Gateways_16e_GuidedNotes_Chapter15.4
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Chapter 15: Therapies
Section 15.4: Medical Therapies
Learning Outcomes:
After reading this section you should be able to:
Name three medical therapies
Explain how hospitalization and community mental health programs can be used to support medical therapies
What questions do you have about this section that
need to be addressed?
Making Connections:
In Section 15.1 we provided a basic introduction to psychotherapies. In Sections 15.2 and 15.3 we began our examination of specific types of therapies by focusing on behavior therapies (Section 15.2) and cognitive and humanistic therapies (Section 15.3). In this section, we move on to talk about one final class of therapies—medical therapies—which include drug therapies and hospitalization.
Notes:
If you take a look at the learning outcomes and The Big Picture
diagram for this section, you’ll see that we cover three main medically oriented therapies, including drug therapies, brain stimulation, and surgery. We conclude by discussing hospitalization and community mental health programs as methods of treatment for mental health concerns (see the dark
blue boxes in The Big Picture
diagram). Drug Therapies:
Begin by defining the term pharmacotherapy
. Note that we cover five classes of drugs that are often used to manage mental health problems. Take a close look at Table 15.3 to learn more about each one. Table 15.3 is a very extensive table with a lot of
information; you may want to check with your instructor to establish the depth at which you are expected to learn the details presented.
While drugs can clearly help alleviate symptoms, there are also problems associated with their use. Use the table below to name and describe each of
the three problems outlined in the text (note that the italics are intended as
a guide).
Problem:
Summary/Description:
Brain Stimulation Therapies:
In this part of Section 15.4, we discuss three brain stimulation therapies: electroconvulsive therapy (ECT)
, deep brain stimulation (DBS)
, and transcranial magnetic stimulation (TMS) (see the light blue boxes in The
Big Picture
diagram). Use the table below to summarize each one.
Therapy:
Summary/Description:
ECT
DBS
Do you have feedback about how these guided notes are working for you? Contact the author at tmartini@brocku.ca
Chapter 15: Therapies
Section 15.4: Medical Therapies
TMS
Psychosurgery:
In the text we cover two types of surgery—the older one that is no longer used is the lobotomy
; a newer type of surgery is deep lesioning
. Summarize the important aspects of each one using the table below.
Type of Surgery:
Summary/Description:
Lobotomy Deep Lesioning
Hospitalization:
What is meant by the term psychiatric hospitalization
and why is it sometimes considered a form of treatment?
What are some examples of partial hospitalization
?
What is deinstitutionalization
?
What are some of the key problems that accompany deinstitutionalization?
What is a halfway house
, and in what way(s) can they be beneficial?
Community Mental Health Programs:
What are the primary goals pursued by community mental health centers
?
What are some of the positive and negative outcomes that have characterized the development of community mental health centers?
Summary: Try to summarize this section in 250 words or less. Consider comparing your summary with others in your class to make sure you’ve covered all of the essential elements of this section, and how they
are connected to one another.
Looking Forward
: In Section 15.1 we introduced some key concepts related to psychotherapy and then in Sections 15.2–15.4 we looked at several specific therapeutic techniques including behavioral therapies, cognitive and humanistic therapies, and (in this section) medical therapies. In the last section of Chapter 15, we get you to think carefully about your own clinical skills, and to consider some of things that are important to consider if you need to seek treatment yourself.
Do you have feedback about how these guided notes are working for you? Contact the author at tmartini@brocku.ca
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