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18 Cards in this Set

  • Front
  • Back
psychotherapy can produce brain changes T/F
T
Learning changes sx of brain
Fundamentals to Psychotherapy
Patient is honest
Patient is able to learn
Psychotherapist displays empathy
Therapist and patient have a trusting relationship
Confidentiality is maintained
Psychoanalytic Psychotherapy
"talking cure"
Freud founded this school
Responsible for the “discovery” of the unconscious
The goal of therapy is to bring unconscious processes into the conscious mind
Therapy often focuses on past or fantasy/dreams
Important Techniques of Psychotherapy
Patient talks freely
Associations are pointed out
Aspects of the relationship between therapist and patient are interpreted (transference)
Less healthy defenses employed by the patient are analyzed and eliminated
**Transference
We all make intellectual and emotional assumptions in new relationships

These assumptions are learned from past relationships (amygdala?)

The transference consists of the emotional assumptions brought to a new relationship
Defenses
Techniques employed by the unconscious mind in order to avoid unpleasant consequences
examples of defences
Denial: “I do not have to study until Sunday”
Projection: “He always seems so judgmental of other people”
Humor: Class clown
Sublimation: Neurosurgeon with a brother institutionalized for a brain injury
Behavioral Therapy
Based upon the theory that psychopathology is learned behavior
Concerns itself with observable stimuli and responses (symptoms)
More amenable to scientific inquiry
Basic Construct for Classic Conditioning in Behavioral Therapy
"Pavlov's Dog"
food = salivation
food + bell = salivation
bell = salivation
Challenges of Behavioral Therapy
Resistance
Example-couples therapy or perfectionism
If you give up your gripe, you give up your internal standing
Applications of Behavioral Therapy
Systemic Desensitization
- Gradually increased exposures
- Start with least anxious

Relaxation Training
Flooding
- Exposure in vivo
Assertiveness Training
- Skills training
Example of desensitization for fear of water
Take a bath
Take a shower
Go into the shallow end of a pool
Swim breaststroke in shallow end
Swim crawl in shallow end
Jump into the shallow end
Jump in shallow end and do crawl………..
Relaxation Training
Progressive Muscle Relaxation
- Progress through muscle groups maintaining tension
- Keep tension for 10-15 seconds
- Provides distraction as well as development of a muscle sense
Indication of Behavioral Therapy
Agoraphobia-graded exposure and flooding
Alcohol Dependence-(e.g., antabuse) aversion therapy with disulfiram
Anorexia Nervosa-record weight
Bulimia Nervosa-keep records and logs
Phobias- systemic desensitization
Paraphilias- aversive conditioning
Behavior control-token system
Sex therapy- relaxation and desensitization
Cognitive Therapy
Based upon the theory that cognitive dysfunction is the core of depression

Identification of cognitive distortions and label them

Use of homework and assigned reading
Cognitive distortions in depression
Overgeneralization: “No medication will ever work for me”
Catastrophizing: “This assignment will never get done and I will flunk out of school”
Dichotomous thinking: “I am either fit or fat”
Indications for Cognitive Therapy
-Mild to moderate Major Depressive Disorder
-With meds in more severe Major Depressive Disorder
-Can help with treatment adherence (compliance)
Interpersonal Psychotherapy
Time-limited
Indication is Major Depressive Disorder
Manual driven
Goal is to strengthen interpersonal supports
Effective in geriatric, adolescent, HIV+, adult, and family settings