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Approaches to Therapy *
Treating Psychological Disorders
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Psychodynamic Therapy
Psychoanalysis * The “talking cure” Lengthy, expensive Freud’s techniques include: Free association Dream analysis Transference Insight and interpretation Psychoanalysis Video
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Client (Person) Centered Therapy *
Humanistic Perspective Focus on Personal Growth Carl Roger’s Techniques include: Develop therapeutic alliance: 1) Therapist is genuine 2) Unconditional Positive Regard 3) Empathy with client Promote congruence between real and ideal self. Person Centered Therapy Video
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Behavior Therapy* Based on principles of learning
Focus on present, specific change desired Baseline measured; goals established. Use of associations, reinforcements, punishment, cues, extinction, shaping, etc. Specific goals include: skills training, anxiety reduction, elimination of problem behavior. Virtual reality therapy video
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Cognitive Therapy Includes cognitive behavior therapy (CBT) & Rational Emotive Behavior Therapy (RET or REBT) Clients identify distorted or incorrect beliefs that are causing problems Learn to think in a new, more logical ways, e.g. “I can survive” v. “I can’t live without him.” Reframe situations, e.g. “challenges” or “opportunities” instead of crises or disasters Homework, short term; new patterns of thinking that can be used in future situations. Cognitive Therapy Video
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Evaluating & Comparing Therapies
Research supports the benefits of psychotherapy. Specific type of therapy doesn’t matter much. Cognitive Behavior Therapy has the most research support. Good therapies share several general features: They give people hope. They help them think more carefully about themselves and about their relationships with others. They provide a therapeutic alliance.
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Biological Therapies *
Medical Model Drugs (anti-anxiety, anti-depressants, anti-psychotics, stimulants, mood stabilizers) Often combined with talk therapies If non-response to talk and drugs, may require: ECT (electroconvulsive therapy) Psychosurgery Transcranial Magnetic Stimulation (TMS) Video
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What do you think? Which therapy do you think would best suit your personality? What would you be willing to consider for a family member if your doctor advised? Which therapies do you think are appropriate for children? Which therapies should insurance pay for?
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