1. Abnormal Psychology: Implementing Treatment

2. Relationship between Etiology and Treatment
Bio-psycho-social Approach
most modern integrates all LOA’s
Sufferer is a “client”
Follows medical model
1 on 1, CBT therapies
Social aspect
group therapy
Shared experiences

4. Cultural considerations in Treatment
Culture influences type/effectiveness of therapy
Mutlaq & Chelaby 1995
problems with group therapy in Arab countries
issues involving status, gender roles

5. Indigenous Healing Practices: combo of Western and native beliefs/roles/mores
Malaysia/Koran
Chinese Taoist Cognitive Therapy

6. Community Psychologists
practices focus on client within their community
Reaction to the weaknesses of institutionalization
Ecological Model
Miller (2000) focuses on the relationships between people/ settings
Coping/collaboration in problem solving

7. Eclectic Practices
Research: better results obtained when several approaches are integrated
Virtually all therapies now incorporate 2+ approaches
Addresses 2+ LOA’s
Rush et al (1977); Hollon & Beck (1994)
drug + Cognitive therapy helped coping and decreased relapse rates of Depression

8. Measuring Therapy’s Effectiveness
Criteria for evaluating therapies
Symptom free for how long?
Absence of symptoms = success?
Is success dependent on only observable behaviors?
Is it possible to quantify (or is it only qualitative)?
Who decides success: therapist, client, family, public, government?

9. Outcome Studies seek to answer this, but are limited
Not all suffer to the same degree
Treatment cannot be standardized or linear
Treatment is individual, adaptive and continual

10. Studies of the Efficacy of Therapy
Eysenck (1961)
Spontaneous Remission—improved condition caused by natural healing process, not therapy
still viable, but not all experience this, thus therapy is necessary

11. Bennun & Schindler (1988) Smith et al (1980)
best indicator of success was favorable rating of therapists by clients
Smith et al (1980)
meta analysis of 475 studies showed foundational aspects of therapy were effective