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Exam 4 #4
Therapy
57
Psychology
Undergraduate 1
12/01/2012

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Term
Therapy
Definition
Treatment to make people feel better & function more effectively
Term
Two Kinds of Modern Therapy
Definition
Psychotherapy
Biomedical Therapy
Term
Psychotherapy
Definition
Insight - help learn more about one self
Action - action strategy, involved in making decisions
Goals - both required, what are you hear for? Accomplish?
Term
Biomedical Therapy
Definition
Surgical treatment - Ex. Splitting the brain
Drugs - psychiatric medication
Electroshock - used to stimulate receptors for severe depression
Term
Early Treatment
Definition
1500s - mentally ill confined to asylums
• Treatments harsh, often damaging
Philippe Pinel
Term
Philippe Pinel
Definition
Psychiatrist, demanded humane treatment of mentally ill
Term
Psychoanalysis (def)
Definition
Therapy to reveal unconscious conflicts
Term
Types of Psychoanalysis
Definition
Free association
Dream interpretation
Resistance
Term
Free association
Definition
Patient talks about anything that comes to mind without fear of criticism
Term
Dream interpretation
Definition
Manifest content - actual content of dream
Latent content - symbolic meaning of dream
Term
Resistance
Definition
Patient/client becomes reluctant to talk about a certain topic
Term
Transference
Definition
Patient/client projects feelings for important others onto therapist
Term
Psychodynamic therapy
Definition
Psychoanalysis Today

• Newer term for psychoanalysis
• More focus on transference
• Shorter treatment
Term
Humanist Therapies
Definition
Roger's Person Centered Therapy
Gestalt Therapy
Term
Roger's Person Centered Therapy
Definition
• Nondirective insight therapy
• Client talks
• Therapist listens
Term
Four Elements of Roger's Therapy
Definition
Reflection
Unconditional Positive Regard
Empathy
Authenticity
Term
Unconditional Positive Regard
Definition
Referring to the warmth, respect, and accepting atmosphere created by the therapist for the client
Term
Reflection
Definition
Therapy technique in which the therapist restates what the client says rather than interpreting those statements
Term
Empathy
Definition
The ability to understand the feelings of the client
Term
Authenticity
Definition
The genuine, open, and honest response of the therapist to the client
Term
Gestalt Therapy
Definition
(the whole is greater than the sum of its parts)
• Clients accept all of self
• Directive
• Role playing
• Leading questions
• Confrontation of clients' statements
Term
Evaluation of Humanistic Therapies
Definition
• Broad application in career, workplace, marriage, etc.
• Works best with intelligent, highly verbal persons
Term
Behavior therapies
Definition
Action therapies focused on behavior not causes
• Classical & operant conditioning
Term
Learning One's Way to Better Behavior
Definition
Behavior modification or applied behavior analysis -- change behaviors via learning techniques
Term
Systematic Desensitization
Definition
For treating phobias (3 steps)
1. Relaxation training
2. Fear hierarchy (work way up)
3. Progressive exposure
Term
Aversion Therapy
Definition
Undesirable behavior paired with aversive stimulus
Term
Flooding
Definition
For treating phobias, stress disorders
• Intense, inescapable exposure to feared situation or object
Term
Operant Conditioning Therapies
Definition
Modeling
Participant modeling
Token economy
Contingency contract
Extinction
Term
Modeling
Definition
Learning by observation & imitation
Term
Participant modeling
Definition
Model takes client through step-by-step process for desired behavior
Term
Token economy
Definition
Reinforcers earned and exchanged for desired things
Term
Contingency contract
Definition
Formal agreement on behavior change, reinforcements, penalties
Term
Extinction
Definition
Remove reinforcer, reduce undesirable behavior
• Time out - removal from situation that reinforces undesirable behavior
Term
Evaluation of Behavior Therapies
Definition
• Effective treatment of specific problems
• Controls symptoms quickly and effectively
• Not effective with serious psychological disorders
Term
Cognitive Distortions
Definition
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
Term
Cognitive-Behavioral Therapy
Definition
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
Term
Rational-Emotive Behavioral Therapy
Definition
Cognitive-behavioral therapy, irrational beliefs challenged and restructured
Term
Evaluation of Cognitive & Cognitive-Behavioral Therapies
Definition
• Inexpensive & short term
• Effective for depression, stress, anxiety
• Less effective for serious psychological disorders
• Potential bias tin therapist's opinions
Term
Types of Group Therapy
Definition
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
Term
Advantages of Group Therapy
Definition
• Low cost
• Exposure to others with similar problems
• Social and emotional support
Term
Disadvantages of Group Therapy
Definition
• Must share therapist's time
• Lack of privacy (shyness)
• Severely disordered person unable to tolerate group
Term
EMDR: Eye Movement Desensitization Reprocessing
Definition
• Move eye rapidly back & forth while thinking of disturbing memory
• PTSD/other anxiety problems
• Controversial
Term
Effectiveness of Psychotherapy
Definition
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
Term
Therapeutic alliance
Definition
The relationship between the client and the therapist, perhaps the most important common factor
Term
Eclectic
Definition
Therapy that combines elements of different therapy techniques
Term
Culture and Psychotherapy
Definition
Four barriers to effective psychotherapy
1. Language
2. Cultural values
3. Social class
4. Nonverbal communication
Term
Other Therapies
Definition
Psychotherapy via internet
• Advantages: cost, anonymity, access
• Disadvantages: uncertain credentials of therapist, lacks vocal/body cues for assessing emotions
Term
Biomedical Therapies
Definition
• Affect biological functioning of body and brain

Psychopharmacology
Use of drugs to relieve symptoms of disorders
Term
Antipsychotic Drugs
Definition
Treat psychotic symptoms such as delusions and hallucinations
Ex. Clozapine (Clozaril) blocks receptors for dopamine and serotonin to remove the negative symptoms of schizophrenia
Term
Antianxiety Drugs
Definition
Calm anxiety reactions
Ex. Xanax; Ativan
• Depress the central nervous system & reduce anxiety by elevating levels of (GABA) neurotransmitter
Term
Antimanic Drugs
Definition
Treat bipolar disorder
Ex. Lithium
Term
Antidepressant Drugs
Definition
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
Term
Drug Therapies
Definition
Psychopharmacology is the study of drug effects on mind and behavior

With the advent of drugs, hospitalization in mental institutions has rapidly declined
Term
Electroconvulsive Therapy (ECT)
Definition
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
Term
Psychosurgery
Definition
Surgery on brain tissue to relieve severe psychological disorders
Term
Prefrontal lobotomy
Definition
Connection between pre-frontal lobe and rest of brain severed
Term
Bilateral cingulotomy
Definition
Deep lesioning of cingulate gyrus via electrode wire
• Severe depression & bipolar disorders
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