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Unit 21: Psychotherapy: Meaning and Process


                Example : Mary is having a problem at work with one of her supervisors who she believes is  Notes
                treating her badly. She convinces herself that she has only two options : tell her boss off or
                quit. She is unable to consider a host of other possibilities such as talking to her boss in a
                constructive way, seeking guidance from a higher supervisor, contacting employee relations,
                etc.
            •   Selective Abstraction : focusing only on certain aspects of a situation, usually the most negative.
                Example : During a staff meeting at work, Susan presents a proposal for solving a problem.
                Her solution is listened to with great interest and many of her ideas are applauded. However,
                at one point her supervisor points out that her budget for the project appears to be grossly
                inadequate. Susan ignores the positive feedback she has received and focuses on this one
                comment. She interprets it as a lack of support from her boss and a humiliation in front of the
                group.
            •   Magnification-Minimization  : distorting the importance of particular events.
                Example : Robert is a college student who wants to go to medical school. He knows that his
                college grade point average will be used by schools during the admission process. He receives
                a D in a class on American History. He becomes demoralized thinking now that his lifelong
                dream to be a physician is no longer possible.
                Cognitive therapists work with the person to challenge thinking errors like those listed above
                By pointing out alternative ways of viewing a situation, the person’s view of life, and ultimately
                their mood will improve. Research has shown that cognitive therapy can be as effective as
                medication in the long-term treat.






                    Interpersonal therapy focuses on the interpersonal relationships of the depressed Person.


            21.2.3 Interpersonal Therapy
            The idea of interpersonal therapy is that depression can be treated by improving the communication
            patterns and how people relate to others.
            Techniques of interpersonal therapy include :
            •   Identification of Emotion : Helping the person identify what their emotion is and where it is
                coming from.
                Example : Roger is upset and fighting with his wife. Careful analysis in therapy reveals that he
                has begun to feel neglected and unimportant since his wife started working outside the home.
                Knowing that the relevant emotion is hurt and not anger, Roger can begin to address the
                problem.
            •   Expression of Emotion : This involves helping the person express their emotions in a healthy
                way.
                Example :  When Roger feels neglected by his wife he responds with anger and sarcasm. This
                in turn leads his wife to react negatively. By expressing his hurt and his anxiety at no longer
                being important in her life in a calm manner, Roger can now make it easier for his wife to react
                with nurturance and reassurance.
            •   Dealing With Emotional Baggage : Often, people bring unresolved issues from past
                relationships to their present relationships. By looking at how these past relationships affect
                their present mood and behavior, they are in a better position to be objective in their present
                relationships.



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