treatment of psych disorders Flashcards
First belief of mental disorders
treatment
Humans were obsessed by spirits and demons and the there something wrong with the brain or it was disconnected from the body.
Trephining - Making holes in the human skull to allow evil spirits to escape
Second (biological) belief for disorders
Imbalances in the 4 humors of the body.
Blood
yellow bile
black bile
phlegm
given by hippocrates
Middle age belief of disorders
They went back to demonology and hunted them down
‘witch hunt’
Renaissance belief
First time they considered interpersonal changes as causes of disorders.
Enlightenment age
2 important reformers
Philippe Pinel
Dorotha Dix
Started being more scientific and logical.
What happened in the 1950s
Deinstitutionalization - people with disorders shouldn’t be in asylums, instead they should be with their families and community, who should all support them.
What is the current stage of belief of disorders
What is the name
Bio-psycho-social stage
Considers all factors of a mental disorders
What are the prevention efforts in the US
Primary - reduce any incidence of societal problems such as joblessness, homelessness, etc which could give rise to mental disorders
Secondary - Help specific ‘at-risk’ people for eg people who live in a region that has exp’d a natural disaster
Tertiary - prevent disorders from getting worse
What is symptom substitution
What school of thought
Psychoanalytical
After a psychological disorder is resolved, patients will experience another one via a diff symptom.
Psychoanalytical
Overarching treatment name
Overarching Treatment objective
types of therapy under the main treatment
why those are used
Insight therapy - want to delve into the unconscious mind and the latent content of the mind.
Types:
Free association - speak whatever comes to mind uncensored. Used to make ego drop its guard and then therapist can see the id.
Dream analysis - Patient’s dreams and interpreted by therapists since dreams are a roadmap to the unconscious.
What is resistance (psychoanalysis)
some ways resistance can manifest itself
Objections of the client towards the therapist’s interpretations. Usually more resistance = therapist is getting closer to the root problem.
Changing the topic
Cancelling sessions
coming late to sessions.
What is confrontation
What is clarification
Confrontation - Working through the resistance
Clarification - make sure the therapist and client are on the same page.
What is transference
is it good/bad and why
Displacing the strong feelings of someone else onto the therapist
Usually good since it gives an insight into the unconscious feelings.
What is counter-transference
good/bad and why
Therapist project their feelings onto the clients.
Its bad since it can cloud judgement and could cause bias in interpretations.
What is the termination phase of insight therapy
Sessions that help client dethatch from therapy and the therapist.
What is the cause of disorders in psychanalytical
Intrapsychic conflicts
Nature of client and therapist in psychoanalytical
Therapist understand the client better than the client themselves.
They interpret client’s thoughts and feelings.
Chief benefit for the client (psychanalytical)
Emotional insight.
Duration of psychoanalytical treatment
Several years, at least 10 to 15 sessions.
How did cause come into existence for psychoanalytical
Unfulfilled desires of childhood and unresolved childhood fears.
Cause that led to the problem in HUMANISTIC
therapy used
Questions about meaning of one’s life and existence \
Client centered therapy
Gestalt therapy
Logotherapy
How did cause come into existence for HUMANISTIC
Existential therapy places importance on present. It is the current feelings of loneliness, alienation, sense of futility of one’s existence cause psychological problems.
Explain the therapies in Humansitc
Logo - Therapist emphasizes the unique nature of patient’s life and encourage them to find meaning in their life.
Client centered - helps the client understand ‘self’ better and reduce discrepancy between real and ideal self by reflection of their feelings non-judgmentally.
Increase self -awareness and acceptance.
Gestalt therapy - Get in touch with whole self and understanding all thoughts, feelings, etc. Encourage the client to act out their fantasies
Nature of the therapeutic relationship between the client and therapist (humanistic)
Therapy play a passive role and only provide a warm, empathetic relationship with unconditional positive regard.