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Intro to Psychotherapies
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Psychotherapies
Table of Contents
Psychotherapies.................................................................................................................................1
History, medicine and medicaton.........................................................................................................2
The Kingston Asylum scandal (1860).................................................................................................2
Diagnosis and medicaton..................................................................................................................3
Life Esidimeni tragedy, then and now................................................................................................3
Fraud: Discovering the deep mind.....................................................................................................3
The unconscious, dissociaton and repression...................................................................................3
Dissociaton:...................................................................................................................................4
Repression:....................................................................................................................................4
We all have defences.........................................................................................................................5
Examples of defences:...................................................................................................................5
Interpretng dreams...........................................................................................................................5
Rogerian Listening.............................................................................................................................6
Why does talking help?......................................................................................................................6
, Some kinds of talking are unhelpful...................................................................................................7
Having a good talk:............................................................................................................................7
Aim of humanist therapies:...............................................................................................................7
Problems with CBT.................................................................................................................................9
Family Therapy..................................................................................................................................9
Group therapy...................................................................................................................................9
Factors that cause difculty.................................................................................................................10
Gender and psychotherapy.................................................................................................................10
Experience...........................................................................................................................................11
Values and therapy..............................................................................................................................11
Ethical Issues........................................................................................................................................11
History, medicine and medication
Lunatc asylums: incarceraton in the early history of insttutonal care
Use of physical restraints and confnement
Who got incarcerated:
- sometmes the poor
- those with chronic illnesses
- people with a variety of severe mental illnesses (psychoses) or organic disease (eg: brain
injury, epilepsy, neurosyphilis- neurological efect of syphilis: there used to be no treatment)
- Those seen as being a danger to self or others, or a disturbance to public order
There was never enough accommodaton for the amount of people who needed it
Sometmes used patents as a form of labour (farming, laundry etc.) A form of exploitation. But
having routne work could be therapeutc, and beter than just sitng in the ward with nothing to do.
Patents tended to stay incarcerated for very long periods of tme
Reliance on routne and sedatves as opposed to therapies and treatments
The Kingston Asylum scandal (1860)
High death rate; unwanted pregnancies; cruelty and fraud
Mrs Ann Prat: used ‘tanking’ as punishment. (‘Seven months in the Kingston lunatc asylum and
what I saw there’).
Investgated by Lunatc Asylum Commission in London: found to be a woman of ‘rude mind and cruel
temper’
Helped spur the movement to ensure more human treatment of the insane
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