Psychotherapy Flashcards
what are the differences between psychotherapy and pharmacology?
- psychotherapy: TOP DOWN from subjective experience to a neurochemical level
- pharmacology: BOTTOM UP from effects on subcortical transmitter metabolism to change in mood and cognition
what are the basic principles of psychodynamic psychotherapy?
- early life experiences influence psychosocial development and current functioning
- pyschosocial history is important
- interest in internal mental life / personality structure / unconscious
which type of psychotherapy is focused on internal mental life / personality structure / unconscious?
psychodynamic psychotherapy
which type of psychotherapy is focused on repression and intrapsychic conflicts?
psychodynamic psychotherapy
what are the strengths of psychodynamic psychotherapy?
- self understanding
- characterological and structural change
- good for PERSONALITY DISORDERS, ANXIETY, DEPRESSION
what are the basic principles of behavioral psychotherapy?
- focuses on overt behaviors and environmental influences that support them
- focuses on attention on issues related to conditioning and reinforcement
- little interest in internal mental process
- emphasis on effective and rapid means of symptom reduction
which type of psychotherapy is focused on behaviors and environmental influences that support them / attention on issues related to conditioning and reinforcement?
behavioral
which type of psychotherapy has an emphasis on effective and rapid means of symptom reduction?
behavioral
what are the strengths of behavioral psychotherapy?
- easily explained and understood
- symptom focused
- works well for anxiety, phobias, conduct disorders
what are the weaknesses of behavior psychotherapy?
- cannot discuss feelings
- less effective without a cognitive component being present
which type of psychotherapy is best for anxiety / phobias?
behavioral
what are the basic principles of CBT?
- “how we feel is driven by what we are thinking”
- changing what people say to themselves in their head
- changing negative core beliefs
what are the basic principles of acceptance and commitment therapy (ACT)?
- human suffering is inevitable and normal
- coming up with explanations for our feelings and actions is counterproductive
- avoiding internal experiences is counterproductive
- increases flexibility
what are the strengths of ACT?
- used with wide range of problems
- very brief format
what are the weaknesses of ACT?
- requires an excellent therapist
- underlying therapy can be complex and difficult to explain
what are the basic principles of interpersonal therapy?
- focus on current interpersonal problems
- focus on the present social context
- focus on attention on interpersonal relationships and interaction patterns, and contributions they make to symptom formation such as grief, loss, and role transitions
what is the gist of interpersonal therapy?
problems in relationships drive problems
interpersonal therapy is beneficial for what conditions?
- depression, anxiety, some eating disorders
what are the basic principles of play therapy?
- emotional difficulties can be worked through without use of words
- games allow patient to express the emotional problem in some way or else require the patient to engage in a behavior that is difficult for them so they can practice
what are the basic principles of couples therapy? what is the focus?
- problem and goal focused
- timing is critical
- focus: contributions of each party to the couple’s difficulty (individual dynamics, attachment styles, dynamic interplay and communication styles, cultural / religious factors)
what is the family (systems) therapy? what is the focus?
- symptomatic individuals are manifestations of underlying family dysfunction - family is patient
- focus: altering interactions among family members
- attention paid to boundaries, hierarchies, communication styles, intergenerational groupings and patterns
psychological tests are sensitive to ______ and ________
context and time