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ethics of therapy from the APA
nonmaleficience, fidelity, integrity, respect
nonmaleficience
do not harm
fidelity
uphold high standards for you and other therapists
integrity
do not receive, misrepresent; be honest about your abilities
respect
show regard and understand people’s rights
deinstitutionalization
release of large amount of people from asylums due to better medications
decentralized approach
combination of medicine and therapy, minimal hospitalization
psychodynamic perspective
trying to uncover the unconscious
free association
say aloud anything that comes to mind unprompted
dream interpretation
analyze hidden meaning in dreams
biological perspective for treatments
treatment with medicine and psychosurgery
anti-psychotics
decrease dopamine
side effects of anti-psychotics
tardive dyskinesia: hand tremors (due to lack of dopamine); treats schizophrenia
anti-depressants
increase serotonin and/or norepinephrine through reuptake inhibition
anti-anxiety drugs
increase GABA
lithium
“mood stabilizer” for bipolar disorders
electroconvulsive therapy (ECT)
send electricity to induce minor seizures; used (rarely) to treat depression (when nothing else works); thought to “reboot” the brain
psychosurgery (frontal lobotomy)
frontal lobe is surgically destroyed; used to treat depression or violent indivudals—almost never used anymore
transcranial magnetic stimulation
targeted magnetic fields to stimulate brain activity (treats depression, safer form of ECT)
humanisitc perspective for treatments
focus on person
person-centered therapy
encourage client to discover own solutions and understand self
active listening
thoughtfully engaging with clients emotions and message (shows interest, asks questions, restates)
unconditional positive regard
accepetance of faults
cognitive perspective
fixes negative thinking
cognitive triad
negative views about self (I’m defective), negative view about world (it’s curle), and negative view about future (hopeless)
how do we fix cognitive triad?
cognitive restructuring
cognitive restructuring
learn to identity disordered thinking and change it
behavioral perspective
applied behavioral analysis—applies classical/operant conditioning to fix behaviors
systematic desensitization
associate a pleasant relaxed state with gradually increasing anxiety triggering stimuli (create a desensitization hierarchy—ex. list of things about flying that makes you nervous, step through each one until you can do it)
aversive conditioning
associate an unpleasant experience (ex. nausea) with an unwanted behavior (ex. drinking alcohol)
biofeedback
receive feedback on heart rate, blood pressure, learning to control it to help with anxiety and depression
token economies
use behavior modification (reward good behaviors with token reinforcers to be exchanged)
combined perspectives—cognitive behavioral therapy
dialectical behavior therapy
dialectical behavior therapy
talk therapy, adapted for intense emotions, help people understand how thoughts affect emotions and behaviors—originally for personality disorders, adapted for depression/anxiety
rational-emotive therapy
identify unhealthy thought/behavior patterns and replace with new
group therapy
therapy with a group—gives diverse perspectives, supportive environment with like people—lacks individual care
hypnosis
used for pain control and anxiety—does not retrieve memories or cause regression