Psychological therapies to depression
- Created by: Hannah Jeffery
- Created on: 27-04-15 12:28
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- Psychological therapies to depression
- Cognitive behaviour therapy
- proposed by Aron Beck
- emphasises the role of maladaptive thoughts and beliefs in the origins and maintenance of depression
- process
- therapist identifies negative cognitions
- challenge these thoughts
- mimic in real world
- Bryant et al found this was extremely important
- Emotive behavioural therapy
- Ellis
- ABC model
- Activation
- Behaviour
- Consequence
- Therapist and client identify situations and the negative reactions they produce
- Therapist helps to rationalise fear
- Challenging of self-defeating beliefs through intense debate
- depression can be based on rational thoughts
- Simons found this was decrease the effectiveness of therapy
- ignores biological factors
- limited number of session requires to more cost effective
- doesn't involve in-depth probing
- Robinson et al
- placebo was equally a effective
- Kuyken et al fond that therapist competence was significant
- Interpersonal psychotherapy
- Based on Sullivan's interpersonal therapy model
- depression can arise from and cause interpersonal relationship difficulties
- aims to improve interpersonal functioning
- alleviate symptoms of depression
- therapy take between 12-16 weeks, has homework and assesses though structured interviews
- therapy consists of a number of stages
- first stage
- identification of the client major problem areas and creation od treatment contract
- Intermediate stages
- working through identified problems with the therapist
- eg grief, role trasnistion or taking on a new one and interpersonal deflects eg poor social skills
- working through identified problems with the therapist
- Termination stages
- consolidation of what as been learnt and looking at how learn techniques can be learned in the future
- first stage
- Elkin et al
- one of the largest clinical samples of depressed patients in the US
- IPT was as effective as cognitive therapy and drug treatment in reduction of symptoms
- However it has not been as extensively researched as cognitive therapy
- March et al
- worry that anti-depressants increase risk of suicidal
- 300 adolescents
- randomly allocated SSRI's alone or SSRI's and CBT, or CBT alone
- 12% to, 48% to CBT alone and 78% to commination
- Barkham
- CBT and IPT equal effective
- after 12 months tendencies for symptoms to occur
- Cognitive behaviour therapy
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