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Treatment to make people feel better & function more effectively |
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Two Kinds of Modern Therapy |
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Psychotherapy Biomedical Therapy |
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Insight - help learn more about one self Action - action strategy, involved in making decisions Goals - both required, what are you hear for? Accomplish? |
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Surgical treatment - Ex. Splitting the brain Drugs - psychiatric medication Electroshock - used to stimulate receptors for severe depression |
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1500s - mentally ill confined to asylums • Treatments harsh, often damaging Philippe Pinel |
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Psychiatrist, demanded humane treatment of mentally ill |
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Therapy to reveal unconscious conflicts |
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Free association Dream interpretation Resistance |
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Patient talks about anything that comes to mind without fear of criticism |
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Manifest content - actual content of dream Latent content - symbolic meaning of dream |
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Patient/client becomes reluctant to talk about a certain topic |
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Patient/client projects feelings for important others onto therapist |
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Psychoanalysis Today
• Newer term for psychoanalysis • More focus on transference • Shorter treatment |
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Roger's Person Centered Therapy Gestalt Therapy |
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Roger's Person Centered Therapy |
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• Nondirective insight therapy • Client talks • Therapist listens |
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Four Elements of Roger's Therapy |
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Reflection Unconditional Positive Regard Empathy Authenticity |
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Unconditional Positive Regard |
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Referring to the warmth, respect, and accepting atmosphere created by the therapist for the client |
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Therapy technique in which the therapist restates what the client says rather than interpreting those statements |
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The ability to understand the feelings of the client |
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The genuine, open, and honest response of the therapist to the client |
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(the whole is greater than the sum of its parts) • Clients accept all of self • Directive • Role playing • Leading questions • Confrontation of clients' statements |
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Evaluation of Humanistic Therapies |
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• Broad application in career, workplace, marriage, etc. • Works best with intelligent, highly verbal persons |
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Action therapies focused on behavior not causes • Classical & operant conditioning |
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Learning One's Way to Better Behavior |
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Behavior modification or applied behavior analysis -- change behaviors via learning techniques |
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Systematic Desensitization |
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For treating phobias (3 steps) 1. Relaxation training 2. Fear hierarchy (work way up) 3. Progressive exposure |
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Undesirable behavior paired with aversive stimulus |
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For treating phobias, stress disorders • Intense, inescapable exposure to feared situation or object |
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Operant Conditioning Therapies |
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Modeling Participant modeling Token economy Contingency contract Extinction |
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Learning by observation & imitation |
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Model takes client through step-by-step process for desired behavior |
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Reinforcers earned and exchanged for desired things |
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Formal agreement on behavior change, reinforcements, penalties |
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Remove reinforcer, reduce undesirable behavior • Time out - removal from situation that reinforces undesirable behavior |
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Evaluation of Behavior Therapies |
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• Effective treatment of specific problems • Controls symptoms quickly and effectively • Not effective with serious psychological disorders |
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Selective Thinking Focus on only one aspect of the situation
Overgeneralization Sweeping conclusions based on only one incident
Personalize Assuming too much personal responsibility
Magnify & Minimize Negative events blown out of proportion; positive events ignored personal responsibility
Arbitrary Inference Jumping to conclusions without evidence |
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Cognitive-Behavioral Therapy |
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Learning to thing more rationally & logically Three goals: 1. Relieve symptoms and solve problems 2. Develop strategies for solving future problems 3. Help change irrational, distorted thinking |
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Rational-Emotive Behavioral Therapy |
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Cognitive-behavioral therapy, irrational beliefs challenged and restructured |
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Evaluation of Cognitive & Cognitive-Behavioral Therapies |
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• Inexpensive & short term • Effective for depression, stress, anxiety • Less effective for serious psychological disorders • Potential bias tin therapist's opinions |
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Family Counseling (family therapy) Family members meet together with counselor
Self-help Groups (support groups) Group of people with similar problems meet together without a therapist |
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Advantages of Group Therapy |
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• Low cost • Exposure to others with similar problems • Social and emotional support |
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Disadvantages of Group Therapy |
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• Must share therapist's time • Lack of privacy (shyness) • Severely disordered person unable to tolerate group |
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EMDR: Eye Movement Desensitization Reprocessing |
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• Move eye rapidly back & forth while thinking of disturbing memory • PTSD/other anxiety problems • Controversial |
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Effectiveness of Psychotherapy |
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Problems studying therapy effectiveness • Placebo effect for control group • Different lengths of time for different therapies • 75-90% of those treated improve • Certain therapies better for certain problems |
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The relationship between the client and the therapist, perhaps the most important common factor |
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Therapy that combines elements of different therapy techniques |
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Culture and Psychotherapy |
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Four barriers to effective psychotherapy 1. Language 2. Cultural values 3. Social class 4. Nonverbal communication |
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Psychotherapy via internet • Advantages: cost, anonymity, access • Disadvantages: uncertain credentials of therapist, lacks vocal/body cues for assessing emotions |
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• Affect biological functioning of body and brain
Psychopharmacology Use of drugs to relieve symptoms of disorders |
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Treat psychotic symptoms such as delusions and hallucinations Ex. Clozapine (Clozaril) blocks receptors for dopamine and serotonin to remove the negative symptoms of schizophrenia |
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Calm anxiety reactions Ex. Xanax; Ativan • Depress the central nervous system & reduce anxiety by elevating levels of (GABA) neurotransmitter |
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Treat bipolar disorder Ex. Lithium |
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Treat depression & anxiety • Monamine oxidase inhibitors (MAOIs) • Tricyclics • Selective serotonin reuptake inhibitors (SSRIs) Ex. Prozac, Zoloft, & Paxil • Improve the mood by elevated levels of serotonin by inhibiting reuptake |
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Psychopharmacology is the study of drug effects on mind and behavior
With the advent of drugs, hospitalization in mental institutions has rapidly declined |
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Electroconvulsive Therapy (ECT) |
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Electric current passed through two electrodes on both sides of head • Treatment for severe depression ○ Bilateral (two sides of brain) & unilateral (one side of brain) ECT ○ Side effects - memory loss |
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Surgery on brain tissue to relieve severe psychological disorders |
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Connection between pre-frontal lobe and rest of brain severed |
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Deep lesioning of cingulate gyrus via electrode wire • Severe depression & bipolar disorders |
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