ch3 - Ch.3 Treatment of Psychological Disorders 08/02/2009...

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Ch.3 Treatment of Psychological Disorders 08/02/2009 13:07:00 Psychotherapy : use of psychological techniques and the therapists-client relationship to produce  emotional, cognitive, and behavior change  eclectic  mental health professionals: use diff treatments for different disorders psychotherapy process research searches for the active ingredients in psychotherapy; therapeutic  activities that promote positive change  Case Study: Why is Frances Depressed 23 year old woman; depressed for almost 3 years, with periods of relative happiness or deeper  despair little appetite, lost 10 pounds, erratic sleeping patterns contemplated suicide no motivation; dressed carelessly, lost friends, didn’t go to work; slow speech, crying  “failure as a daughter” –relationship with mother felt pressured into marrying hs sweetheart; depression got worse after marriage, insisted that  marriage problems were all her fault  self blame in problems with parents and husband;  Frances and the 4 paradigms Biological therapists o Drawing analogies with physical illnesses; Frances is depressed, father is chronically  depressed; maybe its genetic; chemical imbalance in the brain o Medication would be recommended, follow up appointments to be monitored Psychodynamic therapists o Focus on her defensive style o View Frances’s justification of parents’ and husband’s behavior as a form of  rationalization; denial-refusal to acknowledge flaws of loved ones o Projections: projecting onto them her own sense of feeling burdened o Explore the past; goal is to illuminate unconscious motivations, intrapsychic conflicts, and  defenses to the therapist and eventually to herself
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Cognitive behavior therapists o Self blame would be seen as cognitive error o w/drawal from pleasing activites and her apparent unassertiveness also would be seen a  contributing to her depression o more direct in discussing these topics o learning new ways of thinking, acting, and feeling is focus o would expect Frances’s depressed mood to lift once she learned to assert herself and no  longer blame herself humanistic therapists o lack of emotional genuineness is primary focus; inability to be herself with other people  and w/in herself o nondirective in terms of specific topics for discussion but would continually focus therapy  on emotional issues o expect Frances to make changes in her life as a result of her increased emotional  awareness Brief historical perspective o Healing: spiritual/religious and naturalistic/scientific tradition  Biological treatments most mental disorders are caused by many factors
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ch3 - Ch.3 Treatment of Psychological Disorders 08/02/2009...

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