Lecture Overview Insight Therapies Behavior Therapies Biomedical Therapies

Lecture Overview • • Insight Therapies Behavior Therapies Biomedical Therapies Therapy & Critical Thinking ©John Wiley & Sons, Inc. 2010

Introductory Definitions • Psychotherapy: techniques employed to improve psychological functioning & promote adjustment to life • Three major approaches to therapy: – Insight (personal understanding) – Behavior (maladaptive behaviors) – Biomedical (mental illness & medical treatments, such as drugs) ©John Wiley & Sons, Inc. 2010

Four Major Forms of Insight Therapy • Psychoanalysis/psychodynamic • Humanistic • Cognitive ©John Wiley & Sons, Inc. 2010

Insight Therapies: Psychoanalysis/Psychodynamic • Psychoanalysis: Freudian therapy designed to bring unconscious conflicts into consciousness ©John Wiley & Sons, Inc. 2010

Insight Therapies: Psychoanalyis/Psychodynamic • Five major techniques of psychoanalysis: ©John Wiley & Sons, Inc. 2010

Insight Therapies: Psychoanalysis/Psychodynamic Evaluation of psychoanalysis: limited applicability: expensive, difficult with psychotic individuals • Psychodynamic Therapy: briefer, more directive, yet still dealing with unconscious ©John Wiley & Sons, Inc. 2010

Insight Therapies: Cognitive • Cognitive Therapy: focuses on thinking & beliefs faulty – Improvement comes from insight into negative self-talk (internal dialogue) – Cognitive Restructuring: process of changing destructive thoughts or inappropriate interpretations ©John Wiley & Sons, Inc. 2010

Insight Therapies: Cognitive (Continued) • Albert Ellis’s Rational-Emotive Behavior Therapy (REBT): eliminates emotional problems through rational examination of irrational beliefs • Aaron Beck’s form of Cognitive-Behavior Therapy works to change both thoughts & behaviors ©John Wiley & Sons, Inc. 2010

Ellis’s Rational-Emotive Behavior Therapy (REBT) ©John Wiley & Sons, Inc. 2010

Cognitive Behavior Therapy • First change way of thinking • Then slowly change behavior • Reward changed behavior • Feedback from new behavior helps to change thoughts ©John Wiley & Sons, Inc. 2010

Beck’s Cognitive-Behavior Therapy • Depressive thought patterns: – selective perception – overgeneralization – magnification – all-or-nothing thinking ©John Wiley & Sons, Inc. 2010

Insight Therapies: Cognitive (Continued) • Evaluation of cognitive therapy • Pro: Considerable success with a range of problems • Con: Criticized for overemphasizing rationality, ignoring unconscious dynamics, minimizing importance of the past, etc. ©John Wiley & Sons, Inc. 2010

Client-Centered Therapy: • Humanistic therapy: Rogers emphasizes client’s natural tendency to become healthy & productive • Techniques include: – empathy – unconditional positive regard – genuineness – active listening ©John Wiley & Sons, Inc. 2010

Insight Therapies: Humanistic (Continued) • Evaluation of humanistic therapy • Pro: Evidence for success • Con: Basic tenets, such as self-actualization, difficult to test scientifically ©John Wiley & Sons, Inc. 2010

Behavior Therapies • Behavior Therapy: group of techniques based on learning principles used to change maladaptive behaviors • Three foundations of behavior therapy: – classical conditioning – operant conditioning – observational learning ©John Wiley & Sons, Inc. 2010

Behavior Therapies: Classical Conditioning • Systematic Desensitization: gradual process of extinguishing a learned fear (or phobia) by working through a hierarchy of fearful stimuli while remaining relaxed ©John Wiley & Sons, Inc. 2010

Behavior Therapies: Classical Conditioning – Aversion Therapy: pairing an aversive (unpleasant) stimulus with a maladaptive behavior ©John Wiley & Sons, Inc. 2010

Behavior Therapies: Operant Conditioning • Operant conditioning techniques used to INCREASE adaptive behaviors: • Shaping: successive approximations of target behavior are rewarded; includes role-playing, behavior rehearsal, assertiveness training • Tokens: symbolic rewards used to immediately reinforce desired behavior ©John Wiley & Sons, Inc. 2010

Behavior Therapies: Operant Conditioning • Operant conditioning techniques used to DECREASE maladaptive behaviors: • Extinction: withdrawal of attention • Punishment: adding or taking away something (e. g. , time-out) ©John Wiley & Sons, Inc. 2010

Behavior Therapies: Observational Learning • Modeling: watching & imitating models that demonstrate desirable behaviors • Participant Modeling: combining live modeling with direct & gradual practice ©John Wiley & Sons, Inc. 2010

Behavior Therapies (Continued) • Evaluation of behavior therapies: • Pro: Strong evidence for success with a wide range of problems • Con: Questioned & criticized for generalizability. What about thoughts and feelings? ©John Wiley & Sons, Inc. 2010

Biomedical Therapies • Biomedical Therapy: uses physiological interventions, such as drugs, to treat psychological disorders – Psychopharmacology ©John Wiley & Sons, Inc. 2010

Major categories of drugs: 1. Antianxiety (increases relaxation, reduces anxiety & muscle tension) 2. Antipsychotic (treats hallucinations & other symptoms of psychosis) 3. Mood Stabilizer (treats manic episodes & depression) 4. Antidepressant (treats symptoms of depression) 5. Stimulants (used to treat attention deficits) ©John Wiley & Sons, Inc. 2010

Therapy & Critical Thinking Therapy Essentials--Five Common Goals ©John Wiley & Sons, Inc. 2010

Therapy & Critical Thinking ©John Wiley & Sons, Inc. 2010

Therapy & Critical Thinking: Gender & Cultural Diversity • Cultural differences: – Therapies in individualistic cultures emphasize independence, the self, & control over one’s life. – Therapies in collectivist cultures emphasize interdependence. ©John Wiley & Sons, Inc. 2010

Therapy & Critical Thinking: Evaluating & Finding Therapy • Forty to 80 % who receive therapy are better off than people who do not. • Guidelines for Finding a Therapist: • take time to “shop around. ” • if in a crisis, call 24 -hour hotlines or college counseling centers. ©John Wiley & Sons, Inc. 2010