Psych Ch. 15 Therapies – Flashcards

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treatment methods aimed at making people feel better and function more effectively
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therapy
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therapy for mental disorders in which a person with a problem talks with a psychological professional
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psychotherapy
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what is the goal of psychotherapy?
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make patient better understand themselves or to change behavior
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therapies in which the main goal is helping people to gain insight with respect to their behavior, thoughts, and feelings
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insight therapies
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therapy in which the main goal is to change disordered or inappropriate behavior directly
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action therapy
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therapy for mental disorders in which a person with a problem is treated with biological or medical methods to relieve symptoms
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biomedical therapy
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what was the first asylum?
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bethlehem hospital in london
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what were early treatments of the mentally ill?
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bloodletting, beatings, ice baths till seizure, induced vomiting
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what did pine's reform do?
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Pinel unchained inmates at La Bicetre Asylum in Paris, France, beginning the movement of the humane treatment of the mentally ill
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what did Freud thing psychological cleansing involved?
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removing all the impurities of the unconscious mind (disturbing thoughts, socially unacceptable desires) focuses on the hidden past
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insight therapy based on the theory of Frued, emphasizing the revealing of unconscious conflicts, urges, and desires that are assumed to cause disordered emotions and behaviors
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psychoanalysis
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why did Freud make his patient's lie on the couch?
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• Frued thought they would be more relaxed not looking at therapist • bc if patient's couldn't see therapists reaction they would be more open
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analysis of the elements within a patient's recorded dream
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dream interpretation
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actual content of one's dream
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manifest content
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symbolic or hidden meaning of dreams
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latent content
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did dream interpretation form a large part of Freud's psychoanalytic method?
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yes
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psychoanalytic technique in which a patient was encouraged to talk about anything that came to mind without fear of negative evaluations
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free association
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occurring when a patient becomes reluctant to talk about a certain topic, by either changing the subject or becoming silent
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resistance
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in psychoanalysis, the tendency for a patient or client to project positive or negative feelings for important people from the past onto the therapist
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transference
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therapy in which the therapist actively gives interpretations of a client's statements and may suggest certain behavior or actions
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directive
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a newer more general term for therapies based on psychoanalysis with an emphasis on transference, shorter treatment times, and more direct therapeutic approach
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psychodynamic therapy
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form of therapy for depression which incorporates multiples approaches and focuses on interpersonal problems
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interpersonal psychotherapy (IPT)
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approach to therapy that results from combining elements of several different approaches or techniques
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eclectic
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focus on conscious, subjective experiences of emotion and people's sense of self
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humanists
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humanists focus on the ----- experiences rather than the hidden memories
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immediate
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nondirective insight therapy based on the work of Carl Rogers in which the client does all the talking and the therapist listens, emphasizes sense of self
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person centered therapy
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who came up with person centered therapy?
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Roger
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how peeps see their actual traits and abilities
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real
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how people think they should be
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ideal
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the closer the real and ideal self are the more
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well adjusted person
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in order to have the real and ideal self meet up we need
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unconditional positive regard
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roger's believed that whom should provide unconditional positive regard?
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therapist
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therapy style in which the therapist remains relatively neutral and does not interpret or take direct actions with regard to the client, instead remaining a calm, nonjudgmental listener while the client talks
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nondirective
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therapy technique in which therapist restates what the client says rather than interpreting those statements
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reflection
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referring to the warmth respect and accepting atmosphere created by the therapist for the client in person centered therapy
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unconditional positive regard
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the ability of the therapist to understand the feelings of the client
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empathy
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the genuine, open, and honest response of the therapist to the client
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authenticity
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what are the four basic elements of roger's centered therapy?
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reflection, unconditional positive regard, empathy, authenticity
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express empathy, develop discrepancy between client's present behaviors and values, roll with resistance and support the client's self efficacy
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motivational interviewing
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what is the goal of motivational interviewing
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goal: reduce ambivalence about change, and increase motivation to bring that change about
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form of directive insight therapy in which the therapist helps clients to accept all parts of their feelings and subjective experiences, using leading questions and planned experiences such as role-playing
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gestalt therapy
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is gestalt therapy directive or in directive?
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directive, confront clients about statements they have made
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how does gestalt therapy work?
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Lead client's through number of planned experiences: • talking to empty chair (person who they want to talk to is in chair) • take on role of the parent or other person whom they have conflict with, this allows them to see the other person's POV
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gestalt therapy focuses on what?
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denied past
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What is the evaluation on the humanistic perspective? overall directive or non directive? drawbacks?
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-help peeps make career choices, deal with workplace problems, and marriage counseling -nondirective: low risk of misinterpretation -little experimental research to support ideas, people must be of intelligent, verbal, and able to express their thoughts feelings and experiences in logical manner
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action therapies based on the principals of classical and operant conditioning and aimed at changing disordered behavior without concern for the original causes of such behavior
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behavioral therapies
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use of learning techniques to modify or change undesirable behavior and increase favorable behavior.
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behavior modification / applied behavioral analysis
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behavior technique used to treat phobias, in which a client is asked to make a list of ordered fears and taught to relax while concentrating on those fears
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systematic desensitization
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form of behavioral therapy in which an undesirable behavior is paired with an aversive stimulus to reduce the frequency of the behavior
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aversion therapy
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behavioral techniques that expose individuals to anxiety or fear related stimuli, under carefully controlled conditions, to promise new learning
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exposure therapies
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create hierarchy of least feared event and up, exposure begins at least feared and work up
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graded exposure
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What are the therapies based on operant conditioning?
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modeling, reinforcement, extinction
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learning through the observation and imitation of others
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modeling, albert bandura
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technique in which a model demonstrates the desired behavior in a step by step, gradual process while the client is encouraged tp imitate the model
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participant modeling
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the strengthening of a response by following it with a pleasurable consequence or the removal of an unpleasant stimulus
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reinforcement
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the use of objects called token to reinforce behavior in which the tokens cab be accumulated and exchanged for desired items or privileges
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token economy, positive
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a formal, written agreement between the therapist and client in which goals for behavioral change, reinforcements, and penalties are clearly states
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contingency contracting negative
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the removal of a reinforce to reduce the frequency of a behavior
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extinction
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an extinction process in which a person is removed from the situation that provides reinforcement for undesirable behavior, usually by being placed in a quiet corner or a room away from possible attention and reinforcement opportunities
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time out
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What are the cognitive therapies?
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cognitive behavioral therapy, rational emotive therapy
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therapy in which the focus is on helping clients recognize distortions in their thinking and replace distorted, unrealistic beliefs with more realistic, helpful thoughts
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cognitive therapy
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what are cognitive distortions that can create negative feelings?
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arbitrary interference, selective thinking, overgeneralization, magnification and minimization, personalization
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distortion of thinking in which a person draws a conclusion that is not based on any evidence
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arbitrary interference
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distortion of thinking in which a person focuses on only one aspect of a situation wile ignoring all other relevant aspects
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selective thinking
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distortion of thinking in which a person draws sweeping conclusions based on only one incident or event and applies those conclusions to events that are unrelated to the original
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overgeneralization
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distortion in thinking in which a person blows a negative event out of proportion to its importance (this is? ) while ignoring relevant positive events (this is?)
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magnification minimization
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distortion of thinking n which a person takes responsibility or blame for events that are unconnected to the person
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personalization
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how do cognitive therapists use the distorted thinking?
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gets client to look at their beliefs and test them to see how accurate they really are
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action therapy in which the goal is to help clients overcome problems by learning to think more rationally and logically
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cognitive behavioral therapy
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what abnormality is cognitive behavioral therapy most used for? why do people criticize it?
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depression, stress, anxiety focuses on symptoms not cause of disorder
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cognitive behavioral therapy in which clients are directly challenged in their irrational beliefs and helped to restructure their thinking into more rational belief statements
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rational emotive behavior therapy
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who came up with cognitive therapy, who came up with rational emotive behavior therapy?
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Beck Elis
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what is the evaluation on cognitive therapy?
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o short term therapy o treat symptoms not cause o maladaptive thoughts are seen as the cause of the problem o considerable success in treating many types of disorders
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form of group therapy in which family members meet together with a counselor or therapist to resolve problems that affect the entire family
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family counseling
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what is the goal of family counseling?
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discover the unhealthy ways in which family members interact and communicate with one another and change those to healthier forms of interaction
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group composed of peeps who have similar problems and who meet together without a therapist or counselor for the purpose of discussion, problem solving, and social/emotional support
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self help groups
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advantages of group therapy?
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o lower cost o exposure to ways in which other peeps view and handle the same kinds of problems o opportunity for both therapist and person to see how that person interacts with others o social and emotional support
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disadvantages of group therapy?
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o therapist is no longer only person to whom secrets and fears are revealed, makes some reluctant to speak o client must share the therapist's time during the session o peeps w/ severe psychiatric disorders may not be able to tolerate group therapy
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According the Hans Eysenick does psychotherapy really work?
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peeps receiving psychotherapy did not recover at any higher rate than those who had no psychotherapy and that the passage of time alone could account for all recovery
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what are the problems with studying the effectiveness of psychotherapy?
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-controlled studies don't work -not all therapies take the same amount of time to be effective -experimenter bias--therapist expects treatment to work so he records it does
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combination of multiple methods
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eclectic view of psychotherapy
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focuses on factors common to successful outcomes from different forms of therapy
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common factors approach
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the relationship between therapist and client that develops as a warm, caring, accepting relationship characterized by empathy, mutual respect, and understanding
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therapeutic alliance
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relieving of pent up emotions
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catharsis
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what are characteristics of effective therapy?
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-eclectic view -therapeutic alliance -opportunity for catharsis -learning and practice of new behaviors -positive experiences for client
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what can make it difficult for effective psychotherapy?
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-culture bound values -class bound values -language -nonverbal communication
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psychotherapy that is offered on the internet
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cybertherapy
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advantages and disadvantages of cybertherapy?
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advantages: • little to no cost • availability • access to support groups online • relative anonymity Danger: • no guarantee that the cyber therapist has any credentials • no face to face • no access to body language or vocal tones
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therapies that directly affect the biological functioning of the body and brain, 3 types: drug therapy, shock therapy, surgical treatments
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biomedical therapies
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the use of drugs to control or relieve symptoms of psychological disorders
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psychopharmacology
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drugs used to treat psychotic symptoms such as delusions, hallucinations and bizarre behavior, work on dopamine
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antipsychotic drugs
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syndrome causing person to make repetitive involuntary jerks and movements of face, lips, legs, and body
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tardive dyskinesia
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what can prolonged use of antipsychotic drugs cause?
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tardive dyskinesia and decrease in cognitive functioning
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how long are antipsychotic drugs taken for?
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rest of a person's life
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drugs used to treat and calm anxiety reactions, typically minor tranquilizers, work on serotonin
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anti anxiety
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when are effects seen with anti anxiety drugs?
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half an hour of taking, often abused
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drugs used to treat depression and anxiety
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anti depressant
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when are effects seen with anti depressant drugs?
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3-5 weeks, not subject to abuse, fewer side effects
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treat bipolar disorder, include lithium and certain anticonvulsant drugs
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antimanic drugs
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what anti manic drug usually makes you feel nauseous?
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lithium, why a lot of manic people end up not taking medicine
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treat seizures and sometimes used to treat mania
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anti convulsent
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form of biomedical therapy used to treat severe depression in which electrodes are place on either one or both sides of a person's head and electric current is assed through the electrodes that is strong enough to cause a seizure or convulsion
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electroconvulsive therapy
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how long does it take for the effects of ETC to show up?
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almost immediately
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what are negative side effects of ETC?
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causes both retrograde and anterograde amnesia • retrograde: several months before and few weeks after treatment • anterograde: clears up a few weeks after treatment
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surgery performed on brain tissue used to relieve or control severe psychological disorders
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psychosurgery
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psychosurgery in which the connections of the prefrontal lobes of the brain to the rear portions are severed
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prefrontal lobotomy
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technique in which an electrode wire is inserted into the anterior cingulate gyrus with the guidance of a MRI machine for the purpose of destroying that area of brain tissue with an electric current
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bilateral anterior cingulotomy
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when is psychosugery used?
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when all other options have been exhausted
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