Chapter 14

Chapter 14 - Chapter 14: Treatment of Psychological...

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Chapter 14: Treatment of Psychological Disorders: pgs 574-615 THE HELPING RELATIONSHIP Basic goal of all treatment approaches is to help people change maladaptive, self-defeating thoughts, feelings, and behaviour patterns so that they can live happier and more productive lives Relationship between the client and the person providing help is prime ingredient of therapeutic success Therapists use a variety of treatment techniques Range from biomedical approaches To a wide range of psychological treatments A majority of people with mental health problems first seek help from family members, physicians, members of the clergy, acquaintances, or self-help groups People receive treatment from mental health professionals who fall into several categories o Counselling and clinical psychologists Hold PhD Five or more years of intensive training and superstitions in a variety of psychotherapeutic techniques as well as training in research and psychological assessment techniques o Psychiatrists Medical doctors who specialize is psychotherapy and in biomedical treatments, such as drug therapy o Psychiatric social workers…Provide treatment Marriage and family counsellors Problems arising from family relations Pastoral counsellors Spiritual issues Abuse counsellors Substance and sexual abusers and their victims PSYCHODYNAMIC THERAPIES Focuses on internal conflict and unconscious factors that underlie maladaptive behaviour The term psychoanalysis refers to Freud’s theory of personality, but also to the specific approach to treatment that he developed Psychoanalysis Goal of psychoanalysis is to help client achieve insight awareness of the psychodynamics that underlie their problems Permits clients to adjust their behaviour to their current life situations As the client repeatedly encounters and deals with buried emotions, motives, and conflicts both within and outside of therapy Psychic energy that was previously devoted to keeping the unconscious conflict under control can be released and redirected to more adaptive ways of thinking Free Association Free association …recline clients on a couch and they report verbally uncensored any thoughts, feelings, or images that entered awareness Thought processes determined by internal factors Provide clues concerning important themes or issues Dream Interpretation Believe that dreams express impulses, fantasies, and wishes that the client’s defences keep in the unconscious during waking hours Defensive processes usually disguise the threatening material to protect the dreamer from the anxiety that that the material might evoke
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Resistance Avoidance patterns emerge in the course of therapy as resistance defensive manoeuvres that hinder the process of therapy Resistance is a sign that anxiety-arousing sensitive material is being approached Important task of analysis is to explore the reasons for resistance
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Chapter 14 - Chapter 14: Treatment of Psychological...

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