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Introduction to Psychology Therapies
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Psychotherapy Any psychological technique used to facilitate positive changes in a person’s personality, behavior, and adjustment
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“Best Practices” Research indicates the most effective therapies based on the presenting problem
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Types of Therapy Individual Group Family Play Brief
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Conceptualizations of Psychopathology Psychodynamic Humanistic Behavioral Cognitive Cognitive- behavioral Existential
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Psychodynamic Approach Disturbances are caused by underlying conflicts; repression Id/ego/superego are in conflict
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Psychodynamic Approach Free association: saying whatever comes to mind Transference/counter-transference Catharsis: emotional release Role of therapist: blank screen
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Humanistic Approach Carl Rogers Non-directive Reflection of feelings Unconditional positive regard Role of therapist: supportive; empathetic and open
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Humanistic Approach Based on the belief that people want to get better Reflection of ideas/feelings: so the person can hear his/her own voice
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Existential Therapy Being-in-the-world creates conflict “existential dilemmas”: not living authentically, reaching our potential Search for meaning; leading a life of purpose Role of therapist: to confront/challenge, explore
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Behavioral Therapy To modify behavior Assumption: mental illness results from learned maladaptive behaviors Reinforcing more adaptive behaviors For phobias: systematic desensitization
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Cognitive Therapy Albert Ellis Correcting distortions in thinking All-or-nothing thinking Confronting and reframing irrational thoughts Role of the therapist: to challenge, encourage healthier thought patterns
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Cognitive-Behavioral Therapy Confronting irrational beliefs Encouraging specific healthy behaviors i.e. Assigning exercise as “homework” Encouraging an alcoholic to note situations/triggers and to actively avoid them
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Counseling Skills Active listening Reiterating the main point Reflection of feelings Use of open postures
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Therapeutic Skills Reframing Confrontation Making associations; inviting the person to consider them Education Use of silence Open questions
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Therapeutic Alliance Building rapport Good “match” between therapist and client Cultural differences? Gender differences?
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Confidentiality and Reporting When/why do we break confidentiality? Tarasoff case: duty to warn
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Ethical Issues Should therapists give advice? Dating/sexual relationships? Should therapists receive therapy themselves?
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