Flashcards in Psychotherapy Deck (53)
What must be done before psychotherapy can begin?
Pt must be motivated
What is the effect of increased comorbidities, chronicity, and severity, on mental illness prognosis with psychotherapy?
Which is more important: patient expectations of success, or the credibility of treatment
What is the role of psychotherapy compared to pharmacotherapy in the treatment of mental illness?
Changes brain wiring
What are the strengths of psychodynamic therapy? (3)
-Seeks characterological and structural change
-Effect with PDs, MDD, and anxiety
What is the theory of psychodynamic therapy? (2)
-Early life experiences influences psychosocial development and current functioning
-Focus on unconscious motivating factors
What are the weaknesses of psychodynamic psychotherapy? (2)
-Can be very long term
-Difficult to research in its traditional form
Why do psychotherapists not express emotions?
See how patient forms ideas about you is telling about their framework
What is the focus of behavioral therapy?
-Focuses on overt behaviors and environmental influences that support them
-Focuses attention on issues related to conditioning and reinforcement
What are the strengths of behavior therapy? (2) What does it work well for?
-Works well with anxiety, phobias, and behavior disorders
What are the weaknesses of behavior therapy? (2) What is its role in treating depression?
-No opportunity for client to discuss feelings
-Less effective without a cognitive component being present
-Not as effective as other forms therapy for depression
Anxiety and phobias are very treatable with what sort of therapy?
What is the basic principle behind cognitive therapy?
-We base our world on schema. Psychopathology results from faulty thinking.
-If we change what people are saying inside their heads, it will change how they feel
What is the all-or-nothing cognitive distortion?
I'm either great or worthless
What is the overgeneralization cognitive distortion?
Single event is seen as a never ending pattern
What is the mental filter cognitive distortion?
Picking out a single negative detail and focusing on it
What is the jumping to conclusions cognitive distortion?
Drawing a negative conclusion without supporting facts
What is the catastrophizing or minimizing cognitive distortion?
Exaggerating or minimizing the importance of something that happens
What is the Emotional reasoning cognitive distortion?
If I feel it, it must be so
What is the should statement cognitive distortion?
Punishing self leads to guilt
Directing to others leads to resentment
What is the labeling and misleading cognitive distortion?
I'm a loser or he's a louse
What is the personalization cognitive distortion?
Seeing self as the cause of an event for which you have no responsibility
What are the strengths of cognitive therapy? (3)
-Excellent research support
-Can be used for most all psych disorders
What are the weaknesses of cognitive therapy? (2)
-Less powerful framework for dealing with problems that arise in therapy
-Requires patient commitment to complete homework
What are the ideas behind acceptance and commitment therapy?
-human suffering is inevitable
-Coming up with explanations for our feelings is counterproductive
-Avoiding internal experiences is counterproductive
What are the goals of acceptance and commitment therapy? (4)
-Accepting thoughts, even when uncomfortable
-Not applying judgement on thoughts
-Being in the moment (future = anxiety, past = depression)
What are the strengths of ACT? (3)
-Can be used with wide range of problems
-Good research support
What are the weakness of ACT? (2)
-Requires an excellent therapist
-Underlying theory can be complex and difficult to explain
What are the basic principles of interpersonal therapy (IPT)? 23)
-*Focus on current interpersonal problems and relationships*, since these are the major causes of issues
-Focus on present social context