Psychotherapy Flashcards
types of psychotherapy
- psychoanalytics psychotherapy: expressive vs supportive therapy
- cognitive therapy
- behavioral therapy
- family and couples therapy
transference vs countertransference
transference: patient onto doctor
countertransference: doctor onto patient
what is resistance
- patient’s wish to preserve the status quo
- prevents unpleasant effects/issue to surface
kandel’s experiments with aplysia
- synaptic connections altered and strengthened through regulation of gene expression connected with learning from environment
- brain is plastic and dynamic
study by vinamaki et al
- significant impact of psychotherapy on serotonin metabolism
strategies in psychoanalytic psychotherapy
- expressive and supportive
approach in expressive psychotherapy
- insight oriented, uncovering, evocative, interpretive
- goal: increase self awareness and improve object relations
indication of expressive psychotherapy
- fairly well integrated egos and capacity to sustain and detach from bond of dependency and trust
- can tolerate frustration
approach in supportive psychotherapy
- medication to suppress symptoms
- rest to remove patient
- hospitalization for protection and control
indications for supportive psychotherapy
- healthy patients with overwhelming crises
- pts with ego deficits
goal of supportive psychotherapy
- maintain usual level of functioning
- ego support
what is cognitive therapy
- short term structured therapy
- active collaboration between therapist and patient
- change the view of the patient
- goal: identify and alter cognitive distortions that maintain symptoms
cognitive triad of depression
- cognitive dysfunctions
- consequences of cognitive dysfunctions
- changing way person thinks = alleviate disorder
what is behavioral therapy
- changing pts behavior to reduce dysfunction and improve quality of life
- focus on physical events to control behavior
what is group psychotherapy
- select patients
- guided by trained specialist
- help one another effect personality change
- must have common denominator
goals of family therapy
- change in relational functioning
- change in dynamics
- entire family unit is patient
in couples therapy ___ is the patient
couple/relationship and its dynamics, not individuals
goal of psychosocial rehabilitation
integration to society
psychosocial rehabilitation involves
- decrease symptom severity or distress
- avoid hospitalization
- improve functioning and satisfaction with life
what is milieu therapy
- group and social interaction
- structured environment to effect change
- hospital wards, halfway houses, rehab centers
what is psychoeducation
- educate patient and family about illness
- patient is partner in treatment
