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Psychotherapy
an emotionally charged, confiding interaction between a trained therapist and someone who suffers from psychological difficulties
Deinstitutionalization
the recent shift away from institutionalizing psychiatric patients for extended periods, often their entire lives
Eclectic Approach
an approach to psychotherapy that, depending on the client's problems, uses techniques from various forms of therapy
Person-Centered Therapy
a humanistic therapy, developed by Carl Rogers, in which the therapist uses techniques such as active listening within a genuine, accepting, empathic environment to facilitate clients' growth
Active Listening
empathic listening in which the listener echoes, restates, and clarifies; a feature of client-centered therapy
Behavior Therapy
therapy that applies learning principles to the elimination of unwanted behaviors
Counterconditioning
a behavior therapy procedure that conditions new responses to stimuli that trigger unwanted behaviors; based on classical conditioning (includes exposure therapy and aversive conditioning)
Exposure Therapies
behavior techniques, such as systematic desensitization, that treat anxieties by exposing people (in imagination or actuality) to the things they fear and avoid
Systematic Desensitization
a type of counterconditioning that associates a pleasant, relaxed state with gradually increasing anxiety-triggering stimuli; commonly used to treat phobias
flooding
intensive exposure to a feared stimulus (not gradual)
aversive conditioning
a type of counterconditioning that associates an unpleasant state (such as nausea) with an unwanted behavior (such as drinking alcohol)
behavior modification
systematic application of learning principles to change people's actions and feelings
token economy
an operant conditioning procedure in which people earn a token of some sort for exhibiting a desired behavior and can later exchange the tokens for various privileges or treats
cognitive therapy
therapy that teaches people new, more adaptive ways of thinking and acting; based on the assumption that thoughts intervene between events and our emotional reactions
Rational Emotive Therapy
a form of cognitive therapy associated with Albert Ellis, in which the therapist actively challenges the patient's irrational beliefs
cognitive-behavioral therapy
a popular integrated therapy that combines cognitive therapy (changing self-defeating thinking) with behavior therapy (changing behavior)
antipsychotic drugs
drugs used to treat schizophrenia and other forms of severe thought disorder
tardive dyskinesia
involuntary movements of the facial muscles, tongue, and limbs; a possible neurotoxic side effect of long-term use of antipsychotic drugs that target D2 dopamine receptors
antianxiety drugs
drugs used to control anxiety and agitation
antidepressant drugs
drugs used to treat depression; also increasingly prescribed for anxiety; different types work by altering the availability of various neurotransmitters
SSRI's
medications that are used in depression and anxiety disorders; they increase the level of serotonin without the side effects of MAOIs; Prozac is an example.
lithium
mood stabilizing drug used to treat manic symptoms, especially bipolar disorder
electroconvulsive therapy (ECT)
a biomedical therapy for severely depressed patients in which a brief electric current is sent through the brain of an anesthetized patient
TMS
the application of repeated pulses of magnetic energy to the brain; used to stimulate or suppress brain activity
psychosurgery
surgery that removes or destroys brain tissue in an effort to change behavior
lobotomy
a now-rare psychosurgical procedure once used to calm uncontrollably emotional or violent patients; cut the nerves that connect the frontal lobes to the emotion-controlling centers of the inner brain
cognitive restructuring
a therapeutic approach that teaches clients to question the automatic beliefs, assumptions, and predictions that often lead to negative emotions and to replace negative thinking with more realistic and positive beliefs
therapeutic alliance
a bond of trust and mutual understanding between a therapist and client, who work together constructively to overcome the client's problem
psychodynamic therapy
therapy deriving from the psychoanalytic tradition that views individuals as responding to unconscious forces and childhood experiences, and that seeks to enhance self-insight
free association
a method of exploring the unconscious in which the person relaxes and says whatever comes to mind, no matter how trivial or embarrassing
Dialectical behavior therapy
cognitive-behavioral intervention aimed at teaching problem-solving skills, interpersonal skills, and skill at managing negative emotions
psychotropic medication
drugs that treat psychiatric symptoms by restoring neurotransmitter balance