Psychotherapy Flashcards
define psychotherapy
the systematic use of a relationship between a patient and a therapist- as opposed to physical and social methods-to produce changes in feelings, cognition and behaviour.
common characteristics of all forms of psychotherapy?
intense confiding relationship with a helpful person=the therapeutic relationship
a rationale containing an explanation of the pt’s distress
provision of new info about the nature and origins of the pt’s problems and ways of dealing with them
development of hope in pt that they will be helped
opportunities to experience success during tment, enabling an increased sense of mastery
facilitation of emotional arousal
aim of psychodynamic therapy?
to resolve unconscious conflict
may not primarily or only be focused on achieving symptomatic change
potential advantages of therapeutic community treatment over individual psychotherapy?
additional therapeutic processes in groups: understanding you are not alone/normalisation-reassuring to meet those with similar problems to your own
support from others
learning from others-how have others overcome their similar problems?
pressures from others in group to modify their behaviour within the group- feedback may be received from group memebers e.g. following a disruptive outburst
testing beliefs, opinions and attitudes against those of other people
practising adaptive social behaviour
cost-effectiveness and availability
therapeutic community tment used mainly for those with personality disorders characterised by antisocial or aggressive behaviour*-the community is the primary therapeutic agent and over time, the expression and impact of negative aspects of personality can be reduced whilst the expression of positive aspects is increased.
which people might be unsuitable for psychotherapy?
those lacking motivation-patients receiving CBT must practise new ways of thinking and behaving between treatment sessions (homework), a psychological approach and those unable to verbalise their problems
psychotic patients
patients with serious dependence on illegal drugs
what are the 2 types of avoidance to be recognised in CBT?
overt avoidence- e.g. avoiding busy shops if agoraphobic
covert avoidence- includes safety behaviours- personal ways an individual can reduce the sense of threat so their anxiety level can be reduced without having to face the threat e.g. having a mobile to seek assistance when out in a busy place.
general approach of CBT?
therapist helps pts to become aware of, and then to modify, maladaptive thinking and behaviour.
1st line treatment for anxiety?
CBT
