 9/10 to 3/10 for party poppers; the cap gun had gone from 8/10 to 5/10.

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8
Q

What were the conclusions of McGrath’s study?

A

It appears that noise phobias in children are amenable to systematic desensitisation. The important factors appear to have been giving Lucy control to say when and where noises were made, and the use of inhibitors of the fear response which included relaxation and a playful environment.

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9
Q

What was the biological study on treatments of dysfunctional behaviour?

A

Karp and Frank

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10
Q

What was the aim of Karp and Frank’s study?

A

To compare drug treatment and non-drug treatments for depression.

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11
Q

What was the method of Karp and Frank’s study?

A

A review article of previous research into the effectiveness of single treatments and combined drug and psychotherapeutic treatments of depression.

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12
Q

Who were the participants of Karp and Frank’s study?

A

The research that was reviewed concentrated on women diagnosed with depression.

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13
Q

What was the design of Karp and Frank’s study?

A

Much of the research used an independent design, with patients having single drug treatment, single psychological treatment, combined treatments and sometimes placebo groups.

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14
Q

What was the procedure of Karp and Frank’s study?

A

Depression was analysed using a variety of depression inventories, and patients were tested generally prior to treatment, after treatment and in some cases after a period of time as a follow up. Some health practitioner assessments of symptoms were also used by some of the research.

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15
Q

What were the findings of Karp and Frank’s study?

A

Adding psychological treatments to drug therapy did not increase the effectiveness of the drug therapy. Occasionally studies did show less attrition when combination therapies were used. This means that people were more likely to continue with treatment if cognitive therapy was given in addition to drug therapy.

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16
Q

What were the conclusions of Karp and Frank’s study?

A

Although it would seem logical that two treatments are better than one, the evidence does not show any better outcomes for patients offered combined therapy as oppose to only drug therapy, showing the effectiveness of drug therapy on depression.

17
Q

What are the ABCs of rational emotive therapy?

A

As - activating events that contribute to someone’s psychological disturbance (failing an exam)
Bs - the beliefs (thinking you are stupid because you failed an exam)
Cs - the consequences, what happens if you have these faulty and illogical beliefs (how you think and feel about an event, failing one exam does not make you stupid)

18
Q

What was the cognitive study on explanations of dysfunctional behaviour?

A

Beck

19
Q

What was the aim of Beck’s study?

A

To compare the effectiveness of cognitive therapy and drug therapy.

20
Q

What was the method of Beck’s study?

A

Controlled experiment with participant allocated to one of two conditions.

21
Q

What was the design of Beck’s study?

A

Independent design with random allocation to cognitive or drug therapy conditions.

22
Q

Who were the participants on Beck’s study?

A

44 patients diagnosed with moderate to severe depression attending psychiatric outpatients’ clinics.

23
Q

What was the procedure of Beck’s study?

A

Patients assessed with three self reports before treatment using Beck Depression Inventory, Hamilton Rating Scale and Rasking Scale. For 12 weeks, patients had either a 1-hour cognitive therapy session twice a week or 100 imipramine capsules, prescribed by visiting the doctor for 20 minuets once a week. The cognitive therapy sessions were prescribed and controlled, and therapists were observed to ensure reliability.

24
Q

What were the findings of Beck’s study?

A

Both groups showed significant decrease in depression symptoms on all three rating scales. The cognitive treatment group showed significantly greater improvements on self reports and observer based ratings, 80% compared to 20% of those with drug therapy. The dropout rate was 5% in the cognitive therapy group and 32% in the drug treatment group.

25
Q

What were the conclusions of Beck’s study?

A

Cognitive therapy leads to better treatment of depression, shown by fewer symptoms reported and observed, and also better adherence to treatment.