therapeutic_interventions-post

therapeutic_interventions-post - Therapeutic Interventions...

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Therapeutic Interventions Therapeutic Interventions Dr. Nolan Zane
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Biology-Based Treatment Biology-Based Treatment Psychopharmacology : Study of the effects of drugs on the mind and on behavior Advantages (reducing institutionalization) and disadvantages (e.g., addiction and abuse; gender bias, side effects) Four major categories: Antianxiety (minor tranquilizers) Antipsychotic (major tranquilizers) Antidepressant (MAOIs, tricyclics, SSRIs) Antimanic (lithium)
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Biology-Based Treatment Biology-Based Treatment (cont’d) (cont’d) Psychopharmacological considerations: Which medication to use with which kind of patient under which circumstances Increases effectiveness of other types of treatment Medications reduce active symptoms and hospitalizations, but do not cure mental disorders Not effective with passive symptoms and do not improve living skills Lack of compliance is a problem
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Psychotherapy Psychotherapy Psychotherapy : Systematic application, by a professional therapist, of techniques derived from psychological principles, for the purpose of helping psychologically troubled people Common therapeutic factors: Development of a therapeutic alliance Opportunity for catharsis Acquisition and practice of new behaviors Clients’ positive expectancies
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Psychotherapy Psychotherapy (cont’d) (cont’d) Korchin’s characteristics of psychotherapy: A chance for the client to relearn Help generating the development of new, emotionally important experiences Therapeutic relationship Clients in psychotherapy have certain motivations and expectations
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Clients are both fearful and hopeful . Only slightly over 1/4 of people with MH problems seek services. Frank (1974) – patients seek help in state of demoralization. Most therapies work by restoring morale and reduce demoralization. Howard’s phase model of psychotherapy: Remoralization (well-being), Remediation (symptom reduction), and Rehabilitation (adjustment, functioning). Mental health services can be made culturally appropriate for ethnic minorities. Murase and Johnson (1974) – Western therapies focus on subjective reconstruction while Eastern therapies focus on objective rehabilitation. Howard’s phase model may not apply to Eastern therapies.
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Insight-Oriented Approaches to Individual Psychotherapy Psychoanalysis : Freud: People are born with instinctual drives that constantly seek to discharge/express themselves As personality structure develops, conflicts occur among the id, ego, and superego Unresolved conflicts resurface in adulthood Psychoanalysis seeks to overcome defenses (repressed unacceptable thoughts/impulses)
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Insight-oriented approaches to Insight-oriented approaches to individual psychotherapy individual psychotherapy Psychoanalysis -- uncovering repressed material to achieve insight; use transference to work through unresolved repressed conflicts to more adaptive resolution; inappropriate for children and for nonverbal
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This note was uploaded on 09/13/2010 for the course PSC 49640 taught by Professor Schleper during the Spring '09 term at UC Davis.

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therapeutic_interventions-post - Therapeutic Interventions...

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