Chapter 16- Therapy and Treatment

8 December 2023
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In the past it was believed that mental illness was caused by
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demonic possession, witchcraft, or an angry god
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If someone was considered to be possessed, there were several forms of treatment to release spirits from the individual:
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- Exorcism - Trephining - Execution - Imprisonment
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Trephining
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A small hole was made in the afflicted individual's skull to release spirits from the body. Most people treated in this manner died
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Asylums
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the first institutions created for the specific purpose of housing people with psychological disorders, but the focus was ostracizing them from society rather than treating their disorders
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What was done with people in the 18th century who were considered odd and unusual?
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They were placed in asylums
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Philippe Pinel
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A French physician who argued for more humane treatment of the mentally ill
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Dorothea Dix
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led reform efforts for mental health care in the United States in the 19th century
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Whose efforts lead to the creation of the first mental asylums in the US?
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Dorothea Dix
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antipsychotic medications
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These proved a tremendous help in controlling the symptoms of certain psychological disorders, such as psychosis
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Psychosis
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a common diagnosis of individuals in mental hospitals, and it was often evidenced by symptoms like hallucinations and delusions, indicating a loss of contact with reality
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Mental Retardation Facilities and Community Mental Health Centers Construction Act
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provided federal support and funding for community mental health centers - it started the process of deinstitutionalization
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deinstitutionalization
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the closing of large asylums, by providing for people to stay in their communities and be treated locally
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Involuntary treatment
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therapy that is not the individual's choice
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Voluntary treatment
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the person chooses to attend therapy to obtain relief from symptoms
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Mental Health Parity and Addiction Equity Act of 2008
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requires group health plans and insurers to make sure there is parity of mental health services
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Psychotherapy
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a psychological treatment that employs various methods to help someone overcome personal problems, or to attain personal growth
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Biomedical therapy
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involves medication and/or medical procedures to treat psychological disorders
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Psychodynamic psychotherapy
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Talk therapy based on belief that the unconscious and childhood conflicts impact behavior
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Play therapy
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Psychoanalytical therapy wherein interaction with toys is used instead of talk; used in child therapy
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Behavior therapy
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Principles of learning applied to change undesirable behaviors
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Cognitive therapy
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Awareness of cognitive process helps patients eliminate thought patterns that lead to distress
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Cognitive- behavioral therapy
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Work to change cognitive distortions and self-defeating behaviors
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Humanistic therapy
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Increase self-awareness and acceptance through focus on conscious thoughts
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Free association
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The patient relaxes and then says whatever comes to mind at the moment.
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Dream analysis
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Therapist interprets the underlying meaning of dreams
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Transference
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the patient transfers all the positive or negative emotions associated with the patient's other relationships to the psychoanalyst
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Psychoanalysis
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therapists help their patients look into their past to uncover repressed feelings
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behavior therapy
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a therapist employs principles of learning to help clients change undesirable behaviors—rather than digging deeply into one's unconscious
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Counterconditioning
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a client learns a new response to a stimulus that has previously elicited an undesirable behavior
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Aversive conditioning
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Uses an unpleasant stimulus to stop an undesirable behavior.
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exposure therapy
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a therapist seeks to treat clients' fears or anxiety by presenting them with the object or situation that causes their problem, with the idea that they will eventually get used to it.
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Mother of behavior therapy
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Mary Cover Jones
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Mary Cover Jones
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Exposure therapy - Worked with a boy named Peter who was afraid of Rabbits. She used cookies as an unconditioned stimulus to make him not afraid of them anymore.
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systematic desensitization
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a calm and pleasant state is gradually associated with increasing levels of anxiety-inducing stimuli - If you can learn to relax when you are facing environmental stimuli that make you nervous or fearful, you can eventually eliminate your unwanted fear response
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virtual reality exposure therapy
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use a simulation to help conquer fears - Ex: Claustrophobia, anxiety, public speaking, etc.
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token economy
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Involves a controlled setting where individuals are reinforced for desirable behaviors with tokens, such as a poker chip, that can be exchanged for items or privileges
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Cognitive therapy
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a form of psychotherapy that focuses on how a person's thoughts lead to feelings of distress
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rational emotive therapy (RET)
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Cognitive-behavioral therapy founded by Albert Ellis
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Cognitive-behavioral therapy (CBT)
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helps clients examine how their thoughts affect their behavior.
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ABC Model
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A CBT - With this model, there is an Action (sometimes called an activating event), the Belief about the event, and the Consequences of this belief.
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humanistic therapy
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help people become more self-aware and accepting of themselves.
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Nondirective therapy
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a therapeutic approach in which the therapist does not give advice or provide interpretations but helps the person to identify conflicts and understand feelings
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unconditional positive regard
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involves not judging clients and simply accepting them for who they are
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Anti-anxiety agents
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Used to treat anxiety and agitation that occur in OCD, PTSD, panic disorder, and social phobia
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Mood Stabilizers
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Used to treat bipolar disorder, episodes of mania, and episodes of depression
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Stimulants
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Used to treat ADHD. They improve the ability to focus on a task and maintain attention
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electroconvulsive therapy (ECT)
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involves using an electrical current to induce seizures to help alleviate the effects of severe depression