Lecture 23 Flashcards

(84 cards)

1
Q

What is trephination?

A

An ancient procedure where holes were drilled into the skull to treat psychological or medical problems.

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2
Q

Who was Thomas Willis?

A

A 16th-century neuroanatomist who coined “neurology” and supported trephination for melancholy.

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3
Q

What major discovery in 1897 changed the view of psychological disorders?

A

General paresis (a psychiatric disorder) was found to be caused by syphilis.

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4
Q

Why was the syphilis discovery important?

A

It proved that psychological disorders can have medical/biological causes.

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5
Q

What did Freud’s talking cure emphasize?

A

Environmental and social factors in mental illness.

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6
Q

what did freud believe about emotionally charged memories

A

he believed that they were repressed

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7
Q

how were emotions around respressed memories expressed

A

expressed in symptoms like aggression, anxiety, depression and in physical symptoms like psychogenic pain

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8
Q

what was the goal of psychoanalysis

A

to bring unconscious conflicts and emotions into consciousness where they could be dealt with rationally

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9
Q

Classical psychoanalysis strategies to acess the unconscious

A

Free association
Resistence
Transfernece
Slips of tongue
interpretation of dreams

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10
Q

Free association

A

a method in which the paitent says anyhting that comes to mind no matter how apparently trivial, embarressing, or disagreeable

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11
Q

Resistnce

A

a patient’s self censorship or aviodance of certain topics

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12
Q

Transference

A

interpreting how the patient acted toward the therapist, considered to be a re enactment of significant relationships

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13
Q

Slips of tongue

A

mis speaking insight into true beliefs

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14
Q

interpretation of dreams

A

considered the content of dreams to be an expression of the unconscious that could be interpreted through interpreting symbols which he thought of as the language of dreams

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15
Q

How do contemporary psychodynamic therapies differ from Freud’s?

A

They are less frequent (not daily) and last months to a year, not years.

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16
Q

What is the main therapeutic focus of modern psychodynamic therapy?

A

Improving current responses to stressors to enhance functioning and reduce symptoms.

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17
Q

What is the overall goal of psychodynamic therapy today?

A

To help people understand present difficulties and improve coping, not to spend years exploring childhood alone.

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18
Q

What is the main assumption of Interpersonal Therapy (IPT)?

A

That mood is strongly tied to relationship quality and major life events.

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19
Q

What types of problems does IPT target?

A

Life transitions, complicated grief, interpersonal disputes, and interpersonal skill deficits.

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20
Q

What happens during the first weeks of IPT?

A

Collecting information, creating an “interpersonal inventory,” and choosing a therapy focus.

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21
Q

What do Humanistic Approaches focus on?

A

Self-actualization, growth, and the present and future.

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22
Q

What assumption do Humanistic Approaches make about humans?

A

All humans are oriented toward growth, meaning, and self-actualization.

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23
Q

How do Humanistic Approaches help patients view themselves?

A

As agents in their own lives who can take productive action and responsibility.

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24
Q

What criticism do Humanistic Approaches have of psychoanalysis?

A

That it is too focused on basic urges (sex & aggression) and too focused on the past.

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25
What is motivational interviewing?
A brief, client-centred therapy used to address problematic behaviours (e.g., alcohol or drug use).
26
In what context is motivational interviewing often used?
With people who have serious mental illness (e.g., schizophrenia) before starting treatment to help them identify goals and choose to participate.
27
What does motivational interviewing help the client do?
Draw out their goals, reduce ambivalence, and clarify gaps between how they want to live and how they are living.
28
What is client-centred (person-centred) therapy?
A therapy where the therapist shows genuineness, unconditional positive regard, and empathy.
29
What is essential for success in client-centred therapy?
The therapist’s empathy, genuineness, and unconditional positive regard (Rogers).
30
What is the main goal of client-centred therapy?
To help clients accept themselves as they are, without pretense or self-imposed limits.
31
Behavioral approaches
Exposure techniques systematic desensitization in vivo exposure exposure and respone prevention
32
Exposure techniques
Remove the anxiety connected to a feared stimulus through repeated approach toward the feared stimulus
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Systematic desensitization
gradually increasing encounters with periods of relaxation between
34
In vivo exposure
Patient is exposed to the phobic stimulus in the real world or through interactive computer programs (VR)
35
Exposure and response prevention
behavioral treatment of OCD where the paitent delays performing the compulsion to relive anxiety
36
Cognitive Approaches
Rational emotibe therapy Cognitive therapy Negative cognitive triad cognitive restructuring
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Rational emotive Therapy
Thearpist challanges the patients irrational beleifs
38
Who pioneered Rational Emotive Therapy
Albert Ellis.
39
What does the ABC model stand for in RET?
A: Activating event B: Belief C: Consequence
40
What happens if a client’s beliefs are irrational, according to RET?
They lead to negative consequences.
41
Cognitive therapy
An approach that aims to chnage patients habits; modes of dysfunctional thinking about themselves, their situation and their future
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who developed cognitive therapy
Aaron beck
43
Negative cognitive triad
Three types of dysfunctional beliefs related to oneself, the world, and the future
44
Cognitive restructuring
A set of cognitive therapy techniques for changing a persons maladaptive belifes or interpretations through persuasion and confrontation
45
What is the main goal of Cognitive-Behavioural Therapy (CBT)?
To change the patient’s habitual interpretations of the world and behaviours by combining cognitive and behavioural techniques.
46
Is CBT present-focused or past-focused?
present
47
What types of problems does CBT aim to solve?
Problems the client wants to address, identified collaboratively.
48
How are CBT sessions typically structured?
Highly structured with assigned homework.
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Cognitive behavioral approaches
acceptance and commitment therapy Mindfulness based stress reduction
50
Acceptance and Commitment Therapy (ACT)
Helps people accept their thoughts and feelings instead of fighting them, separate themselves from their thoughts, and focus on doing what matters even when they feel uncomfortable
51
Mindfulness-Based Stress Reduction (MBSR)
Teaches people to be fully present by noticing their thoughts and feelings without judging them, using meditation and calm, controlled breathing to reduce stress.
52
What is eclecticism in therapy?
An approach that combines multiple types of therapy into one treatment plan.
53
What is Dialectical Behaviour Therapy (DBT)?
A therapy that blends different approaches to treat Borderline Personality Disorder.
54
What does “dialectic” mean in DBT?
A dialogue of two opposing ideas to find truth through reasoned argument.
55
Why is holding two opposite ideas important in DBT?
It supports change—for example, accepting the present and working toward improvement at the same time.
56
: What type of thinking does DBT move away from?
All-or-nothing, either/or thinking
57
DBT – Cognitive-Behavioural component
Clarifies links among thoughts, feelings, and behaviours; identifies and changes unhelpful thought patterns.
58
DBT – Psychodynamic component
Interprets transference and resistance; considers how past experiences influence current relationships.
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DBT – Humanistic component
Focuses on validation, self-acceptance, and personal growth.
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DBT group component
Helps clients practice interpersonal skills, build community, and reduce shame in a safe environment.
61
Group therapy
a form of therapy in which two or more patients meet with one or more therapists at a time
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Self-help and support groups
Individuals with a particular type of problem gather to share information
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Therapeutic alliance
The relationship between therapist and patient that helps many patients feel hopeful and supported.
64
how do Antipsychotic medications block the transmission of dopamine
by binding to the D2 dopamine receptor
65
Clozapine: the original atypical
Antipsychotic medication that blocks the transmission of dopamine, but unbinds quickly, and also binds to alpha-adrenergic receptors and serotonergic receptors
66
what does clozapine reduce
Reduce the positive symptoms of schizophrenia-like thought disorder and hallucinations
67
Why were 2nd gen antipsychotics designed?
To be more like clozapine in binding to the serotonin 5HT2A receptor.
68
what two cases do early antidepressants fall into it
Monoamine oxidase inhibitors and tricyclics
69
Monoamine oxidase (MAO) inhibitors and Tricyclics
Both increased synaptic levels of norepinephrine Both had potentially fatal side effect profiles
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Selective serotonin reuptake inhibitor
increases synaptic serotonin levels fewer side affects must be slowly down titrated to discontiune
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Selective serotonin reuptake inhibitor
increases synaptic serotonin and norepinephrine levels
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Limitations of antidepressants
One month to take effect Uncertanity about how much benefit can be attributed to placebo effects
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placebo effect
The influence of a patients belifes and expectations in bringing about a cure
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mood stabilizer
a medication that treats manic, mixed, or depressive states. used to treat bipolar disorder
75
Lithium carbonate
More effective at reducing manic than depressive symptoms works for 60-70% of people with bipolar disorder toxic at higher doses
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Carbamazepine
anti-seizure med also used as mood stabilizer
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Benzodiazepines
Enhnace the effect of GABA binding, hyperpolarizing the cell
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Other agents that bind at GABA sites
barbiturates (sedatives and anti-seizure) and anaesthetics like propofol (both potentially fatal) and alcoho
79
Beta blockers
Blocks β-adrenergic receptors , so decreases physical symptoms of anxiety and prevents negative spiral used for situational anxiety
80
What are the main stimulant medications for ADHD?
Methylphenidate + D-amphetamine.
81
What is the result of blocking DAT/NET?
Increased synaptic dopamine + norepinephrine.
81
What do ADHD stimulants block?
DAT (dopamine transporter) + NET (norepinephrine transporter).
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Psychotropic Medications benefits
Help many people feel much better and live more normal lives Let people stay in their communities instead of being hospitalized
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