PSYX 100S 1st Edition Lecture 34 Outline of Last Lecture I Personality Disorders II Treatment of Psychological Disorders III Psychotherapy Process Outline of Current Lecture I Therapy Based on Behavioral Theories II Cognitive Behavioral Therapy III Insight Psychoanalytic Therapy IV Motivational Interviewing V Biomedical Treatment Current Lecture I Therapy Based on Behavioral Theories a Behavioral theory of pathology abnormal behavior is the result of learning operant classical and modeling i Classified in 2 ways 1 Behavioral excesses aggression 2 Behavioral deficit social skills b Classical conditioning techniques i Systematic desensitization client is gradually exposed to the feared object while relaxed 1 Since phobias are conditioned through classical conditioning they can be unconditioned 2 Anxiety hierarchy ranges from total relaxation to full panic on a 0 10 scale These 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 ii Flooding client is exposed directly to the feared object without being able to escape 1 Based on the principle of extinction iii Aversive conditioning stimulus previously associated with a desired behavior paired with an aversive stimulus 1 Substance abuse and sexual disorders 2 Rapid smoking extinction c Operant and social learning techniques i Stimulus control stimuli that immediately precede and follow a behavior are identified 1 Used for behavior problems in non disturbed patients studying overeating smoking ii Social skills training shaping plays a role in teaching autistic children to speak 1 Assertiveness in training II Cognitive Behavioral Therapy CBT a Combines cognitive and behavioral aspects long with feelings associated b Much empirical support III Insight Psychoanalytic Therapy Freud a Psychoanalysis theory of psychopathology neuroses psychological problems are caused by a troubling experience in early childhood i This experience results in fixation at an early psychosexual stage b Techniques of psychoanalysis i Interpretation ii Free association iii Dream analysis c Goal of psychoanalysis i Insight discovering unconscious conflicts so that they can be dealt with in a conscious rational manner ii Catharsis release of psychic energy can occur through discussing issues with someone else d Transference strong positive negative feelings from the patient to the therapist e Counter transference therapist relates to the client as s he does in earlier relationships f IV Resistance unconscious defense tactics that interfere with therapy Motivational Interviewing a Miller and Rollnick b Facilitates and engages intrinsic motivation within the client in order to change behavior c Techniques i Goal oriented ii Client centered iii Explores and resolves ambivalence iv Non confrontational d Motivational interviewing evaluates and enhances readiness to make behavioral changes e Cycle of change i Precontemplation ii Contemplation aware problem exists but no desire to take action iii Preparation recognize problem and prepare to change iv Action make change v Maintenance sustain change vi Relapse V Biomedical Treatment a Psychopharmacotherapy use of medications as treatment for psychological disorders b Antianxiety Valium Xanax Buspar c Antipsychotic only treat positive symptoms i Thorazine Mellaril Haldol ii Tardive dyskinesia side effect in which you do not have full control of appendages d Atypical antipsychotics negative symptoms treated as well e Antidepressant i Tricyclics Elavil Tofranil ii Mao inhibitors MAOIs Nardil iii Selective serotonin reuptake inhibitors SSRIs 1 Prozac Paxil Zolof f Mood stabilizers i Lithium ii Valproic acid g Pros of psychopharmacotherapy i Helpful for many disorders ii Available for many disorders iii Tend to work more quickly iv Less time consuming for client v Stabilize symptoms vi Can be a good jumpstart h Cons of psychopharmacotherapy i Treats the symptoms not the cause ii Severe side effects for some medications iii Not available to all populations expensive iv Ofen misprescribed misused overprescribed v Placebo effect vi Medication adherence
View Full Document
Unlocking...