Chapter 13 Psych 202

Ego

Self-bridge between conscious and unconscious

Ego Dystonic

Person wants to change bc they are not the person they want to be

Ego Syntonic

People who stay the same because they see themselves as perfect

What do most Ego-Syntonic people do?

Know what their likes and will sabotage others

What type of disorder do Ego Syntonic patients typically have?

Anti-social and Narcissistic personality disorder

Why do therapist typically not take in Ego-Syntonic patients?

Because they don’t want to change or will not put in the effort

What are examples of physical things they will do?

Hurt children to impact spouse

Hurt others or damage property intentionally.

Hurt pets to impact kids

Try to control others

What does tx mean?

Treatment

Types of mental health professionals

Include psychologists, psychiatrists, social workers, and counselors who provide various therapeutic services.

Different types of term

Longer term treatment and short term

Longer term tx

Psychologist and Psychiatrists

Short term tx

Counselor, social worker, therapist

Professional help

Trained therapist helps a client use techniques to over come difficulties

Psychotherapy

Multiple perspective

Evidence based practice

Best scientific evidence, individual clinical expertise, patient value

Things to consider when seeking therapy

Length of treatment

Type of therapy

Setting

Who commonly seeks treatment ?

White, women, middle class educated

Step one of starting therapy

Acknowledge stigmas

Step two of starting therapy

Find the right therapist/therapy (ask around)

Psychology today step 3-4

It is okay to seek different therapist/therapy and if comfortable talk to others about therapy

Types of Philosophy/Theory

Psychodynamic

Behavioral

Cognitive

existential humanistic

Psychodynamic goals

For patient to uncover unconscious motivation/issues

What does Psychodynamic focus on besides the unconscious mind?

Id, ego, super ego, sex and death impulse

Psychodynamic theorist

Freud, Jung, Alder, and Horney

What is the theorist goals for psychodynamic?

The unconscious mind

Techniques for Psychodynamic

Involve daily sessions, talk therapy about therapy, free association, dream analysis

Humanisic therapy goals

For clients to discover needs/goals achieve self acceptance and reach potential

Existentialism

Understanding anxiety/fear driven by mortality

Techniques for humanistic/Existentialism

Weekly meetings: Clinets-centered therapy, build rapport, show empathy. genuineness, unconditional positive regard, and active listening

What is a impatient?

Someone treated in a hospital or institution

What is an Outpatient?

Someone who lives out in the community

Gestalt Therapy was developed by

Frederick and Laura Perls

What did Gestalt therapy focus on?

focuses on the present moment and the individual's current experiences

Person-Centered Therapy was developed by

Carl Rogers

What does Person-Centered therapy focus on what?

focuses on the individual's inherent value and worth, and emphasizes the importance of empathy and unconditional positive regard in the therapeutic relationship

Existentialism therapy focus on-

focuses on the human condition and the inherent meaninglessness of life

Existentialism therapy was developed by-

developed by philosophers such as Rollo May, Victor Frankl, and Irwin Yalom.

Behavior Therapy

Changing maladaptive behaviors

Cognitive Behavior Therapy

Changing negative thought patterns

Rollo May contributed

Developed existential therapy

Victor Frankl contributed

Introduced the concept of logotherapy

Irwin Yalom contributed

Developed existential psychotherapy

Psychodynamic vs Existential-humanistic

Figuring out the problem vs growing from from it

Unconscious vs Conscious

Behavioral therapy goals

Change clients behavior from negative/unhealthy to positive/healthy behavior (likely to be rewarded)

Behavioral therapy techniques

For anxiety

Flooding/exposure therapy

Facing fears at maximum levels of intensity for extend amount of time

Modeling therapy

Watching others behavior (Handling fear)

Systematic desensitization (Exposure)

Prevent anxiety stimulus while relaxing

Aversion Therapy

Pairing unwanted behavior with unpleasant stimuli

Token economies

Operant conditioning (ABA) applied behavior analysis

ABA

Verbal Therapy

Cognitive therapy goals

To change clients maladaptive thoughts and feelings

Cognitive Triads

Negative views of self, world, and future

Cognitive techniques

Retracting of distortions

Rational emotive Behavioral therapy

Identifying irrational fear/beliefs and negative thought patterns

Cognitive distortion

Recognized automatic thinking

All/Nothing thinking

Seeing things as very good or bad

Also known as black and white thinking

All/Nothing thinking

Arbitrary inference

Assuming something will happen with no evidence

Emotional reasoning

Assuming emotions are accurate

Magnification/Minimization

Overestimating the important of negative (Underestimating positive)

Overgeneralization

Applying conclusions at one event to other unrelated event

Irrational cognitive process step A

Activating event (Losing job)

Irrational cognitive process step B

Beliefs (Howe awful of me to lose my job, I must be worthless)

Irrational cognitive process step C

Emotional Behavioral consequences (Depression withdrawal)

Rational thinking step B1

Disputing intervention Challenge beliefs “losing my job has nothing to do with my worth”

Rational thinking step C

New effective Philosophy (“I’m okay, I won’t give up”)

Rational thinking step D

New feelings (“Its okay to feel frustrated, don’t give up)

Cognitive

Assessment, set goals, agenda, check in with profess of homework/work

Cognitive behavioral therapy goal

Is to identify thoughts emotions that we linked to behavior tach coach, reinforce positive behavior

Structured CT

Recall problems, gain insight, generate solution

Dialectical Behavioral therapy

Teach healthy ways to cope with dress, regulate emotions, improve their relationships

Distress tolerance

Destruction of self smoothing, pros/cons of not tolerating stress

GIVE

Gentle, interest, Validate, easy