Types of therapy Flashcards

1
Q

Brief psychodynamic psychotherapy

A
  • Alexander and French
  • time limited treatment based on psychoanalysis and psychodynamic theory
  • focused on here and now
  • goal setting and identification of anxiety
  • focused choosing of problems
  • active interpretation
  • create heightened emotional contexts conducive to change
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2
Q

Supportive psychotherapy

A
  • includes counselling and supportive techniques used when offering psychiatric follow up
  • offers practical and emotional support
  • reality testing
  • ego support
  • aim to reestablish usual level of functioning
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3
Q

General systems theory

A
  • Ludwig von Bertalanffy
  • a system is a set of interconnected components that form a whole
  • the components show properties of the whole rather than of individual components
  • cycles of feedback between different components within the system continuously create and re-create a basis for interaction
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4
Q

Models of Family therapy

A
  • Dynamic
  • Structural
  • Family Systems Approach
  • Strategic
  • Psychoeducational
  • Behavioural
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5
Q

Dynamic Family therapy

A
  • looks at formation of alliances within family members
  • therapists seek to establish an intimate bond with each family member
  • Family sculpting occurs when family members are physically arranged in a scene depicting an individual view of relationships
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6
Q

Structural Family therapy

A
  • looks at behaviours that disrupt the family structure
  • families need clear rules and hierachies
  • therapist challenges interactions between generations
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7
Q

Family Systems Approach

A
  • emphasises one’s ability to retain individual self in the face of familial tension
  • an emotional triangle is a 3 party system where closeness of two family members tends to exclude a third
  • degree of enmeshment is analysed and the therapist maintains minimal emotional contact with family members
  • genograms used
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8
Q

Strategic family therapy

A
  • aims to find the positive in a system and build on them
  • positive reframing is carried out
  • domino effect-if one problem is addressed it leads to a reduction or resolution of other problems
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9
Q

Psychoeducational family therapy

A
  • objective is to enhance family support and reduce stress
  • used in HEE in schizophrenia
  • focuses on families understanding factors that affect stress levels
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10
Q

Behavioural family therapy

A
  • aims to closely observe and evaluate behaviours in the family so as to identify problems and make specific interventions
  • treatment is symptom focussed and time limited
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11
Q

Milan systemic approach

A

(Palazzoli)

  • great emphasis on circular and reflexive questioning
  • in a circular fashion each family member is asked to comment and reflect on each other’s response
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12
Q

Paradoxical therapy

A
  • George Bateson
  • therapist makes the patient unintentionally engage in the unwanted behaviour (called the paradoxical injunction)- like avoid the phobic object
  • this gives new insight
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13
Q

Systematic desensitisation (Wolpe)

A
  • based on the theory of counterconditioning and reciprocal inhibition
  • needs relaxation training, hierachy of anxieties, desentisation of the stimulus
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14
Q

Progressive relaxation

A
  • Jacobson

- patients relax muscle groups in fixed order starting from small muscle groups working upwards

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15
Q

Autogenic training

A

-method of self-suggestion where the subject directs their attention to specific body areas whilst carrying out a relaxation exercise

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16
Q

Massed negative practice

A
  • used in tic disorder

- patient is asked to perform the tic movement for specified periods of time, interspersed with periods of rest

17
Q

Social skills training

A
  • used in lots of setting for schizophrenia and other illnesses
  • basic model- social repertoires are broken down into steps
  • social problem solving-targets areas that need change
  • cognitive remediation model-targets fundamental cognitive impairments like attention or planning
18
Q

Behavioural analysis

A
  • what is the function of the behaviour?

- antecedents-behaviour-consequence approach

19
Q

Cognitive therapy

A
  • used in non-psychotic disorders
  • looks at thoughts-feelings-action
  • Aaron Beck
  • negative automatic thoughts
20
Q

Maladaptive cognitive assumptions

A
  • MOSPAD-C
  • minimisation and magnification
  • over-generalising
  • selective abstraction
  • personalisation
  • arbitrary inference
  • dichotomous thinking
  • catastrophisation
21
Q

Minimisation and magnification

A

e.g you pass an exam=> I only scraped through it

22
Q

Selective abstraction

A

e.g you fail one exam and focus on this rather than considering all the exams that you did pass

23
Q

Personalisation

A

-in a work re-configuration the whole team is made redundant and you think ‘it happened because of me’

24
Q

Arbitrary inference

A

e.g I did my CASC on the last day of autumn last year and failed, the same will happen again this year

25
Q

Attentional deployment

A

-patients with panic or hypochondriasis fear certain bodily sensation and catastrophically elaborate on them

26
Q

CBT in psychosis

A
  • Turkington
  • therapeutic alliance
  • improving medication adherence
  • alternate explanation to unusual experiences
  • decreasing the impact of positive symptoms
  • graded reality testing
  • helps with stress-vulnerability model and continuum model