Unit 14: Treatment of Disorders Flashcards

(53 cards)

1
Q

History of Insane Treatment

A

Treatments were barbaric because people treating disorders did not realize what the true cause of the disorder was. Dorothea Dix and Philippe Pinel tried to change that to more humane care and a policy of deinstitutionalization.

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2
Q

Psychotherapy

A

involves an emotionally charged, confiding interaction between a trained therapist and a mental patient.

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3
Q

Biomedical

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therapy uses drugs or other procedures that act on the patient’s nervous system, curing him or her of psychological disorders.

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4
Q

eclectic

A

An eclectic approach uses various forms of healing techniques depending upon the client’s unique problems.

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5
Q

Psychological Therapies

A

Psychoanalytic theory
Humanistic theory
Behavioral theory
Cognitive theory

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6
Q

Psychoanalysis

A

Sigmund Freud’s actual perspective used to treat Psychological Disorders.

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7
Q

Psychoanalysis: Aims

A

The goal was to make patients aware of the underlying issues that were causing their psychological problems. Freud believed these underlying problems were trapped in the patient’s unconscious mind.

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8
Q

Psychoanalysis: Methods

free association

A

Dissatisfied with hypnosis, Freud developed the method of free association to unravel the unconscious mind and its conflicts.
The patient lies on a couch and speaks about whatever comes to his or her mind. The therapist describes their interpretation of what the patient is saying

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9
Q

transference

A

Eventually, the patient opens up and realves his or her innermost private thoughts, developing positive or negative feelings (transference) towards the therapist.

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10
Q

Psychoanalysis: Criticisms

A

Psychoanalysis is hard to refute because it cannot be proven or disproven.
Psychoanalysis takes a long time and is very expensive.

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11
Q

Psychodynamic Therapies

A

A perspective that is influenced by Freud, but has been modified to fit more with today’s patients and issues. The goal is to tap into important themes across the patient’s life that can lead to a disorder.

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12
Q

insight therapies

A

Psychoanalytic and Humanistic therapies are known as insight therapies because they are teaching you something about yourself that you weren’t even aware of before therapy started.

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13
Q

Humanistic Therapies

A

Humanistic therapists aim to make patients feel great about themselves, and to have the patient strive to be the best person they can be.

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14
Q

Person Centered Therapy

A

Type of Humanistic Therapy where the therapist has the patient lead the conversation. The therapist deals with the patient in a very positive uplifting way.

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15
Q

What does Humanistic Therapy do?

A

The therapist engages in active listening and echoes, restates, and clarifies the patient’s thinking, acknowledging expressed feelings.

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16
Q

Counterconditioning

A

Counterconditioning is a procedure that conditions new response to stimuli that trigger unwanted behaviors.

Is it based on Classical Conditioning and includes exposure therapy and aversive conditioning. It does not deal with the root cause of the behavior, just the behavior itself.

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17
Q

Exposure Therapy

A

Expose patients to the thing or things that are giving them anxiety.

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18
Q

Systematic Desensitization

A

A type of exposure therapy that exposes people to their fears little by little. You start by creating a fear hierarchy of what scares them a little to what scares them a lot.

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19
Q

Flooding

A

A type of Exposure Therapy that exposes a patient to their greatest fear all at once.

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20
Q

Virtual Reality Exposure Therapy

A

Virtual-Reality Exposure Therapy exposes a patient to what they fear using VR-tech.

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21
Q

Aversive Conditioning

A

Pairing an unwanted behavior with an unpleasant consequence.

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22
Q

Operant Conditioning

A

Behavior Modification: Reward the patient for wanted behaviors and punish them for unwanted behaviors.

23
Q

Token Economy

A

Give a token/star/chip every time a patient does something desirable. Have an opportunity for the patient to turn in these chips at the end of a period of time for prizes or desirable items.

24
Q

Cognitive Therapy

A

Cognitive Therapy gets the patient to change their way of thinking, in order to make the patient feel better. This is known as Cognitive Restructuring.

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Cognitive Techniques
Rational Emotive Behavior Therapy created by Albert Ellis, it vigorously challenges peoples illogical, self-defeating attitudes and assumptions.
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Cognitive Techniques: Aaron Beck’s Technique Cognitive Triad
to discover his patients’ negative bias to their thought patterns and resolve it. (three areas of focus: oneself, the world, and the future).
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Cognitive-Behavior Therapy: Cognitive-behavior therapy
aims to alter the way people act, and modify the way they think.
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Cognitive-Behavior Therapy: Dialectical Behavior Therapy
has patients role play, do group exercises and then applies the principles of Cognitive-Behavior Therapy
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Group Therapy
Pros: Cost effective (cheaper), often beneficial to hear others with similar problems. Cons: Confidentiality is lost, less one on one time with therapist.
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Which Therapy Works Best for which disorders? 1. Anxiety, PTSD, Insomnia, Depression 2. Phobias, Compulsions, Marital 3. Depression & Anxiety 4. Mild to moderate Depression.
1. Cognitive & Cognitive Behavioral 2. Behavioral 3. Psychodynamic 4. Humanistic
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Counselors
Pastoral counselors or abuse counselors work with problems arising from family relations, spouse and child abusers and their victims, and substance abusers. (Often have Bachelor’s degree.)
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Social Worker
They have a Masters Degree in Social Work. Postgraduate supervision prepares some social workers to offer psychotherapy, mostly to people with everyday personal and family problems.
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Clinical Psychologists
They have a PhD in Psychology mostly. They are experienced in research, and therapy, all of which is verified through a supervised internship.
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Psychiatrists
They are physicians who specialize in the treatment of psychological disorders. Not all psychiatrists have extensive training in psychotherapy, but as MDs they can prescribe medications.
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5 Ethical Rules of Therapy
1. Beneficence and nonmaleficence - Seek to benefit you, and do no harm. 2. Fidelity - Therapy is delivered as intended. 3. Integrity - Be Honest and Truthful. 4. Justice - Be fair, help everyone, and make sure everyone have access to the benefits of therapy. 5. Respect for people's’ rights and dignity
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The biomedical therapies
These include physical, medicinal, and other forms of biological therapies. 1. Drug Treatments 2. Surgery 3. Alternative Forms (ECT/TMS etc.)
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The study of the effect of drugs on the mind and behavior is called
Psychopharmacology
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Antipsychotic Drugs Schizophrenia (Hallucinations, delusions, apathy, catatonia, disorganized thinking) Thorazine: Positive Symptoms Clozapine(Clozaril): Negative Symptoms
What are you trying to fix/improve Drugs that Improve Behavior
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How do Thorazine and clozapine Drugs work?
Clozapine and Thorazine both block receptors for dopamine. (Lower amount of Dopamine) Side Effects: Tardive Dyskinesia - Facial tics, spasms, etc.
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Antianxiety Drugs Anxiety (Nervousness, heart racing, breathing heavy, etc.) Xanax and Ativan
What are you trying to fix/improve Drugs that Improve Behavior
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How does Xanax and ativan work?
Antianxiety drugs (Xanax and Ativan) depress the central nervous system and reduce anxiety and tension by increasing levels of GABA.
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Antidepressant Drugs Depression (Suicidal thoughts, lonliness, sadness, low appetite, pessimism, low motivation). Prozac, Zoloft, Paxil
What are you trying to fix/improve Drugs that Improve Behavior
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How does Prozac, Zoloft, and Paxil work?
Antidepressant drugs like Prozac, Zoloft, and Paxil are Selective Serotonin Reuptake Inhibitors (SSRIs): They increase the levels of Serotonin.
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Mood-Stabilizing Drugs What are you trying to fix/improve Lithium Carbonate
Bipolar Disorder Drugs that Improve Behavior and Thinking
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How does Lithium Carbonate work?
Stabilizes levels of Norepinephrine and Glutamate
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ECT (Second to last resort) What are you trying to fix/improve? Methods that improve behavior
Mostly depression (could be other things) 100 volts of electric shock to the brain
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TMS (Second to last resort) What are you trying to fix/improve? What is happening?
Mostly depression (could be other things) Strap two high powered magnets to the brain to alter brain chemistry
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Psychosurgery (last resort)
Destroy/remove the part of the brain that is causing the problem
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lobotomy
A lobotomy is an old psychosurgery procedure where they would sever the frontal lobe from the inner brain areas. It is rarely, if ever, performed anymore.
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Hypnosis
Hypnosis is a social interaction in which one person (the hypnotist) suggests to another (the subject) that certain perceptions, feelings or behaviors will occur.
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Social Influence Theory
Hypnosis works because the subject wants it to work (placebo).
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Dissociation Theory
The hypnotist can transport the subject to a separate stage of Consciousness.
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Preventing Psychological Disorders
The future of Psychology will be in preventing disorders before they happen, rather than just treating people once they get the disorder.