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10 Cards in this Set
- Front
- Back
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Eysenck - Psychotherapy Research
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effects of psychotherapy are "smal or nonexistent" - positive effects are spontaneious remission.
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meta-analysis by Smith - Research
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Meta-analysis involve scaculating an effect size from data of differnt studies to a common metric so can be qualitiatively combined and compared. showd that 80 percent of clients better off after therapy. No therapy superior over others
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Psychotherapy with Older Adults
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20-22% of older adults meet dianostic criteria for mental disorders. Most common older adult incidence anxiety, severe cognitive impairemtn and derpession. May respond slower in treatment but receptive to all forms.
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Effective Treatment for Older Adults
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behavioral and environemental treatment
memory and cognitive retraiing |
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The Effects of Treatment Length
Dose Dependent Effect |
Longer duration treatment = better outcomes but level off at 26 sessions. slight increase at 52 sessions - dose dependent effect
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Phase Model of Therapy - effects of treatment length
Three stages 1 Remoralizatoin 2 REmediation 3 Rehabilitation |
benefits of treatment varis depending on number of sessions.
Remoralization - client's feelings of hoplessness and esperation respond quickly to therapy - first few sessions Remediation - focus is on symptoms that broutht the client to therapy - 16 sessions Rehabilitation - unlearning troublesome, maladaptive, habitual behaviors and establising new ways of dealing with various aspects of life. |
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Efficacy versus Effectiveness Research
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Efficacy (clinical trials) vs Effectiveness (correlation or quasi experimental)
both have beneifts efficacy if treatment works and effectivenss assessing clinical generalizaibity, feasibilty and cost effectiveness. |
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Diagnositic Overshadowing
Vocatinal Overshadowing |
tendency for professinal sto atrribute all behaviora, social, and emotionatl problems tomental retardation indindividuals with this diagnosis.
professinals overlooks aclient's vocational problems |
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Therapist Distress
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74 percent personal disress 36 percent said decrease quality of work, 4.6 percent inadequate treatment. Suicidal comments most stressful, "lack of therapeutic success single most stressful aspect of work.
confidentiality most fequent ethical dilemma. |
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Psychiatric Hospitalization
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mental illness ghier amojnt females than males. pscyiaric units admissions higher for men. men exibit more acting out behavior.
marital status - most form never marriedand lowest for widowed Race - all races are overrepresented Age - 25 - 44 age range diagnosis - schizophrenia most common 18-44 65 older organic disorders |
