Beknopte samenvatting - Treatments for Psychological Problems
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Module
Psychologische Interventies (SOWMPSGP11)
Institution
Radboud Universiteit Nijmegen (RU)
Book
Treatments for Psychological Problems and Syndromes
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.
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
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
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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