1. Therapies for Psychological Disorders Chapter 15

2. The Therapeutic ContextPsychodynamic TherapiesBehavior TherapiesCognitive Therapies Chapter 15 Preview

3. Humanistic TherapiesGroup TherapiesBiomedical TherapiesTreatment Evaluation and Prevention Strategies Chapter 15 Preview

4. Therapeutic Context Goals and Major Therapies Reaching diagnosis Proposing probable etiology Making prognosis Treatment planning Goals

5. Biomedical Therapies Alter brain functioning with chemical or physical interventions Major Therapies

6. Psychotherapy Focus on changing faulty behaviors, thoughts, perceptions, and emotions associated with specific disorder Major Therapies

7. Therapists and Therapeutic Settings Clinical Social Worker Pastoral Counselor Clinical Psychologist Counseling Psychologist PsychiatristPsychoanalyst

8. Therapists and Therapeutic Settings Patient Client Used in biomedical approach to treatment Used by clinicians who think of psychological disorders as problems in living

9. Diversity Issues in Psychotherapy

10. Therapist sensitivity Cultural awareness and beliefs Cultural knowledge Cultural skills

11. Historical and Cultural Contexts History of Western Treatment Bedlam Philippe Pinel and Dorothea Dix Asylums Rehabilitation Deinstitutionalization

12. Deinstitutionalization and Homelessness Deinstitutionalization Arose from social forces and advances in treatment “Revolving door” Homelessness

13. True or False? The problem with deinstitutionalization and homelessness is not so much with deinstitutionalization as it is with the lack of community resources outside the institutions.

14. Psychodynamic Therapies Freudian Psychoanalysis Intensive and prolonged technique for exploring unconscious motivations and conflicts Insight Therapy Therapist guides patient toward discovering insights between present symptoms and past origins

15. Psychodynamic Therapies Free Association Thoughts, wishes, physical sensations, and mental images as they occur Catharsis Expressing strongly felt but usually repressed emotions

16. Psychodynamic Therapies Therapies ResistanceDream Analysis and Interpretation Transference Countertransference

17. Later Psychodynamic Therapies More emphasis than Freud on: Patients current social environmentContinuing influence of life experiences Role of social motivation and interpersonal relations of love Significance of ego functioning and development of self concept

18. Later Psychodynamic Therapies Harry Stack Sullivan Therapeutic interview is social setting in which each party’s feelings and attitudes are influenced by other’s Melanie Klein Contended that two fundamental organizing forces in psyche are aggression and love

19. Psychology in Your Life Are lives haunted by repressed memories? Are recovered memories REAL OR Does psychotherapy lead people to create false memories? Is this an either-or question? What do you think?

20. Behavior Therapies Behavior TherapyBehavior modification Systematic use of principles of learning to increase or decrease the frequency of behaviors

21. Behavior Therapies CounterconditioningMary Cover Jones Substitute new response for maladaptive one

22. Behavior Therapies Exposure Therapies Systematic Desensitization Flooding

23. Behavior Therapies Social-Learning Therapies Participant modeling Symbolic modeling therapy

24. Participant Modeling Therapy

25. Behavior Therapies Aversion Therapy Attractive stimulus is paired with noxious stimulus Ethical considerations

26. Behavior Therapies Contingency Management Changing behavior by modifying its consequences

27. Behavior Therapies Contingency Management Positive reinforcement strategies Extinction strategies

28. Behavior Therapies Generalization Techniques Attempt to increase similarity of targets behaviors and stimulus demands between therapy and real-life setting Partial reinforcement schedule Fading

29. Cognitive Therapies

33. Existential-Humanistic Therapies Human-potential Movement Release potential of average human being for greater levels of performance and greater richness of experience Two basic human maladies: depressive and obsessive syndromes

34. Existential-Humanistic Therapies Client-Centered Therapy Carl Rogers Emphasizes healthy psychological growth of individual

35. Existential-Humanistic Therapies Gestalt Therapy Fritz Perls Focuses on the ways to unite mind and body to make a person whole

36. Group Therapies Couple and Family Therapy Couples therapy Family therapy Community Support Groups Self-help groups AA, OA, CA, Others

37. Biomedical Therapies Drug Therapy Psychopharmacology Branch of psychology that investigates effects of drugs on behavior

38. Biomedical Therapy Drug Therapy Antipsychotic Drug Medication Chlorpromazine Haloperidol (Haldol) Clozapine

39. Biomedical Therapy Drug Therapy Antidepressant Drug Medication Tricyclics (TCA) Bicyclics Monoamine Oxidase (MAO) Inhibitors Lithium (lithium salts)

40. Brain Mechanisms of Tricyclic Antidepressants

41. Biomedical Therapy Drug Therapy Antianxiety Drug Medication Benzodiazepine Drug tolerance

42. Biomedical Therapy Psychosurgery Surgical procedure on brain tissue to alleviate psychological disorders Prefrontal Lobotomy Nerve fibers connecting frontal lobes with diencephalon severed

43. Biomedical Therapy Electroconvulsive Therapy (ECT) Electric shock applied to brain to treat psychiatric disorders Repetitive Transcranial Magnetic Stimulation (rTMS) Brain stimulated by repeated pulses of magnetic stimulation

44. Does Therapy Work? Efficacy of Drug Therapies Spontaneous- Remission Effect Placebo Effect Meta-Analysis Evaluating Therapeutic Effectiveness

45. Does Therapy Work? Positive client expectations Therapist reinforcement of expectations Clear plan for therapeutic treatment Strong cient-therapist relationship Common Factors

46. Does Therapy Work? Primary prevention Secondary prevention Tertiary prevention Prevention Strategies

47. Recapping Chapter 15 Main Points Goals and Major Therapies Therapists and Therapeutic Settings Historical Perspectives on Institutional Treatment Therapeutic Context Freudian Psychoanalysis Later Psychodynamic Therapies Psychodynamic Therapies

48. Recapping Chapter 15 Main Points Counterconditioning Contingency Management Social-Learning Therapy Generalization Techniques Behavior Therapies Changing False Beliefs Cognitive Behavioral therapy Cognitive Therapies

49. Recapping Chapter 15 Main Points Client-Centered Therapy Gestalt therapy Humanistic Therapies Couple and Family Therapy Community Support Groups Group Therapies

50. Recapping Chapter 15 Main Points Drug Therapy Psychosurgery Biomedical Therapies Evaluating Therapeutic Effectiveness Prevention Strategies Treatment, Evaluation, and Prevention Strategies