Models of Treatments Flashcards

1
Q

What is cognitive therapy?

A

Cognitive therapy notes that thoughts, feelings, and behaviours are interconnected, and that changing negative thoughts and beliefs can lead to changes in feelings and behaviours.

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2
Q

How does cognitive therapy address negative thoughts?

A

Identification of Negative Thoughts: It involves helping individuals recognize their patterns of negative thinking and the situations in which they typically occur.

Challenging Negative Thoughts: Once negative thoughts are identified, cognitive therapy works on challenging and questioning the validity of these thoughts, encouraging individuals to view situations from different perspectives.

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3
Q

What are the skill development in cognitive therapy?

A

Cognitive therapy involves teaching individuals coping skills and strategies to manage stress and emotional distress, such as problem-solving or relaxation techniques.

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4
Q

What is behaviour therapy?

A

Behavioural therapy is a broad term encompassing a variety of therapeutic techniques that aim to identify and help change potentially self-destructive or unhealthy behaviours.

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5
Q

What is the primary goal of behaviour therapy?

A

The primary goal of behavioural therapy is to foster positive behaviour changes.

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6
Q

What are 4 behaviour therapies?

A

Cognitive Behaviour Therapy
Applied Behaviour Analysis
Systematic Desensitisation
Dialectical Behaviour Therapy

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7
Q

What is Cognitive Behaviour Therapy?

A

Cognitive Behavioural Therapy (CBT) combines behavioural therapy with cognitive therapy. CBT aims to change patterns of thinking or behaviour that are causing people’s problems, and thus change the way they feel. It involves identifying and challenging negative thoughts, beliefs, and attitudes, and replacing them with more realistic and positive ones.

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8
Q

What is Applied Behaviour Analysis (ABA)

A

Applied Behaviour Analysis (ABA) is a scientific approach to understanding behaviour and how it is affected by the environment. It involves the application of learning principles to bring about positive changes in behaviour.

ABA is commonly used to help individuals with autism and other developmental disorders. Techniques include reinforcement, prompting, and task analysis to teach new skills and reduce problematic behaviours.

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9
Q

What is Systematic Desensitisation?

A

Systematic Desensitisation is a behavioural therapy technique used to reduce anxiety and phobic responses. It involves gradually exposing a person to the feared object or situation in a controlled manner while teaching relaxation techniques to cope with the anxiety. The process typically involves creating a hierarchy of fears, from least to most anxiety-provoking, and progressively working through these steps.

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10
Q

What is Dialectical Behaviour Therapy?

A

Dialectical Behaviour Therapy (DBT) is a type of CBT designed to help people manage emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness. Originally developed for treating borderline personality disorder, DBT combines standard cognitive-behavioural techniques with concepts of acceptance and mindfulness, focusing on balancing acceptance and change.

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11
Q

How does CBT differ from ABA?

A

Focus: CBT focuses on changing thought patterns and emotional responses, while ABA focuses on modifying observable behaviours.

Approach: CBT uses cognitive restructuring and emotion regulation strategies, whereas ABA uses reinforcement and other behaviour modification techniques.

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12
Q

How does CBT differ from DBT?

A

Focus: CBT primarily targets changing negative thought patterns and behaviours, whereas DBT emphasises managing emotions, improving relationships, and balancing acceptance with change.

Techniques: CBT uses cognitive restructuring and problem-solving, while DBT incorporates mindfulness, distress tolerance, and emotion regulation techniques.

Structure: CBT is generally more structured and time-limited, whereas DBT involves ongoing therapy and skills training, often in both individual and group settings.

Population: While both therapies can be used for various mental health issues, DBT is specifically designed to help individuals with severe emotion regulation problems, such as those with borderline personality disorder.

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13
Q

What is Psychodynamic Therapy?

A

Psychodynamic Therapy seeks to understand the underlying and often unconscious psychological forces that contribute to emotional distress, problematic behaviours, or difficulties in relationships.

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14
Q

What is the goal of Psychodynamic Therapy?

A

The goal of Psychodynamic Therapy is to increase the client’s self-awareness and understanding of the influence of the past on the present behaviour, which leads to greater insight into their emotional life and decision-making.

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15
Q

What is transference and countertransferance?

A

Transference: Where the client unconsciously redirects feelings and attitudes from past relationships onto the therapist. These feelings often stem from significant relationships, particularly those with early caregivers.

Countertransference: When the therapist projects their own unconscious feelings, attitudes, and experiences onto the client. This can be influenced by the therapist’s own past relationships and unresolved conflicts.

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16
Q

What are 3 psychodynamic therapy techniques to explore the unconscious?

A

Free Association: Allows unconscious thoughts to surface through spontaneous speech.

Dream Analysis: Explores symbolic representations of the unconscious in dreams.

Interpretation of Transference: Examines how past relationships influence current feelings toward the therapist.

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17
Q

What is the difference between CBT and Psychodynamic Therapy?

A

Focus: CBT is present-focused and problem-solving, targeting specific thoughts and behaviours, whereas psychodynamic therapy delves into the unconscious and past experiences to gain insight into present behaviour.

Duration and Structure: CBT is typically structured and short-term, with clearly defined goals and techniques, while psychodynamic therapy is more open-ended and long-term, with a focus on deep, lasting change.

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18
Q

What is Interpersonal Therapy?

A

Interpersonal Therapy (IPT) is a structured, time-limited form of psychotherapy that focuses on improving interpersonal relationships and social functioning to help reduce distress and improve mental health.

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19
Q

What is the premise of IPT?

A

IPT is based on the premise that psychological symptoms, such as depression, are often related to problems in interpersonal relationships.

20
Q

What are 3 goals of IPT?

A

Improve communication and problem solving skills

Enhance social support and reduce social isolation

Resolve specific interpersonal problems contributing to psychological symptoms

21
Q

What is Family Systems Therapy?

A

Family systems therapy is a branch of psychotherapy that focuses on treating family relationships to foster healing and growth.

22
Q

What is the premise of Family Systems Therapy?

A

Family Systems Therapy operates under the premise that individuals cannot be fully understood in isolation from their family unit, as families are systems of interconnected and interdependent individuals, where each member affects and is affected by every other member.

23
Q

How do IPT and Family Systems Therapy differ?

A

Focus: IPT focuses on the individual’s current interpersonal relationships and their impact on mental health, whereas Family Systems Therapy focuses on the family as an interconnected system and its dynamics.

Techniques: IPT uses techniques aimed at improving the individual’s communication and resolving specific interpersonal issues. Family Systems Therapy employs techniques that address family roles, communication patterns, and systemic conflicts.

24
Q

What is Humanistic Therapy?

A

Humanistic Therapy is a psychological approach that emphasises individual potential and stresses the importance of growth and self-actualisation.

25
Q

What is the premise for Humanistic Therapy?

A

The Humanistic Therapy method is grounded in the belief that people are inherently good and that mental and social problems result from deviations from this natural tendency.

26
Q

What does Non-Pathologising mean in regards to Humanistic Therapy?

A

Non-Pathologising in Humanistic Therapy suggests that mental health issues are not diseases or disorders but normal parts of life or reactions to environmental and societal pressures.

27
Q

What does Self-Actualisation mean in regards to Humanistic Therapy?

A

A key goal in Humanistic Therapy is helping individuals reach their full potential or self-actualisation. This is a process of realising one’s own capabilities and being motivated by the desire to fulfil one’s own potential rather than by the need to appease societal pressures

28
Q

What are 3 types of Humanistic Therapy?

A

Client-Centred Therapy (Rogers): Developed by Carl Rogers, this approach focuses on providing a supportive environment where clients can explore and understand their feelings.

Gestalt Therapy (Perls): This therapy emphasises awareness and understanding of the present moment, integrating thoughts, feelings, and behaviours.

Existential Therapy (Frankl, May): This approach explores the client’s search for meaning and purpose in life, addressing existential concerns such as freedom, choice, and responsibility.

29
Q

What is Narrative Therapy?

A

Narrative Therapy is a form of psychotherapy that focuses on helping individuals identify and reshape the stories they tell about their lives.

30
Q

What is the premise of Narrative Therapy?

A

Narrative Therapy is based on the idea that people construct their identities and make sense of their experiences through narratives. By examining and rewriting these narratives, clients can gain a better understanding of their lives and develop more empowering and positive self-stories.

31
Q

What is Deconstruction in Narrative Therapy?

A

Deconstruction is the process of breaking down and analysing dominant narratives to understand how they have been constructed and how they affect the individual. This helps clients identify and challenge societal, cultural, and personal assumptions that shape their stories and contribute to their problems.

32
Q

What is Externalisation in Narrative Therapy?

A

Externalisation involves separating the person from their problems, viewing issues as external to the individual rather than inherent to their identity. This helps clients see their problems as something they can influence and change, rather than as fixed aspects of themselves.

33
Q

How does Narrative Therapy align with and support Aboriginal Culture?

A

Emphasis on Storytelling: Storytelling is a fundamental part of Aboriginal cultures, used to convey knowledge, traditions, and values across generations. Narrative Therapy values personal and communal narratives, making storytelling a central component of the therapeutic process.

Holistic Approach:
Aboriginal perspectives on health and well-being are holistic, considering physical, emotional, spiritual, and social dimensions.
Narrative Therapy addresses the interconnectedness of individuals’ personal, familial, and community narratives, acknowledging the broader social and cultural contexts.

Collective Identity and Community Focus:
Aboriginal Culture emphasises collective identity, community involvement, and the importance of relationships. Narrative Therapy: recognizes the impact of social and cultural narratives on individual identity, supporting the exploration of these narratives within a community context.

Empowerment and Resistance:
Aboriginal Communities have a history of resilience and resistance against colonisation and cultural oppression. By externalising problems and focusing on unique outcomes, Narrative Therapy empowers individuals to reclaim and re-author their stories, fostering resilience against oppressive narratives.

34
Q

How does Narrative Therapy differ from CBT?

A

Focus:
Narrative Therapy centres on the stories and narratives that shape an individual’s identity and experiences.
CBT: Centres on changing specific thought patterns and behaviours that contribute to distress.

Techniques:
Narrative Therapy uses techniques like externalisation, deconstruction, and re-authoring of stories.
CBT uses techniques like cognitive restructuring, behavioural experiments, and skills training.

35
Q

What is Solution Focused Therapy?

A

Solution-Focused Therapy (SFT) is a type of talking therapy that’s designed to encourage positive change rather than focusing on past problems.

36
Q

What is the premise of Solution Focused Therapy?

A

Solution Focused Therapy (SFT) is based on the premise that clients possess the resources and strengths needed to solve their problems. Instead of focusing on the origins and details of problems, SFT emphasises building solutions and envisioning a desired future.

37
Q

What are Scaling Questions in Solution Focused Therapy?

A

Scaling Questions: Clients rate their current position on a scale from 0 to 10 regarding their progress towards their goals, helping to measure improvement and identify steps forward.

38
Q

What is the Miracle Question in Solution Focused Therapy?

A

The Miracle Question is a technique used in Solution Focused Therapy (SFT) to help clients envision how their life would be different if their problems were suddenly resolved.

The Miracle Question aims to help clients articulate their desired future without the constraints of their current problems. It shifts the focus from problems to solutions and possibilities, encouraging clients to think creatively about change.

39
Q

How does Solution Focused Therapy differ from CBT?

A

Focus:
SFT centres on building solutions and the desired future, emphasizing the client’s strengths and resources. CBT focuses on identifying and changing negative thought patterns and behaviours to alleviate distress.

Therapeutic Relationship:
In SFT the therapist acts as a facilitator, empowering clients to discover and build their own solutions. In CBT the therapist takes an active, directive role in guiding the therapy process and teaching skills.

Time Orientation:
SFT focuses primarily on the future and what the client wants to achieve. CBT addresses present thought patterns and behaviours with an eye towards future outcomes and prevention.

40
Q

What is Motivational Interviewing?

A

Motivational Interviewing (MI) is a client-centred, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence.

41
Q

What is the premise for Motivational Interviewing?

A

Motivational Interviewing (MI) is based on the premise that individuals have the inherent capacity and desire for change.

MI is grounded in the principles of collaboration, evocation, and autonomy, creating a supportive environment that empowers individuals to find their own motivations and solutions for change.

42
Q

What is Ambivalence in Motivational Interviewing?

A

Ambivalence refers to a state of having mixed or contradictory feelings about change. It is a common experience for individuals contemplating behavioural change, where they simultaneously hold positive and negative views about making a change.

43
Q

What are the primary applications for Motivational Interviewing?

A

Substance Use Disorder

Health Behaviours (e.g. diet, exercise)

44
Q

What are the 5 stages in the Stages of Change Model in regards to Motivational Interviewing?

A

Precontemplation
Contemplation
Preparation
Action
Maintenance

45
Q

Is Motivational Interviewing a behaviour therapy?

A

Motivational Interviewing (MI) is not traditionally categorized as a behaviour therapy. While it shares some common goals with behaviour therapies, such as facilitating change in behaviour, MI is distinct in its approach and methodology.

46
Q

What is the difference between Motivational Interviewing and CBT?

A

MI: Focuses on enhancing the client’s motivation to change by resolving ambivalence and eliciting change talk.

CBT: Focuses on changing specific thought patterns and behaviours to alleviate psychological distress.