Study guide for Exam 3

Study guide for Exam 3 - Study guide for Exam 3 cont...

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Study guide for Exam 3: cont. Electroconvulsive Therapy: ECT- creating seizures throughout the body by sending electrical shocks throughout the body o Originally treatment for schizophrenia o Now effective for depression- when talking about very chronic depression that we can’t treat any other way o Cause seizure- electrical current through brain o Concern about cognitive impairment o Severity of memory loss changes Psychosurgery: Frontal lobotomies Rare and localized now o Unlikely one part of brain is responsible for disorder Functions are essentially wiped out because you’re damaging your brain o Only in cases of very severe disorders, and localized so that you only impact one extremely small part of the brain Herbal Approaches: People find comfort in something more natural Mixed evidence regarding effectiveness of St. John’s Wart o No more effective than placebo in US Expectation effect- expect youre going to get better, so you do Kava, Ginkgo biloba- mechanism for changing depressive affect/anxiety- not much evidence whether they’re effective or not o Not regulated by the FDA- can interact with other medicines, and can reduce the effect of those medicines- birth control/heart medication Social Impact Institutionalization to community living- rather than putting them in an institution, they can still function in a community and the environment may help them Reinforces disease model But not a panacea- can’t take care of everything o Don’t work for everyone o Many don’t respond o Side effects aren’t tolerable to everyone o Bandaid?- just patching over the real problem, and if the real problem has some underlying ideological factors like social learning or relationship type issues than medicating these problems is simply covering them up rather than taking care of the real problems o Too widespread? Change personality with a pill?- too easy to be treated by medication? Are we altering the kind of people that we are? Treatment through medication suggests the disorder is biologically driven- and doesn’t consider the other options of how the disorders came about
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Psychological Treatment: Treating underlying difficulty Addressing cognitive, behavioral, and affective aspects of psychopathology- emotional aspects as opposed to biological Psychodynamic Therapies: Based on Freud’s ideas o Uncovering and resolving unconscious conflicts that drive psychological symptoms Maladaptive ways of coping Sources of unconscious conflict- if we can find the source, we can treat the disorder How… Free association: o Looks for themes- threads that pop off over and over again o Looks for resistances Offers interpretations Transference to therapist Catharsis of emotion Therapeutic alliance Psychodynamic therapy vs. psychoanalysis: Psychodynamic therapy: o More present focused o More short term Psychoanalysis: 3 to 4 sessions a week for years
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