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17-心理治疗.ppt
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    Myers' PSYCHOLOGY

    Chapter 17

    Therapy

    History of Treatment

    Therapy

    * Psychotherapy

    * an emotionally charged, confiding interaction between a trained therapist and someone who suffers from psychological difficulties

    * Eclectic Approach

    * an approach to psychotherapy that, depending on the client's problems, usestechniques from various forms of therapy

    Therapy- Psychoanalysis

    * Psychoanalysis

    * Freud believed the patient's free associations, resistances, dreams, and transferences - and the therapist's interpretations of them - released previously repressed feelings, allowing the patient to gain self-insight

    * use has rapidly decreased in recent years

    * Resistance

    * blocking from consciousness of anxiety-laden material

    Therapy- Psychoanalysis

    * Interpretation

    * the analyst's noting supposed dream meanings, resistances, and other significant behaviors in order to promote insight

    * Transference

    * the patient's transfer to the analyst of emotions linked with other relationships

    * e.g. love or hatred for a parent

    Humanistic Therapy

    * Client-Centered Therapy

    * humanistic therapy developed by Carl Rogers

    * therapist uses techniques such as active listening within a genuine, accepting, empathic environment to facilitate clients' growth

    Humanistic Therapy

    * Active Listening-empathic listening in which the listener echoes, restates, and clarifies

    Behavior Therapy

    * Behavior Therapy

    * therapy that applies learning principles to the elimination of unwanted behaviors

    * Counterconditioning

    * procedure that conditions new responses to stimuli that trigger unwanted behaviors

    * based on classical conditioning

    * includes systematic desensitization and aversive conditioning

    Behavior Therapy

    * Exposure Therapy

    * treat anxieties by exposing people (in imagination or reality) to the things they fear and avoid

    Behavior Therapy

    * Systematic Desensitization

    * type of counterconditioning

    * associates a pleasant, relaxed state with gradually increasing anxiety-triggering stimuli

    * commonly used to treat phobias

    * Aversive Conditioning

    * type of counterconditioning that associates an unpleasant state with an unwanted behavior

    * nausea--->alcohol

    Behavior Therapy

    * Systematic Desensitization

    Behavior Therapy

    * Aversion therapy for alcoholics

    Behavior Therapy

    * Token Economy

    * an operant conditioning procedure that rewards desired behavior

    * patient exchanges a token of some sort, earned for exhibiting the desired behavior, for various privileges or treats

    Cognitive Therapy

    * Cognitive Therapy

    * teaches people new, more adaptive ways of thinking and acting

    * based on the assumption that thoughts intervene between events and our emotional reactions

    Cognitive Therapy

    * The Cognitive Revolution

    Cognitive Therapy

    * A cognitive perspective on psychological disorders

    Cognitive Therapy

    * Cognitive therapy for depression

    Cognitive Therapy

    * Cognitive-Behavioral Therapy

    * a popular integrated therapy that combines cognitive therapy (changing self-defeating thinking) with behavior therapy (changing behavior)

    Group and Family Therapies

    * Family Therapy

    * treats the family as a system

    * views an individual's unwanted behaviors as influenced by or directed at other family members

    * attempts to guide family members toward positive relationships and improved communication

    Evaluating Psychotherapies

    * To whom do people turn for help for psychological difficulties?

    Evaluating Psychotherapies

    * Regression toward the mean

    * tendency for extremes of unusual scores to fall back (regress) toward their average

    * Meta-analysis

    * procedure for statistically combining the results of many different research studies

    Evaluating Psychotherapies

    Evaluating Psychotherapies

    Therapists and their Training

    * Clinical psychologists

    * Most are psychologists with a Ph.D. and expertise in research, assessment, and therapy, supplemented by a supervised internship

    * About half work in agencies and institutions, half in private practice

    Therapists and their Training

    * Clinical or Psychiatric Social Worker

    * A two-year Master of Social Work graduate program plus postgraduate supervision prepares some social workers to offer psychotherapy, mostly to people with everyday personal and family problems

    * About half have earned the National Association of Social Workers' designation of clinical social worker

    Therapists and their Training

    * Counselors

    * Marriage and family counselors specialize in problems arising from family relations

    * Pastoral counselors provide counseling to countless people

    * Abuse counselors work with substance abusers and with spouse and child abusers and their victims

    Therapists and their Training

    * Psychiatrists

    * Physicians who specialize in the treatment of psychological disorders

    * Not all psychiatrists have had extensive training in psychotherapy, but as M.D.s they can prescribe medications. Thus, they tend to see those with the most serious problems

    * Many have a private practice

    Biomedical Therapies

    * Psychopharmacology

    * study of the effects of drugs on mind and behavior

    * Lithium

    * chemical that provides an effective drug therapy for the mood swings of bipolar (manic-depressive) disorders

    Biomedical Therapies

    * The emptying of U.S. mental hospitals

    Biomedical Therapies

    Biomedical Therapies

    Biomedical Therapies

    * Electroconvulsive Therapy (ECT)

    * therapy for severely depressed patients in which a brief electric current is sent through the brain of an anesthetized patient

    * Psychosurgery

    * surgery that removes or destroys brain tissue in an effort to change behavior

    * lobotomy

    * now-rare psychosurgical procedure once used to calm uncontrollably emotional or violent patients

    Electroconvulsive Therapy

    Mind-Body Interaction