Psychodynamic Approach Techniques
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Questions and Answers

What technique is NOT associated with the psychodynamic approach to bring about therapeutic change?

  • Interpretation
  • Free association
  • Social skills training (correct)
  • Analysis of transference

    • Which of the following is a predictor of positive therapy outcomes?

  • The quality of the therapeutic alliance (correct)
  • The training taken by the therapist
  • The specific techniques used by the therapist
  • The severity of the disorder suffered by the patient

    • What is the basis of the cognitive-behavioural approach to therapy?

  • The manner of processing between normal and abnormal individuals
  • That learning is primary in life
  • That symptoms are maladaptive learned behaviour patterns that can be changed (correct)
  • The metaphor 'the mind is like a machine'

    • What are the two principles that the psychodynamic approach to therapeutic change rests on?

    <p>Insight and therapeutic alliance</p> Signup and view all the answers

    What technique is used within Operant Conditioning techniques to bring about therapeutic change?

    <p>Social skills training</p> Signup and view all the answers

    What is the primary goal of the therapeutic alliance in psychodynamic therapy?

    <p>To establish a comfortable relationship with the patient</p> Signup and view all the answers

    What is the main concept underlying the cognitive-behavioural approach to therapy?

    <p>That symptoms are a result of maladaptive learned behaviour patterns</p> Signup and view all the answers

    What is the role of insight in the psychodynamic approach to therapeutic change?

    <p>To help the patient understand the underlying causes of their symptoms</p> Signup and view all the answers

    What technique involves instructing the patient to say whatever comes to mind without censorship?

    <p>Free association</p> Signup and view all the answers

    What is the term for the phenomenon where people bring thoughts, feelings, and conflicts from past relationships into new ones?

    <p>Transference</p> Signup and view all the answers

    What is the primary goal of working with transference in psychodynamic therapy?

    <p>To rewrite the client's 'new edition of old conflicts'</p> Signup and view all the answers

    In systematic desensitization, what is constructed by the therapist?

    <p>A list of feared imagined stimuli in increasing order</p> Signup and view all the answers

    What is the key distinction between exposure techniques and systematic desensitization?

    <p>Exposure to actual phobic stimuli</p> Signup and view all the answers

    What technique involves preventing avoidance responses to confront the feared stimulus?

    <p>Response prevention</p> Signup and view all the answers

    In which technique does the therapist model desired behavior and induce patient participation?

    <p>Participatory modelling</p> Signup and view all the answers

    What type of therapy focuses on dysfunctional cognitions underlying psychological disorders?

    <p>Cognitive therapy</p> Signup and view all the answers

    What is the term for the patient's attempts to avoid confronting their unconscious thoughts and feelings?

    <p>Resistance</p> Signup and view all the answers

    In exposure techniques, what is the primary focus of the therapist?

    <p>Exposing the patient to the actual phobic stimulus</p> Signup and view all the answers

    What does Aaron Beck refer to as the things individuals say to themselves and the assumptions they make?

    <p>automatic thoughts</p> Signup and view all the answers

    What type of therapy involves teaching new skills to people with specific interpersonal deficits?

    <p>Social skills training</p> Signup and view all the answers

    What therapy focuses on the patient's conscious or lived experience, and on the way each person uniquely experiences relationships and the world?

    <p>Humanistic</p> Signup and view all the answers

    What therapy emphasizes the awareness of feelings and focuses on the 'here and now'?

    <p>Gestalt therapy</p> Signup and view all the answers

    What is the term for the assessment technique used by family therapists that maps a family over three or four generations?

    <p>Genogram</p> Signup and view all the answers

    What is the best predictor of marital dissatisfaction leading to divorce?

    <p>Reacting to negative comments from your partner by using negative comments</p> Signup and view all the answers

    Which therapist was among the first to refer to persons seeking treatment as 'clients' rather than as 'patients'?

    <p>Carl Rogers</p> Signup and view all the answers

    What type of therapy is based on Carl Rogers' view that people experience psychological difficulties when their concept of self is incongruent with their actual experience?

    <p>Client-centred</p> Signup and view all the answers

    Which type of therapy focuses on the organisation of the family system and the use of active interventions to disrupt dysfunctional patterns?

    <p>Structural family therapy</p> Signup and view all the answers

    Which of the following systems strategies involves attention to boundaries between generations, alliances and schisms, between family members, the hierarchy of power within the family, and family homoeostatic mechanisms?

    <p>Structural and strategic</p> Signup and view all the answers

    What is a common characteristic of treatment methods across cultures?

    <p>Involvement of the community in healing rituals</p> Signup and view all the answers

    How do biological treatments improve psychological disorders?

    <p>By restoring normal functioning to the brain</p> Signup and view all the answers

    Which drug was introduced for the treatment of schizophrenia?

    <p>Chlorpromazine</p> Signup and view all the answers

    What is the effect of lithium salts in patients suffering from mania?

    <p>It has a calming effect</p> Signup and view all the answers

    At which level do alternative theories suggest that psychotropic medications work?

    <p>Intracellular level</p> Signup and view all the answers

    How do antipsychotic medications reduce symptoms such as delusions and hallucinations?

    <p>By inhibiting dopamine</p> Signup and view all the answers

    What is true of antipsychotic medications in terms of their effectiveness in eliminating symptoms?

    <p>They are more effective in eliminating positive symptoms</p> Signup and view all the answers

    How do most antidepressant medications work?

    <p>By increasing the amount of serotonin and/or norepinephrine within the synapse</p> Signup and view all the answers

    What is the main goal of biological treatments in terms of improving psychological disorders?

    <p>To restore normal functioning to the brain</p> Signup and view all the answers

    What is a key characteristic of efficacy studies?

    <p>They are conducted in highly controlled environments</p> Signup and view all the answers

    What does psychotherapy integration refer to?

    <p>The use of theory or techniques from multiple therapeutic perspectives</p> Signup and view all the answers

    What was the outcome of the study that combined education about the disorder, medication, weekly group therapy, family therapy, and close monitoring of symptoms?

    <p>Treatment relapse rates decreased</p> Signup and view all the answers

    What is the primary goal of insight in psychodynamic therapy?

    <p>To understand the patient's own psychological processes</p> Signup and view all the answers

    What is the purpose of the couch in psychoanalysis?

    <p>To allow the patient to disclose sensitive material</p> Signup and view all the answers

    What type of psychotherapy involves combining elements from multiple approaches?

    <p>Eclectic psychotherapy</p> Signup and view all the answers

    What is a benefit of efficacy studies?

    <p>They provide a high level of control over extraneous variables</p> Signup and view all the answers

    What is a characteristic of psychotherapy integration?

    <p>It involves combining multiple theories or techniques</p> Signup and view all the answers

    What is the main mechanism of action of tricyclic antidepressants?

    <p>Forcing the neurotransmitter to stay in the synapse longer</p> Signup and view all the answers

    What is the typical time frame for lithium to take effect?

    <p>Three to four weeks</p> Signup and view all the answers

    Which type of medication is often used to treat anxiety?

    <p>Antianxiety</p> Signup and view all the answers

    What is a common side effect of electroconvulsive therapy (ECT)?

    <p>Memory loss</p> Signup and view all the answers

    What is the most widely practiced Western psychosurgery technique?

    <p>Lobotomy</p> Signup and view all the answers

    What is the estimated percentage of people in Australia and New Zealand who will have a mental health problem at some stage in their lives?

    <p>Almost 50%</p> Signup and view all the answers

    What is the main difference between tricyclic antidepressants and SSRIs?

    <p>Tricyclic antidepressants target both serotonin and norepinephrine, while SSRIs target only serotonin</p> Signup and view all the answers

    What is the purpose of applying electrodes to only one hemisphere of the brain during electroconvulsive therapy (ECT)?

    <p>To reduce the risk of memory loss</p> Signup and view all the answers

    What is the typical response rate of bipolar patients to lithium?

    <p>30-50%</p> Signup and view all the answers

    Which type of medication is not used to treat depression?

    <p>Benzodiazepines</p> Signup and view all the answers

    What percentage of people in Australia and New Zealand will have a mental health problem at some stage in their lives?

    <p>50%</p> Signup and view all the answers

    Where do most psychotropic medications act?

    <p>at neurotransmitter sites</p> Signup and view all the answers

    How can the high relapse rate associated with the termination of pharmacotherapy be minimised?

    <p>continuing the original medication for a considerable amount of time after the treatment has succeeded</p> Signup and view all the answers

    What is a significant obstacle to the determination of the success of specific psychotherapies?

    <p>The virtual impossibility of establishing clear criteria for what constitutes 'successful' treatment</p> Signup and view all the answers

    What methodological challenge in comparing treatments is due to the investigator's commitment to a particular treatment?

    <p>Experimenter bias</p> Signup and view all the answers

    Which of the following is NOT a common shared factor among the different psychotherapies?

    <p>Inhibiting negative automatic thoughts</p> Signup and view all the answers

    What is TRUE of studies that compare the effectiveness of different psychotherapies?

    <p>With only a few exceptions, different therapies produce similar results</p> Signup and view all the answers

    What is TRUE regarding the difference between efficacy and effectiveness studies of psychotherapy outcomes?

    <p>Efficacy studies require greater experimental control</p> Signup and view all the answers

    What is a predictor of the relative efficacy of one treatment over another in any given study?

    <p>The strength of the investigator's commitment to that treatment</p> Signup and view all the answers

    What is the main challenge in comparing the efficacy of different psychotherapies?

    <p>The difficulty in establishing clear criteria for what constitutes 'successful' treatment</p> Signup and view all the answers

    Study Notes

    Psychodynamic Approach

    • The psychodynamic approach relies on three techniques to bring about therapeutic change: free association, interpretation, and analysis of transference.
    • The approach rests on two principles: the role of insight and the role of the therapist-patient relationship.
    • Free association is a technique that explores networks and unconscious processes involved in symptom analysis, where the patient says whatever comes to mind.
    • Resistance can emerge as a barrier to free association, created by the patient, because they may be motivated to avoid anxiety or reduce symptoms.

    Cognitive-Behavioural Approach

    • The cognitive-behavioural approach views symptoms as maladaptive learned behaviour patterns that can be changed by applying behavioural principles of learning.
    • Cognitive therapy focuses on changing dysfunctional cognitions presumed to underlie psychological disorders.
    • Automatic thoughts are the things individuals say to themselves and the assumptions they make about themselves, others, and the world in general.
    • Social skills training involves teaching new skills to people with specific interpersonal deficits, and involves rehearsing skills, feedback, and renewed practice.

    Therapeutic Techniques

    • Systematic desensitisation involves constructing a fear hierarchy, which is a list of feared imagined stimuli in increasing order.
    • Exposure techniques involve introducing an actual phobic stimulus to elicit a response, whereas systematic desensitisation involves imagining the stimulus.
    • Response prevention involves preventing the patient from producing responses that allow avoidance of the feared stimulus.
    • Participatory modelling involves the therapist demonstrating the desired behaviour and gradually inducing the patient to participate in it.

    Humanistic Therapy

    • Humanistic therapies focus on the phenomenology of the patient, on the way each person consciously experiences the self, relationships, and the world.
    • Gestalt therapy is an approach to treatment that emphasizes awareness of feelings and focuses on the 'here and now'.

    Family Therapy

    • A genogram is a map of a family over three or four generations, used to assess family dynamics and understand their origins.
    • Negative reciprocity is a predictor of marital dissatisfaction leading to divorce, where reacting to negative comments from a partner with negative comments leads to arguments that spiral out of control.

    Biological Treatments

    • Biological treatments are thought to improve psychological disorders by restoring normal functioning to the brain.
    • Chlorpromazine is a psychotropic drug that acts on the brain to affect mental processes.
    • Lithium is an effective treatment for bipolar disorder, discovered by John Cade, and acts by altering the way neurons process information inside the cell.
    • Antipsychotic medications reduce symptoms such as delusions and hallucinations by inhibiting dopamine.

    Electroconvulsive Therapy

    • Electroconvulsive therapy (ECT) is a treatment that can be used for patients with severe depression, schizophrenia, and bipolar disorder.
    • ECT acts by inducing a seizure, which can be a rapid and effective way to treat severe symptoms.
    • The main side effect of ECT is memory loss.

    Psychosurgery

    • The most widely practised Western psychosurgery technique was lobotomy, which involved severing tissue in a cerebral lobe, usually the frontal lobe.
    • The use of psychosurgery has declined dramatically since the 1950s.

    Mental Health

    • It is estimated that almost half of all people in Australia and New Zealand will have a mental health problem at some stage in their lives.
    • Most psychotropic medications act at neurotransmitter sites.
    • The high relapse rate associated with the termination of pharmacotherapy can be minimized by continuing the original medication for a considerable amount of time after the treatment has succeeded.### Treatment Modalities
    • One of the best predictors of the relative efficacy of one treatment over another in a study is the strength of the investigator's commitment to that treatment.
    • Different therapies produce similar results, with only a few exceptions.
    • Relapse rates are common, with only a few meeting the criteria for full recovery at two-year follow-up.

    Psychotherapy Integration

    • Psychotherapy integration refers to the use of theory or techniques from multiple therapeutic perspectives.
    • There are two types of psychotherapy integration: eclectic psychotherapy and integrative psychotherapy.

    Psychotherapy Outcomes

    • Efficacy studies are undertaken under highly controlled conditions, such as random assignment of patients to different treatment or control groups.
    • Effectiveness studies are less controlled and more reflective of real-world practice.
    • A therapy that is found to have high efficacy may not be effective in real-world practice.

    Relapse Rates

    • The use of eclectic psychotherapy with a group of schizophrenic patients found a decrease in treatment relapse rates.

    Therapeutic Approaches

    • Psychoanalytic therapy involves the patient lying on a couch while the therapist sits behind the patient to create a safe environment for disclosure.
    • Insight refers to understanding one's own psychological processes and is a key concept in psychodynamic theory.

    Common Factors

    • Most approaches to psychotherapy share common factors, such as empathy and establishing a warm relationship between therapist and client.
    • Instilling a sense of efficacy and inhibiting negative automatic thoughts are also common factors, but the latter is specific to cognitive therapy.

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    Identify the technique NOT associated with the psychodynamic approach to bring about therapeutic change in psychotherapy.

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