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History of treating disorders
psychotropic drugs and community- based programs led to deinsti
deinstitutionalization
process of moving people with psych disorders out of institutional facilities
psychotherapy
use of psychological techniques to overcome difficulties/achieve growth
decentralization
combining medication and psychotherapy in outpatient or inpatient
#1 psychodynamic therapies
derived from traditional psychoanalytic view. see person as responding to unconscious forces and childhood experiences. Enhances self-insight. Use free association and ream interpretation→ unconscious mind.
#2 Humanistic therapies
focus on growth, the present, and the conscious mind.
person-centered therapy
therapy uses active listening and unconditional; positive regard to facilitate client’s growth. (carl Rodgers)
active listening
echoing, restating, and seeking clarification of what a person expresses and acknowledging the expressed feeling. 3 Steps: restate,clarify, and reflect
#3 Behavioral therapies
applied behavior analysis → using what we know about learning principles to address disordered behaviors. Token economies.
counter conditioning
use classical conditioning to create new response to stimuli that trigger unwanted behaviors
exposure therapies
expose people to what they normally avoid
systematic desensitization
associates pleasant state with gradually increasing anxiety-provoking stimuli. Use fear hierarchies and progressive relaxation.
averse conditioning
associates unpleasant state with unwanted behavior. Help you learn what NOT to do
#4 cognitive therapy
thinking affects feelings. thoughts intervene between events and emotional reactions. teaches new, more adaptive ways to think.
cognitive mood
negative thoughts about oneself, the world, and the future
biofeedback (behavior therapy)
recording, amplifying, and feeding back info about physiological responses. Effort to help people control them
cognitive restructuring (cognitive therapy)
help change people’s minds with new, more constructive ways of interpreting events.
cognitive behavioral therapy (CBT)
aims to alter the way people think and act
dialectical behavior therapy (DBT)
adapted for those who experience emotion very intensely. make peace between two opposing forces- accept reality and change unhelpful behaviors.
evidence-based practice
clinician applies therapies that combine best research, clinical expertise, and client preferences.
cultural humility
awareness of how own culture or client’s culture impact therapeutic outcome
therapeutic alliance
emotional bond between therapist and client
biomedical therapy
medication or other biological treatments
electroconvulsive therapy (ECT)
brief electric current sent through brain of anesthetized patient. Used for severe depression/OCD. patient remembers nothing of treatment. 80% improve. Side effects: seizures memory loss.
transcranial magnetic stimulation (TMS)
application of repeated pulses of magnetic energy to the brain. used to stimulate/suppress brain activity
psychosurgery
removes or destroys brain tissue
lesion
selective tissue destruction
lobotomy
cut nerves connecting frontal lobes to emotion-controlling centers of inner brain. side effects: lethargic, immature and brain damage
Ethics in psychotherapy
fidelity- loyalty and support. Nonmaleficence- do no harm. Integrity- don’t lie. Respect for people’s rights and dignity.
hypnosis
effective in treating pain and anxiety. NO RESEARCH to support retrieval pf accurate memories.