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41 Cards in this Set
- Front
- Back
3 characteristics of the therapeutic relationship in psychotherapy
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1. working alliance
2. agreement about goals and tasks 3. effective bond |
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factors shown to predict improvement in psychotherapy
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1. motivation to change
2. expectation of reciving help 3. protected setting 4. good match between client and therapist |
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efficacy
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how well a therapy does in a controlled clinical trial
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effectiveness
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how well a therapy does in the real world of practice
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findings about efficacy of medication for abnormal behavior
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medication has reduced how chronic and severe many disorders may be
side effects, comlex, drugs themselves generally dont cure |
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findings about efficacy of psychotherapy for treating abnormal behavior
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may producing more long lasting benefits than medication
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what makes psychodynamic therapy unique compared to behavioral and cognitive-behavioral therapy
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focuses on individual personality dynamics
intensive, long term procedure for undercovering repressed memories, thoughts, fears, and conflicts stemming from problems in early psychosexual development |
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free association
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1. on a couch facing away from analyst
2. say whatever comes to mind, thoughts flow |
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analysis of dreams
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1. underlying meaning
2. latent content |
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analysis of resistance
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1. not showing up or coming late
2. resistance of topics |
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analysis of transference
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unconscious placement of attitudes/feelings onto therapist belonging to other family members
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4 main components of beavhioral therapy
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1. a direct and active treatment to change a specific behavior
2. recognizes the primacy of behavior 3. acknowledges the role of learning 4. includes thorough assessment and evaluation |
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5 most common types of interventions
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1. exposure therapy
2. aversion therapy - extinguish by associating neg. stimuli 3. modeling 4. reinforcement 5. token economies |
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what is the basic way that CBT work to change abnormal behavior
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1. modifying self statemnts and construal of events
2. based conviction that cognitive processes influence emotion, motivation and behavior 3. use of cognitive and behavior-change techniques in pragmatic manner |
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REBT
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attempts to change a client's maladaptive thought processes
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Stress-Inoculation therapy
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altering self-statements an individual makes in stressful situations
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CBT
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depression resluts from clients' illogical thinking about themselves and the world around them
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how humanistic/existential therapies work to change abnormal behavior
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1. we have freedom and responsibility to control our own behavior
2. focus on clients awareness |
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client-centered therapy
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power of the organism to heal itself
helps clients accept themselves |
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existential therapy
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bringing meaning to life
emphasizes importance of the human situation |
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gestalt
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unity of mind and body
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Traditional Behavioral Couple Therapy (TBCT)
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assessing and modifying the contribution each individual makes to specific problematic aspects of the relationship
reinforcement, modeling, and behavioral rehearsal |
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Integrative Behavioral Couple Therapy (IBCT)
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focuses on acceptance integrated with change strategies
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Effect of psychotherapy on minortiy populations in general
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minorties are underrepresented in treatment research studies, underserved by the mental health system, and often have very different backgrounds than their therapists
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effect of psychotherapy on african americans
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better rapport with african american therapists than white therapists
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effect of psychotherapy on latinos
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cultural barrier - importance of religion, socioeconomic level, and language difference.
CBT may be more acceptable to latinos |
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2 classes of antipsychotic medications
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1. atypical - lower risk of side effects, treat + and - symptoms
2. conventional - tartive dyskinesia side effect |
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how do SSRIs work
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selectively inhibit re-uptake of serotonin following its release into the synapse
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Monoamine Oxidase Inhibitors
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inhibt activity of MO enzyme in the synaptic cleft that helps break down neurotransmitters
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tricyclic antidepressants
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inhibits re-uptake of nor-epi and serotonin once they have been released into the synapse
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Benzodiazepines
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used to treat anxiety
enhance GABA activity in limbic system |
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Buspirone
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used to treat anxiety
acts on serotonergic functioning |
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Lithium
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used to treat mania and some depression
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anticonvulsants
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used to treat bi-polar disorder
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how does electroconvulsive therapy (ECT) work to treat depression and other disorders?
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affects every neurotransmitter system.
downregulates receptors for norepi |
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To be committed, an individual must be judged to be:
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1. dangerous to themselves or to others
2. incapable of providing for their basic physical needs 3. unable to make responsible decisions about hospitalization 4. in need of treatment or care in a hospital |
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McNaughten Rule
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"knowing right from wrong"
defect of reason that they did not know the nature and quality of the act they were doing |
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Irresistible Impulse Rule
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accused person has lost the ower to choose between right and wrong
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The Durham rule
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accused is not criminally responsible if his or her unlawful act was the product of mental disease or mental defect
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American Law Institute Standard
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"substantial capacity test"
inability to appreciate its criminal character |
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Federal Insanity Defense Reform Act
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"unable to appreciate"
defense must clearly and convincingly establish the defendants insanity |