Psyc 100 1st Edition Lecture 28Outline of Last Lecture I. Psychotic DisordersII. Dissociative DisordersIII. Eating DisordersIV. Personality DisordersOutline of Current Lecture I. Personality DisordersII. Therapy Current LecturePersonality DisordersCLUSTER B: Dramatic, emotional or impulsive behaviorsAntisocial: Disregard for others Lacks conscience, remorse DeceitfulEx: Timothy McVeigh – Bombing of Federal building and daycare next doorBorderline Unstable relationship pattern Sees things in black and white only (no in between) Attention seeking Self-destructive behaviorsThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.Ex: Fatal attraction – Glenn CloseNarcissistic Egocentric world Self-importance Entitles, arrogant, overly self – importantEx: Tracy Morgan’s character on 30 rockHistrionic Excessively emotional Attention seeking – must be center of attention Shallow and shifting emotionEx: Most of the “housewives” on reality showsCLUSTER C: Anxious and fearful behaviorsAvoidant: Socially inhibited Avoids interpersonal contact Fear they won’t be likedEx: Shy person to the extremeDependent: Can’t make everyday decisionso Depends on other for every move they make Can’t initiate Won’t disagree with othersObsessive-Compulsive Unlike syndrome:o Life-long, doesn’t come and goo Less extreme Preoccupied with lists All work and no play Perfectionist/inflexible Pack rato Ex: Monica from “Friends”PsychotherapyTwo types: Traditional Psychotherapies (Psychoanalysis)o Goal: Help client gain and understanding of the unconscious, unresolved conflicts, repressed childhood experiences through therapist interpretation and client insight.o How/when/where: Individual therapy in office 4-5 times/week for several years Therapist is neutral, only talk to interpreto Techniques: Dream analysis Free association Resistance Insighto Relationship with therapist: Transference – Transfer emotion onto therapist Behavioral Therapyo Goal: Change the problem behavior, no thoughts, no reflect on pasto Techniques: From classical conditioningo Aversion Therapy Pair behavior with a negative event to extinct it- Ex: Smoking cessation programso Exposure People are confronted gradually or suddenly to a feared stimulus but withno bad outcome (positive event).- Eventually the anxiety will be extinguished. Systematic Desensitizationo Create anxiety hierarchyo Teach relaxation techniqueso Pair relaxation with anxious stimulus Ex: Fear of snakeso Anxiety Hierarchy Hold the snake in your hands See free snake from up-close See a real snake in its cage Behavioral Therapy (cont.)o Techniques: From operant conditioningo Token economy Who: Used with schizophrenics, adolescents How: Create a system where certain behaviors are rewarded with tokens, money Client Centered Therapyo Goal: Help the client solve their own problems by creating a warm, calm environment, and granting autonomyo How – Non – directive, collaborative approach Genuine Accepting Empathico Techniques: Reflection – repeat back what they say in their own words Body language – eye contact, lean forward Unconditional positive regard – T is always on the client’s side Empathy – T tries to show the client they feel their pain Cognitive Therapyo Goal: To change the way in which we think about things Change thinking from destructive → constructive Automatic thoughts (usually negative) color our feelingso Techniques: First : Identify irrational or maladaptive thoughts- Automatic thoughts- Black and white thinking- Overgeneralizations Then: Challenge the thoughts- Come up with a ration interpretation of the situation Contemporary Psychotherapieso Combines elements from both behavioral and cognitive therapyo Shows how distortions in thinking (cognitions), cause bad feelings, which affects behavior Psychodynamic therapyo Explores the aspects of the self that are not fully knowno Uses therapy relationship to uncover these aspects Similar to psychoanalysis but less intense Shorter duration Therapist more active More focused on the present Interpersonal Therapy – short term therapy that examines the context of current social relationshipso Focus: o Conflicts with otherso Social skillso Role transitionso Grief Systemic Therapies – Client is not an individual but rather a member of a systemo Interactions of groups, their patterns and dynamicso Family therapy, Couple’s
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