Psych Chapter 14 Test Answers – Flashcards

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psychotherapy
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a verbal form of therapy derived from a psychological framework that consists of one or more treatment sessions w therapist; consists of one or more verbal interactions between a therapist and a client and is used to help people understand and resolve their psychological probs; based on the belief that insight into unresolved psychological conflicts originating in childhood can help people overcome psychological problems
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psychoanalysis
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freuds method of psychotherapy - it focuses on uncovering and working through the unconscious conflicts that he believed were at the root of psychological probs
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psychoanalysts
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practitionists of psychoanalysis who were schooled in freudian trasition
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major types of mental health professionals
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-clinical psychologists: earned doctoral degree and passed licensing exam; administer psychological tests, practice psychotherapy, and diagnose mental disorders -counseling psychologists: earned doctoral degree and passed licensing exam; counsel people w milder range of severity than clinical -psychiatrists: earned medical degree w residency; diagnose and treat mental illness - prescribe meds and practice psychotherapy -clinical psychiatric social workers: masters degree in social work; help people w mental disorders and practice psychotherapy -psychoanalysts: psychiatrists and psychologists required to undergo psychoanalysis as part of training -counselors: masters degree; marital/family counseling, substance abuse, disturbed behavior, etc -psychiatric nurses: RNs w masters program in psychiatric nursing; treat severe psychological disorders
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freud devised a number of techniques to help clients gain awareness of their unconscious such as
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free association, dream conflict analysis, interpretation, insight, and resistance
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free association
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way to probe the unconscious mind; a technique in psychoanalysis in which the client is encouraged to say anything that comes to mind
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dream analysis
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way to probe the unconscious mind; a technique in psychoanalysis in which the therapist analyzes the underlying or symbolic meaning of the clients dreams (latent content)
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interpretation
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way to probe the unconscious mind; in psychoanalysis, the therapists attempt to explain connections between what the client discloses during therapy and his/her unconscious conflicts
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insight
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way to probe the unconscious mind; in freudian theory the realization/awareness of underlying unconscious wishes and conflicts
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resistance
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way to probe the unconscious mind; in psychoanalysis, the blocking that occurs when therapy touches upon anxiety-evoking thoughts or feelings
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transference relationship
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the tendency of clients to reenact earlier conflicts/relationships in their lives in the relationships they develop w therapists
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countertransference
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the tendency for therapists to relate to clients in ways that mirror the relationships theyve had w important figures in their own lives
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compared to traditional psychoanalysis, modern forms of psychodynamic therapy are
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briefer, allow for more interaction between therapists and client, and focus on ego
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humanistic therapies emphasize
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subjective, conscious experience, and development of ones unique potential
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client-centered therapy
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developed by carl rogers; focuses on exploration of self; therapist seeks to create warm, accepting, therapeutic environment where client can open up; therapist reflects back to clients feelings
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carl rogers believed that for therapists to be effective, they must demonstrate
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1. empathy 2. unconditional positive regard for clients 3. genuineness
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gestalt therapy
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developed by frit perls; challenges clients to express how theyre feeling at each moment in time; uses roleplaying exercises to help clients blend the conflicting parts of their personality into integrated "whole"
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behavior therapy
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a form of therapy that involves the systematic application of the principles of learning; aka behavior modification; involves systematic application of learning principles to weaken undesirable behaviors and strengthen adaptive behaviors; probs are learned and can be unlearned
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systematic desensizitation
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a behavior therapy technique for treating phobias through the pairing of exposure in imagination to fear-inducing stimuli and states of deep relaxation
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fear hierarchy
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an ordered series of increasingly fearful objects or situations
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gradual exposure
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a behavior therapy technique for treating phobias based on direct exposure to a series of increasingly fearful stimuli; aka in-vivo (real life) exposure
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modeling
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a behavior therapy technique for overcoming phobias and acquiring more adaptive behaviors based on observing and imitating models
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to help people overcome phobic responses, behavior therapists use
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learning-based techniques such as systematic desensitization, gradual exposure and modeling; also uses operant conditioning principles to strengthen desirable behavior and weaken/eliminate undesirable behavior
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virtual reality therapy
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a form of exposure therapy in which virtual reality is used to stimulate real-world environments
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aversive conditioning
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a form of behavior therapy in which stimuli associated w undesirable behavior are paired w aversive stimuli to create a negative response to these stimuli, applies principles of classic conditioning to create unpleasant responses w undesirable behaviors; not widespread used bc ineffective once outside treatment setting
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token economy
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a behavior modification program used in mental health facilities that uses positive reinforcers (tokens) for producing desirable behaviors
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cognitive behavioral therapy (CBT)
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a form of therapy that combines behavioral and cognitive treatment techniques; many behavior therapists use this - focuses on changing maladaptive thoughts and beliefs as well as problem behaviors
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cognitive therapists help clients challenge maladaptive thoughts and beliefs and replace them w
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more adaptive ways of thinking; pioneered by albert ellis and aaron beck; emotional probs arent bc of events, but the interpretation of the events
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rational emotive behavior therapy (REBT)
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developed by albert allis; a form of therapy based on identifying and correcting irrational beliefs that are thought to underlie emotional and behavioral difficulties; therapist pounds away irrational beliefs and client is persuaded to replace w rational ways of thinking; based on the view that irrational beliefs cause people to suffer emotional distress in the face of disappointing life experiences; irrational thought=shoulds and musts
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emotional distress
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activating events - beliefs - consequences (ABC approach) later added D for dispute
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cognitive therapy
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developed by aaron beck, a form of therapy that helps clients recognize and correct distorted patterns of thinking associated w negative emotional states; focuses on helping clients identify and correct distorted thoughts and beliefs that have no basis in reality; consider external factors in bad events
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major difference between two therapies, rational emotive behavior therapy and cognitive therapy
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REBT adopts a more direct and confrontational approach, whereas the cognitive approach is gentler and gives clients a chance
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eclectic therapy
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a therapeutic approach that draws upon principles and techniques representing dif schools of therapy; produces max benefits for clients; 2nd more pop in clinical psychologist after cognitive
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group therapy
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a form of therapy in which clients are treated within group format; the group may be collection of unrelated people, a family, or a couple; people in this benefit from interaction
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family therapy
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therapy for troubled families that focuses on changing disruptive patterns of communication and improving the ways in which fam members relate to each other; everyone plays a certain role and must be accepting of each others needs and difference
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a wealth of scientific findings supports the effectiveness of psychotherapy, but
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questions remain about whether some forms are more effective than others
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couple therapy
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therapy that focuses on helping distressed couples resolve their conflicts and develop more effective communication skills
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meta-analysis
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a statistical technique for averaging results across large # of studies; study found that person receiving psychotherapy achieved better outcomes than 80% of people in control groups
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treatments best for which disorders
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-cognitive therapy: depression -behavior therapy: depression, people w developmental delays, OCD, agoraphobia -cognitive behavioral therapy: panic disorder, generalized anxiety disorder, bulimia -interpersonal psychotherapy: depression
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nonspecific factors
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general features of psychotherapy, such as attention from a therapist and mobilization of positive expectancies or hope
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therapeutic alliance
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the attachment the client feels toward the therapist and therapy; stronger this is, better the outcomes; evidence points to both specific and nonspecific factors in accounting for benefits in psychotherapy
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placebo effects
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positive outcomes of an experiment resulting from a participants positive expectations about the treatment rather than the treatment itself
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therapists are trained to be sensitive to
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cultural differences among the different groups of people they treat; african americans may be less open to white therapist, asians more secluded w feelings, hispanics interdependent on family, native americans quieter in sessions
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psychotrophic drugs
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used in the treatment of psychological/mental disorders; work on neurotransmitter systems in the brain to help regulate moods and thinking processes; 1/5 adults in u.s. use; 3 classes: antianxiety drugs, antidepressants, and antipsychotics - work as agonists or antagonists
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antianxiety drugs
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drugs that combat anxiety; most widely used drugs are valium, librium, and xanax - they act on GABA, inhibitory neurotransmitter and makes receptors more sensitive
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antidepressants
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drugs that combat depression by affecting the levels/activity of neurotransmitters
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3 major types of antidepressants
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tricyclics, monoamine oxidase inhibitors (MAO), and selective seratonin reuptake inhibitors (SSRI) - less side effects
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tricyclics (antidepressant type)
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raise brain levels of seratonin and norepineprine by interfering w reuptake process (tofranil and elavil)
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monoamine oxidase inhibitors (MAO) (antidepressant type)
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inhibit action of enzyme that breaks down neurotransmitters in synapse (nardil. parnate)
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selective seratonin reuptake inhibitors (SSRI) (antidepressant type)
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have specific effects on raising seratonin levels in brain by interfering w reuptake (zoloft, prozac)
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antipsychotics
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drugs used in the treatment of psychotic disorders that help alleviate hallucinations and delusional thinking (schizophrenia, etc); help alleviate symptoms but dont cure disorder
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phenothiazines
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like thorazine and mellaril; blocks action of neurotransmitter dopamine at receptor sites in brain
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lithium
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helps stabilize mood swing in bipolar disorder
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stimulants
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like ritalin and concerta improve attention span and decrease disruptive behavior in children by increasing activity of dopamine in front lobes
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big problem w pschotic meds bc
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relapses occur due to the fact that patients arent taught proper coping skills, but rather to just pop a pill
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side effects of psychotic meds
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drowsiness, decreased sexual response, tremors, suicidal thoughts, weight gain, death when mixed w alc; symptom relief in less than 30%
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electroconvulsive therapy (ECT)
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a form of therapy for severe depression that involves the administration of an electrical shock to the head; causes seizure-like convulsions; many health professionals view this as last resort for severe depression after failed treatments; causes relapse and mb loss of memory
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psychosurgery
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brain surgery used to control violent or deviant behavior
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prefrontal lobotomy
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a surgical procedure in which neural pathways in the brain are severed in order to control violent or aggressive behavior (antonio moriz)
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the community mental health movement offers the hope that mental patients can be reintegrated into society, but
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in far too many cases, it remains a hope as yet unfulfilled
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deinstitutionalization
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a policy of reducing the population of mental hospitals by shifting care from inpatient facilities to community-based outpatient facilities; community living may not be beneficial for residents
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