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22 Cards in this Set

  • Front
  • Back
Features of psychotherapy patient
1. Aware of distress, pain or dysfunction
2. Cannot cope
3. Motivated - wants to change
4. Asks for help, and believes in ability of psychotherapist
Features of psychotherapist
1. Good listener
2. Robust and flexible mind
3. Knowledge of theoretical models
4. Knowledge of procedures and techniques for change
Features of psychotherapy setting
1. Safe - quiet, predictable
2. Relationship - trustworthy, no negative consequences
3. Raises patient hopes and expectations
Features of therapeutic relationship
1. Intimate
2. Firm boundaries of dialogue
3. Asymmetrical - acknowledges power differential between patient and psychotherapist
Psychotherapy models
1. Psychodynamic
2. Behavioural/cognitive
3. Experiential/humanistic
Psychodynamic therapy - goals
1. Move towards secure attachment state, robust self, reflective mind
2. Coherence and collaborativeness, autonomous/flexible state of mind
Features of modern psychodynamic therapy
1. Transference - unconscious repetition of early attachment relationships
2. Reparative relationship - conversation that builds and repairs mind
3. Helped by modern understanding of memory (implicit and explicit)
4. Session focus more important than homework
Four components of attachment
1. Dismissive
2. Secure
3. Preoccupied
4. Disorganised
Features of dismissive attachment style
'I have to do it myself'
Others not helpful/reject me
Focus on independence and material success
Features of secure attachment style
'I am free to ask for help'
Others are useful and reliable
Features of preoccupied attachment style
'I can't do it myself'
Diminished sense of competency
Others are unreliable

**Most likely to seek out psychotherapies**
Features of disorganised attachment style
'I can't do it'
Others will make it worse
Contemporary Dynamic Technique (CDT) - principles
Focus on affect and expressing emotion
Exploration of avoiding distressing thoughts and feelings
Identifying recurring themes and patterns
Discussing past experiences
Focus on interpersonal and therapy relationships
Principle of cognitive behavioural therapy (CBT)
Elimination of symptoms, maladaptive behaviours and maladaptive patterns
Goals in CBT
1. Specific but achievable
2. Formulated between patient and therapist at start of therapy
3. Formulation of a cooperative patient-therapist relationship
Techniques in CBT
Shape and model patient's behaviour
1. Direct teaching
2. Help with recognition of alternatives
3. Practiced and repeated
Issues in psychotherapy
1. Clarifying role of therapist
2. Ensuring initial relaince on therapist does not turn into dependence - set boundaries
3. Communication - deep empathetic listening more important than talking
Empathy - definition
Understanding things outside ourselves, knowing what it is like to feel and think like the patient
CBT procedures
1. Engaging - listening in a safe atmosphere
2. Educating expectations and goals - emphasis on here and now
3. Support - emphasising strengths, encouragement
Formulating strategies in CBT
Gain a better understanind of problem
Change patient's perspective
Help patient look for alternatives
Coping strategies
Emphasise responsibility
Difficulties in psychotherapy
Measuring outcomes - applying EBM, quantifying what goes on during surgery, evaluating relationship
Length of psychotherapy treatment
several sessions to several years (8-16 session common)