treatment Flashcards
what is the purpose of treatment
to help people function better
insight therapies
goal: give insight into your own thoughts and feelings
psychoanalysis
freud: anxiety and maladaptive behaviors come from past
psychiatrist remains neutral throughout
will help interpret the patient’s statements to help them gain into their own thoughts.
hope is the neutrality will lead to TRANSFERENCE.
gestalt therapy
PEARLS
you must have an accurate perception of yourself and your needs.
experience can become unbalanced when a person avoids awareness of unpleasant events.
gestalt: therapist client relations
therapist is active and develops a relationship with client
patient is seen as a collaborator who must learn to self heal.
gestalt: therapy focus
immediate experience is actively used
therapist helps clarify thinking and comes to a mutual decision on what fits the patient.
gestalt strategies
inclusion: putting oneself into the experience of the other w/o judging or interpreting.
presence: express self to patient.
therapist will share observations.
“empty chair” talk to your own thoughts
be aware of your thoughts.
client centered therapy
carl rogers
CCT general theory
people are basically good and healthy. mental health is a normal progression of life.
mental illness, criminality, and human problems are a distortion of our natural tendency.
actualization tendency: built in motivation present in every life form to develop its potential to the fullest
what do people need in CCT
positive regard
unconditional positive regard
self regard= self esteem, self worth, and self image
achieve this by getting positive regard from others
society leads us astray with conditions of worth
conditional positive regard causes us to like ourselves only if we meet other people’s standards.
incongruity
gap between real self and ideal self.
situations leading to this are avoided (dont check grades)
CCT approach goal: existential living
live in the here and now
CCT approach goal: organismic trust
trust yourself, do what feels right or comes neutral.
CCT approach goals: experiential freedom
be free to make life choices and be responsible for them.
roger’s defense mechanisms: denial
block out the threatening situation
rogers defense mechanisms: perceptional
reinterpret the situation so it seems less threatening.
rogers therapy
do not lead the client
client must say what is wrong and must find ways to improve
reflection: mirror emotional communication.
3 qualities of a therapist
congruence: genuine and honest
empathy: feel what the client feels
respect: acceptance; unconditional positive regard.
problems with insight therapies
non scientific methodology
requires patient motivation
requires great amount of time
does not work for biological issues.
cognitive therapy
change abnormal behaviors by changing maladaptive thought patterns.
rational emotive therapy (RET)
albert ellis
our beliefs about events shape the way we respond.
irrational beliefs give rise to our problems and magnify them. (feeling like you have to prove yourself)
ABC theory
a: activating conditions
b: belief systems
c: emotional consequences
psychiatrists
active and direct
challenge clients to express their beliefs and are shown that those beliefs lead to misery
RET types of difficulties
practical: flawed behavior or placing yourself in undesirable situations
emotional: anger, sadness, guilt.
RET lessons
- ) take responsibility for your own distress.
- ) identify your musts.
- ) confront and question your demands
beck’s cognitive therapy
aaron beck
the patient and therapist must work together
behavior therapies
concentrate on changing behavior and ignore feelings and thoughts
task is to replace maladaptive behaviors
wolpe
desensitization therapy
rehearse stressful situations until the patient is able to handle fear inducing object.
flooding: present the phobia directly and immediately
aversive conditioning
associate pain and discomfort with the behavior they want to unlearn
antipsychotic medication
works on dopamine levels
blocks dopamine receptors
thorazine
muscle movement that can be permanent
MAO
inc serotonin and norepinphrine in brain
prozac reduces re uptake of serotonin
lithium
used to treat mania and bipolar disorder
ECT
electroconvulsive therapy 12-16 rounds over a month memory loss brain damage death
group therapies
offers support
patient learns how to express feelings, and listen to
family therapy
work to improve family communication and family dynamics
primary prevention
improve overall environment
secondary prevention
suicide hotline, counselors, etc
tertiary prevention
help the patient adjust to the community after hospital release
