Chapter 71. Types of Therapies and Therapists

Learning Objectives

behavior therapy
type of psychotherapy that focuses on eliminating unwanted behaviors by applying the principles of classical and operant conditioning
group therapy
therapy that treats clients in groups rather than individually, emphasizing social interactions and social relationships
clinical psychologist
therapist with a doctoral degree in psychology (a Ph.D. or Psy.D.); offers therapy for all types of mental and emotional problems, including the most serious disorders
humanistic therapy
therapy that creates a supportive environment to help clients use their conscious thoughts to gain greater self-understanding, self-acceptance, and personal growth
clinical social worker
(also called psychiatric social worker) therapist with a 2-year degree in social work; offers therapy for relatively mild personal or family problems
psychiatrist
medical doctor who treats psychological disorders; licensed to prescribe drugs
cognitive therapy
therapy that helps clients learn new ways of thinking to replace distorted, negative beliefs with more realistic, helpful thoughts
psychoanalysis
therapy that attempts to give clients self-insight by bringing unconscious feelings into awareness and interpreting them
counselor
therapist with some graduate school training, usually in psychology or education; treats relatively mild family or work problems
psychodynamic therapy
therapy derived from psychoanalysis, but focuses more on present experiences and the themes from the past that connect to those experiences
counseling psychologist
therapist with a doctoral degree in psychology (a Ph.D. or Psy.D.); offers therapy for a wide range of disorders and provides guidance and advice for life issues
psychotherapy
treatment for psychological disorders, involving a conversation between the client and a trained therapist; goal is to overcome difficulties or achieve personal growth
family therapy
type of group therapy that treats the family as a system; family members meet with a therapist to resolve problems that involve the entire family
repression
in psychoanalysis, a defense mechanism that pushes uncomfortable memories into the unconscious
depression
extreme mood swing in a negative direction, accompanied by feelings of worthlessness, helplessness, and hopelessness
psychological disorder
a disturbance in a person’s thinking, behavior, or emotions serious enough to cause distress
eating disorders
psychological disorders characterized by a persistent, distressing disturbance in appetite or food consumption
Types of Therapies and Therapists
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Learning Objectives:

Describe the specific goals and methods of the major forms of psychotherapy.

Identify the major types of psychotherapists.

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1. All forms of psychotherapy share some common elements: hope for demoralized people; the possibility for a new perspective on oneself and the world; and the experience of a caring relationship between the therapist and the client, based on empathy and trust. But each type of psychotherapy has unique characteristics reflecting the perspective of its founders.

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2. Psychoanalysis aims to uncover previously repressed emotions to help clients gain insight into their current problems. A related approach called psychodynamic therapy focuses on themes and conflicts that reappear in many of the client’s relationships from childhood to adulthood.

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3. Humanistic therapies explore the current conscious thoughts of clients rather than searching for the root causes of their problems. The therapist provides a supportive, non judgmental environment, and tries to help clients understand their true feelings and take responsibility for their actions.

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4. Behavior therapies focus on the symptoms rather than the origins of a client's problems. The therapist tries to help the client "unlearn" problem behaviors and replace undesirable conditioned responses with more useful responses.

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5. Cognitive therapies are based on the idea that some negative experiences, such as depression, are influenced by the way people interpret their experiences and think about them. Cognitive therapists try to teach people new ways to think about their current problems and their future options, and help them look at themselves in new, more positive ways.

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Concerned patients comforting another in rehab group at a therapy session
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6. Group therapies and family therapies bring people together in a supportive social environment. Guided by the therapist, the clients work through their problems and improve their relationships. This is particularly helpful for clients whose problems include dysfunctional interactions with other people.

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7. Psychotherapy is administered by trained mental health professionals with a variety of educational backgrounds and specializations. Counselors typically have 2 to 4 years of graduate training and specialize in relatively mild problems arising from family relations, workplace problems, or substance abuse. Clinical social workers (also called psychiatric social workers) have a 2-year master's degree plus additional training. They offer therapy for relatively mild problems including mild depression, eating disorders, or family conflicts.

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8. Clinical psychologists and counseling psychologists usually have a Ph.D. or Psy.D. They are trained to administer and interpret psychological tests, as well as to offer therapy for a wide range of problems, including all the major psychological disorders. Psychiatrists are often confused with clinical psychologists, but, in fact, psychiatrists are medical doctors who specialize in the treatment of psychological disorders and are licensed to prescribe drugs.

Practice 1: Goals of Major Psychotherapies

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Practice 1: Goals of Major Psychotherapies

Roll over each type of psychotherapy to see a brief description of its goals.

Psychoanalysis

Psychodynamic Therapy

Humanistic Therapies

Behavior Therapies

Cognitive Therapies

Group/Family Therapies

Goals of therapy:

attempts to help people gain insight into the unconscious origins of their disorders (often in childhood experiences) and release repressed feelings

attempts to help people identify recurring themes, conflicts, and defense mechanisms in relationships stretching from childhood into the adult years, as a way of resolving current problems at work and in the home

attempts to help people gain self-awareness and self-acceptance, while taking responsibility for their own actions and feelings, as a step toward reaching their full potential

attempts to help people use the principles of learning and conditioning to eliminate unwanted behaviors and habits

attempts to help people identify irrational thoughts and unrealistic beliefs, and then teach them to think and act in more adaptive ways

attempts to create a supportive social context which will promote communication and understanding, allowing people to resolve issues and improve relationships

Practice 2: Methods of the Major Psychotherapies

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Practice 2: Methods of the Major Psychotherapies

Roll over each type of psychotherapy to see a brief description of its methods.

Psychoanalysis

Psychodynamic therapy

Humanistic therapies

Behavior therapies

Cognitive therapies

Group/Family therapies

Methods of therapy:

uses free association (saying the first word that pops into mind), dream analysis, and interpretation of everyday behaviors, including slips of the tongue

uses face-to-face sessions to analyze the person's conflicts and defenses in current relationships

use active listening to reflect the person's true feelings in an environment of unconditional positive regard, genuineness, and empathy

use techniques from classical and operant conditioning, including counterconditioning and behavior modification, to eliminate unwanted behaviors

use dialogue with the person to identify irrational thoughts, then help the person practice new positive ways of thinking and talking about one's situation

use a supportive social environment to explore problem behaviors and promote better communication and understanding

Practice 3: Background and Training of Therapists

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Practice 3: Background and Training of Therapists

Roll over each type of therapist to see a brief description.

Counselors

Clinical/Counseling psychologists

Psychiatrists

Types of therapists:

typically have 2 to 4 years of graduate training; specialize in relatively mild problems arising from family relations, workplace problems, or substance abuse

have a 2-year master's degree, plus additional training; offer therapy for relatively mild problems, including mild depression, eating disorders, or family conflicts

usually have a Ph.D. or Psy.D.; trained to administer and interpret psychological tests, as well as to offer therapy for a wide range of problems, including all the major psychological disorders

medical doctors who specialize in the treatment of psychological disorders; licensed to prescribe drugs

Quiz 1

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Quiz 1

Drag each type of psychotherapy to the gray area in front of of the appropriate description. When all the terms for psychotherapies have been placed, select the CHECK ANSWER button.

Perhaps you should go back to review different kinds of therapies.
Select the NEXT button and move to Quiz 2.
psychoanalysis
psychodynamic therapy
humanistic therapies
behavior therapies
cognitive therapies
group/family therapies

Therapist uses classical and operant conditioning to change the person's behavior from maladaptive to adaptive.

Therapist uses unconditional positive regard, genuineness, and empathy to help the person gain self-awareness and self-acceptance.

Therapist uses free association and dream analysis to help people gain insight into the unconscious origins of their disorders and release repressed feelings.

Therapist works with several people who share a common issue, using the supportive environment to promote communication and understanding.

Therapist uses face-to-face sessions to analyze the person's conflicts and defenses in current relationships.

Therapist uses dialogue with the client to identify irrational thoughts and unrealistic beliefs, and then teaches the person to think in more adaptive ways.

Quiz 2

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Quiz 2

Match the types of therapists to their descriptions by dragging each colored circle to the appropriate description. When all the circles have been placed, select the CHECK ANSWER button.

Select the NEXT button and move to the Conclusion.
Perhaps you should go back to review different kinds of therapists.
counselors
clinical social workers
clinical or counseling psychologists
psychiatrists
medical doctors who treat psychological disorders; are licensed to prescribe drugs
typically have some graduate training; treat relatively mild family or work problems
have a 2-year degree; offer therapy for relatively mild personal or family problems
usually have a Ph.D. or Psy.D.; offer therapy for all the major disorders

Conclusion

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