MOD

1
MOD 24 - Therapies

• Treatment History
• Mental Hospitals
• Moral Therapy
• Phenothiazines-
• Deinstitutionalization

2
Later Interventions

• Community Mental Health Centers
• Medicaid funding for prescriptions some
  counseling
• 40 w/ problems dont seek help

3
Therapists

• Psychiatrists
• Clinical Psychologists
• Counseling Psychologists
• Social Workers -
• Nurses

4
Therapeutic Approaches

• Psychotherapy
• Improvement over control groups
• Short-term -gt 25-30 sessions

5
Psychodynamic Psychotherapy

• Identify feelings
• Breakdown defenses / resistance
• Interpret behaviors
• Work through transference
• Shortened time frame

6
Client-centered therapy

• Potential for self-actualization
• Reflecting
• Positive regard
• Empathy
• Genuine

7
Cognitive Therapy

• Addressing automatic thoughts
• Overgeneralization
• Polarized thinking
• Selective attention

8
Behavior Therapy

• Using classical operant conditioning
• Systematic Desensitization
• Relaxation
• Stimulus Hierarchy-
• Exposure
• Example Insomnia, Fears

9
Cognitive-Behavior Therapy

• Addresses thoughts behaviors
• Intrusive thoughts
• Self-monitoring
• Thought stopping
• Examples

10
Other approaches

• Eclectic
• Medical therapy
• EMDR

11
Cultural Diversity

• Evil spirits possess one yielding extreme moods
• Healers used smoke, herbs, doll effigies,
  ceremonies

12
Common factors in therapies

• Basic set of procedures
• Supportive trusting relationship
• Accepting atmosphere
• Attention to the issues

13
Psychoanalysis Freud 1800-1900

• Assumptions
• repressed thoughts, conflict, leading to
  emotional problems

• Techniques
• Free association, dream interpretation,
  psychoanalysis

14
Client-centered Therapy Rogers 40s 50s

• Assumptions
• Clients have potential for self-actualization

• Techniques
• Reflecting, empathy, positive regard,
  supportive relationship

15
Cognitive Therapy Beck 60s 70s

• Assumptions
• Automatic, irrational, negative thoughts affect
  feelings, actions and distort perceptions

• Techniques
• Self-monitoring, Thought-stopping, thought
  substitution

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Behavior Therapy 50s various

• Assumptions
• Emotional reactions and behaviors are
  conditioned and can be unconditioned

• Techniques
• Systematic Desensitization, reward /
  punishment, cognitive- behavior therapy

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Other Imperatives

• Music positive themes
• Survival collection
• Laughter / Humor enjoyment leads to increase in
  mental health functioning
• (Psychoneuroimmunology)