浙江大学医学院：《精神病学》课程教学资源（PPT讲稿）心理治疗 Psychological Treatment

CHAPTER 22 Psychological Treatment Zhang Lei SIR RUN RUN SHAW HOSPITAL

CHAPTER 22 Psychological Treatment Zhang Lei SIR RUN RUN SHAW HOSPITAL

Qu uestions What is psychotherapy What are its goal a How do people change in therapy a What happens during psychotherapy a How would a psychotherapist work?

Questions: ◼ What is psychotherapy? ◼ What are its goals? ◼ How do people change in therapy? ◼ What happens during psychotherapy? ◼ How would a psychotherapist work? … …

Defining Psychotherapy ■ Talking cure a USing communication to promote change lo increase well-being, to access latent potentials Relationship: therapist patient

Defining Psychotherapy ◼ Talking cure ◼ Using communication to promote change ◼ To increase well-being, to access latent potentials ◼ Relationship: therapist＆patient

Classification of psychological treatments Technique Psychodynamic Cognitive behavioral a other: systems theory Number of patients a Individual therapy a Couple therapy a Family therapy a Small and large group therapy

5 Classification of psychological treatments ◼ Technique ◼ Psychodynamic ◼ Cognitive behavioral ◼ other: systems theory ◼ Number of patients ◼ Individual therapy ◼ Couple therapy ◼ Family therapy ◼ Small and large group therapy

Psychological treatments considered in this chapter CBT Small-grou Individual dynamic psychotherapy psychotherapies Large-group a Counseling psychotherapy Crisis intervention a Psychotherapy with couples a Supportive psychotherapy Family therapy Historical treatments Psychotherapy for ■ Meditation and children and older traditional healing people

6 Psychological treatments considered in this chapter ◼ CBT ◼ Individual dynamic psychotherapies ◼ Counseling ◼ Crisis intervention ◼ Supportive psychotherapy ◼ Historical treatments ◼ Meditation and traditional healing ◼ Small-group psychotherapy ◼ Large-group psychotherapy ◼ Psychotherapy with couples ◼ Family therapy ◼ Psychotherapy for children and older people

How psychological treatments developed a Hypnosis and free association: 1895, 1923 a Classical dynamic psychotherapy: 1889 The neo-Freudians: 1930s a Object relation theory Attachment theory Brief psychodynamic therapy a Behaviour therapy: 1920s a Cognitive therapy a Cognitive-behaviour therapy

7 How psychological treatments developed ◼ Hypnosis and free association: 1895,1923 ◼ Classical dynamic psychotherapy: 1889 ◼ The neo-Freudians: 1930s ◼ Object relation theory ◼ Attachment theory ◼ Brief psychodynamic therapy ◼ Behaviour therapy: 1920s ◼ Cognitive therapy ◼ Cognitive-behaviour therapy

Common factors in psychological treatment I. Therapeutic relationship Listening Il. Release of emotion Iv. Restoration of morale v. Providing information VI. Providing a rationale VIl. Advice and guidance VIll. Suggestion

8 Common factors in psychological treatment I. Therapeutic relationship II. Listening III. Release of emotion IV. Restoration of morale V. Providing information VI. Providing a rationale VII. Advice and guidance VIII. Suggestion

Psychodynamic therapy ■ First: driven b inner force. the sources of illness help recognize free-association analysis of dreams

Psychodynamic therapy ◼ First: driven by inner force, the sources of illness ◼ help recognize ◼ free-association, analysis of dreams

Cognitive behaviour therapy General features: The patient is an active partner ABC approach s Ways of thinking ■ Investigation Homework Structured Monitoring progress ■ Treatment manuals

10 Cognitive behaviour therapy ◼ General features: ◼ The patient is an active partner ◼ ABC approach ◼ Ways of thinking ◼ Investigation ◼ Homework ◼ Structured ◼ Monitoring progress ◼ Treatment manuals