Psychotherapy A 10 Flashcards
Legitimate power
legislation authorizing therapists to provide psychological services
Informational power
assumed to have a great deal of knowledge and insight into the psychological problem
Coercive power
reward (or punish) client to be compliant (or non-compliant)
What other psychosocial processes occur within all psychotherapies (non-specific) (4)
client cognitive change; client behaviour style change; client interpersonal interactive style changes (after therapy within personal life) this is (unexplained variance in Smith & Glass meta analysis)
Client cognitive behaviour changes in (3)
empathetic understanding; warmth and respect; genuineness
Client behaviour style changes in (3)
self-disclosure; self-exploration; self-understanding
Client interpersonal interactive style changes in (3)
responsibility/control of own self; engagement of problem solving; makes choices/decisions including creation/maintenance of genuine relationships with significant others
Within psychotherapy… (3)
1) there is an active ingredient (theoretical basis of therapy); 2) there are non-specific factors (placebos); 3) there are inherent non-specific changes (better person) all leading to a positive outcome
Ultimate questions (4)
1) If psychotherapy has minimal effectiveness without placebos, does this make it little more than “Sham therapy”? 2) What other factors may explain/predict the efficacy of psychotherapies? [the other 50% of the variance]; 3) If the efficacy of psychotherapy is more than particular [theoretical] interventions, then what should be in the content of Masters of Clinical Psychology programs?; 4) Should psychology focus on changing individual behaviour [helping individuals via psychotherapy] or focus on changing society [Applied social psychology?
Sham therapy
shamtherapy (placebo therapy) is a faked intervention that is used even though the therapist knows that there is no active ingredient