TREATMENT OF ABNORMAL BEHAVIOR THREE APPROACHES TO THERAPY
INSIGHT THERAPIES Designed to give insight (understanding) into cause(s) of problem Will help client to gain control of thoughts, feelings, and behaviors
Psychoanalytical, cognitive, and humanistic are leading approaches in insight BEHAVIOR THERAPY Focuses on problem itself Based on CC, OC, and ObL
BIOMEDICAL THERAPY Focuses on chemical imbalances, disturbed nervous system functions, and abnormal brain chemistry Uses drugs (psychopharmacology) and electroconvulsive therapy
FREUD AND PSYCHOANALYSIS INTRODUCTION Psychoanalysis rests on idea that unconscious conflicts
and repressed memories are underlying causes of abnormal behavior Therapist will focus on how childhood conditions created the conflicts 5 MAJOR PSYCHOANALYTIC
TECHNIQUES 1. Free association: client spontaneously reports thoughts feelings, and mental images --therapist asks questions to encourage flow 2. Analyzing dreams: dreams are symbolic of unconscious conflicts and repressed impulses
5 TECHNIQUES CONTINUED 3. Analyzing resistance: the attempt to conceal disturbing memories, motives and experiences 4. Analyzing transference: when a patient transfers conflicts and feelings onto the therapist
5. Offering interpretation: wait for the right opportunity to offer interpretation EVALUATION OF PSYCHOANALYSIS Seems to work best for articulate, highly motivated patients who suffer from anxiety disorders
Time-consuming and expensive COGNITIVE THERAPIES ALBERT ELLIS Most people believe emotions and behaviors are a direct
result of specific events Ellis argued that feelings are actually produced by irrational beliefs we use to interpret events Ellis devised a 4 step rational emotive therapy (RET) RATIONAL EMOTIVE THERAPY
1. Identifying activating events: what events trigger the mental processes and behaviors 2. Identifying belief systems: the irrational beliefs and negative self-talk 3. Examining emotional consequences: argue irrational beliefs lead to self-defeating behaviors, anxiety
disorders, and depression 4. 4. Disputing erroneous belief: dispute clients faulty logic AARON BECKS COGNITIVE THERAPY Effective for depression
Help clients come to grips with negative beliefs about themselves Depression-prone ppl focus on: negative events and engage in all-or-none thinking EVALUATION OF COGNITIVE
THERAPIES Highly effective in treating anxiety disorders, depression, addiction, anger management, and bulimia nervosa Relies too heavily on rationality (ignores unconscious drives)
HUMANIST THERAPY CARL ROGERS AND CLIENTCENTERED THERAPY AKA: Person-centered therapy One of most widely used models
Therapist creates a comfortable, non-judgmental environment Demonstrates empathy and unconditional positive regard Clients are encouraged to seek out solutions to problems
EVALUATION Has helped to remove the stigma attached to therapy It is unstructured and highly subjectivedifficult to objectively measure self-actualization and selfawareness
GROUP, FAMILY, AND MARITAL THERAPIES GROUP THERAPY A number of people meet and work toward therapeutic goals
Based on principles of Carl Rogers Self-help groups are a popular variation (AA) FAMILY AND MARITAL THERAPIES Strive to identify and change maladaptive family interactions
When one family member has a problem, the others are affected EVALUATION Less expensive Insight gained through shared experience
Successful in alcoholism, drug addiction, teenage delinquency, and marital infidelity BEHAVIOR THERAPIES WHAT IS IT?
Therapists seek to modify specific behaviors (dont look for cause) Assumes that all behavior is learned MARY COVER JONES The Mother of behavior therapy
Used counterconditioning (associate something pleasant with the stressful stimuli) JOSEPH WOLPESYSTEMATIC DESENSITIZATION A technique for treating anxiety-producing phobias
Uses CC 3 steps: 1. Teach deep relaxation 2. Create a hierarchy of anxiety-arousing images and situations 3. Begin process with least threatening experience
AVERSION THERAPY Uses CC to create anxiety Deliberately pair an aversive stimulus with a maladaptive behavior (Antabuse)
EVALUATION Effective with phobias, eating disorders, and obsessivecompulsive disorders Newly acquired behaviors may disappear if not consistently reinforced BIOMEDICAL THERAPIES
PSYCHOPHARMACOLOGY The study of how drugs affect mental processes and behavior Antianxiety drugs: reduce anxiety and produce relaxation by lowering sympathetic activity in the brain
Antipsychotic drugs: diminish hallucinations, delusions known as neuroleptics or major tranquilizers decrease activity at the dopamine synapses PSYCHOPHARMACOLOGY CONTINUED Mood-stabilizing drugs: treat the combination of manic
episodes and depression characteristic of bipolar disorder (lithium) Antidepressant drugs: treat depression by inhibiting the reuptake of serotonin (Selective Serotonin Reuptake InhibitorSSRI)
ELECTROCONVULSIVE THERAPY 2 electrodes placed on the outside of a patients head Moderated electrical current is passed through the brain Used to treat serious cases of depression (suicidal patients)
EVALUATION Very effective for bipolar disorders and depression Has enabled deinstitutionalization (good or bad?) Does not cure, only treats
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