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Types
of Therapy
Descriptions of therapies below, for links to therapy
sites- CLICK
HERE
Marital and Sexual Psychotherapies-
These deal with not only environmental, situational and phase
of life problems which confront relationships but deal with concurrent
problems in communication and conflict. Problems that occur within
a relationship often emerge from relationship problems, the nature
of feedback which couples provide each other, the difficulties
in maintaining functional balance within the relationship, and
the struggles for power and control which emerge. While relationship
problems within a marital system may result in, and sometimes
from, sexual conflicts, these are not the sole causes, nor even
necessarily the primary causes. It is quite possible for a couple
to have a functional sexual relationship and a dysfunctional emotional
relationship. Relationship problems may emerge or worsen as a
result of sexual dysfunction. By the time the couple consults
a doctors, it is questionable as to whether sole resolution of
the sexual problem, via medication for example, will make the
marriage again functional unless other intervention (e.g. marital
psychotherapy) is concurrently provided.
Eye Movement Desensitization and Reprocessing (EMDR)-
This is a form of treatment for post-traumatic conditions where
the traumatic event is recalled while the client makes specific
voluntary eye movements.
Psychoanalytic
Psychotherapy-
Psychotherapists
believe that the unconscious motives along with unresolved conflicts
lead to maladapted behavior. They believe that to develop
a "normal personality," a person must successfully
go through five psychosexual stages (based on Freud's work):
- Oral
- Birth to 1 year: Sucking.
- Anal
- 1 to 3 years: Holding and releasing urine and feces.
- Phallic
- 3 to 6 years: Pleasure in genital stimulation.
- Latency
- 6 to 11 years: Sexual instincts develop.
- Genital
- Adolescence: Sexual impulses return.
They believe
that inadequate resolution of any of these stages lead to flawed
personality development.
Behavior Therapy-
Behavior Therapies have a wide range of application in phobic,
maladaptive habit, and compulsive behaviors.
In
systematic desensitization, the patient can overcome maladaptive
behaviors that are evoked by situations or objects by approaching
the feared situations gradually to reduce anxiety.
Clinical Hypnosis-
This is an attentive, receptive, focal concentration while the
individual has a concurrent awareness but a constriction of peripheral
events. It is very similar to visual focus and peripheral vision.
Those items in the center are sharp, detailed and colorful while
those in the periphery are less noticeable. It is very similar
to being so absorbed in that which a person is reading that they
enter the world of the book and often fail to note things occurring
around them. There are psychological, sensory, and motor/behavioral
changes during hypnosis.
Group Psychotherapy-
This is effective and appeals to many patients and doctors. Groups
of differing patient needs may be helpful, but there are some
group psychotherapy where all share the same expressed need or
disorder. In some instances the group is thought of as a doctor
who is expressed through other group members: as each group member
grows stronger, he/she provides assistance in interpretation,
insight and decision making to other group members.
Clinical Biofeedback-
This instrumentation provides information (data) to a patient
about normally involuntary physical processes that are below threshold
(outside of awareness). The patient, with this data, can adjust
behavioral, cognitive (mental) and affective (emotional) processes
and learn to control these physical processes. These approaches
are often useful for patients who are resistant to other forms
of treatment.
Dialectical
Behavior Therapy (DBT)-
This is a longer term cognitive behavioral treatment devised for
borderline personality disorder which teaches patients skills
for regulating and accepting emotions and increasing interpersonal
effectiveness.
Focal Psychodynamic Therapy-
This identifies a central conflict arising from early experience
that is being re-enacted in adult life producing mental health
problems. It aims to resolve this through the vehicle of the relationship
with the therapist giving new opportunities for emotional assimilation
and insight. This form of therapy may be offered in a time-limited
format, with anxiety aroused by the ending of therapy being used
to illustrate how re-awakened feelings about earlier losses, separations
and disappointments may be experienced differently.
Psychopharmacotherapies (Drugs)-
These are based upon the realization that the brain is not chemically
responding in a functional fashion. This has to do with chemicals
within the brain and central nervous system called neurotransmitters
which must not only exist but exist in balance for thought, emotion
and behavior to have regulation. Vigorous research on these chemical
agents have existed since the mid 1950s. As a result of this
research, we better understand how the brain's function is regulated
and how best to assist those who suffer from dysregulation of
these neurotransmitters. Appropriately used, the drugs can be
beneficial.
Short-term Dynamic Psychotherapies (STDP)-
These work well for non-resistant patients. Such patients often
have some beginning insight or awareness of potential causes of
their problems. Treatment begins with a comprehensive diagnostic
examination which determines whether the problems/disorder can
be appropriately treated by a particular psychotherapeutic technique.
The doctor also determines whether the patient has the strength
to confront the underlying causes for their problems and that
there is the potential for positive response to short term intervention.
As in psychoanalysis or psychoanalytic psychotherapies, STDP does
involve examination of of the means by which unconscious needs
and drives influence a patient's behavior and functional capacity.
Client-centered Psychotherapy-
This arose during the period of 1938-1950 and broadened the scope
of patients treated by this approach in the 60s and 70s. The characteristics
that distinguished this form of patient care included the belief
that specific characteristics of the doctor were necessary and
sufficient for effective treatment; rejection of the medical/disease
model and focus upon the growth model of patient change; the immediate
(rather than emotionally distant) accessibility of the doctor;
focus upon the experiences of the patient; focus upon the patient's
ability to live within the moment; concern for personality change
rather than personality structure; and belief that the process
applies to all patients rather than a select group; application
of all knowledge of the impact of psychotherapy upon the interpersonal
process. Many patients reported significant gains after only brief
treatment exposure in contrast to the greater time period perceived
required by other modes of treatment.
Cognitive Behavioral Psychotherapy-
This is based upon information-processing theory and social psychology.
Aside from being effective with a wide range of disorders, it
appears to enhance the impact of medications used to treat such
disorders and has appeal in that it is active, structured and
time-limited. Pain, phobias, and mood disorders as well as psychophysiologic
(psychosomatic) disorders have been treated successfully with
this treatment approach. Errors in our thinking leading to self-defeating
assumptions, incorrect interpretation of information, and lack
of adequate problem solving planning are believed to be at the
heart of our problems. Treatment assist the patient in identifying,
testing the reality of, and correcting dysfunctional beliefs underlying
our thinking and to assist the patient in modifying the thoughts
and behaviors which emerge.
Relaxation Techniques-
In this form of therapy the patient is helped to resolve stresses
that can contribute to the particular disorder. Breathing re-training
and other skills are taught in which the patient is actively involved
in developing skills that are useful for a lifetime. Can take
time to achieve results and treatment benefits are limited to
active use of the techniques.
Adlerian Therapy-
Adlerian Therapy is a growth model. It stresses
a positive view of human nature and that we are in control of
our own fate and not a victim to it. We start at an early
age in creating our own unique style of life and that style stays
relatively constant through the remained of our life. That
we are motivated by our setting of goals, how we deal with
the tasks we face in life, and our social interest.
The therapist will gather as much family history as they can.
They will use this data to help set goals for the client and to
get an idea of the clients' past performance. This will
help make certain the goal is not to low or high,
and that the client has the means to reach it. The goal
of Adlerian Therapy is to challenge and encourage the clients'
premises and goals. To encourage goals that are useful socially
and to help them feel equal. These goals maybe from any
component of life including, parenting skills, marital
skills, ending substance-abuse, and most anything
else. The therapist will focus on and examine the clients'
lifestyle and the therapist will try to form a mutual respect
and trust for each other. They will then mutually set goals
and the therapist will provided encouragement to the client in
reaching their goals. The therapist may also assign homework,
setup contracts between them and the client, and make suggestions
on how the client can reach their goals.
Existential Therapy-
This focuses on freedom of choice in shaping one's own life.
Teaches one is responsible to shape his / her own life and a need
for self-determination and self-awareness. The uniqueness
of each individual forms his / her own unique personality,
starting from infancy. Existential therapy focuses on the present
and on the future. The therapist try's to help the client
see they are free and to see the possibilities for their future.
They will challenge the client to recognize that he / she
themselves were responsible for the events in their life. This
type of therapy is well suited in helping the client to make good
choices or in dealing with life.
Gestalt Therapy-
Gestalt therapy integrates the body and mind factors, by
stressing awareness and integration. Integration of behaving,
feelings, and thinking is the main goal in Gestalt therapy.
Client's are viewed as having the ability to recognize how earlier
life influences may have changed their life's. The client is is
made aware of personal responsibility, how to avoid problems,
to finish unfinished matters, to experience thing in a positive
light, and in the awareness of now. It is up to the
therapist to help lead the client to awareness of moment by moment
experiencing of life. Then to challenge the client to accept
the responsibility of taking care of themselves rather then excepting
others to do it. The therapist may use confrontation,
dream analysis, dialogue with polarities, or role
playing to reach their goals. This may include treatment
of crisis intervention, marital / family therapy,
problem in children's behavior, psychosomatic disorders,
or the training of mental health professionals.
Rational - Emotive & Cognitive - Behavioral Therapy-
Rational-emotive therapy is a highly action-oriented and deals
with the client's cognitive and moral state. This therapy
stresses the clients ability of thinking on their own and in their
ability to change. The rational-emotive therapist believes
that we are born with the ability of rational thinking but that
my fall victim to irrational thinking. They stress the clients
ability to think, in making good judgments, and in
taking action. The therapist will use directed therapy.
The therapist believes that a neurosis is a result of irrational
behavior and irrational thinking. The Rational-emotive and
Cognitive-behavioral therapist believe the clients problems are
rooted in childhood and in their belief system, that was
formed in childhood. Therapy will include method is solving
and dealing with emotional or behavior problems. The therapist
will help the client to eliminate any self-defeating outlooks
they may have and to view life in a rational way. The therapist
will never have a personal relationship with the client.
The therapist will think of the client as a student and themselves
as the teacher.
Reality Therapy-
The reality therapist teaches the client ways to control the world
around them and how to meet their personal needs.
They believe that the client can and will change their life for
the better. The reality therapist focuses on the what
and the why of the clients actions. They point out
what the client doing and in getting them to evaluate it.
A behavioral or emotional problem is a direct result of the clients
believe and feelings about themselves. The therapist will help
the client evaluate their behaviors and feelings, to challenge
them to become more effective at meeting their needs.
Transactional Analysis-
Transactional analysis focus on the clients cognitive and behavior
functioning. The therapist helps the client evaluate their
past decisions and how those decisions affect their present life.
They believe self-defeating behavior and feelings can be overcome
by an awareness of them. The therapist believes that the
clients personality is made up of the parent, adult,
and child. They believe that it is important for the client
to examine past decisions to help their make new and better decisions.
For
links to traditional therapy sites- CLICK
HERE
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