Académique Documents
Professionnel Documents
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Lecture 1
Purpose: provide a description of the disorder (assumption that the
behavior is out-of-order)
Vision
1.Identify Causes
2.Provide effective treatment (the purpose of the therapist
Mission
Move from disorder to order (the ultimate goal of therapy)
DSM-5 2013
Mental disorder syndrome characterized clinically by significant
disturbance (imbalance) in an individuals cognition, emotion,
regulation, or behavior that reflects a dysfunction in the psychological,
biological, or developmental processes underlying mental functioning.
Mental disorders are usually associated with a SIGNIFICANT DISTRESS
or disability in social, occupational or other important activities
(work&school)
-All mental disorders have a moment of break from reality
-There is a thin line between order and disorder
-Move continuously back and forth, some people never come
back, which
creates the mild to severe spectrum of mental disorder
The Four Ds
1. Deviance specifically to behavior, does the society and culture
find it acceptable behavior?
2. Distress does the behavior cause distress? Are they deeply
troubled?
3. Dysfunction is the behavior preventing the person from healthy,
interpersonal relationships, work or occupation? Daily normal
functions are not functioning.
4. Danger is the behavior a danger to others or self? Homicidal or
suicidal ideations or intentions
Models/ Theories
Psychoanalytic Unconscious/Unresolved/Repressed
Behavioral Learned/Environmental/Conditioned
Sociocultural Beliefs, Ethnicity, Race, Religious
Cognitive Irrational Thinking Albert Ellis dont should on me
Mustabating
Humanistic Free Will, Potential
Medical Biochemistry of the brain linked to disease due to disorder
in neurotransmitters
Lecture 2
Talk Therapy
1. What are the issues?
2. What do I need to know?
3. How do I build a relationship?
4. What is your psychological framework?
The Relationship
-Key Elements
Active Listening: repeat what you hear from the patient
Active Validation: let the clients know their feelings/
thoughts makes sense
Active Empathy: imaginative sympathy If I hear youYou
are feeling
Therapeutic Recommendation (only if asked) Advice only if
asked, needs to be owned by individual, needs to be in-line
with what you are working on (clients need 1st) Biblo-therapy
recommended book reading
Issues in Relationship
-Transference Neurosis
The client projects emotions/unresolved issues /sexual
attraction onto the therapist (look at you as mother/father
figure)
-Countertransference
The therapist transfers feelings onto the client (therapist
becomes father, mother) Impossibility of Sex
Lecture 3
Issues in the Relationship
1.Respect Cultural History and Experiences
Belief system
Family (not necessarily nuclear family only)
Religion
Philosophical Framework
Interdependency
Physical Expression (Power Distance (Authority))
2. Do not stereotype your client
3. Identify your own sexism, ageism, racism and check it at the
door
-Be cautious to not take people at face value as family,
religion, physical expression is all SUBJECTIVE and means
something different to each person
4. Validate the patients story, check racism, sexism, ect.,
empathize with the situation, and make recommendations (if
requested)
-Do not be fearful to laugh with clients, but dont out laugh
them, as laughter is cathartic (therapeutic and purifying)
Biopsychological Perspective
Key Thought: Interactions of a 1.)Biological 2.)Psychological
3.)
Sociocultrual factors in the development of psychopathology
Key Questions: Do you have depression in your family? Identify
stressors in your life within the last year? Have you encountered
experiences and changes in your life? How did you address those
changes?
-Genetic, physiological factors can lead to psychological
disorders
-Stressors usually cause illness