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UTSW 2011 HB Psychot
UT Southwestern - Human Behavior - Psychotherapy
Question | Answer |
---|---|
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 |