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General Psychology - December 13, 2005 -- Lecture 24

General Psychology - December 13, 2005 -- Lecture 24

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General Psychology Course # 830:101:14 Professor Tami Musumeci

©2005 FIRST CLASS NOTES ALL RIGHTS RESERVED ANY ATTEMPT TO REPRODUCE THESE NOTES IS

PUNISHABLE BY LAW

December 13, 2005 -- TUESDAY ____________________________________________________________________________________ Treatment - Who goes for treatment? Why do they go? o Approximately 15% of the US population uses mental health services each year  Hallucinations: perceptual experience in the absence of stimulus  Delusions: beliefs in the absence of facts  Broke the Law  Neglecting self (e.g. Hygiene)  Bizarre or unsafe behavior  Phobia blocking life  Problems with relationship • E.g. divorce, maintaining/making friends  Generally don’t feel well • E.g. depressed, anxious, can’t concentrate, unexplained physical symptoms  Traumatic life event • E.g. death of loved one  Failure (unexplained) • E.g. work, school, etc. o Who can provide help? Type of Therapist Background/Training Clinical Psychologist Ph.D.: 4-5 years of graduate school [psychology]+2 year internship Research, therapeutic techniques Psychological testing Tend to be in the cognitive and behavioral camp M.A., Ph.D., Ed.D., or PsyD [counseling] Less emphasis on research Tend to be in the humanistic and behavioral camps M.D. with internship 1

Counseling Psychologist

Psychiatrist

____________________________________________________________________________________________________________ ____ THESE NOTES DO NOT REPRESENT THE PROFESSOR’S LECTURE VERBATIM THESE NOTES SHOULD BE USED AS A SUPPLEMENT AND NOT AS A SUBSTITUTE
a minimum fine of $10,000

©First Class Notes ALL RIGHTS RESERVED. Under New Jersey legislation any attempt to reproduce proprietary material is subject to punishment with

veggie diet.D. Depression caused by too much black bile • Rx: tranquil life. exercise.General Psychology Course # 830:101:14 Professor Tami Musumeci ©2005 FIRST CLASS NOTES ALL RIGHTS RESERVED ANY ATTEMPT TO REPRODUCE THESE NOTES IS PUNISHABLE BY LAW December 13. kindness. celibacy o Mental defective  Lock them up in asylums o Mental Illness  Human treatment  Humanitarian reform • Phillipe Pinel – late 1700s in France  Should treat the people with gentleness.D.TUESDAY ____________________________________________________________________________________ [Diagnosis of psychological disorders] Drugs.000 ©First Class Notes ALL RIGHTS RESERVED.S. and not be violent  Emphasize physical hygiene. • Dorothea Dix – late 1800’s in US o Having a mental illness is a crime 2 ____________________________________________________________________________________________________________ ____ THESE NOTES DO NOT REPRESENT THE PROFESSOR’S LECTURE VERBATIM THESE NOTES SHOULD BE USED AS A SUPPLEMENT AND NOT AS A SUBSTITUTE a minimum fine of $10.W.S. psychotherapy Unique position of administering drugs M.) Several years of training and undergo Psychoanalysis Tx Pts under supervision of a training analyst Influenced by view of disordered behavior Depends on how we view the behavior o Demonic possession  Exorcism  Trephination • Mental illness was caused by a build up of bad thoughts and drill a hole in the individuals head it will come out • We do not do this anymore o Imbalance of fluids (Hippocrates)   restore balance  E. or M. and give them purposeful work. abstinence from excess. (Ph.W Psychiatric Social Worker - Interviewing and therapy Psychoanalyst M. Under New Jersey legislation any attempt to reproduce proprietary material is subject to punishment with .g. biomedical Tx. 2005 -.

psychoanalysis – Freud o  free association o Derived from modern views of personality . The therapist can not judge. 2005 -. Under New Jersey legislation any attempt to reproduce proprietary material is subject to punishment with a minimum fine of $10.Insight Therapy o Talk therapies o 2 goals  1. Help the patient recognize what the problem is  2.General Psychology Course # 830:101:14 Professor Tami Musumeci ©2005 FIRST CLASS NOTES ALL RIGHTS RESERVED ANY ATTEMPT TO REPRODUCE THESE NOTES IS PUNISHABLE BY LAW December 13. Modern Treatments . To find solutions to that problem o Psychoanalysis  Need to recover that unconscious conflict o Free Association  Let the individual speak and let them say whatever word comes to mind o Dream analysis o Client-Centered – Rogers  Unconditional positive regard  VERY IMPORTANT • Must accept the clients as they are and must invite them with warmth despite what you believe.TUESDAY ____________________________________________________________________________________ o And put to jail because they have a mental illness o Only had 13 mental illness clinics before Dorothea and grow to 133 after 40 years.000 .  Problem lies in how you see yourself and how you truly are • Who you wish to be versus who you are • Who you afraid of being versus who you are o Treatments based on Cognitive Theories  Focus on maladaptive thinking  Use classical conditioning to attack this type of behavior  Assumption of behavioral therapy is that all behavior is learned • If you learned a bad behavior you can unlearn it  Cognitive behavior therapy • You are going to pair the cognitive part with the behavioral • Reason for this type of behavior is due to maladaptive thinking ____________________________________________________________________________________________________________ 3 ____ THESE NOTES DO NOT REPRESENT THE PROFESSOR’S LECTURE VERBATIM THESE NOTES SHOULD BE USED AS A SUPPLEMENT AND NOT AS A SUBSTITUTE ©First Class Notes ALL RIGHTS RESERVED.

2005 -.TUESDAY ____________________________________________________________________________________  Rational Emotive Therapy – Ellis  Premise of both is that disorders are caused by errors in thinking.Medical Treatments o Origin of mental disorder can be organic or psychogenic o 3 types of drugs o Psychoactive drugs  1. Under New Jersey legislation any attempt to reproduce proprietary material is subject to punishment with .  3.000 4 ©First Class Notes ALL RIGHTS RESERVED.General Psychology Course # 830:101:14 Professor Tami Musumeci ©2005 FIRST CLASS NOTES ALL RIGHTS RESERVED ANY ATTEMPT TO REPRODUCE THESE NOTES IS PUNISHABLE BY LAW December 13. Anti-anxiety drugs ____________________________________________________________________________________________________________ ____ THESE NOTES DO NOT REPRESENT THE PROFESSOR’S LECTURE VERBATIM THESE NOTES SHOULD BE USED AS A SUPPLEMENT AND NOT AS A SUBSTITUTE a minimum fine of $10. face. change negative thoughts • 2. Antipsychotic – alleviates or reduce psychotic symptoms most effective treatment for schizophrenia • Problems: Tardive Dyskinesia o Involuntary movements of the tongue. trunk. need to detect self defeating statements o Therapist helps you with this  Homework • Once you leave the session you are told to practice the new behavior and try and see how it works out . or extremities • Newer drugs (clozapine—Clozaril) more effective o Reduce negative symptoms and less involuntary movements  2. • If you can correct this error you can be cured  2 things need to be done • 1. Mood regulating drugs • anti-depressants o reduce symptoms of depression o also used to treat OCD • lithium o reduces extremes of mood used to treat bipolar disorder o Downside  Highly toxic: complication of kidney and thyroid • Compliance is a big issue with mood regulating drugs o Within short order of time of not taking the medication you can get back to the down mood.

fewer side effects  Much lower voltage  One hemisphere only  Muscle relaxers used to reduce seizer affects  Current is applied for a second • Triggers of 5 to 20 seconds on seizures and patient wakes up in 1 or 2 hours later  Mainly used in the 1940’s and 1950’s (pre-drugs)  Declined in the 1960’s due to finding newer drugs  100.000 5 ©First Class Notes ALL RIGHTS RESERVED. One to two days as apposed to drugs which would take 1 to 2 weeks • Some people who have severe drug intolerable and that this is the only treatment that works Psychosurgery .TUESDAY ____________________________________________________________________________________ • Reduce anxiety • Most commonly prescribed psychoactive drugs o Valium o Tranquilizers • Newer anti-anxiety drugs (Buspar) have fewer side effects • Too much of these drugs and you can become sleepy and lethargic Before Drugs .000 people still receive this treatment each year • Why? – the treatment will work faster.scientific treatment of mental disorders by means of brain surgery ____________________________________________________________________________________________________________ ____ THESE NOTES DO NOT REPRESENT THE PROFESSOR’S LECTURE VERBATIM THESE NOTES SHOULD BE USED AS A SUPPLEMENT AND NOT AS A SUBSTITUTE a minimum fine of $10.General Psychology Course # 830:101:14 Professor Tami Musumeci ©2005 FIRST CLASS NOTES ALL RIGHTS RESERVED ANY ATTEMPT TO REPRODUCE THESE NOTES IS PUNISHABLE BY LAW December 13. Under New Jersey legislation any attempt to reproduce proprietary material is subject to punishment with .Electroconvulsive Therapy (ECT) o inducing a seizure o Early use – strong electric current through brain  Problems • Muscle spasms • Amnesia • Distortion • Disorientation o Today – much safer. 2005 -.

000 6 ©First Class Notes ALL RIGHTS RESERVED.General Psychology Course # 830:101:14 Professor Tami Musumeci ©2005 FIRST CLASS NOTES ALL RIGHTS RESERVED ANY ATTEMPT TO REPRODUCE THESE NOTES IS PUNISHABLE BY LAW December 13.Problems of lobotomy: o Irreversible brain damage o Side effects (variable)  Loss of ability to plan and initiate  Loss of social inhibitions  Memory loss (less common)  Disturbed affect ____________________________________________________________________________________________________________ ____ THESE NOTES DO NOT REPRESENT THE PROFESSOR’S LECTURE VERBATIM THESE NOTES SHOULD BE USED AS A SUPPLEMENT AND NOT AS A SUBSTITUTE a minimum fine of $10.000 done in US .1935 – Egaz Moniz/Almeide Lima start performing lobotomies o Literally disconnecting fibers from the various parts of the brain . o First indication that the brain impacts behavior . Under New Jersey legislation any attempt to reproduce proprietary material is subject to punishment with .1847 – Phineas Gage o A rod goes through his skull by accident and after it has been removed his personality changes completely.1950 – Freeman changes the procedure o Walter Freeman becomes lobotomy king of the US  Ice Pick Surgery  “lobotomobile” .1936 – Walter Freeman o Modifies this procedure and performs the trans-orbital lobotomy  With the help of Watson .000 lobotomies done worldwide 20.TUESDAY ____________________________________________________________________________________ .1936-1955 o 40. 2005 -.

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