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Mental illness in early history
Mental illness was often interpreted as evidence of evil possession.
Trepanning
An early practice involving drilling or scraping holes into the skull as a treatment for mental disturbance.
Historical shift in mental illness treatment during the 1800s
Growth of madhouses and later mental hospitals, initially framed as humanitarian reform.
Problem with early mental hospitals
Many treatments were ineffective, harmful, and unethical despite reform goals.
Josef Breuer and Sigmund Freud
Key figures in the early development of psychoanalysis.
Transference
Client redirects feelings associated with important people in life onto the therapist.
Countertransference
Therapist transfers their own unresolved feelings or attitudes onto the client.
Freud's view of countertransference
Therapists should avoid allowing their own feelings to shape treatment.
Major criticism of psychoanalysis
It often explains too much and produces interpretations that are difficult to test.
Carl Jung, Alfred Adler, Anna Freud, Otto Rank
Major psychoanalytic followers associated with Freud's tradition.
Carl Rogers
Therapist most associated with humanistic or client-centered therapy.
Client-centered therapy core idea
Insight and goals should emerge primarily from the client.
Non-directive therapy
Therapist avoids controlling the session and allows the client to guide exploration.
Unconditional positive regard
Accepting the client without judgment while helping them tolerate weaknesses.
Genuineness in Rogerian therapy
Therapist should be authentic rather than performing a detached role.
Empathy in Rogerian therapy
Central therapeutic tool involving careful attention to the client's emotional experience.
Active listening
Summarizing, paraphrasing, inviting clarification, and reflecting feelings.
Example of active listening
"It seems like you are disappointed; am I right?"
Gloria tapes
Recorded comparison of three major therapists using the same real client.
Three therapists in the Gloria tapes
Carl Rogers, Fritz Perls, and Albert Ellis.
Gestalt psychotherapy
Present-oriented psychodynamic therapy associated with Fritz Perls.
Cognitive-oriented therapy
Therapy associated with Albert Ellis and Aaron Beck.
Behavioral approaches
Therapies influenced by B.F. Skinner including systematic desensitization, modeling, and token economy.
Abraham Maslow
Key figure associated with humanistic psychology.
Erich Fromm
Important thinker associated with humanistic and psychodynamic traditions.