Chapter 11 Psychotherapy Flashcards
(26 cards)
Hans Enyseck
People improve on their own and psychotherapy is of little benefit
Meta analysis
Statistically combines the results of separate studies to create numerical representation of the effects of psychotherapy as tested across massive numbers of settings, therapists, and clients
Hans Strupp
Tripartite Model
The client, therapist, and society
This is who should be consulted when researching psychotherapy outcomes
Efficacy
The extent to which psychotherapy works in a controlled research study (in the lab)
Maximizes internal validity
3 common features of efficacy studies
A well-defined group of clients
Manualized treatment guidelines
Random assignment of clients to control and treatment groups
Effectiveness
The extent to which psychotherapy works in actual clinical settings (in the real world)
Has greater external validity
3 common features of effectiveness studies
Include a wider range of clients
Allow for greater variability between therapists methods
May or may not include a control group for comparison
What have efficacy studies concluded about psychotherapy
It works!
Psychotherapy is not a panacea (a solution for all difficulties)
Transdiagnostic approach
One underlying factor can cause multiple disorders (the underlying factor is transdiagnostic)
Unified protocol
Used for emotional disorders
-reducing negative thoughts
-prevent unhealthy ways of avoiding negative feelings
-teaching clients to tolerate unpleasant feelings when they are experienced
-encouraging behaviors that facilitate positive feelings
Consumer Reports Study
Surveyed subscribers about their experiences with psychotherapy— found positive lasting effects for the majority of respondents
Criticisms of the Consumer repots study
Potential sampling bias
How many would have improved without psychotherapy
How reliable and valid are clients own self-reports
What is practice-oriented research
Increasing collaboration between researchers and practitioners
The dodo bird verdict
Everyone has won and all must have a prize
How could discrepancy therapies have such similar results?
All share some fundamental compentents or common factors
Different theapies benefit the same underlying mechanisms
Types of common factors
Hope- therapists provide optimism
Attention- past attempted to ignore problems
Therapeutic relantionship alliance- partnership/connection
Dianne chamberles argued against the idea that all forms of psychotherapy are equivalent— what has she worked to establish?
Prescriptive approach-specific therapy techniques
Manualized, evidence based treatment
Stages of change model
Precontemplation stage
Contemplation stage
Preparation stage
Action stage
Maintenance stage
Precontempaltion stage
No intention to change at all
Contemplation stage
Aware that a problem exists, considering doing something to address it, but not ready to commit to any real effort in that direction
Preparation stage
Intending to take action within a short time
Action stage
Actively changing behavior and making notable efforts to overcome their problems
Maintenance stage
Preventing relapse and retaining the gains made during the action stage
What trends to experts predict will occur in psychotherapy in the near future
Psychotherapy via technology
Therapy approaches that are based on culture/diversity
Maindulness-based approaches to therapy
Cognitive behavioral therapy
Motivational interviewing
