09 Interpersonal treatments class

09 Interpersonal treatments class - 6/15/2009 Interpersonal...

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6/15/2009 1 Interpersonal Therapy 1 PSY 423: Mood Disorders Paula Yanes and Chrystal Vergara Interpersonal Therapy for Depression (IPT) Developed by Gerald Klerman and Myrna Weissman Brief and highly structured manualized 2 Brief and highly structured manualized treatment (originally used in research settings) Adapted for use with different age groups and different disorders Interpersonal Therapy for Depression (IPT) Conceptual Framework Mood and psychosocial events are linked Events do not CAUSE depression 3 Events not necessarily all interpersonally related, but dealt with within an interpersonal context Based partly on Psychoanalytic Theory Meyer, Sullivan, Bowlby HOWEVER, focus is on “here and now” Also pulls from psychosocial and life events research
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6/15/2009 2 IPT Conceptualization and Goals Depression is conceptualized by IPT as having three components: 1. Symptom formation 4 2. Social functioning 3. Personality contributants IPT focuses on social functioning Goals: To improve quality of interpersonal functioning and reduce symptoms IPT Strategies and Techniques Strategies used to achieve goals: Medical Model of Depression Depression is a disease one suffers from 5 No reason to feel guilty about it Patient is assigned the “sick role,” BUT obliges them to work to relieve depression Solve interpersonal problems using therapeutic techniques Techniques Used in IPT Exploratory techniques Opening question Clarification and Supportive Listening Questioning styles: Focus on bias in description, offer empathetic reflection on issues Role playing and Communication Analysis Invaluable behavioral tools in intervening in interpersonal disputes Encouragement of Affect Experiencing unpleasant or unwanted affect safely within the therapeutic frame Use of the Therapeutic Relationship
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6/15/2009 3 IPT – Basic Features Time-limited, not long-term (12-16 sessions) Focused, not open-ended Current, not past interpersonal relationships Interpersonal, not intrapsychic Interpersonal, not cognitive-behavioral Personality is recognized but not focused on IPT Problem Areas Focus is on 1 of 4 Problem Areas Grief 8 Interpersonal Role Dispute Role Transition Interpersonal Deficits IPT and Problem Areas Grief Loss of a loved 9 one Complicated Bereavement
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4 IPT and Problem Areas Interpersonal Role Dispute Disputes with significant others 10 Excessive, lead to significant distress Examples: Husband thinks wife should give up career to be a full-time mom Parents don’t want child to move away after college 11 IPT Problem Areas Role Transition Change from one role to another Leaving College and entering work 12 Leaving College and entering work Medical disability ends role as money earner in family
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This note was uploaded on 05/04/2010 for the course SOC 101 taught by Professor Miller during the Spring '06 term at SUNY Buffalo.

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09 Interpersonal treatments class - 6/15/2009 Interpersonal...

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