CHAPTER 16 PSYCHOTHERAPY

Week 13 of 15

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Schedule for Today

Group Quiz

Chapter 16

Group presentation prep time

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Schedule for Rest of SemesterTues. 4/13 Chapter 16 (Today)Tues. 4/20 Presentations (1-3)Tues. 4/27 Presentations (4, 5)

Exam ReviewFri. 5/7 Final Exam (Chapter 8-16)

7:45 a.m. to 9:45 a.m. (In normal room)

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Warm-up

In Presentation Groups: Chapter 16 Quiz

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Warm-up

What so you picture when you think of psychotherapy?

Who needs it?

Who benefits from it?

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The Elements of the Treatment Process Types of Treatment

Insight Behavior Biomedical

Clients Therapists

Psychologists Psychiatrists Other mental health professionals

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Insight Therapies

“involve verbal interactions intended to enhance clients’ self-knowledge and thus promote healthful changes in personality and behavior”. Insight therapies include:Psychoanalysis.Client-centered therapy.Cognitive therapy.Group therapy.

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Insight Therapies

Psychoanalysis: emphasizes the recovery of unconscious conflicts, motives, and defenses through techniques Probing the unconscious- free association and

dream analysis Interpretation- analysis

Transference- mimicking critical relationships in life

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Insight Therapies

Client-Centered Therapy: emphasizes providing a supportive emotional climate for clients, clients determine pace and content of therapy

Therapeutic climate—process is not as important as the emotional climate

1. Genuineness2. Unconditional Positive Regard3. Empathy

Therapeutic process—client and therapist are equals

“Non-directive”

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Insight Therapies

Cognitive Therapy: treatment that emphasizes recognizing and changing negative thoughts and maladaptive beliefs Goal: to change the way a client thinks Techniques

Change cognitive distortions More directive than client-centered

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Insight Therapies

Group Therapy Generally 5-10 members Advantages of the group experience

1. Realize that their problems are not unique2. Provides an opportunity for participants to

work on social skills in a safe environment3. Some problems are well suited

Launch Video

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Behavior Therapies

General Principles:1. Behavior is a product of learning2. What has been learned can be unlearned3. Once target problem has been identified,

specific goals are set and procedures are designed to address specific problem

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Procedures

Systematic Desensitization: reduce clients’ anxiety responses through counter-conditioning Assumption that anxiety responses are

acquired through classical conditioning1. Build Anxiety Hierarchy2. Deep muscle relaxation3. Client works through hierarchy, and is

encouraged to confront real stimulus

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Procedures

Aversion Therapy: behavior therapy in which an aversive stimulus is paired with a stimulus that elicits an undesirable response Effective for drug abuse, sexual deviance,

gambling, shoplifting, stuttering, smoking and overeating

E.g., nausea paired with favorite drink

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Procedures

Social Skills Training: designed to improve interpersonal skills that emphasizes shaping, modeling and behavioral rehearsal Assumption: people acquire social skills

through learning Those people with no social skills need to

be taught Improves social skills

eye contact, active listening, and assertiveness

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Biomedical Therapies

Physiological interventions intended to reduce symptoms associated with psychological disorder

Treatment with Drugs (psychopharmacotherapy) Antianxiety drugs Antipsychotic drugs Antidepressant drugs Lithium

Diagnoses in children: http://www.pbs.org/wgbh/pages/frontline/medicatedchild/

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For Next Week

Group Presentations – Groups 1, 2, 3