Content Area I: Psychological Therapies Topic: Which Treatment is Best? Myers Module: 52 Activity Type: Handout sheet and answers from website Description: This is an activity from John Sular’s website. The instructions are below on the handout. When “I” is used Dr. Sular is referring to himself: http://www- usr.rider.edu/~suler/whichtx.html. The activity can be modified to an online discussion in which students choose or are assigned a certain number of scenarios, give their answer and use information from the textbook to back up HOW they came up with their answers. Assessment: The activity is the assessment. Notes: f2f, can be modified to an online discussion. TICE Goals: 1b, 1c, 3b, 4b Which Treatment is Best? For this exercise, I divide students up into small groups and give them the following two handouts. For each of the people described in the first handout, the group is to discuss and choose which mental health treatment from the second handout would probably be best for that person and his/her particular problem. (handout 1) The People and Their Problems Joan can't understand why she feels down and despondent. Just last week she was feeling so wonderful that she decided to quit her job so she could leave for the Himalayas. She just knew she could climb Mt. Everest. Tom's friends say he has a drinking problem. He said he can stop whenever he wants, but secretly he doubts it. Is booze slowly destroying his life? Melissa is unable to sleep, has lost 15 lbs, and cannot concentrate on her studies. She is beginning to feel worthless and suicidal. Barry believes everyone in the hospital is plotting to kill him. He has already punched two nurses, stabbed his psychiatrist in the leg with a fork, and tried to jump out the window. Despite his many drug treatments, he is getting more psychotic and violent. Everyone is afraid of him. Archie is such a perfectionist that it drives others and himself crazy. He always hears himself thinking, "It has to be perfect or it is no good! YOU should always be the best or you are no good!" Anna has this recurring dream about a prince who is searching for her, but she is being held captive by an evil witch. Sometimes it is so scary it wakes her up. The dream started on the anniversary of her father's death. What does it mean? Does it have something to do with her feeling anxious lately? Susan realizes she just has to get over this fear of flying as soon as possible! When she gets the promotion, she will have to travel often. Lyle is bored and unsatisfied with his life. He has his health, a good job, friends, and a happy family - so why does he feel so unfulfilled? Why does he feel something is missing? Martha says, "Joe is a lazy slob! All is does is lay around, drink beer, and watch the games. He doesn't pay any attention to me or help around the house." Joe says, "Martha is such a bitch! Nag, nag, nag!" Sharon has problems relating to other people. She really wants to know what she does wrong. She really wants to know what other people think of her. Willy says he feels so nervous and "hyped-up" that he can't even sit still to talk about what's bothering him - in fact it's sometimes even difficult to talk at all without blocking or stumbling over his words. Harry believes he is the Emperor of Rome because a voice in his lawnmower told him so. Mr. and Mrs. Smith can't stop complaining about their little Johnny. "He won't listen to us, he fights at school, and he's wetting his bed. Why can't he be a good kid like his big brother?" Sam keeps sinking deeper and deeper into depression. He won't take his pills. He doesn't talk or respond to anything. He just lies there all day and stares off into space. (handout 2) The Treatments I. Somatic (biological) Treatments A. Drugs ("psychopharmacology") 1. Antipsychotic drugs ..... (major tranquilizers - e.g., the phenothiazines, such as thorazine) 2. Antidepressant drugs ..... (e.g., tricyclics like elavil; MAO inhibitors) 3. Anti-anxiety drugs ..... (minor tranquilizers: benzodiazipines like valium; barbiturates 4. Mood swing drugs (e.g., lithium) B. Psychosurgery, e.g., the frontal lobotomy C. Electro-convulsive treatment ("ECT") II. Individual Psychotherapy A. Psychoanalytic therapy B. Humanistic/Existential Therapy C. Cognitve Therapy D. Behavioral Therapy E. Child therapy Note: the distinction between "insight" and "action" therapies Note: most therapists describe themselves as "eclectic" III. Couples/Marital Therapy (couples/marital may be based on psychoanalytic, humanistic, cognitive, or behavioral theories, or combinations thereof) IV. Group Approaches A. Group therapy B. Family therapy C. Self help groups * For the exercise: When you select a treatment, specify whether it is A, B, C, etc. If you select drugs as a treatment, specify 1, 2, 3, or 4. Suggested answers: Joan (mood swing drug) Tom (self help group, AA) Melissa (anti-depressant, perhaps ECT) Barry (psychosurgery?) Archie (cognitive therapy) Anna (psychoanalysis) Susan (behavior therapy) Lyle (humanistic/existential therapy) Martha and Joe (marital therapy) Sharon (group therapy) Willy (anti-anxiety drug) Harry (anti-psychotic drug) The Smiths (family therapy & child therapy) Sam (ECT) Topic: Therapy and Treatment lecture slides (Eric Amsel) Myers Module: 52 Activity Type: Powerpoint slides (must be added in Canvas). Description: Powerpoint slides (titled, “Eric Treatment,” found on the Therapy page on Canvas) can be used in conjunction with activities or in lecture Assessment: Quiz/Examination (using Myers’ test bank or other questions): Make sure to ask content, methodology, critical thinking, application, values, and personal application questions. Notes: f2f and online. Source, Eric Amsel (WSU) TICE Goals: 1b, 1c, 3b, 4b Topic: John Suler’s website Myers Module: 52 Activity Type: Website Description: There are many activities on this website. Any of the activities can be modified to an online discussion by having students choose or assign them a certain number of scenarios and discuss HOW they came up with their answers. John Suler’s website: http://www- usr.rider.edu/~suler/inclassex.html#psychotherapy Assessment: The activity itself can be the assessment, but if using quiz/Examination (using Myers’ test bank or other questions), make sure to ask content, methodology, critical thinking, application, values, and personal application questions. Notes: f2f, can be modified to an online discussion. Source: John Suler http://www- usr.rider.edu/~suler/inclassex.html#psychotherapy TICE Goals: 1b, 1c, 3b, 4b Topic: Psychoanalysis Myers Module: 52 Activity Type: Website Description: Website has descriptions of different psychotherapy approaches http://www.apa.org/topics/therapy/psychotherapy-approaches.aspx f2f lecture or individual assignment with accompanying online discussion: Choose one psychotherapy approach to explain and discuss why you chose this one. What did you like/dislike about the approach? How can learning about this approach help you in your day to day life? Assessment: The activity itself can be the assessment, but if using quiz/Examination (using Myers’ test bank or other questions), make sure to ask content, methodology, critical thinking, application, values, and personal application questions. Notes: f2f, can be modified to an online discussion. Source: Karen Kwan (SLCC). TICE Goals: 1b, 1c, 3b, 4b Topic: Freud’s Psychoanalysis. Myers Module: 52 Activity Type: Small group in class activity Description: Break the class into groups and have them come up with an example of what Freud would have to say during his treatment of the following individual in each of the following: psychoanalysis, free association, interpretation, dream analysis, transference, and resistance. Cheryl has been overly anxious for the past few months. She has had four boyfriends and has had a sexual relationship with all of them. She became extremely upset with the breakup of each boyfriend. Her parents have become very worried about her and have sent her to see Dr. Freud for therapy. Assessment: The activity itself can be the assessment, but if using quiz/Examination (using Myers’ test bank or other questions), make sure to ask content, methodology, critical thinking, application, values, and personal application questions. Notes: f2f, Source: Source: From Instructor Resources for King, L. A. (2010). Experience Psychology. McGraw Hill: New York. TICE Goals: 1b, 1c, 3a, 4b Topic: Rogerian Therapy Myers Module: 52 Activity Type: video Description: Students to watch a video (7 minutes)of Carl Rogers explaining his approach to therapy at the following site: http://www.viddler.com/explore/digizen/videos/14/ Ask student’s opinions concerning Rogerian therapy and if they could offer unconditional positive regard to a client – why or why not? Assessment: The activity itself can be the assessment, but if using quiz/Examination (using Myers’ test bank or other questions), make sure to ask content, methodology, critical thinking, application, values, and personal application questions. Notes: f2f, can be modified to an online discussion. Source: Lauren Fowler (WSU). TICE Goals: 1b, 1c, 4b, 6a Topic: Behavior Therapies. Myers Module: 52 Activity Type: in class discussion Description: Ask the students to choose a phobia and then explain how systematic desensitization would be used in treating that phobia. The students will learn through experience how the steps in systematic desensitization work. Assessment: The activity itself can be the assessment, but if using quiz/Examination (using Myers’ test bank or other questions), make sure to ask content, methodology, critical thinking, application, values, and personal application questions. Notes: f2f, can be modified to an online discussion. Source: Lauren Fowler (WSU). TICE Goals: 1b, 1c, 4b Topic: Cognitive Therapies Myers Module: 52 Activity Type: Activity handout Description: Use “Activity Handout 13.2: Using REBT and Beck’s Cognitive Therapy” as a way for students to figure out for themselves how they would treat an individual having a poor self-image because of an anxiety-provoking situation in their lives.