I.Overview
II. Psychoanalytic & Insight-oriented Therapies
A. Techniques
B. Goals: change deep-seated, long-lasting behavior patterns
C. Contemporary version
D. Best for clients: YAVIS
E. "non-directive"
F. Almost all successful insight-oriented psychotherapies involve:
1. a warm and supportive client-therapist relationship
2. an understanding of the reasons behind some of the client's behaviors
3. and the assumption of responsibility on the part of the patient for his/her life and situation
G. VIGNETTE #1
H. Commentary on 1st vignette
III. Behavior Therapy
A. Approaches
1. Classical/Associative
Little Albert
UCS ===========>UCR
Loud Bell Fear
CS ===========>CS
White Rabbit Fear
a. Wolpe--systematic desensitization
b. Masters & Johnson
c. Aversion Rx
2. Operant Approaches
B. Applications
1. Simple phobias
a. Assessment important
b. Treatment is exposure
C. Panic attack based phobias
1. Progressive graded exposure. Buzzwords:
(1) Accept
(2) Float
(3) Let time pass
D. Obsessive-compulsive disorder
1. Rx consists of both response prevention AND exposure
E. VIGNETTE #2
F. Commentary and summary of behavioral approaches:
IV. Cognitive Therapy
A. Overview
B. First, the link between cognitions and affect is taught
C. Identifying distorted cognitions
1. Depressed persons automatically hold distorted cognitions
2. Altering the Cognitions
a. linking cognitions to events -- DOUBLE COLUMN TECHNIQUE
D. Progression of therapy:
1. Identify distorted cognitions
2. Challenge automatic thoughts
3. Replace with rational response
E. VIGNETTE #3
F. Commentary
G. Cognitive Therapy in conjunction with Drug therapy
V. Drug Therapy
A. Common Classes of medications:
1. Phenothiazines
2. Antidepressants
a. Tricyclics
b. SSRIs
c. MAO inhibitors
3. Anti-anxiety agents