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Models of Abnormality & Treatment
Abnormal Psychology
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Biomedical Model Main point:
Mental illness etiology is physical, biological, genetic Strengths: Recognizes _____________ Recognizes biology
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Weaknesses: Minimizes environment Implies __________ Sx relief focus Drug & tx side effects
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Biomedical Txs Electro convulsive therapy (ECT) -Bilateral ECT
-Unilateral ECT Psychosurgery (rare cases) ________________ -most popular
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Psychoanalytic Model Main points: Over determined behavior
Developmental approach _______________ stages Oral, Anal, Phallic, Latency, & Genital
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Unconscious Individual ________________ Psychic structure Id, Ego, Superego Defense mechanisms e.g., Repression, Denial, Projection
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Strengths: Recognizes environment (childhood & social) Recognizes individual __________ Focus on underlying problem, not just sxs
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Weaknesses: Nonverifiable concepts Minimizes personal control Biases against women Relied on restricted population (wealthy Viennese women) Complicated Long tx
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Psychoanalytic/dynamic Tx
Psychoanalysis, Ego analysis, Psychodynamic therapy Insight Free association Dream interpretation _______________
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Humanistic-Existential Model
Main Points: Needs & values Self actualization Importance of choice
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Strengths: Emphasizes capacity to change Posits self-regulating nature Recognizes individual complexity Recognizes perceptions Includes personal strengths
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Weaknesses: Minimizes _____________ Minimizes differences between disorders Nonverifiable
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Humanistic-Existential Tx
“To find yourself” Client centered therapy Gestalt therapy I-language __________ chair
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Cognitive Behavioral Model
Main Points: Cognitions Learning history
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Strengths: Environment & individual interaction Cognitions Ability to change Provides new coping strategies
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Weaknesses: Not concerned with etiology No focus on large envir. changes Focused on sx reduction Appropriate for problems that are: clear behavioral immediately accessible _________
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Behavioral Tx Classical conditioning techniques:
Systematic desensitization In Vivo, imaginal exposure ___________ Aversion Therapy
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Operant conditioning techniques:
Contingency Management Skills Training Assertiveness training Social problem solving Parent training Modeling Time management
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Cognitive Behavioral Tx (CBT)
Cognitive therapy (Beck) Cognitive triad: ______________ Rational emotive therapy (Ellis) Irrational beliefs
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Family System Model Main Points: Disturbance in family, social context
Family interactions are complex
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Strengths: Recognizes system (envir.) Less indiv stigma Weaknesses: Resistant, unchanging system __________________ Bio disorders Levels beyond the family
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Family/Social Systems Tx
Couples Therapy Family Therapy Group Therapy
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Group Tx Psychoeducational Experiential Self-help
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Socio-Cultural Model Main Point: Emphasis on larger societal context
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Strengths: Recognizes effects beyond ind. Emphasizes ______________ Weaknesses: Ind. problems, bio problems Assumes changes trickle down to ind.
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Socio-Cultural Tx Primary Prevention Secondary Prevention
Tertiary Prevention
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Government Action 1965- Surgeon general's warnings on all packages
1971- broadcast advertising banned 1990- smoking banned on buses & domestic flights 1994- Mississippi filed 1st of 22 state lawsuits for smokers' Medicaid bills 1998- Cigarette industry: $251 billion to state gov.s
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Public Anti-Smoking Campaign
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