Table : TABLE 14.3 Comparing Therapeutic Approaches
TherapyPresumed ProblemTherapy AimTherapy Technique
PsychodynamicUnconscious conflicts from childhood experiencesReduce anxiety through self-insight.Interpret patients’ memories and feelings.
Person-centeredBarriers to self-understanding and self-acceptanceEnable growth via unconditional positive regard, genuineness, acceptance, and empathy.Listen actively and reflect clients’ feelings.
BehaviorDysfunctional behaviorsLearn adaptive behaviors; extinguish problem behaviorsUse classical conditioning (via exposure or aversion therapy) or operant conditioning (as in token economies).
CognitiveNegative, self-defeating thinkingPromote healthier thinking and self-talk.Train people to dispute negative thoughts and attributions.
Cognitive-behavioralSelf-harmful thoughts and behaviorsPromote healthier thinking and adaptive behaviors.Train people to counter self-harmful thoughts and to act out their new ways of thinking.
Group and familyStressful relationshipsHeal relationships.Develop an understanding of family and other social systems, explore roles, and improve communication.
Therapeutic lifestyle changeStress and unhealthy lifestyleRestore healthy biological state.Alter lifestyle through adequate exercise, sleep, and other changes.
Drug therapiesNeurotransmitter malfunctionControl symptoms of psychological disorders.Alter brain chemistry through drugs.
Brain stimulationSevere, treatment-resistant depressionAlleviate depression that is unresponsive to drug therapy.Stimulate brain through electroconvulsive shock, magnetic impulses, or deep brain stimulation.
PsychosurgeryBrain malfunctionRelieve severe disorders.Remove or destroy brain tissue.