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deinstitutionalization
moving severely mentally ill people out of large inpatient hospital and then closing those facilities.
being treated as outpatients in smaller community programs increased due to the effectiveness of new psychotropic medications
evidence-based intervention
drove community-based mental health care
this means programs were created based on research date about which types of treatments lead to the best outcomes
effective treatment is provided but we’ve had a hard time keeping this system in line with the high demand for these treatments
many claim institutional living was replaced by homelessness or a jail cell
treatment of mental disorders: biomedical approach
focuses on biological causes and medical treatment
offers medication and other biological treatments that directly act on a person’s physiology
often used a long w/ psychotherapy
treatment of mental disorders: psychotherapy
treating mental health problems through the interaction between client and a trained mental health professional
often used a long w/ biomedical therapy
eclectic approach
it is taking idea’s from a variety of approaches to best serve the client
therapeutic alliance
a relationship between client and therapist that is caring, genuine, and empathetic
positive expectations
belief that things can and will get better through therapy
specific action plan
therapist prescribes a plan of action that the client can use to get better
cultural humility
it involves striving to understand and respect different cultural groups’ values, beliefs, and traditions
group therapy
typically a small group of about 6-12 people with similar problems who meet together w/ a trained therapist
shows people they aren’t alone
can foster new social skills or ways of thinking
self-help groups
no trained psychotherapist directs the process of the group, although there may be a facilitator who organizes meetings
ex: groups for addiction
ethical principal to clinical and therapeutic situations: non-maleficence
DO NO HARM
psychologists must strive to benefit those w/ whom they work and take care and DO NO HARM
ethical principal to clinical and therapeutic situations: fidelity
establish and maintain trustworthy relationships w/ clients, colleagues, and the public
ethical principal to clinical and therapeutic situations: integrity
be honest, accurate, and faithful in all aspects of professional work
ethical principal to clinical and therapeutic situations: respect for people’s rights and dignity
respect the rights, dignity and worth of individuals regardless of any factors
psychoanalysis technique: free association
patient says whatever comes to mind w/ out filtering any content. As the patient’s trust in the psychoanalyst increases, the patient’s ego will lower its guard and the true nature of the unconscious will begin bubbling up to the surface for the psychoanalyst to interpret.
psychoanalysis technique: dream analysis
based on the idea that what a patient consciously remembers from a dream is a symbolic representation of unconscious urges/conflicts
psychoanalyst’s interpretations
moments when the psychoanalyst provides insight into the unconscious roots of the patients problems based on whatever technique they’re using
transference
when, over the course of many sessions, the patient transfers emotions linked with other relationship to their analyst
psychodynamic approach therapy
adapted from Freud’s idea of psychoanalysis
emphasizes unconscious influences on the mind and uses some of Freud’s techniques to tap into the unconscious
face-to-face therapy interaction
focuses on current symptoms by focusing on important relationships, childhood experiences, and therapist-client relationship
humanistic approach to therapy
lack of empirical research on this therapy's effectiveness
emphasis on promoting client’s growth, self'-awareness, and self-acceptance
involves person-centered therapy; developed by Carl Rogers
person-centered therapy (client-centered therapy)
rogers believed that psychological troubles were caused by an in-congruence of ideal and real self
elements
non-directive
unconditional positive regard
empathy
genuineness
active listening
echoing, restating, and seeking clarification of what the client expresses (verbally or non-verbally)
applied behavioral therapy
uses classical conditioning or operant conditioning to help clients unlearn maladaptive behaviors and replace them with more adaptive behaviors
commonly used to treat Phobia and anxieties by “exposing” people to the things they fear or avoid
applied behavioral therapy: systematic desensitization ( a type of exposure therapy)
associates a pleasant relaxed state w/ a gradually increasing anxiety-triggering stimuli
general steps
learns to practice deep relaxation
client creates a fear hierarchy
the fear inducing things/situations are introduced from least to greatest by the therapist
aversion therapy
an unwanted behavior is associated w/ an aversive (unpleasant) stimulus