Unit XIII - Treatment of Abormal Behavior Flashcards
psychotherapy
treatment involving PSYCHOLOGICAL techniques; consists of INTERACTIONS
between a trained THERAPIST and someone seeking to overcome psychological DIFFICULTIES or achieve personal GROWTH
biomedical therapy
prescribed MEDICATIONS or PROCEDURES that act
directly on the person’s PHYSIOLOGY
How might an illness be treated in psychotherapy?
EXPLORE a client’s early RELATIONSHIPS, encourage the client to adopt new ways of THINKING,
or coach the client in replacing old BEHAVIORS with new ones.
How might an illness be treated in biomedical therapy?
prescribe ANTIDEPRESSANTS for a person with severe depression or may suggest, ELECTROCONVULSIVE SHOCK THERAPY (ECT), or DEEP-BRAIN STIMULATION
What is the eclectic approach to psychotherapy?
an approach to psychotherapy that uses
techniques from VARIOUS forms of therapy
eclectic psychotherapy example
therapist may use DREAM INTERPRETATION or FREE ASSOCIATION during sessions (psychoanalytic), but also help you to change your flawed or faulty THINKING PATTERNS (cognitive).
What is psychoanalysis?
patient’s
free associations, resistances,
dreams, and transferences—and the therapist’s interpretations of them—released previously
repressed feelings, allowing the patient to gain self-insight
What are the underlying beliefs of psychoanalysis?
I - in therapy, people could achieve HEALTHIER, LESS ANXIOUS living by RELEASING
the energy they had previously devoted to ID-EGO-SUPEREGO CONFLICTS
II - we do not fully know ourselves - REPRESSION
How does free association work?
Telling the therapist whatever may come to mind in a RELAXED state
How does our editing of our thoughts happen?
NOTICING certain qualities of thoughts -> trivial, irrelevant, or shameful
Changing topics
What is resistance?
BLOCKING from
CONSCIOUSNESS of ANXIETY-LADEN material
How can an analyst notice resistance?
mental BLOCKS & EDITING during free association
ANXIETY -> INSIGHT
What is interpretation?
analyst’s NOTING supposed
dream meanings, resistances, and other SIGNIFICANT BEHAVIORS and EVENTS in order to promote INSIGHT
How might interpretation help with therapy?
USED at the RIGHT moment can ILLUMINATE underlying wishes, feeling, & conflicts
What is transference?
patient’s TRANSFER to the analyst
of EMOTIONS linked with other RELATIONSHIPS
How does transference appear in the interaction with your therapist?
experiencing strong positive or negative feelings for your analyst
TRANSFERRING feelings experienced in earlier relationships
What are some drawbacks to traditional psychoanalysis?
RARELY offered
NOT supported by RESEARCH
SUBJECTIVE
EXPENSIVE
What is psychodynamic therapy?
therapy deriving from the PSYCHOANALYTIC tradition; views individuals as responding to UNCONSCIOUS forces and CHILDHOOD experiences, and seeks to enhance SELF-INSIGHT
psychodynamic therapy vs psychoanalysis
Don’t talk about id-ego-superego conflicts
Tries to help by FOCUSING on important RELATIONSHIPS,
What are some differences in psychodynamic therapy?
OCCASIONAL client-therapist meetings
FACE-TO-FACE interactions
EXPLORATION of feelings
What are the insight therapies?
therapies that aim to IMPROVE psychological
functioning by increasing a person’s AWARENESS of underlying MOTIVES and DEFENSES
Insight therapies examples
psychodynamic
humanistic
In what ways is humanistic therapy different from psychoanalytic therapy?
BOOST people’s SELF-FULFILLMENT -> self-awareness and self-acceptance taking IMMEDIATE RESPONSIBILITY PROMOTING GROWTH CONSCIOUS thoughts -> important focuses on PRESENT & FUTURE
What is client-centered therapy?
humanistic therapy, developed by Carl Rogers, in which the therapist uses techniques such as
ACTIVE LISTENING within an ACCEPTING, GENUINE, EMPATHETIC environment to facilitate clients’ GROWTH
Client-centered therapy is non-directive which means
Client leads the discussion
What were Carl Roger’s beliefs about growth
MOST people possess resources for GROWTH
Encourages therapists to exhibit ACCEPTANCE, GENUINENESS, AND EMPATHY.
How to help clients achieve the beliefs?
When therapists enable their clients to feel unconditionally ACCEPTED , drop their FACADES and genuinely EXPRESS their true feelings, and EMPATHICALLY sense and reflect their clients’
feelings, the clients may DEEPEN
their self-understanding and self-acceptance.
What is active listening?
EMPATHETIC listening in which the listener ECHOES, RESTATES, AND CLARIFIES
How does active listening impact modern therapy?
Active listening is now an accepted part of counseling practices in many schools, colleges, and clinics.
What is unconditional positive regard?
a CARING, ACCEPTING, NONJUDGMENTAL attitude, which Carl Rogers believed would help clients
DEVELOP SELF-AWARENESS AND SELF-ACCEPTANCE
How does unconditional positive regard help people?
people
may accept even their worst traits and feel valued
and whole.
How can we listen more actively?
paraphrase
invite clarification
reflect feelings
paraphrase
Check your understanding by SUMMARIZING the person’s words out loud, in your own words.
invite clarification
“What might be an example of that?” may ENCOURAGE the person
to say more.
reflect feelings
“It sounds frustrating” might MIRROR what you’re sensing from the
person’s body language and intensity.
How does behavior therapy differ from psychodynamic and humanistic therapy?
BEHAVIOR THERAPISTS assume that PROBLEM BEHAVIORS ARE THE PROBLEMS.
How does insight therapies expect people’s problem to diminish?
By gaining INSIGHT into their unresolved
and UNCONSCIOUS tensions and as people get in touch with their FEELINGS.
How can maladaptive behaviors be learned?
Humans LEARN behaviors & emotions through CLASSICAL CONDITIONING
Learned maladaptive behvaiors includes …
phobias, anxiety, depression
What is counterconditioning?
behavior THERAPY procedures that use classical CONDITIONING to evoke new responses to STIMULI that are triggering UNWANTED behaviors
Counterconditioning includes …
exposure therapies and aversive conditioning.
Pairing the fear-provoking stimulus with new, positive responses can
can change the behavior.
What are exposure therapies?
behavioral techniques that treat anxieties by EXPOSING people
(in imaginary or actual situations)
to the things they FEAR AND AVOID
Exposure therapies includes
desensitization and virtual reality exposure therapy
Exposure therapies try to change people’s reaction by
repeatedly exposing them to
stimuli that trigger unwanted reactions.
ADAPTATION
What is systematic desensitization?
a type of exposure therapy that ASSOCIATES a PLEASANT relaxed state with GRADUALLY increasing
ANXIETY- triggering stimuli
What is one way systematic desensitization can be used?
develop an anxiety HIERARCHY of stimuli that are causing fear and help the patient to WORK through each step on the hierarchy,
How does systematic desensitization work?
flying phobia
I -> relax when looking at airline sale ads
II -> relax when driving by airport
III -> relax when visiting museum of aircraft
EVENTUALLY, patient sit on plane
What is virtual reality exposure therapy?
a counterconditioning
technique that treats anxiety through CREATIVE ELECTRONIC SIMULATIONS in which people can SAFELY face their GREATEST fears
How does virtual reality exposure therapy work?
Wears VR goggles
VIVID simulations of feared stimuli
What is aversive conditioning?
type of counterconditioning that associates an UNPLEASANT STATE with an UNWANTED BEHAVIOR
Aversive conditioning example
treat nail biting, the therapist may suggest painting the fingernails with a nasty-tasting nail polish.
How does aversion therapy work?
Drug = US -> nausea = UR Alcohol = NS + Drug = US -> UR = nausea Alcohol = CS -> Nausea = CR
What is behavior modification?
REINFORCING behaviors considered DESIRABLE, and FAILING to reinforce—or sometimes PUNISHING—behaviors considered UNDESIRABLE
How do therapists practice behavior modification?
In a step-by-step manner, they rewarded closer and
closer approximations of the desired behavior.
What research has been conducted on behavior modification?
19 withdrawn, uncommunicative 3-year-olds with AUTISM
Parents ATTEMPTED to shape BEHAVIOR by positively reinforcing desired behaviors/ ignoring negatived behaviors
What were the results of the study?
By first grade, 9 of the 19 were functioning successfully in school and exhibiting normal intelligence.
Compared to 40 autistic children not undergoing treatment, only one showed similar improvement
What is a token economy?
OPERANT conditioning procedure in which people earn a TOKEN for exhibiting a DESIRED behavior and
can later exchange tokens for PRIVILEGES or treats
What can be used as a token?
a chip, stamp or other non-monetary item
What are two criticisms of behavior modification?
How DURABLE are the behaviors? -> DEPENDENCY on EXTRINSIC rewards
Is it RIGHT for one human to control another’s behavior? -> FREEDOM to choose
What is cognitive therapy?
therapy that teaches people new, more ADAPTIVE ways of THINKING
Cognitive therapy is based on the assumption that thoughts …
INTERVENE between EVENTS and our emotional REACTIONS
What is the cognitive perspective on psychological disorders?
The person’s emotional reactions are produced NOT directly by the EVENT but by the person’s
THOUGHTS in RESPONSE to the event.
How can internal beliefs so that two outcomes are possible from losing a job?
I- I’m worthless. It’s hopeless. -> DEPRESSION
II - It wasn’t a good fit. I deserve something better. -> NO DEPRESSION
What is rational-emotive behavior therapy (REBT)?
CONFRONTATIONAL cognitive therapy, developed
by Albert Ellis, that VIGOROUSLY CHALLENGES people’s ILLOGICAL, SELF-DEFEATING attitudes and
assumptions
According to Albert Ellis, many problems arise from
IRRATIONAL THINKING
How has Aaron Beck contributed to the field?
Realized CHALLENGING people’s automatic NEGATIVE thoughts could be THERAPEUTIC
CHANGING people’s THINKING can change their FUNCTIONING
What is catastrophizing?
relentless,
overgeneralized, self-blaming behavior
Catastrophizing before the test
“This test’s probably going to be impossible. Everyone seems so relaxed and confident. I wish I were better prepared. I’m so nervous I’ll forget everything.”
What cognitive therapy techniques reveal beliefs?
I ->Questioning interpretations
II ->Ranking thoughts & emotions