UNC-Chapel Hill PSYC 101 - psychology-101-fall-2014-treatment-student-version (31 pages)

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psychology-101-fall-2014-treatment-student-version



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psychology-101-fall-2014-treatment-student-version

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Pages:
31
School:
University of North Carolina at Chapel Hill
Course:
Psyc 101 - General Psychology
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Treatment for Psychological Disorders David L Penn Ph D Psychology 101 Clients Who Seeks Therapy 15 of U S population in a given year Full range of human problems Women more than men Medical insurance Education level Figure 14 1 Therapy utilization rates Who Provides Treatment Social Worker 2 year masters degree trained in therapy and case management Psychiatrist M D and residency specialty in psychology Prescribe medication Psychologist typically grad school 5 years for PhD Trained in therapy and assessment All therapy is not the same Insight Oriented Therapies Psychodynamic therapy Goal is therapeutic insight and working through conflicts Techniques Free association talking without filter Interpreting resistance bring to clients attentions when the client is trying to resist therapy ex change of topic Dream analysis latent content versus manifest content Transference patient plays out unresolved conflicts with others in a therapeutic situation ex issues with father so they behave towards therapist as they act towards their father Counter transference The therapist acts towards the client as they would act to someone they know like them unconscious behavior Humanistic approaches ClientCentered Therapy Goal of therapy Help the individual eliminate the obstructions that stand in the way of congruence i e a self concept in line with the self Major elements of therapy Therapeutic alliance Unconditional positive regard Genuineness 55 Fig143 BASIC HUMAN NEEDS Need for self actualization Need for positive regard OTHERS RESPONSES RESULT Unconditional positive regard Self actualization SELF GUIDES Conditional positive regard MENTAL HEALTH EFFECTS Self ideals Sadness Disappointment Depression Self oughts Anxiety Shame Guilt Selfdiscrepancies Humanistic Approaches Client Centered Therapy Assumptions Treatment is an encounter among equals Clients will improve on their own given the proper conditions The client must be totally accepted and supported as a human being in therapy Clients are responsible for choosing how they will think and act Important ingredients of insight therapies Common non specific factors Expectations and insight Behavioral Therapies cousin to CBT Based on Learning theory like operant conditioning and classical conditioning Components of therapies Good therapeutic relationship therapeutic alliance with therapist Consequences people stop coming Listing of behaviors thoughts to be changed identify key behaviors that need to be changed Helps keep tract of progress Therapist as a teacher teaching them a skill Continuous monitoring and evaluation of treatment and problem behaviors Assessment oriented Behavioral Therapies based on classical conditioning Exposure exposure to what they re afraid of and prevent them from escaping Imaginal think about what you re afraid of in you re mind In vivo exposure in real life Elimination of avoidance habituation Systematic desensitization exposing them in small steps paired with relaxation Develop fear hierarchy Teach relaxation response Pair feared item with relaxation Move up hierarchy Aversion therapy pairing a behavior you want to get rid of you pair it wit something aversive ex every time you smoke you get a shock Limitation it may not last You not only want to get rid of the bad behavior but promote good behavior Video jimmy kimmel and lie detector with kid Figure 14 6 Figure 14 6 Example of an anxiety hierarchy Systematic desensitization requires the construction of an anxiety hierarchy like the one shown here which was developed for a woman who had a fear of heights but wanted to go hiking in the mountains Source Rudestam K E 1980 Methods of self change An ABC primer Belmont CA Wadsworth Copyright 1980 by Wadsworth Publishing Reprinted by permission of the author Figure 14 8 Aversion therapy Behavior Therapy techniques based on operant conditioning Time out time out from reinforcement removed from situation so you can t get reinforced for your bad behavior Token economy giving rewards to people if they meet certain target behaviors ex in mental hospitals they use to give cigs to people if they woke up before 8 and made it to their class Social skills training usually for people who have impairments in social ability Strategies that teach people how to interact more effectively ex Social Skills Training Describe skill ex starting convos Model skill demonstrate the skill Role play the patient tries and practice skill Positive and corrective feedback give feedback ex next time give better eye contact Home practice outside therapy Video group social skills training made up scenario about McDonalds and Burger King Cognitive Behavioral Therapies Basic assumption Thinking affects how we act and feel Techniques Monitoring of thoughts behaviors Modeling Cognitive restructuring Albert Ellis and Gloria 59 Fig151 ACTIVATING EVENT IRRATIONAL BELIEFS ABOUT NEGATIVE CONSEQUENCES ACTIVATING EVENT Final exam night I m stupid If I don t get an A I m worthless Fear severe anxiety Poor test performance 3 year old son throws tantrum I m an incompetent parent Guilt Lack of effective discipline Boss does not give you raise I must get a raise or else the world isn t fair Righteous indignation Loss of motivation How You Think and Act Affects How You Feel and How You Feel Affects how you Act and Think The Cognitive behavioral Model Nobody likes me Thoughts Behavior I am a failure People want to hurt me Mood Isolation Depression Avoidance Anxiety Procrastination Fear Thought Record Situation Behaviors Gave up Grading trying papers Turned on the TV Emotions Bad Depressed Overwhelmed Discouraged Thoughts I can t even grade papers If I can t even grade 1 paper I might as well give it up There is no way I am ever going to be good at this I am a bad teacher I will never be good at this There is no point in Responses Other types of therapies Group therapy Family therapy Community Mental Health Movement Began in the 1960s The goal is to treat people in their home communities and to promote social and environmental changes that would minimize or prevent psychological disorders Associated with deinstitutionalization Biological Approaches Tranquilizers anxiety disorders Antidepressants SSRIs Lithium mood disorders Antipsychotics schizophrenia Typical Atypical ECT depression BIOLOGICAL TREATMENTS FOR PSYCHOLOGICAL DISORDERS Method Typical Disorders Treated InRev16b Possible Side Effects Mechanism of Action Electroconvulsive therapy ECT Severe depression Temporary


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