Modalities Flashcards
Cognitive Analytic Therapy (CAT)
Anthony Ryle, 1990. 8-24 sessions, usually 12
Brings together dynamic, cognitive and behavioural therapies - attempting to explain psychoanalytic ideas in cognitive terms
3 Rs: Recognition of maladaptive behaviours and beliefs, Reformation of these (‘main work’), Revision
Reformulation agreed by patient + therapist, documented in a psychotherapy file
Dialectical Behaviour Therapy (DBT)
Linehan, 1991
Understanding emotion, new skills for dealing with distress through combination of ground and solo sessions
Combines CBT + mindfulness
Hierarchical view - reduce self harm then factors that interfere with therapy, then reduce behaviours that diminish QOL + relationships
Multisystemic Therapy
Conduct disorder
Day to day environment (e.g. home or school)
Tx team - therapist, case manager, behavioural management specialist
Intensive, multiple weekly contacts, on call 24/7
Functional Family Therapy
Designed to increase family problem solving skills, emotional cohesion, related parental skills
Young people aged 11-18
Delinquency, violence, antisocial behaviour, substance misuse, conduct disorder, ODD, disruptive behaviour disorders
3 month period
Interpersonal Therapy (IPT)
Klerman + Weissman, 1970s
Key features - giving ‘sick role’ to the patient
Main indication non-psychotic depression
Others - HIV, bulimia, panic disorder, bipolar disorder, dysthymic disorder, bereavement, postpartum depression, social phobia, insomnia. NOT for substance misuse / PDs
Psychodynamic psychotherapy
Unconscious mind believed to affect one’s perceptions and actions
Traditional techniques to interpret unconscious mind - ‘fundamental rule’ of free association, analysis of transference / countertransference, interpretation of dreams + ‘parapraxes’, symbolism of neurotic symptoms
Milan Systemic Family Therapy
Developed in the early 1970s in response to closure of large psychiatric units in Italy
Introduced concepts of ‘reframing’ the problem and hypothesising, as well as ideas about neutrality and curiosity
Therapist takes a non-expert role
Structural Family Therapy
Minuchin proposed that clear rules govern optimal family organisation and structure, with a focus on hierarchy, subsystems and boundaries.
Challenges in this structure results in problems
Therapist takes a directive ‘expert’ stance to change behaviours and re-establish preferred structure. Common techniques include unbalancing, enactment and joining
Strategic family therapy
Haley
Problems always arise because of difficulties within the hierarchy, family ambivalent about the problem as it provides some gains
Therapist takes strategic stance, such as using ‘paradox’ and setting family tasks
Narrative family therapy
Difficulties are thought to be a reflection of unhelpful stories that family members hold about themselves.
Therapist helps challenge these, separate problems from persons
