psychotherapy exam 3

Interpersonal therapy

Focuses on depressive symptoms, made for RCTs, designed to be used with meds, attachment and interpersonal domains

Genetic plus environmental sources cause depression

Time limited

Medical model of depression

Treatable illness, not personal failing

Gene X environmental interaction

Diathesis stress model

Predisposition plus personal life stressors puts you over threshold

Focus of IPT

improve social functioning To reduce depressive symptoms

Stages of readiness to change

Precontemplation, contemplation, preparation, action, maintenance

Pre contemplation

No intention on changing behavior

Contemplation

Aware a problem exists but with no commitment to action

Preparation

Intent on taking action to address the problem

Action

Active modification of behavior

Maintenance

Sustained change with new behavior replacing old

IPT techniques

Reduce stigma and normalizes experience

Linking mood and interpersonal contexts

Processing grief

The sick role

apply medical lens to a problem

Psychopathology is treatable illness

Temporary, recovery

Reduces self stigma and blame

Encouragement of affect

Practicing emotional expression awareness and regulation

Understanding what emotions signal interpersonal contexts

Experiencing negative emotions

Overlap of approaches

Integrative psychotherapy

Recognizes commonalities between different approaches and incorporates ideas from others into one

Eclectic

Selecting what you think is best and combining

Unsystematic eclecticism

Arbitrary picking of techniques

Psychotherapy orientation

all the different types of psychotherapy

Technical eclecticism

Choosing what works best for the client

Integration

Synthesizing different models and treatments

Unified protocol techniques

Emotional awareness

Cog flex

Addressing emotional avoidance and emotion driven behaviors

Exposures

Present focused emotional awareness

Identify emotions and reactions to them

Nonjudgmental focus on emotions

Acceptance and mindfulness

Childhood -sychotherspy

Directly targeting difficulties experienced by the child

Child motivation to engage could be low

Coping cat CBT

developed for kids CBT, less technical

Emotion identification- simple metaphors and physical feelings

Emphasis on behavior over thoughts

Anxiety intervention

Parent child interaction therapy PCIT

2 stages, child directed then parent directed

Parent child relationship improvements

Addresses antisocial behaviors

Play therapy

PRIDE rule

Systems oriented therapies

Elements interacting with a group

Dynamics btwn individuals and the system

Improving individual and system functioning

Systems theory

Family seek to balance organization with growth and change

Balancing flexibility with stability and structure through certain behaviors

Family health factors

Attending to basic needs, boundaries, power dynamics, autonomy, interactions with outside community, rules, warmth and engagement, communication norms, stress management

Family dysfunction

Occurs when features of family health are absent or extreme

Functional family therapy

Present oriented

Addresses behavioral problems in adolescence

Understanding family behaviors and relationships related to problems

Systems theory and CBT

Five phases of FFT

Couples therapy

Understanding system of relationship

Reduce distress of the couple, not necessarily keep them together

Attachment styles

Maintaining and improving it or ending it healthy

When to use couples therapy

Couple is experiencing distress or major event or one person has psychopathology and they work together to develop a support system and repair damages

4 horsemen of relationships

Criticism, contempt, defensiveness, stonewalling

Sentiment override

The view or thoughts around a behavior are just as important as the behavior itself

Splitting

One partner is viewed as either good or bad

Rational tools in couples therapy

Communication, problem solving, sexual skills, recognizing and working with behavioral patterns

Group therapy benefits

Reduced cost, efficient, support from people with similar issues, richer broader experiences, mutual adaptation