Chapter 15  Psychotherapy

• Many seek to solve problem(s), get unstuck, self-actualize...  There are cultural factors that determine who seeks such help...  There are financial factors...
• Clinical and counseling psychol's (PhD, PsyD, EdD, MA, MS); Psyciatrists (MD), Others: Social Workers, Nurses, ___  Counselors.  Question:  Do these individuals serve all elements in society?
• Shopping for a Therapist -- Application.

• Insight Therapies
• Psychoanalysis: Free assoc., Dreams, Interpretation, Resistance, Transference
• Client-centered: Genuine Positive Regard and Empathy helps Clarification
• Cognitive Therapy: Recognizing and changing negative thoughts and maladaptive beliefs about responsibility and the future...  Usually you have "homework."
• Correcting: Overgeneralizing, Selective abstraction, Personal responsibility errors, Unchangability, Self-focus, Catastrophizing, Dichotomous thinking.
• Group Therapy
• Behavior Therapy -- Analyzing present situation to allow change, Practicing relevant skills.
• Systematic Desensitization of Phobias
• Aversion Therapy (e.g., smoking, drinking, sex offense)
• Social Skills Training
• Biomedical Therapies -- Drug-effects and Side-effects.
• Antianxiety: Valium, Xanax, Buspirone
• Antipsychotic: Thorazine, Mellaril, Haldol... Tardive dyskinesia
• Antidepressant: Lithium.
• Electroconvulsive Therapy
• Short-term effects, Long-term effects.

• Dorothea Dix crusades for Lunatic Assylums
• State Hospital as the Last Resort...  and "Warehousing"
• Deinstitutionalization, Community Resources, and the Revolving Door. "Days" dwindle, "Admissions" rise.