Treatment of Psychological Disorders Flashcards

1
Q

Define Psychotherapy

A

Treatment involving psychological techniques; consists of interactions between a trained therapist and someone seeking to overcome psychological difficulties or achieve personal growth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define Biomedical Therapy

A

Prescribed medications or procedures that act directly on the person’s physiology.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define Eclectic Approach

A

An approach to psychotherapy that, depending on the client’s problems, uses techniques from various forms of therapy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define Psychoanalysis

A

Sigmund Freud’s therapeutic technique. Freud believed the patient’s free associations, resistances, dreams, and transferences—and the therapist’s interpretations of them—released previously repressed feelings, allowing the patient to gain self-insight.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define Resistance

A

In psychoanalysis, the blocking from consciousness of anxiety-laden material.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Define Interpretation

A

In psychoanalysis, the analyst’s noting supposed dream meanings, resistances, and other significant behaviors and events in order to promote insight.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Define Transference

A

In psychoanalysis, the patient’s transfer to the analyst of emotions linked with other relationships (such as love or hatred for a parent).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Define Psychodynamic Therapy

A

Therapy deriving from the psychoanalytic tradition that views individuals as responding to unconscious forces and childhood experiences, and that seeks to enhance self-insight.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define Insight Therapies

A

A variety of therapies that aim to improve psychological functioning by increasing a person’s awareness of underlying motives and defenses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define Client-Centered Therapy

A

A humanistic therapy, developed by Carl Rogers, in which the therapist uses techniques such as active listening within a genuine, accepting, empathic environment to facilitate clients’ growth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Define Active Listening

A

Empathic listening in which the listener echoes, restates, and clarifies. A feature of Rogers’ client-centered therapy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Define Unconditional Positive Regard

A

A caring, accepting, nonjudgmental attitude, which Carl Rogers believed would help clients to develop self-awareness and self-acceptance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define Behavior Therapy

A

Therapy that applies learning principles to the elimination of unwanted behaviors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Define Counterconditioning

A

Behavior therapy procedures that use classical conditioning to evoke new responses to stimuli that are triggering unwanted behaviors; include exposure therapies and aversive conditioning.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Define Exposure Therapies

A

Behavioral techniques, such as systematic desensitization and virtual reality exposure therapy, that treat anxieties by exposing people (in imagination or actual situations) to the things they fear or avoid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Define Systematic Desensitization

A

A type of exposure therapy that associates a pleasant, relaxed state with gradually increasing anxiety triggering stimuli. Commonly used to treat phobias.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Define Virtual Reality Exposure Therapy

A

An anxiety treatment that progressively exposes people to electronic simulations of their greatest fears, such as airplane flying, spiders, or public speaking.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Define Aversive Conditioning

A

A type of counterconditioning that associates an unpleasant state (such as nausea) with an unwanted behavior (such as drinking alcohol).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Define Token Economy

A

An operant conditioning procedure in which people earn a token of some sort for exhibiting a desired behavior and can later exchange the tokens for various privileges or treats.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Define Cognitive Therapy

A

Therapy that teaches people new, more adaptive ways of thinking; based on the assumption that thoughts intervene between events and our emotional reactions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Define Rational-Emotive Behavior Therapy (REBT)

A

A confrontational cognitive therapy, developed by Albert Ellis, that vigorously challenges people’s illogical, self-defeating attitudes and assumptions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Define Cognitive-Behavior Therapy

A

A popular integrative therapy that combines cognitive therapy (changing self-defeating thinking) with behavior therapy (changing behavior).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Define Group Therapy

A

Therapy conducted with groups rather than individuals, permitting therapeutic benefits from group interaction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Define Family Therapy

A

Therapy that treats the family as a system. Views an individual’s unwanted behaviors as influenced by, or directed at, other family members.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Define Regression Toward The Mean

A

The tendency for extreme or unusual scores to fall back (regress) toward their average.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Define Meta-Analysis

A

A procedure for statistically combining the results of many different research studies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Define Evidence-Based Practice

A

Clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Define Therapeutic Alliance

A

A bond of trust and mutual understanding between a therapist and client, who work together constructively to overcome the client’s problem.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Define Resilience

A

The personal strength that helps most people cope with stress and recover from adversity and even trauma.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Define Psychopharmacology

A

The study of the effects of drugs on mind and behavior.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Define Antipsychotic Drugs

A

Drugs used to treat schizophrenia and other forms of severe thought disorder.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Define Antianxiety Drugs

A

Drugs used to control anxiety and agitation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Define Antidepressant Drugs

A

Drugs used to treat depression, anxiety disorders, obsessive-compulsive disorder, and posttraumatic stress disorder. (Several widely used antidepressant drugs are selective serotonin reuptake inhibitors—SSRIs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Define Electroconvulsive Therapy (ECT)

A

A biomedical therapy for severely depressed patients in which a brief electric current is sent through the brain of an anesthetized patient.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Define Repetitive Transcranial Magnetic Stimulation (rTMS)

A

The application of repeated pulses of magnetic energy to the brain; used to stimulate or suppress brain activity.

36
Q

Define Psychosurgery

A

Surgery that removes or destroys brain tissue in an effort to change behavior.

37
Q

Define Lobotomy

A

A psychosurgical procedure once used to calm uncontrollably emotional or violent patients. The procedure cut the nerves connecting the frontal lobes to the emotion-controlling centers of the inner brain.

38
Q

Phillippe Pinel and Dorothea Dix

A

Reformers who pushed for gentler, more humane treatments and for constructing mental hospitals.

39
Q

What are the two main categories today’s therapies can be classified into?

A

Psychotherapy: A therapist uses psychological techniques to assist patients.
Biomedical therapy: A doctor uses medication or other biological treatments to assist patients.

40
Q

What are the goals of psychoanalysis as a therapy?

A

Psychoanalytic theory presumes that healthier, less anxious living becomes possible when people release the energy they had previously devoted to id-ego-superego conflicts. Freud’s therapy aimed to bring patients’ repressed or disowned feelings into conscious awareness. By helping them reclaim their unconscious thoughts and feelings and giving them insight into the origins of their disorders, he aimed to help them reduce growth-impeding inner conflicts.

41
Q

What techniques does psychoanalysis use as a therapy?

A

Free association: the patient says whatever comes to mind, and a psychoanalyst notes resistances and provides insight into their meaning.

43
Q

What are the goals of psychodynamic therapy?

A

Try to help patients understand their current symptoms.

45
Q

What techniques does psychodynamic therapy use?

A

Therapists meet with patients face to face.

47
Q

What is interpersonal psychotherapy?

A

A brief, 12 to 16 session variation of psychodynamic therapy that aims to help people gain insight into the roots of their difficulties. However, its ultimate goal is immediate symptom relief.

49
Q

What are some of the ways humanistic therapies differ from psychodynamic therapies?

A

Promoting growth, not curing illness, is the focus of therapy
Aims to boost people’s self-fulfillment by helping them grow in self-awareness and self-acceptance
The path to growth is taking immediate responsibility for one’s feelings and actions, rather than uncovering hidden determinants
Conscious thoughts are more important than the unconscious
The present and future are more important than the past

51
Q

Carl Rogers

A

Developed the widely used humanistic technique he called client-centered therapy, which focuses on the person’s conscious self-perceptions. Encouraged therapists to exhibit acceptance, genuineness, and empathy.

53
Q

What three techniques did Rogers encourage in active listening?

A

Paraphrase: summarize the person’s words
Invite clarification: encourage the person to say more
Reflect feelings: say things that mirror the person’s body language and intensity

55
Q

Where do the major psychotherapies come from?

A

They are derived from psychology’s psychodynamic, humanistic, behavioral, and cognitive perspectives.

57
Q

How do behavioral therapies, the insight therapies, and cognitive therapies differ?

A

The insight therapies assume that many psychological problems diminish as self-awareness grows. Behavioral therapies view maladaptive symptoms as learned behaviors that can be replaced by constructive behaviors. Cognitive therapies assume that our thinking colors our feelings.

59
Q

How do systematic desensitization and aversive conditioning compare?

A

In systematic desensitization, the goal is substituting a positive (relaxed) response for a negative (fearful) response to a harmless stimulus. In aversive conditioning, the goal is substituting a negative (aversive) response for a positive response to a harmful stimulus. Aversive conditioning is the reverse of systematic desensitization.

59
Q

What is a problem with aversive conditioning?

A

Cognition influences conditioning. If people know that they are being conditioned to avoid certain stimuli, it can limit the treatment’s effectiveness. Thus, therapists often use aversive conditioning in combination with other treatments.

59
Q

What classical and operant conditioning techniques do therapists use to treat symptoms?

A

Classical: Counterconditioning, exposure therapy, aversive conditioning, reconditioning
Operant: behavior modification

59
Q

What two concerns do critics of behavior modification express? How do proponents respond?

A

1) How durable are the behaviors? Will people become so dependent on extrinsic rewards that the appropriate behaviors will stop when the reinforcers stop?
Response: Proponents believe that the behaviors will endure if therapists wean patients from the rewards by shifting them toward other, real-life rewards, such as social approval. They also point out that the appropriate behaviors themselves can be intrinsically rewarding.

2) Is it right for one human to control another’s behavior?
Response: Advocates point out that some patients request the therapy. Moreover, control already exists; rewards and punishers are already maintaining destructive behavior patterns, so why not reinforce adaptive behavior instead? Treatment with positive rewards is much more humane than being institutionalized or punished, and the right to effective treatment and an improved life justifies temporary deprivation.

59
Q

What are the goals of cognitive therapies?

A

Teach people new, more constructive ways of thinking.

59
Q

Albert Ellis

A

The creator of rational-emotional behavior therapy (REBT)

59
Q

What is stress inoculation training?

A

Teaching people to restructure their thinking in stressful situations.

59
Q

What are the goals of cognitive-behavioral therapy?

A

To alter both the way people think and the way they cat. It seeks to make people aware of their irrational negative thinking, to replace it with new ways of thinking, and to practice the more positive approach in everyday settings.

59
Q

What are some benefits group therapy provides?

A

it saves therapists’ time and clients’ money
it offers a social laboratory for exploring social behaviors and developing social skills
it enables people to see that others share their problems
it provides feedback as clients try out new ways of behaving

59
Q

What are the two components of systematic desensitization therapy?

A

Constructing a hierarchy of anxiety triggering situations, and using progressive relaxation to gradually become desensitized to each.

60
Q

What are some reasons that client testimonials do not persuade psychotherapy’s skeptics?

A

People often enter therapy in crisis. Even if the crises passes due to the normal ebb and flow of events, people may attribute their improvements to therapy.
Clients may need to believe the therapy was worth the effort. They may not want to admit investing time and money in something ineffective.
Clients generally speak kindly of their therapists.

61
Q

How do clinicians’ perceptions of the effectiveness of psychotherapy compare with that of clients?

A

Most therapists, like most clients, testify to therapy’s success. This is because people usually enter therapy when they are extremely unhappy, and leave when they are less unhappy. If problems reoccur, they may seek a different therapist.

62
Q

What two phenomena are clients’ and therapists’ perceptions of therapy’s effectiveness vulnerable to?

A

1) The placebo effect: if you think a treatment is going to be effective, it can affect the outcome.
2) Regression toward the mean: the tendency for unusual events (or behaviors/emotions) to eventually return to their average state.

63
Q

Hans Eysenck

A

A British psychologist who challenged the effectiveness of psychotherapy. He summarized studies showing similar rates of improvement for nonpsychotic disorders in people who received psychotherapy and those who didn’t.

64
Q

What is the conclusion that summaries of many different studies have come to?

A

Those not undergoing therapy often improve, but those undergoing therapy are more likely to improve more quickly, and with less risk of relapse.

65
Q

Is psychotherapy cost effective?

A

Yes. Studies show that people who seek psychological treatment are 16% less likely to search for other medical treatments.

66
Q

Are some types of psychotherapy more effective than others?

A

The statistical summaries and surveys fail to pinpoint any one type of therapy as generally superior. However, some forms of therapy work better for particular problems. Therapy is most effective when the problem is clear-cut.

67
Q

What is Eye Movement Desensitization and Reprocessing (EMDR)?

A

A therapy that treats anxiety by having patients imagine traumatic scenes while the therapist triggers eye movements, supposedly enabling them to unlock and reprocess memories. Most agree that it is somewhat effective, but not that the eye movements are the therapeutic component. Critics suspect that what is therapeutic about it is the combination of exposure therapy and the placebo effect. `

68
Q

What is light exposure therapy?

A

A therapy that treats seasonal depression by giving people a timed daily dose of intense light. Light exposure therapy has been shown to reduce depression symptoms for those suffering in a seasonal pattern. It does so as effectively as taking antidepressant drugs or undergoing cognitive-behavioral therapy.

69
Q

What three elements are shared by all forms of psychotherapy?

A

1) Hope for demoralized people
2) A new perspective
3) An empathetic, trusting, caring relationship

70
Q

What is the difference between preventive mental health and psychological or biomedical therapy?

A

Psychotherapies and biomedical therapies tend to locate the cause of psychological disorders within the person with the disorder, and treat them by giving them insight into their problems, changing their thinking, or helping them gain control with drugs. Preventive mental health interprets many psychological disorders as understandable responses to a disturbing and stressful society. According to this view, both the person and the person’s social context need treatment. Preventive mental health seeks to prevent psychological casualties by identifying and alleviating the conditions that cause them.

71
Q

How do culture, gender, and values influence the therapist-client relationship?

A

Therapists differ in the values that influence their goals in therapy and their views of progress. These differences may create problems if therapists and clients differ in their cultural, gender, or religious perspectives.

72
Q

What is a double-blind procedure?

A

An experiment where neither the staff nor the patients know who is in the control group.

73
Q

How do antipsychotic drugs work?

A

The molecules of most conventional antipsychotic drugs are antagonists; they are similar enough to molecules of the neurotransmitter dopamine to occupy its receptor sites and block its activity.

74
Q

What is tardive dyskinesia?

A

Involuntary movements of the facial muscles, tongue, and limbs; a possible side effect of long term use of antipsychotics.

75
Q

How do antianxiety drugs work?

A

By depressing central nervous system activity.

76
Q

What criticism do both behavioral therapies and drug therapies face?

A

That they reduce symptoms without resolving underlying problems.

77
Q

How do antidepressants work?

A

They are agonists; they work by increasing the availability of certain neurotransmitters, such as norepinephrine and serotonin, which elevate arousal and mood.

78
Q

What are SSRIs (selective serotonin reuptake inhibitors)?

A

The most commonly prescribed antidepressants, including Prozac, Zoloft, and Paxil, which work by blocking the reabsorption and removal of serotonin from synapses.

79
Q

Why do antidepressants often require four weeks to fully take effect?

A

Increased serotonin promotes neurogenesis, perhaps reversing stress induced loss of neurons.

80
Q

How effective are antidepressants in treating depression?

A

Not very. Analyses of double-blind clinical trials indicate that the placebo effect accounted for about 75% of the drug’s effect. Antidepressants are minimally or not at all effective for those with mild or moderate symptoms, but may be more effective among people with very severe depression.

81
Q

What are mood stabilizing drugs?

A

Drugs used to stabilize mood, often for patients with bipolar disorder.

82
Q

Is electroconvulsive therapy effective?

A

Studies confirm that ECT is an effective treatment for severe depression in patients who have not responded to drug therapy.

83
Q

How does ECT alleviate severe depression?

A

No one knows for sure. The shock-induced seizures may calm neural centers where overactivity produces depression. ECT also appears to boost the production of new brain cells. Some think it works as a placebo effect.

84
Q

How does rTMS differ from ECT?

A

The rTMS procedure is performed on wide-awake patients over several weeks. It produces no seizures, memory loss, or other serious side effects. A possible explanation for its effect is that the stimulation energizes the brain’s left frontal lobe, which is relatively inactive during depression. Repeated stimulation may cause nerve cells to form new functioning circuits through the process of long-term potentiation.

85
Q

What is deep brain stimulation?

A

An experimental treatment pinpointed at a depression center in the brain (a neural hub that bridges the thinking frontal lobes to the limbic system, and is overactive in the brain of a depressed person).