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Myers’ PSYCHOLOGY
              (7th Ed)




       Chapter 17
        Therapy
     James A. McCubbin, PhD
       Clemson University

        Worth Publishers
History of Treatment
Therapy
 Psychotherapy
   an emotionally charged, confiding interaction
    between a trained therapist and someone
    who suffers from psychological difficulties
 Eclectic Approach
   an approach to psychotherapy that,
    depending on the client’s problems, uses
    techniques from various forms of therapy
Therapy-
Psychoanalysis
 Psychoanalysis
   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
   use has rapidly decreased in recent years
 Resistance
   blocking from consciousness of anxiety-laden
    material
Therapy-
Psychoanalysis
 Interpretation
   the analyst’s noting supposed dream
    meanings, resistances, and other significant
    behaviors in order to promote insight
 Transference
   the patient’s transfer to the analyst of
    emotions linked with other relationships
      e.g. love or hatred for a parent
Humanistic Therapy

 Client-Centered Therapy
   humanistic therapy developed by Carl
    Rogers
   therapist uses techniques such as active
    listening within a genuine, accepting,
    empathic environment to facilitate
    clients’ growth
Humanistic Therapy
 Active Listening-empathic listening in which the
  listener echoes, restates, and clarifies
Behavior Therapy
 Behavior Therapy
   therapy that applies learning principles to the
    elimination of unwanted behaviors
 Counterconditioning
   procedure that conditions new responses to
    stimuli that trigger unwanted behaviors
   based on classical conditioning
   includes systematic desensitization and
    aversive conditioning
Behavior Therapy
 Exposure Therapy
   treat anxieties by exposing people (in imagination
    or reality) to the things they fear and avoid
Behavior Therapy
 Systematic Desensitization
   type of counterconditioning
   associates a pleasant, relaxed state with
    gradually increasing anxiety-triggering stimuli
   commonly used to treat phobias
 Aversive Conditioning
   type of counterconditioning that associates an
    unpleasant state with an unwanted behavior
   nausea ---> alcohol
Behavior Therapy
 Systematic Desensitization
Behavior Therapy

                    Aversion
                     therapy
                     for
                     alcoholics
Behavior Therapy

 Token Economy
  an operant conditioning procedure
   that rewards desired behavior
  patient exchanges a token of some
   sort, earned for exhibiting the
   desired behavior, for various
   privileges or treats
Cognitive Therapy

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

                     The
                      Cognitive
                      Revolution
Cognitive Therapy
                 A cognitive
                  perspective
                  on
                  psychological
                  disorders
Cognitive Therapy

                 Cognitive
                  therapy for
                  depression
Cognitive Therapy
 Cognitive-Behavioral Therapy
   a popular integrated therapy that
    combines cognitive therapy
    (changing self-defeating thinking)
    with behavior therapy (changing
    behavior)
Group and Family
Therapies
 Family Therapy
   treats the family as a system
   views an individual’s unwanted
    behaviors as influenced by or directed
    at other family members
   attempts to guide family members
    toward positive relationships and
    improved communication
Evaluating
Psychotherapies

                   To whom do
                    people turn
                    for help for
                    psychological
                    difficulties?
Evaluating
Psychotherapies
 Regression toward the mean
   tendency for extremes of unusual
    scores to fall back (regress) toward
    their average
 Meta-analysis
   procedure for statistically combining the
    results of many different research
    studies
Evaluating
 Psychotherapies
Number of         Average                             Average
  persons        untreated                         psychotherapy
                  person                               client




            Poor outcome                             Good outcome


             80% of untreated people have poorer
            outcomes than average treated person
Evaluating
Psychotherapies
Therapists and their
Training

 Clinical psychologists
   Most are psychologists with a Ph.D. and
    expertise in research, assessment, and
    therapy, supplemented by a supervised
    internship
   About half work in agencies and
    institutions, half in private practice
Therapists and their
Training

 Clinical or Psychiatric Social Worker
   A two-year Master of Social Work
    graduate program plus postgraduate
    supervision prepares some social
    workers to offer psychotherapy, mostly
    to people with everyday personal and
    family problems
   About half have earned the National
    Association of Social Workers’
    designation of clinical social worker
Therapists and their
Training

 Counselors
   Marriage and family counselors
    specialize in problems arising from
    family relations
   Pastoral counselors provide counseling
    to countless people
   Abuse counselors work with substance
    abusers and with spouse and child
    abusers and their victims
Therapists and their
Training

 Psychiatrists
   Physicians who specialize in the
    treatment of psychological disorders
   Not all psychiatrists have had extensive
    training in psychotherapy, but as M.D.s
    they can prescribe medications. Thus,
    they tend to see those with the most
    serious problems
   Many have a private practice
Biomedical Therapies
 Psychopharmacology
   study of the effects of drugs on mind
    and behavior
 Lithium
   chemical that provides an effective drug
    therapy for the mood swings of bipolar
    (manic-depressive) disorders
Biomedical Therapies
 The emptying of U.S. mental hospitals
Biomedical Therapies
Biomedical Therapies
Biomedical Therapies
 Electroconvulsive Therapy (ECT)
   therapy for severely depressed patients in
    which a brief electric current is sent through
    the brain of an anesthetized patient
 Psychosurgery
   surgery that removes or destroys brain tissue
    in an effort to change behavior
   lobotomy
      now-rare psychosurgical procedure once used to
       calm uncontrollably emotional or violent patients
Electroconvulsive
Therapy
Mind-Body Interaction

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Ch17 ppt

  • 1. Myers’ PSYCHOLOGY (7th Ed) Chapter 17 Therapy James A. McCubbin, PhD Clemson University Worth Publishers
  • 3. Therapy  Psychotherapy  an emotionally charged, confiding interaction between a trained therapist and someone who suffers from psychological difficulties  Eclectic Approach  an approach to psychotherapy that, depending on the client’s problems, uses techniques from various forms of therapy
  • 4. Therapy- Psychoanalysis  Psychoanalysis  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  use has rapidly decreased in recent years  Resistance  blocking from consciousness of anxiety-laden material
  • 5. Therapy- Psychoanalysis  Interpretation  the analyst’s noting supposed dream meanings, resistances, and other significant behaviors in order to promote insight  Transference  the patient’s transfer to the analyst of emotions linked with other relationships  e.g. love or hatred for a parent
  • 6. Humanistic Therapy  Client-Centered Therapy  humanistic therapy developed by Carl Rogers  therapist uses techniques such as active listening within a genuine, accepting, empathic environment to facilitate clients’ growth
  • 7. Humanistic Therapy  Active Listening-empathic listening in which the listener echoes, restates, and clarifies
  • 8. Behavior Therapy  Behavior Therapy  therapy that applies learning principles to the elimination of unwanted behaviors  Counterconditioning  procedure that conditions new responses to stimuli that trigger unwanted behaviors  based on classical conditioning  includes systematic desensitization and aversive conditioning
  • 9. Behavior Therapy  Exposure Therapy  treat anxieties by exposing people (in imagination or reality) to the things they fear and avoid
  • 10. Behavior Therapy  Systematic Desensitization  type of counterconditioning  associates a pleasant, relaxed state with gradually increasing anxiety-triggering stimuli  commonly used to treat phobias  Aversive Conditioning  type of counterconditioning that associates an unpleasant state with an unwanted behavior  nausea ---> alcohol
  • 12. Behavior Therapy  Aversion therapy for alcoholics
  • 13. Behavior Therapy  Token Economy  an operant conditioning procedure that rewards desired behavior  patient exchanges a token of some sort, earned for exhibiting the desired behavior, for various privileges or treats
  • 14. Cognitive Therapy  Cognitive Therapy  teaches people new, more adaptive ways of thinking and acting  based on the assumption that thoughts intervene between events and our emotional reactions
  • 15. Cognitive Therapy  The Cognitive Revolution
  • 16. Cognitive Therapy  A cognitive perspective on psychological disorders
  • 17. Cognitive Therapy  Cognitive therapy for depression
  • 18. Cognitive Therapy  Cognitive-Behavioral Therapy  a popular integrated therapy that combines cognitive therapy (changing self-defeating thinking) with behavior therapy (changing behavior)
  • 19. Group and Family Therapies  Family Therapy  treats the family as a system  views an individual’s unwanted behaviors as influenced by or directed at other family members  attempts to guide family members toward positive relationships and improved communication
  • 20. Evaluating Psychotherapies  To whom do people turn for help for psychological difficulties?
  • 21. Evaluating Psychotherapies  Regression toward the mean  tendency for extremes of unusual scores to fall back (regress) toward their average  Meta-analysis  procedure for statistically combining the results of many different research studies
  • 22. Evaluating Psychotherapies Number of Average Average persons untreated psychotherapy person client Poor outcome Good outcome 80% of untreated people have poorer outcomes than average treated person
  • 24. Therapists and their Training  Clinical psychologists  Most are psychologists with a Ph.D. and expertise in research, assessment, and therapy, supplemented by a supervised internship  About half work in agencies and institutions, half in private practice
  • 25. Therapists and their Training  Clinical or Psychiatric Social Worker  A two-year Master of Social Work graduate program plus postgraduate supervision prepares some social workers to offer psychotherapy, mostly to people with everyday personal and family problems  About half have earned the National Association of Social Workers’ designation of clinical social worker
  • 26. Therapists and their Training  Counselors  Marriage and family counselors specialize in problems arising from family relations  Pastoral counselors provide counseling to countless people  Abuse counselors work with substance abusers and with spouse and child abusers and their victims
  • 27. Therapists and their Training  Psychiatrists  Physicians who specialize in the treatment of psychological disorders  Not all psychiatrists have had extensive training in psychotherapy, but as M.D.s they can prescribe medications. Thus, they tend to see those with the most serious problems  Many have a private practice
  • 28. Biomedical Therapies  Psychopharmacology  study of the effects of drugs on mind and behavior  Lithium  chemical that provides an effective drug therapy for the mood swings of bipolar (manic-depressive) disorders
  • 29. Biomedical Therapies  The emptying of U.S. mental hospitals
  • 32. Biomedical Therapies  Electroconvulsive Therapy (ECT)  therapy for severely depressed patients in which a brief electric current is sent through the brain of an anesthetized patient  Psychosurgery  surgery that removes or destroys brain tissue in an effort to change behavior  lobotomy  now-rare psychosurgical procedure once used to calm uncontrollably emotional or violent patients