Clinical Psychology Case Studies
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Questions and Answers

What is the primary goal of behaviour therapy?

  • To apply reinforcement only in a controlled environment
  • To identify the underlying causes of a phobia
  • To focus on the biological factors of psychopathology
  • To create new associations by practicing new behavioural habits (correct)
  • Who is credited with using systematic desensitization?

  • Mary Cover Jones
  • Thorndike
  • Skinner
  • Joseph Wolpe (correct)
  • What is the primary mechanism of operant conditioning?

  • Learning through reinforcement and punishment (correct)
  • Understanding the underlying causes of a behaviour
  • Modeling behaviour based on observations
  • Creating new associations through habits
  • What is the result of a child getting a cookie every time she cries?

    <p>The child will learn to cry more often</p> Signup and view all the answers

    What is a characteristic of behaviour therapy?

    <p>It is time-limited and direct</p> Signup and view all the answers

    What is the primary focus of an integrative approach to psychopathology?

    <p>Considering reciprocal relations among multiple factors</p> Signup and view all the answers

    What is the current state of the science of psychopathology?

    <p>It is evolving and ongoing research informs our understanding</p> Signup and view all the answers

    What is the consequence of reinforcement in operant conditioning?

    <p>The behaviour will increase in frequency</p> Signup and view all the answers

    Who is credited with using behavioural techniques to free a patient from phobia?

    <p>Mary Cover Jones</p> Signup and view all the answers

    What is the primary mechanism of learning in behaviour therapy?

    <p>Reinforcement and punishment</p> Signup and view all the answers

    Study Notes

    Clinical Case: Jack and Felicia

    • Jack's father was worried about people like Jack being violent, and the landlord admitted not wanting any trouble.
    • Felicia had attention deficit/hyperactivity disorder (ADHD) and was diagnosed by a psychologist in 4th grade.
    • She experienced difficulties in elementary school, including:
      • Not being able to sit still or follow directions
      • Blurring out answers when it wasn't her turn
      • Making mistakes on class papers
      • Being teased by other girls
    • Felicia began seeing a psychologist and taking medication (Ritalin), which helped her:
      • Concentrate better
      • Not blurt out things as much
      • Learn to deal with teasing from others
    • Now in high school, Felicia is much happier and has:
      • A good group of close friends
      • Better grades than ever before

    Insidious Onset, Course, and Prognosis

    • Insidious onset: a disorder that comes on slowly and doesn't have obvious symptoms at first.
    • Episodic course: a disorder that has a few months of recovery and improves on its own shortly.
    • Chronic course: a disorder that lasts a long time or is persistent.
    • Good prognosis: a positive outcome, while guarded prognosis is an outcome in doubt.
    • Fair prognosis: a moderate outcome, and poor prognosis: a negative outcome.

    Causation, Treatment, and Outcome

    • Etiology: the study of what contributes to the development of psychopathology, including biological, psychological, and social dimensions.
    • Treatment development: how to help alleviate psychological suffering, including pharmacological, psychosocial, and/or combined treatments.
    • Treatment outcome research: studying how to know if a treatment has been effective.

    Historical Conceptions of Abnormal Behavior

    • The supernatural tradition:
      • Mass hysteria: a phenomenon where a group of people experience intense emotions and behaviors, often due to suggestion or contagion.
      • Emotion contagion: when people experience an emotion that seems to spread to those around them.
      • Mob psychology: when people in a group are influenced by a single idea or suggestion.
    • The biological tradition:
      • Greek physician Hippocrates: abnormal behavior as a physical disease.
      • Psychological disorders can be treated like any other physical disease.

    Psychoanalytic Theory

    • Melanie Klein, Otto Kernberg, and object relations theory:
      • Emphasized how children incorporate (introject) objects, including significant others and their images, memories, and values.
    • Later developments in psychoanalytic thought:
      • The "Neo-Freudians": Jung, Adler, Horney, Fromm, and Erickson, who departed from Freud's ideas.
      • Jung emphasized the "collective unconscious", while Adler focused on inferiority and striving for superiority.

    Psychoanalytic Psychotherapy

    • The "talking" cure:
      • Unearth hidden intrapsychic conflicts.
      • Therapy is often long-term.
      • Techniques include free association and dream analysis.
    • Examine transference and counter-transference issues.
    • Little evidence supports the efficacy of psychoanalytic psychotherapy.

    Humanistic Theory

    • Major themes:
      • People are basically good.
      • Humans strive toward self-actualization.
      • Person-centered, unconditional positive regard.
    • Major players: Abraham Maslow and Carl Rogers.
    • Person-centered therapy:
      • Therapist conveys empathy and unconditional positive regard.
      • Minimal therapist interpretation.
    • No strong evidence that purely humanistic therapies work to treat mental disorders.

    The Behavioral Model

    • Derived from a scientific approach to the study of psychopathology.
    • Classical conditioning (Pavlov; Watson):
      • A form of learning.
      • People learn associations between neutral stimuli and stimuli that already have meaning.
    • Operant conditioning (Thorndike; Skinner):
      • People learn to repeat or decrease behaviors based on the consequences that follow them.
    • Example of classical conditioning: developing an association between the taste of tuna salad and nausea.

    The Beginnings of Behavior Therapy

    • Challenged psychoanalysis and non-scientific approaches.
    • Early pioneers: Mary Cover Jones and Joseph Wolpe.
    • Behavioral therapy tends to be time-limited and direct.
    • Strong evidence supports the efficacy of behavioral therapies.

    An Integrative Approach

    • Psychopathology is multiply determined.
    • Unidimensional accounts of psychopathology are incomplete.
    • Must consider reciprocal relations among biological, psychological, social, and experiential factors.
    • Defining abnormal behavior is complex, multifaceted, and evolving.
    • Science of psychopathology is evolving, and the supernatural tradition no longer has a place in it.

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    Description

    Case studies of individuals, including Jack and Felicia, exhibiting abnormal behaviors and disorders. Explore their stories and symptoms.

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