Samenvatting

Summary Short Psychological Interventions - Year 3, Period 4 - English - VU Amsterdam Psychology

4 keer verkocht

Instelling
Vrije Universiteit Amsterdam (VU)

This is an English summary of the course ‘Short Psychological Interventions’ (or ‘kortdurende interventie technieken’) given in the clicinal track of the 3rd year of the psychology bachelor at the Vrije Universiteit Amsterdam. I summarized the lectures & the articles that were assigned. I d...

[Meer zien]

Voorbeeld 3 van de 40 pagina's

Bekijk voorbeeld

Geupload op 23 maart 2022
Aantal pagina's 40
Geschreven in 2021/2022
Type Samenvatting

kortdurende interventies
korte interventies
short interventions
psychological
psychologische
clinical track
klinische psych
kortdurende psychologische interventies
short psychological interventions
vu

Volgen

FabienneDenberg Lid sinds 5 jaar 521 documenten verkocht

€7,99

In winkelwagen

Opslaan

100% tevredenheidsgarantie
Direct beschikbaar na je betaling
Lees online óf als PDF
Geen vaste maandelijkse kosten

Lecture 1: Low Intensity Treatments

What are low-intensity treatments? Why use them?
Compared to traditional psychological treatments:
o Lower dose of the intervention (fewer sessions)
o Less contact with a therapist
o More self-direction of the client
o Modes of delivery: e.g. books, online, telephone
o Flexibility: time and pace

The content of the intervention is not necessarily different
For a therapist this all requires a different way of working than in traditional face-to-face
treatments

They are focused on: Efficiency by requiring a lower dose of the treatment, less/shorter
sessions and group therapies
They make use of: Vehicles in the form of self-help material (also for more efficiency)
They aim at: Early access to services through services in the community, self-referral &
prevention measures (all focused on reaching more people with less stigma, stepped-care)

Low-intensity treatments
and receive help for symptoms.
Low-intensity treatments make treatment accessible & affordable.
Expectations & preferences of the client are important in the choice of what type of low
intensity treatment to give

Highest need of low intensity treatments is in common mental disorders such as anxiety
and depression through prevention & treating mild symptoms: But low intensity treatments
have a much broader use

Cognitive behavioral therapy
CBT is very suitable for low intensity treatments, because it is:
o Protocolized
o Short and to the point
o Practical (with assignments, in the here and now)

Organization of care
Health care delivery of low-intensity treatments should be:
o Freely available for the general population (e.g. self-help books, online treatments,
mobile applications)
o True to a treatment (with minimal guidance or face-to-face)
o An possible addition to face-to-face treatment
o A first step in a stepped care model
o Based on collaborative care

The therapist their skills should/can include:
o Able to halde different ways of communication dependent on the mode of delivery
(email, telephone, chat)
o A role towards coaching: motivation, education, monitoring, feedback
o Having another background: (trained) nurses, GPs, psychologists, lay person
o Having basic knowledge of therapeutic techniques (and supervision is important)

Modes of delivery: Websites, books, apps, games etc.
Self-help material should be:

, o Readable
o Unambiguous
o Engaging
o Appealing
o User-friendly

Are low-intensity treatments effective?
Yes, the treatments are effective when a therapist is involved. The effects seem similar to
face-to-face treatments

There is no convincing evidence that the following lead to higher effectiveness:
o Number of sessions
o More complex therapy
o Mode of delivery
o Therapist qualifications
Patient preference and expectations should be leading

Conclusions of the article on guided self-help effectiveness vs face-to-face therapy
inimal difference between face-to-face and guided self-help interventions (d=0.02
to the benefit of self-help)
o At 12 months follow-up there was no difference
There was no difference in drop-out
So guided self-help and face-to-face treatments are equally effective and implementation is
a next step

Motivational Interviewing
= Directive, client centered, counseling style for eliciting behavior change by helping clients
(ambivalence towards changing vs not changing),

Rationale of MI:
o Education is often not to sufficient to instigate behavior change
o From good intentions to behavior change is a big step
o Ambival intentions, i.e.
wanting and not wanting to change whereas the reasons for change are
incompatible
T negative
affect such as anxiety, avoidance, and procrastination

motivation for change. The client is encouraged the take responsibility
for the decisions that are made. They are the ones who decide to
change or not & how.

Development of MI:
o Comes from the field of addiction to motivate clients for behavioral change
o Aim is to increase treatment adherence (to the behavior change) and clinical
outcomes
o Moved to other fields more recently such as lifestyle, psychological problems such
as anxiety, depression, eating disorders

MI in practice is used as:
1. A stand alone treatment (e.g.for addiction)
2. At the start of treatment (e.g. CBT)
3. Integrated in the intake or treatment
More focus on MI when ambivalence or resistance is present

, Requires some flexibility of the interventions

Motivational Interviewing involves:
1. SPIRIT of the therapist (attitude) = Therapist attitude is to create an open, receptive and
affirmative, environment
Collaboration (vs confrontation) characterized by encouragement
Autonomy (vs authority): responsibility is with the client
Compassion: prioritize the interest of the client and their perspective

based on perceptions, values and aims that already exist

2. Communication skills
Open questions: to encourage the client to think about what is going on
Affirmation: positive reinforcement to build confidence
Reflective listening: understanding what the client feels and reflect. This to show
understanding and empathy
Summarize: Extensive reflection that can be used strategically to give direction
(hopefully in the direction of change)

3. Process (doing the interview)
Engagement
o Work on the therapeutic alliance
where trust and mutual respect
are key
o
questioning, give solutions, show
authority

Focus
o Search direction: What are the
worries, goals, priorities, problem
that a person wants help with?
o The client is autonomous in
determining the focus Rooftop
Assessment, screening, providing information

Evocation
o Talk about change to explore the importance of behavior change and the
confidence in the outcome and to strengthen intentions to change.
o Techniques:
Change talk: Pay attention to language that describes discomfort of
the current situation or the advantages of change & make this
concrete.

Intention to change: Pay attention to commitment language

Rolling with resistance: If a client denies the problem, let them know
that the

This gives some space to explore t
To do: avoid argumentation, listen reflectively, develop
discrepancy

Balance scale: Aims to create discrepancy between current behavior
and the goals and values that someone has (this is the desired
situation)

Dit zijn jouw voordelen als je samenvattingen koopt bij Stuvia:

Bewezen kwaliteit door reviews

Studenten hebben al meer dan 850.000 samenvattingen beoordeeld. Zo weet jij zeker dat je de beste keuze maakt!

In een paar klikken geregeld

Geen gedoe — betaal gewoon eenmalig met iDeal, creditcard of je Stuvia-tegoed en je bent klaar. Geen abonnement nodig.

Direct to-the-point

Studenten maken samenvattingen voor studenten. Dat betekent: actuele inhoud waar jij écht wat aan hebt. Geen overbodige details!

Veelgestelde vragen

Wat krijg ik als ik dit document koop?

Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.

Tevredenheidsgarantie: hoe werkt dat?

Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.

Van wie koop ik deze samenvatting?

Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper FabienneDenberg. Stuvia faciliteert de betaling aan de verkoper.

Zit ik meteen vast aan een abonnement?

Nee, je koopt alleen deze samenvatting voor €7,99. Je zit daarna nergens aan vast.

Is Stuvia te vertrouwen?

4,6 sterren op Google & Trustpilot (+1000 reviews)

Afgelopen 30 dagen zijn er 66184 samenvattingen verkocht

Opgericht in 2010, al 15 jaar dé plek om samenvattingen te kopen

Begin nu gratis

Samenvatting

Summary Short Psychological Interventions - Year 3, Period 4 - English - VU Amsterdam Psychology

Document informatie

Onderwerpen

Geschreven voor

Verkoper

Ontvangen beoordelingen

Voorbeeld van de inhoud