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Beknopte samenvatting - Treatments for Psychological Problems

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This is a brief summary of the book Treatments for Psychological Problems by D. McKay, J.S. Abramowitz, and E.A. Storch. The document contains the chapters associated with the course Psychological Interventions, part of the master's degree in Healthcare Psychology at Radboud University.

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  • November 10, 2024
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  • 2024/2025
  • Summary
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Chapter 1
Empirically supported treatments: studied using at least 2
randomized controlled trials of 2 different research groups

Chapter 2
Main reasons for not using CBT
- Lack of training
- Negative beliefs regarding CBT
- Thinking there is a more effective alternative

- Institutional barriers: only available for
students/employees, small incentive
- Patient barriers: no time, different goal than symptom
reduction, preference for non-distressing treatment, no
motivation
- Research barriers: lack of effectiveness and knowledge
on training therapists

Chapter 3
Effective in treatment of specific phobia
- Exposure: most effective in vivo
- Psychological responses decline and stabilize
- Restructures cognitive biases
- Psychoeducation
- Cognitive restructuring
- Modelling
- Praise and reward

Treatment appraisal and applications
- Recognize comorbidity
- Cultural factors: stigma, cultural-accepted fears, social
factors
- Exposure might worsen symptoms if executed poorly
- Flexibility of therapist: increasing client motivation,
rewarding

Chapter 4
CBT
Psychoeducation, exposure, cognitive techniques, acceptance,
relaxation and breathing techniques

Treatment sessions
- Functional analyses of behavioural, cognitive and
emotional responses + psychoeducation
- Behavioural principles: breathing techniques
- Interoceptive exposure + exposure in vivo
- Relapse prevention plan

Explanation relapse of fear and panic symptoms
- Spontaneous recovery
- Renewal: return in a changed setting

, 2


- Reinstatement: adverse life-event in previously avoided
situation
- Rapid reacquisition

Principles which might help preventing fear or panic
reactions to return
- Variability in lieu of habituation: exposures varying
in nature
- Deepened extinction: simultaneous exposure of 2 feared
stimuli
- Removal of safety signals
- Expectancy violation
- Affect labelling: making the patient mention an emotion
and situation
- Retrieval cues
- D-cycloserine: quicker response to exposure therapy

Chapter 5
Empirically supported treatment components – social anxiety
CBT: psychoeducation, exposure, cognitive restructuring, social
skills training, group/individual training, internet-based
therapy, pharmacotherapy

Treatment sessions
- Explanation CBT-model + psychoeducation
- Identify thoughts, explanations, consequences

Boosting treatment effectiveness by taking away these
factors
- Social mishap exposure: making patients mess up a
social situation
- Eliminating safety behaviours
- Attention retraining
- Concrete exposure-feedback: changes negative self-
perception

Chapter 6
Empirically supported treatment components – obsessions &
compulsions
- Exposure therapy
- Situational exposure: confronts with situations in
real life
- Imaginal exposure: confrontations with obsessional
thoughts
- Response prevention
- Cognitive techniques: Socratic dialogue, presentation of
educational material
- ACT: enhancing inhibitory learning

Treatment sessions
- Assessment of obsessional stimuli + content of
obsessional thought + feared consequences

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