Other therapeutic models Flashcards
1
Q
Interpersonal therapy
A
- aims to improve interpersonal functioning
- 12-16 sessions
- gives sick role to patient
- here and now
- illness is a medical disorder but interpersonal problems can contribute
- all close relationships are inventoried
- in IPT the therapist is an explicit ally and advocate for the patient
- looks at role transitions, interpersonal disputes, grief and interpersonal deficits
2
Q
Indications for IPT
A
- comparable to imipramine
- less effective than CBT in patients with depression and comorbid personality disorders
- mild-moderate depression
- bulimia nervossa
3
Q
Dialectical behavioural therapy
A
- Marsha Lineham
- developed as treatment for Borderline Personality Disorder, especially to reduce self-harm
1. group skills training
2. individual therapy
3. phone consultantions
4. consultation team
4
Q
Key techniques in DBT
A
- DICE
- Distress tolerance
- Interpersonal effectiveness training
- Core mindfulness training
- Emotion regulation skills
DBT also involves social skills training and validation
5
Q
Cognitive Analytic Therapy
A
- Anthony Ryle
- can be used in depression, anxiety, personality disorders
- two theroretical concepts
1. procedural sequence model
2. role repertoires
6
Q
Procedural sequence model
A
- an attempt to understand aim-directed action
- traps- negative assumptions that produce consequences which then reinforce assumptions
- dilemmas- person acts as though available actions or roles are limited or polarised
- snags: appropriate goals or roles are abandoned because others would oppose them or they are thought to be forbidden
7
Q
Restricted Role Repertoire
A
- undue restriction in the total number/variety of procedural sequences (repertoire) may occur due to the impoverished environment, childhood etc
- these lead to neurotic difficulties
8
Q
Treatment in cognitive analytic therapy
A
- 16-24 sessions
- initial phase: exploration of traps, dilemmas and snags
- middle phase: working through problems with the use of diagrams exploring target problem procedures
- ending phase: both patient and therapist write goodbye letters
9
Q
CAT and EUPD
A
- in EUPD people deploy a small numnber of highly maladaptive reciprocal roles
- EUPD patients show oversensitiity to stimuli resulting in changes (hair-trigger) when changing roles
- capacity for conscious self-reflection and self-control are also impaired in borderline states
10
Q
Transactional Analysis
A
- Eric Berne
- examines interactions between people
- 3 main ego-states people consistently use:
- Parent
- Adult
- Child
11
Q
Humanistic psychotherapy
A
- originally promoted as a third force in psychotherapy
- humanistic therpaists believe that each of us has the responsibility for finding meaning in our own lives
- therapy is seen only as a way to help people to make their own choices and resolve their own dilemmas- by increasing emotional awareness
- therapist-client relationship is very important
- Client-Centred therapy
- Gestalt therapy
12
Q
Client-centred therapy
A
- Carl Rogers
- humanistic
- non-directive
- notion of self concept
- unconditional positive regard
- Q-sort technique-person sorting cards with statements on into piles
13
Q
Gestalt therapy
A
- Perls and Goodman
- Humanistic
- exisitention, focuses the patient in the present and personal responisibility
- phenomenological method- raises self awareness
- dialogical relationship: ‘presence’ is created
- field theoretic strategies-focus on realities
- experiential freedom- try something new
14
Q
Mentalisation-Based therapy
A
- derived from attachment theory
- mentalising is the capacity to perceive others and ones own actions and emotional states as meaningful
- focuses on the patient’s current mental state to build up representations of mental states
- therapy creates a ‘transitional area of relatedness’
15
Q
Eye Movement Desensitisation and Reprocessing
A
- Shapiro
- when trauma occurs it seems to get locked in the nervous system with the original picture, sounds, thoughts and feelings
- eye movements used in EMDR ‘unlock the nervous system’ (desensitise) and allow the brain to correctly process the experience
- used in PTSD
