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UTSW 2011 HB Psychot

UT Southwestern - Human Behavior - Psychotherapy

QuestionAnswer
What is psychotherapy? relationships + conversation + interaction -> fix distress & enact change
What are Directive vs. Evocative psychotherapies? Directive = target symptoms to reduce problems (e.g. Cognitive-Behavioral Therapies). Evocative = target whole personality growth so that symptoms secondarily disappear (e.g. Psychoanalysis, Psychoanalytic/Existential/Client-Centered Psychotherapy)
What are the common factors that underlie all psychotherapies? 1) Safety & Acceptance, 2) Therapeutic Alliance b/tw patient & therapist , 3) Belief that Therapist is Expert , 4) Hope & Expectation of Relief, 5) Learning Experiences
What is psychoanalytic psychotherapy? psychodynamic psychotherapy.Affirming. Involves attention to the unconscious meanings of the patient thoughts and actions. Patient sits up. 1-2/week. Free association and Transference of troubling feelings to psych to Insight.
What is Unconscious Conflict in psychoanalysis? Defenses against trauma that manifest in behavior/personality disturbance
What is resistance in psychotherapy? patient gets stuck & avoids certain topics. indicates a disturbing idea (types of resistance characteristic of particular patients)
What is free association? free association – tell everything that comes to patient’s mind, no filtering, free-floating attention – psychotherapist can relax and get unconscious receptivity to patient
What is transference? people bring prior expectations to new relationships
What is countertransference in psychotherapy? Clinician has feelings & fantasies responsive to the transference
What is Behavioral Therapy used to treat? for observable problem w/quantified outcome: systematic desensitization (phobias) using relaxation training + biofeedback, hierarchy of anxiety.
What is repetition compulsion? patterns of experiencing oneself/other people that aren’t flattering
What is insight? the more a patient can understand his thoughts/feelings, the better he can make satisfying life decisions
What is flooding? sudden immersion in phobic situation
What is the difference between Positive Reinforcement & Aversion Therapy? + Reinforcement: reward for desired behavior. Aversion: punishes undesired behavior.
What is psychoanalytic psychotherapy used to treat? Adjustment disorders, dysthymia, other personality disorders, other anxiety disorders
What is Cognitive Behavioral Therapy used to treat? Phobias, social phobia, difficulties with assertion, OCD
What is Cognitive Therapy used to treat? assumes that ideas = cause of bad behaviors. for depression , OCD, social phobia. therapist identifies "automatic thoughts" = distorted ideas. Review logic & reveal bad assumptions.
What is Interpersonal Psychotherapy used to treat? attributes problems to ureseolved grief, social role disputes, social role transitions, or interpersonal deficits. pragmatic solutions.
What is Group Psychotherapy used to treat? can be used w/behavioral, existential & psychoanalytic psychotherapy. group adds perspective & support, lowers stigma, validation, patient empowered in treatment.
What is the Bowden Model of Family Psychotherapy used to treat? When 1 person in family has troubles, enlist whole family to solve them. Emotional Triangles & enmeshment vs. autonomy w/in a family
Contrast drug treaments and psychotherapy with attention to the specificity and highly targeted nature of psychotherapeutic intervention While drugs target a wide range of receptors, psychotherapy treats exact neuronal circuits and associational networks that are behind the specific depressing factors in the patient
Describe the relative importance of the skills and personal qualities of the therapist in psychotherapy outcome studies Helps patient acknowledge his problem at his own level, are calm/nurturing.
Describe the steps of systemic desensitization 1) Relaxation training 2) Constructing a hierarchy of anxiety 3) Gradual desensitization of stimulus
Give an example of a maladaptive schema that would be addressed in the cognitive therapy of depression "I'll never be good enough to hold onto a woman's love and devotion"
Define "cognitive distortion" and "automatic thoughts" as they are used in cognitive therapy automatic thoughts – distorted ideas that occur persistently to the patient
Define the "identified patient" in family therapy Particular person who is brought for specific treatment, although the problem lies in a maladaptive set of patterns embedded throughout the family.
Describe briefly the principles of principal foci of Bowen's family systems therapy Focuses on degrees of enmeshment vs autonomy (emotional triangles, where conflict is assessed by removing one of the participants in the triangle).
List the therapeutic benefits of utilizing group psychotherapy in inpatient settings Multiple perspectives, observe transference, mutual support, security
Describe areas of convergence of neurobio and psychotherapy in current research implicit vs. explicit memory, associational networks, fMRI - depression dorsolateral prefrontal cortex, social phobia - amygdala, OCD - caudate
Created by: micah52
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