THERAPYTREATMENT PERSPECTIVE OVERVIEW PSYCHOANALYTIC PERSPECTIVE Key People Goal

THERAPY/TREATMENT PERSPECTIVE OVERVIEW

PSYCHOANALYTIC PERSPECTIVE Key People Goal of Treatment Assumed Problem • Sigmund Freud • Help patients gain insight into their unconscious conflicts/childhood experiences. • Unconscious forces • Childhood experiences

COGNITIVE PERSPECTIVE • Aaron Beck (Cognitive Behavioral Therapy) Key People • Albert Ellis (Rational Emotive Therapy) • Cognitive Restructuring • Replacing irrational thoughts w/rational ones Goal of • Reverse negative thinking Treatment Assumed Problem • Engaging in negative self-talk that is false.

HUMANISTIC PERSPECTIVE • Carl Rogers Key People Goal of Treatment Assumed Problem • Congruency • Reduce the discrepancy between the real and ideal self. • Barriers to self-understanding and self-acceptance.

BEHAVIORAL PERSPECTIVE Key People • Mary Cover Jones • B. F. Skinner Goal of Treatment • Unlearn maladaptive behavior & replace with adaptive behaviors • Allow associations, like fears, to become extinct. Assumed Problem • Maladaptive behaviors based on the principles of learning.

BIOMEDICAL PERSPECTIVE Key People Goal of Treatment Assumed Problem • Egas Moinz • Walter Freeman • Restore chemical balance through medication. • ECT & psychosurgery used minimally. • Abnormalities in the brain, brain structures, and/or neurotransmitters.

CLASS CASE STUDY DEBRIEF • Case Study #21 Mike, a 32 year-old man, performed many acts that were preceded by a fear of harming other people. When driving, he had to stop the car often and return to check whether he had run over people, particularly babies. Before flushing the toilet, he had to check to be sure that a live insect had not fallen into the toilet, because he did not want to be responsible for killing a living thing. At home he repeatedly checked to see that the doors, stoves, lights, and windows were shut or turned off. . . Mike performed these and many other checking behaviors for an average of 4 hours a day.

CLASS CASE STUDY DEBRIEF • Symptoms • Obsessive Thoughts (fear of harming others/killing a living thing) • Compulsions (stopping the car to check if he had run over a personparticularly babies & checking for bugs before flushing the toilet). Checks doors, stoves, lights, etc. To make sure they are shut or turned off. • Ritualistic Behaviors (checks about 4 hours/day).

CLASS CASE STUDY DEBRIEF • Diagnosis • Obsessive Compulsive Disorder: Recurrent and persistent thoughts that are intrusive (obsessions) followed by repetitive behaviors or mental acts the individual feels driven to perform (compulsions).

• Treatments: CLASS CASE STUDY DEBRIEF • Psychotherapy • Understanding past events/memories that may not be conscious. • Free Association • Cognitive Therapy • Identify irrational beliefs that lead to self defeating behaviors and anxiety. • Rational Emotive Therapy • Remember the treatment is based on the CAUSE of the disorder. • Cognitive Therapy: usually the disorder is CAUSED by maladaptive thinking (self-defeating thoughts/misconceptions, etc. ) • Psychotherapy: usually the disorder is caused by some underlying repressed thought/conflict/memory/event.