Methods of Therapy
Focus on various approaches to psychotherapy and treatment of psychological disorders.
Group activity: Discuss goals when talking to a friend about problems.
Determine whether the goal is problem-solving or venting.
By the end of this chapter, you will be able to:
Define psychotherapy and its history.
Describe traditional psychoanalysis and short-term psychodynamic therapies.
Explain humanistic therapy and its two main approaches.
Define behavior therapy and identify various behavioral approaches.
Describe cognitive therapy and the approaches of Aaron Beck and Albert Ellis.
Identify types of group therapy, along with their advantages and disadvantages.
Discuss the effectiveness of psychotherapy and its benefits.
Describe biological therapy methods, including their benefits and side effects.
Definition: Systematic interaction between a client and therapist applying psychological principles.
Goal: Affect thoughts, feelings, and behaviors.
Use: Help clients overcome psychological disorders and personal growth.
Asylums: Historic institutions for mentally ill.
Mental Hospitals: Replaced asylums in the U.S., focusing on treatment.
Community Mental Health Movement: Originated in the 1960s; focuses on outpatient care.
Change behaviors, help adjust to living problems, and identify areas for client improvement.
Traditional Psychodynamic Therapies:
Based on Freud’s theories. Assumes problems originate from early experiences.
Psychoanalysis: Insight into underlying conflicts; includes catharsis and expression of repressed emotions.
Techniques:
Free association: Uncensored thought expression.
Dream analysis: Interpreting unconscious motives.
Focus on shorter, more direct treatment; modern therapists act as ego analysts emphasizing the ego over id.
Client-Centered Therapy:
Developed by Carl Rogers; emphasizes self-exploration and self-expression.
Qualities include unconditional positive regard, empathy, and genuineness.
Gestalt Therapy:
Created by Fritz Perls; focuses on integrating conflicting parts of the personality through directive methods.
Overview: Applies learning principles to promote behavioral change.
Techniques include:
Systematic desensitization: Gradual exposure to fear stimuli.
Modeling: Observing and imitating coping behaviors.
Aversive conditioning: Pairing unwanted behaviors with unpleasant stimuli.
Operant conditioning: Reinforcement strategies like token economy and social skills training.
Cognitive Therapy:
Changing maladaptive thoughts to alleviate problems.
Aaron Beck’s Cognitive Therapy:
Focuses on irrational fears and cognitive errors like overgeneralization and absolutist thinking.
Albert Ellis’s Rational Emotive Behavior Therapy:
Encourages clients to identify and change irrational beliefs.
Advantages of Group Therapy:
Economical with shared experiences; supports social skills development.
Types of Group Therapy:
Couples therapy, family therapy, self-help/support groups.
Meta-analysis shows effectiveness, especially for psychodynamic and cognitive therapies in treating:
Anxiety, depression, and social skills deficits.
Challenges: Lower participation from minorities due to distrust, language barriers, and cultural conflicts.
Drug Therapy:
Antianxiety and antipsychotic medications; antidepressants; mood stabilizers.
Other Biological Treatments:
Electroconvulsive therapy (ECT) and psychosurgery.
Psychotherapy encompasses a range of techniques aimed at resolving psychological disorders, including modern psychodynamic, humanistic, behavior, and biological methods.