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34 Cards in this Set

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Classical Psychoanalysis Theoretical Foundations

- Unconscious/pre-conscious


- Basic instincts


- Personality structures


- Moral & neurotic anxiety


- Defense mechanisms


- Early psychosexual development

Contemporary Psychoanalysis Theoretical Foundations

- Retained but modified early concepts


- Focus on psychosocial factors


- Redefined role of ego


- Focused on early attachments (Object-Relations)


- Abandon electra complex


- De-emphasized role of sexual instinct

Client-Centered Therapy Theoretical Foundations - Rogers

- Positive view of human nature (humanist)


- Emphasis on client's subjective experience


- Trust in client's ability to make positive, conscious choices to change


- Reject psychic determinism


- Emphasis on congruence, unconditional positive regard and self-actualization


- Belief in healing power of "I-Thou" relationship

Gestalt Therapy Theoretical Foundations - Perls

- "Here and now", expanded present


- Humans have the capacity to self-regulate


- Focus on holism, integration and full awareness


- Everything is relational, in flux and in progress


- Destabilized individuals can take actions that will restore equilibrium and allow growth and change


- Focusing on the past interferes with the present

Behavior Therapy Theoretical Foundations

- Man is essentially reactive, not proactive


- Principles of classical & operant conditioning


- Principles of Social Learning Theory


- Abnormal behavior is learned and can be unlearned


- Man is producer and product of his/her environment

REBT Theoretical Foundations - Ellis

- Man has the potential to be proactive and self-actualize


- Man is innately rational but has the propensity to be irrational and self-defeating


- Humans are self-talking, self-evaluating and self-sustaining


- Abnormal behavior arises from "crooked" thinking

Classical Psychoanalysis Goals

- Make unconscious conscious


- Reality testing of ego


- Restructure personality


- Insight


- Restore to love, work and play

Contemporary Psychoanalysis Goals

- Modify personality structure


- Increase awareness of behavior


- Empower ego


- Develop mature communication


- Improve relationships


- Reduce defensive behavior


- Restore to functioning

Client-Centered Therapy Goals

- Client independence and congruence


- Insight and openness to experience


- Client genuineness and caring


- Trust in self and others


- Internal source of evaluation


- Meaningful self-exploration and self-actualization

Gestalt Therapy Goals

- Attain awareness/greater freedom


- Re-own self and become unified and whole


- Accept responsibility for decisions and behavior


- Move from dependent to independent


- Be open and ask for/give help


- Develop ability to satisfy personal needs w/o violating the rights of others


- Think, feel and act like "real self" rather than "fake" self

Behavior Therapy Goals

- Removal of dysfunctional symptoms


- Individualized, set by client in consultation with therapist, specific & concrete


- Improve social skills


- Foster self-control


- Increase personal choice and effective living

REBT Goals

- Minimizing self-defeating behaviors and emotional disturbances


- Reduce tendency to self-blame


- Examine and change assumptions and values that keep them "disturbed"


- Acquire a more realistic and workable philosophy of life

Classical Psychoanalysis Therapist Functions

- Blank screen approach


- Reduce resistance/foster transference


- Establish working relationship


- Interpret feelings/fantasies

Contemporary Psychoanalysis Therapist Role

- Participant-observer approach


- Project personal genuineness


- Build relationship


- Focus on non-verbal cues


- Supportive and reassuring

Client-Centered Therapy Therapist Role

- Non-directive approach


- Project UPR


- Abandon testing and diagnosis


- Non-judgmental helper


- Foster therapeutic climate


- Facilitate, don't direct

Gestalt Therapy Therapist Role

- Actively engage and confront clients


- Become active partner in helping client learn about themselves and change


- Act as guide/catalyst


- Encourage client to raise awareness and take risks


- Focus on clients non-verbal behavior and language patterns and point out client's incongruities and inconsistencies

Behavior Therapy Therapist Role

- Gather info about problem


- Clarify problem


- Design target behavior


- Formulate goals


- Implement change plan


- Evaluate success of change plan


- Conduct follow-up assessments

REBT Therapy Role

- Demonstrate that they have incorporated many "shoulds" "oughts" and "musts"


- Teach clients how to separate rational beliefs from irrational beliefs


- Help clients to modify their thinking and abandon their irrational ideas and replace them with rational ones


- Scientific approach to thinking


- "Behavioral" homework assignments

Classical Psychoanalysis Nature of Process

- Long (3-5 years)


- 2-3 times per week


- Intense and demanding

Contemporary Psychoanalysis Nature of Process

- Long (3-5 years)


- Once a week


- Intense and demanding but reinforcing

Client-Centered Therapy Nature of Process

- Moderate Length (1-2 years)


- Once a week


- Anxiety reducing


- Caring climate

Gestalt Therapy Nature of Process

- Brief/moderate in length


- Once a week


- Anxiety inducing at first


- Challenging climate

Behavior Therapy Nature of Process

- Brief in length (6-12 sessions)


- Once a week


- Structured and systematic


- Early relief of symptoms


- Therapist/client relationship is secondary

REBT Nature of Process

- Didactic and persuasive


- Relatively brief (12-16 weeks)


- Focus on "here and now"


- Therapeutic work outside of sessions


- Challenging and informative

Classical Psychoanalysis Strategies/Techniques

- Free association


- Dream analysis


- Analysis of resistance/transference

Contemporary Psychoanalysis Strategies/Techniques

- Use client-therapist relationship to foster client


- Diagnostic interview


- Probe and suggest


- Offer behavioral guidelines after termination

Client-Centered Therapy Strategies/Techniques

- Use client-therapist relationship to foster client change


- Nodding ("uh-huh")


- Summarizing and clarifying


- Reflecting feelings


- Gently probing


- Use of silence

Gestalt Therapy Strategies/Techniques

- Confrontation


- Learning exercises (Internal dialogue, making the rounds, reversal technique, write a letter, empty chair)

Systematic Desensitization

Behavior Therapy


- based on principle of reciprocal inhibition or extinction


- social/specific phobias


Process:


- collection of historical data


- explanation of problem etiology


- explanation of therapeutic process


- relaxation training


- development of anxiety hierarchy


- desensitization procedure

Exposure Therapy

Behavior Therapy


- graduated exposure to anxiety producing stimuli


- Flooding/implosion therapy


- Useful for panic, OCD and phobias


- Can also focus on interoceptive stimuli (internal cues)


Client Learns:


1. anxiety/panic can be controlled


2. no basis for fear


3. break link b/w cues and fear response

Behavior Rehearsal (Assertiveness Training)

Behavior Therapy


1. motivation 2. hierarchy 3. role play 4. try out

Contingency Management (Operant Conditioning)

Behavior Therapy


- Shaping/fading


- Time out


- Behavioral contract (suicides)


- Premack principle


- Token economies (rewards for good behavior)

Aversion Therapy (Extinction)

Behavior Therapy


- Systematic introduction of aversive stimulus inhibits unwanted response (emetics, stale smoke, etc.)


- Covert sensitization-aversion process "in imagino"


- Response cost - positive reward is removed


- Overcorrection - correcting unwanted response

ABC Theory of Personality

REBT Therapy


A: Activating event


B: Belief


C: Emotional and behavioral consequences


D: Disputing intervention


E: Effect


F: New feeling