Lecture 89: Pyschotherapy Flashcards Preview

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Flashcards in Lecture 89: Pyschotherapy Deck (32):
1

About how effective is psychotherapy? Most important contributing factor to success?

~75%; relationship b/t patient and therapist

2

What is psychotherapy?

Medical treatment directed to changing behavior and emotional responses through verbal means

3

Criteria for a system of psychotherapy

A comprehensive theory; Empirical support;
operationalized or technique-driven therapy based on theoretical principles; Empirical evidence for effectiveness

4

Use of psychotherapy?

Psychiatric symptoms; specific problems (relationship); general problems (self-esteem); augmenting treatment in non-psychiatric conditions

5

Psychoanalytic/psychodynamic (description, 2 main points). Short or long-term?

Self-reflection/exploration taking place in the context of the patient-therapist relationship; exploration of the past and it's effect on the present; long-term

6

Psychoanalytic/psychodynamic is based on...

Frued's theory of the mind (unconscious determining our behaviors, thoughts, feelings)

7

Psychoanalytic/psychodynamic techniques (6)

Education about process; therapeutic alliance; transference; defense interpretation; free association; dreams

8

Psychoanalytic/psychodynamic patients (5)

Specific issues/concerns, inquisitive about mind, ability to tolerate negative emotions, ability to delineate transference reactions from reality, complex mental disorders affecting functioning

9

Psychoanalytic/psychodynamic goals (3)

Increase insight, enhance meaning, minimize vulnerability for recurrence of symptoms

10

How is psychodynamic therapy different? (what is focused on: 5 items + 1 more item)

Focus on emotions, how we avoid distress, the past, relationships, fantasy; identification of recurring themes

11

Behavioral and cognitive therapy talks about the links between what three things. Based on what theories?

Thought, emotion, behaviors; learning theory

12

Goal of behavioral and cognitive therapy. Structured or unstructured? Short or long-term?

To unlearn maladaptive and learn adaptive thinking/behavioral patterns; structured; short-term

13

In behavioral and cognitive therapy, the therapist assumes the roles of the...How else does this paradigm manifest?

Teacher; assigns homework

14

Types of behavioral and cognitive therapy (4)

CBT, dialectical behavioral therapy, other behavioral therapies: exposure therapy, token economies

15

Behavioral therapy has what active ingredient? Targets?

Specific exposures; specific conditioned response

16

Two methods of exposure therapy

Systematic desensitization vs flooding

17

Aversive conditioning (describe and example)

Patient exposed to unpleasant stimulus while engaging in targeted behavior; nail biting

18

What is a treatment for OCD? When does a patient have to use this treatment?

Exposure therapy with response-prevention; must be practiced AT HOME and during session

19

What is the goal of token economy? How does it do this?

Increase target behaviors; Reinforcing the good (not punishing the bad)

20

What would biofeedback work for?

Works physical/psychosomatic disorders by measuring physiological parameter measured in real-time

21

Describe CBT

Directed primarily at identifying and modifying distorted or maladaptive cognitions and associated emotional reactions and behavioral dysfunction

22

What is the best-studied behavioral and cognitive therapy?

CBT!

23

Basis for CBT: 2 levels of dysfunctional cognitions

1. Automatic thoughts; 2. Cognitive schemas

24

Examples of maladaptive automatic thoughts (3)

All-or-none thinking, personalizing things, catastrophic thinking

25

Cognitive schemas can be...(2, examples of each)

Adaptive (no matter what happens, I can manage it); maladaptive (I must be perfect to be accepted)

26

CBT works particularly well for...

Depression (lots of negative bias) and anxiety

27

What's an example for identifying/modifying thoughts/schemas

Thought recording, then attempts at reframing the thoughts, finally thought change recording plus

28

Describe DBT

Combines standard CBT techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindfulness derived from Buddhist meditative practice

29

Four core skills of DBT

Mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness

30

T/F: Group therapies are only found in CBT

False! Any therapy can be conducted in a group, including psychodynamic therapies

31

If a therapist was offering lots of praise/advice, this might be what kind of therapy?

Supportive psychotherapy

32

What brain region might be targeted by CBT in anxiety disorders?

Reduced activity in limbic and paralimbic regions

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