15: Therapies 

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Mood stabilizers

________: Medications that combat bipolar disorder by leveling mood swings.

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Psychotherapy

Any psychological technique used to facilitate positive changes in a persons personality, behavior, or adjustment

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Psychoanalysis

Freudian approach to psychotherapy emphasizing exploration of the unconscious using free association, dream interpretation, resistances, and transference to uncover unconscious conflicts

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Free association

The psychoanalytic technique of encouraging a patient to say whatever comes to mind without censoring

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Resistance

Blockage in the flow of free association around topics the client avoids thinking or talking about

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Transference

The tendency of patients to transfer to a therapist feelings that correspond to those the patient had for important persons in his or her past

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Insight therapy

Any therapy that stresses the importance of understanding the origins of a psychological disorder, usually unresolved unconscious conflicts

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Action therapy

Any therapy that stresses directly changing troublesome thoughts and/or behaviors without regard for their origins, unconscious or otherwise

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Directive therapy

Any therapy that stresses the need for the therapist to lead the patient toward a resolution of his or her psychological distress

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Nondirective therapy

Any therapy in which the therapist supports the client while the client gains insight into his or her own problems and their resolution

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Group therapy

Psychological treatment involving several unrelated clients

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Psychodrama

A therapy in which clients act out personal conflicts and feelings in the presence of others who play supporting roles

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Role rehearsal

Taking the role of another person to learn how ones own behavior appears from the other persons perspective

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Mirror technique

Observing another person reenact ones own behavior appears from the other persons perspective

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Family therapy

Treatment of a group of related individuals that focuses on interpersonal dynamics and communication

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Therapeutic alliance

A caring relationship that unites a therapist and a client in working to solve the clients problems

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Culturally skilled therapist

A therapist who has the awareness, knowledge, and skills necessary to treat clients from diverse cultural backgrounds

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Spontaneous Remission

Improvement of symptoms due to the mere passage of time

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Therapy Placebo Effect

Improvement caused not by the actual process of therapy but by a clients expectation that therapy will help

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Behavior therapy

Any therapy designed to actively change behavior

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Behavior modification (applied behavior analysis)

The application of learning principles to change human behavior, especially maladaptive behavior

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Aversion therapy

Treatment to reduce unwanted behavior by pairing it with an unpleasant stimulus

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Exposure therapy

Alleviating fears and phobias (conditioned emotional responses) by using classical conditioning extinction

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Flooding

A form of exposure therapy in which clients are exposed to the object of their fears beginning with examples that provoke the most extreme responses

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Systematic desensitization

A reduction in fear, anxiety, or aversion brought about by planned exposure that provoke the most extreme responses

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Reciprocal inhibition

The presence of one emotional state can inhibit the occurrence of another, such as joy preventing fear or anxiety inhibiting pleasure

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Tension-release method

A procedure for systematically achieving deep relaxation of the body

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Fear hierarchy

A list of fears, arranged from least fearful to most fearful, for use in systematic desensitization

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Virtual reality exposure

Use of computer-generated images to present fear stimuli while responding to a viewers head movements and other input

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Modeling

A form of exposure therapy in which clients observe models displaying adaptive behavior toward their feared object

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Token economy

Behavior modification in which desired behaviors earn objects that can be exchanged for positive reinforcers

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Cognitive therapy

Treatment of emotional and behavioral problems by changing maladaptive thoughts, beliefs, and feeling

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Selective perception

Perceiving only certain stimuli among a larger array of possibilities

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Overgeneralization

Blowing a single event out of proportion by extending it to a large number of unrelated situations

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All-or-nothing thinking

Classifying objects or events as absolutely right or wrong, good or bad, acceptable or unacceptable, and so forth

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Cognitive behavior therapy (CBT)

Any therapy that combines elements of cognitive therapy and behavior therapy

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Rational-emotive behavior therapy (REBT)

Type of treatment designed to identify and change self-defeating thoughts

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Thought stopping

The use of aversive stimuli to interrupt or prevent upsetting thoughts

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Humanistic therapies

Insight-oriented therapies that help clients better understand themselves with the goal of maximizing their potential

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Client-centered (person-centered) therapy

Individual being treated talks without direction, judgement, or interpretation from the therapist

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Unconditional positive regard

Complete, unqualified acceptance of another person as he or she is

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Empathy

A capacity for taking anothers point of view; the ability to feel what another is feeling

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Authenticity

In Carl Rogerss terms, the ability of a therapist to be genuine and honest about his or her own feelings

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Reflection

In client-centered therapy, the process of rephrasing or repeating thoughts and feelings expressed by clients so that they can become aware of what they are saying

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Existential therapy

An insight therapy that focuses on the elemental problems of existence, such as death, meaning, choice, and responsibility; emphasizes making courageous life choices

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Gestalt therapy

An approach that focuses on immediate experience and awareness to help clients rebuild thinking, feeling, and acting into connected wholes; emphasizes the integration of fragmented experiences

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Pharmacotherapy

The use of drugs to treat psychopathology

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Antipsychotic drugs (major tranquilizers)

Medications that may alleviate hallucinations and delusional thinking associated with mental disorders

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Antianxiety drugs (anxiolytics or minor tranquilizers)

Medications that produce relaxation or reduce anxiety

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Antidepressant drugs

Medications that combat depression by affecting the levels or activity of neurotransmitters

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Mood stabilizers

Medications that combat bipolar disorder by leveling mood swings

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Stimulants (as drugs to treat ADHD)

Medications used to calm attention deficit hyperactivity disorder even though they arouse the nervous system

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Electroconvulsive therapy (ECT)

Treatment for severe depression in which electrical current is applied to the brain, causing a seizure

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Deep brain stimulation (DBS)

Electrical stimulation of precisely targeted brain regions; a surgical procedure is necessary to implant electrodes in the brain that allow for the stimulation

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Transcranial magnetic stimulation (TMS)

A device that uses magnetic pulses to temporarily block activity in specific parts of the brain

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Psychosurgery

Any surgical alteration of the brain designed to bring about desirable behavioral or emotional changes

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Psychiatric hospitalization

Placing a person in a protected, therapeutic environment staffed by mental health professionals

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Deinstitutionalization

The reduced use of full-time commitment to mental institutions to treat mental disorders

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Halfway house

A community-based facility for individuals making the transition from an institution (mental hospital, prison, and so forth) to independent living

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Community mental health center

A facility offering a wide range of mental health services, such as prevention, counseling, consultation, and crisis intervention

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Crisis intervention

The skilled management of a psychological emergency

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Paraprofessional

An individual who works in a near-professional capacity under the supervision of a more highly trained person

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Somatic therapy

Any bodily therapy, such as drug therapy, electroconvulsive therapy, or psychosurgery

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Peer counselor

A nonprofessional person who has learned basic counseling skills

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Self-help group

A group of people who share a particular type of problem and provide mutual support to one another

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For example, Aaron Becks cognitive therapy focuses on changing several major distortions in thinking

selective perception, overgeneralization, and all-or-nothing thinking

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These include

being an active listener, reflecting the persons thoughts and feelings, welcoming silence, asking open-ended questions clarifying problems, focusing on feelings, avoiding advice, accepting their frame of reference, and maintaining their confidence

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