Tx Flashcards
Reciprocal inhibition
stronger response will inhibit the weaker (for better or worse). TX = strengthen incompatible response
Wolpe and SD - effectiveness?
Systematic Desensitization – heirarchy (anxiety v relaxation response; imagined or in vivo) »_space;> less effective tx for phobias than prolonged/intense exposure
Sensate Focus - who? stages?
Masters and Johnson – pleasure v perf. anx. — 4 stages: excitement, plateau, orgasm, and resolution
Counterconditioning applications x2 - benefits?
- Assertiveness training (v. social anxiety); 2. Aversive counterconditioning (v. deviant behs; covert sensitization uses imagination) — BENEFITS: short term; high rates of recidivism.
Txs - Social Learning Theory x3
Symbolic modeling (similar to indvdl) —- Live/in-vivo engagement w feared object —- Participant Modeling: +contact w model
Txs - Cog-Beh: Ellis
Ellis: REBT; ABC, DEF (disputing, effective philosphy, feelings new); therapist models more rational beliefs and provides fb to ct.
Meichenbaum
Meichenbaum: CBM; self-instructional training; ADHD; staged process until pt silently talks thru task then independently performs it.
Beck
Beck: CT; hypothesis testing, assignments, Socratic questioning, collaborative (>rebt), automatic thoughts; maladaptive cog triad (neg self/world/future)
Stress Inoculation Training
for PTSD; anx, anger, med probs; 3 phases: edu on coping affecting stress > skills acquisition > application in imagination and vivo (relapse prevention = learning opps)
Rehm Self Ctrl Model of Depx
response-contingent reinforcement, for adaptive behavior; depx = lack of self-reinforcement and high rates of self-punishment.
Marlatt Relapse Prevention
Addiction = overlearned habit; Learn from relapse, ID triggers and adjust.
Linehan: 4 parts of DBT
individual, telephone, skills training, therapist consultation
Freud - kinds of mental fx - 2 processes
Ego – Primary: tension reduction; Secondary: meeting demands of reality.
Millon primary defenses; plastic PD
Alloplastic (other) and Autoplastic (self) change/blame
schizoid = IQzation —- Narc = rationalizatn —- Paranoid = projection —- BPD = regression —- Histrionic = dissociation ——- Dependent = introjection ——- Antisocial = acting out.
Ego Psych - Hartmann, Frued, Erikson
Hartmann = father of ego psych; ego and id parallel processes; “conflict free sphere” (learning, mem, locomotion) —————- Anna Freud: kids; words >play, strong therapy bond > neutral. ——— Erikson: dev in resp to social crises; epigenetic sequences (mastery of prior stage); expanded ego stages into adulthood. Beh = interaction btw internal and external/social world.
Obj-relations - what are objects? goal?
Obj = relationships; Goal = integrating parts (good and bad) to attain object constancy; T is active, not neutral.
Klein (CK 1)
Splitting (good v bad) prevents obj const. Play = free association.
Winnicot (Pooh bear)
true self v false (social) self; transitional object (link to mom)
Marg Mahler
Separation and individuation in 6 stages: infant aut, symbio, differnttn, pract, rapprochment, obj cont. Maturation of independent ego fxs.
Kohut narcissism
It’s a good thing! “Primary narcissism” to get “selfobject” needs met thru mirroring, idealizing, twinship. T focus is empathic attunement, “experience near”
Neo-Freudian
Social/cult; faulty learning = maladaptive style; T examines difficulties related to ppl (tendencies misperceive/interpret beh of others)
Neo-Freud: Sullivan - 3 modes; IPT
Personality is emo exchange btw ppl; inf by Piaget cog dev. —– PROTOTAXIC (<8mos serial sensations); PARATAXIC (8-11mos sequential sensations); SYNTAXIC (12-24mos causal sensation) ——— Interpersonal therapy: 16 sesh, 4 prob areas: grief, role dispute, role transition, interpersonal deficits; No focus on transference
Neo-Freud: Horney culture
Neurosis is culturally defined; 3 neurotic trends: compliant towds, agressive towds, detachedly away
Neo-Freud: Fromm
Marx; existentialist; freedom frightens; “having” v “being” (healthier) modes
Adlerian:
sup v inf — social good v aggressive power bad; birth order matters; TX = mistaken goals and faulty assumptions; TELEOLOGICAL; STEP program (parenting)
Jungian
Self = transendent pt of psyche that encompasses all components; TX = freedom from archetypes; neurosis = non-individuation; TELEOLOGICAL; focusing (not free assn) and real relationship; transference = projection of the personal/coll uncns. Adult focus.
Humanism/Existentialism - Rogers
Client-centered: faulty learning stunts inborn capacities (true/phenomenal self v experience); TX = responsibility, clarify feelings wo judging – warmth, empathy, genuineness;
Humanism/Existentialism - Perls
Gestalt: re-owning parts: Introjection (overly compliant/gullible), projection (paranoia), retroflection (take it out on self), deflection (distance from feelings), confluence (enmeshment to avoid conflict)
Humanism/Existentialism - Glasser
Reality Therapy: Responsibility; Schools Without Failurs, juvenile delinquents prison inmates.
Berne: TA
Ego states (3); Transactions (overt/covert-social/psych); Games, Strokes (recognition +/-); Life Scripts (patterns/schemas)
Hypnotherapy
Subjective experiential change; light/med/deep trance (post hypnotic suggestion); TX asthma, pain, conversion symptoms, substance use; not good ct = paranoid, ocd; Ericksonian hypnotherapy psycholinguastic nuances + relaxation;
Biofeedback - thermal bio; electromyo; eeg, gsr
thermal = migrain, reynaud’s; combo w autogenic (warmth/heaviness) training —— EMG for post-stroke; TMJ, back pain, headaches; ——- EEG hyperactivity/seizure dx; ——- Galvanic skin resp —– gen anx (decr GSR levels)
Fam therapy - psychdyn
free from patterns rooted in past; communicate and clarify; marital SCHISM (separation threats common) v SKEW (no threat, but two v one)
Fam therapy - obj-rels
transferences and projections btw fam members; try to change one another; Framo = family-of-origin with spoue’s entire fam, then other’s entire fam.
Fam therapy - Minuchin Structural fam therapy
heirarchy w alliances and splits; boundaries (too rigid/diffuse) = triangulation, detouring, stable coalitions. therapist joins the fam and shifts positions by taking sides, blaming, and forming coalitions. lol
Fam therapy - Communications
Satir, MRI group; double bind (don’t do or else, but then…) impossible dilemma. (etio of schizo, no support); dir and indir teqs; paradoxical intervention (fight 3 hours/day)
Fam therapy - Haley; Strategic FT
combo Minuchine structural + heirarchies w communications: malfunctioning hairarchies. behavioral objectives and criteria. (Milton Erikson)
Fam Therapy - Milan Group
Circular questioning (round rosey) and rx of rituals; linear to causal thinking change, reciprical and interdependent. Rituals (parental “disappearance” outings)
Fam Therapy - Bowen
De-triangling….Differentiation is healthy; id patient; multigenerational transmission process; TX = shifting hot triangle and working with most psychologically available fam member to avoid hot triangle. Genogram
Fam Therapy - Solution Focused (questions)
Miracle (how would you know change happened); exception (when didn’t have prob); scaling question (0-10 after miracle) to reduce all/nothing thinking.
Fam Therapy - Narrative
sxs do not serve functions, they oppress ppl; re-story by externalizing sx (Sneaky poo), ID’g successes, solidify the success (what does this success say about you?)
Marital Therapy - Beh
Beh analysis; Positive reciprocity, I statements, prob solving, negotiation and contingency contracting (i’ll scratch your back if…; social exchange theory (cost:benefit), caring days)
