Chapter 13: Therapy & Treatment Overview
Many forms of therapy have been developed to treat a wide array of problems. These marines who served in Iraq and Afghanistan, together with community mental health volunteers, are part of the Ocean Therapy program at Camp Pendleton, a program in which learning to surf is combined with group discussions. The program helps vets recover, especially vets who suffer from post-traumatic stress disorder (PTSD).
What comes to mind when you think about therapy for psychological problems? You might picture someone lying on a couch talking about their childhood while the therapist sits and takes notes, à la Sigmund Freud. But can you envision a therapy session in which someone is wearing virtual reality headgear to conquer a fear of snakes?
In this chapter, you will see that approaches to therapy include both psychological and biological interventions, all with the goal of alleviating distress. Because psychological problems can originate from various sources—biology, genetics, childhood experiences, conditioning, and sociocultural influences—psychologists have developed many different therapeutic techniques and approaches. The Ocean Therapy program shown in the figure above uses multiple approaches to support the mental health of veterans in the group.
References
Openstax Psychology text by Kathryn Dumper, William Jenkins, Arlene Lacombe, Marilyn Lovett and Marion Perlmutter licensed under CC BY v4.0. https://openstax.org/details/books/psychology
Ahmed, S., Wilson, K. B., Henriksen, R. C., & Jones, J. W. (2011). What does it mean to be a culturally competent counselor? Journal for Social Action in Counseling and Psychology, 3(1), 17–28.
Alavi, A., Sharifi, B., Ghanizadeh, A., & Dehbozorgi, G. (2013). Effectiveness of cognitive-behavioral therapy in decreasing suicidal ideation and hopelessness of the adolescents with previous suicidal attempts. Iranian Journal of Pediatrics, 23(4), 467–472.
Alegría, M., Chatterji, P., Wells, K., Cao, Z., Chen, C. N., Takeuchi, D., . . . Meng, X. L. (2008). Disparity in depression treatment among racial and ethnic minority populations in the United States. Psychiatric Services, 59(11), 1264–1272.
American Psychological Association. (2017). Idaho Becomes Fifth State to Allow Psychologists to Prescribe Medications. Retrieved from http://www.apa.org/news/press/releases/2017/04/idaho-psychologists-medications.aspx
American Psychological Association. (2014). Psychotherapy: Understanding group therapy. Retrieved from http://www.apa.org/helpcenter/group-therapy.aspx
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York, NY: The Guilford Press.
Beck Institute for Cognitive Behavior Therapy. (n.d.). History of cognitive therapy. Retrieved from http://www.beckinstitute.org/history-of-cbt/
Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York, NY: The Guilford Press.
Belgrave, F., & Allison, K. (2010). African-American psychology: From Africa to America (2nd ed.). Thousand Oaks, CA: Sage Publications.
Bertrand, K., Richer, I., Brunelle, N., Beaudoin, I., Lemieux, A., & Ménard, J-M. (2013). Substance abuse treatment for adolescents: How are family factors related to substance use change? Journal of Psychoactive Drugs, 45(1), 28–38.
Blank, M. B., Mahmood, M., Fox, J. C., & Guterbock, T. (2002). Alternative mental health services: The role of the black church in the South. American Journal of Public Health, 92, 1668–1672.
Blumberg, J. (2007, October 24). A brief history of the Salem witch trials. Smithsonian.com. Retrieved from http://www.smithsonianmag.com/history-archaeology/brief-salem.html?c=y&page=2
Bronson, J. & Berzofsky, M. (2017). Indicators of Mental Health Problems Reported by Prisoners and Jail Inmates, 2011-12. Retrieved from https://www.bjs.gov/content/pub/pdf/imhprpji1112.pdf
Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26,17–31.
Center for Substance Abuse Treatment. (2005). Substance Abuse Treatment: Group Therapy. Treatment Improvement Protocol (TIP) Series 41. DHHS Publication No. (SMA) 05-3991. Rockville, MD: Substance Abuse and Mental Health Services Administration.
Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685–716.
Charman, D., & Barkham, M. (2005). Psychological treatments: Evidence-based practice and practice-based evidence. InPsych Highlights. Retrieved from www.psychology.org.au/publications/inpsych/treatments
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., . . . Thornicroft, G. (2014, February 25). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, l–17.
Daniel, D. (n.d.). Rational emotive in behavior therapy the context of modern psychlogical research. Retrieved from albertellis.org/rebt-in-the-context-of-modern-psychological-research
David, D. & Montgomery, G. H. (2011). The Scientific Status of Psychotherapies: A New Evaluative Framework for Evidence-Based Psychosocial Interventions. Clinical Psychology: Science and Practice, 18(2), 89-118.
Davidson, W. S. (1974). Studies of aversive conditioning for alcoholics: A critical review of theory and research methodology. Psychological Bulletin, 81(9), 571–581.
DeRubeis, R. J., Hollon, S. D., Amsterdam, J. D., Shelton, R. C., Young, P. R., Salomon, R. M., . . . Gallop, R. (2005). Cognitive Therapy vs medications in the treatment of moderate to severe depression. Archives of General Psychiatry, 62(4), 409–416.
Donahue, A. B. (2000). Electroconvulsive therapy and memory loss: A personal journey. The Journal of ECT, 162, 133–143.
Elkins, R. L. (1991). An appraisal of chemical aversion (emetic therapy) approaches to alcoholism treatment. Behavior Research and Therapy, 29(5), 387–413.
Gary, F. A. (2005). Stigma: Barrier to mental health care among ethnic minorities. Issues in Mental Health Nursing, 26(10), 979–999.
Gerardi, M., Cukor, J., Difede, J., Rizzo, A., & Rothbaum, B. O. (2010). Virtual reality exposure therapy for post-traumatic stress disorder and other anxiety disorders. Current Psychiatry Reports, 12(298), 299–305.
Hemphill, R. E. (1966). Historical witchcraft and psychiatric illness in Western Europe. Proceedings of the Royal Society of Medicine, 59(9), 891–902.
Ivey, S. L., Scheffler, R., & Zazzali, J. L. (1998). Supply dynamics of the mental health workforce: Implications for health policy. Milbank Quarterly, 76(1), 25–58.
Jang, Y., Chiriboga, D. A., & Okazaki, S. (2009). Attitudes toward mental health services: Age group differences in Korean American adults. Aging & Mental Health, 13(1), 127–134.
Jones, M. C. (1924). A laboratory study of fear: The case of Peter. Pedagogical Seminary, 31, 308–315.
Lowinger, R. J., & Rombom, H. (2012). The effectiveness of cognitive behavioral therapy for PTSD in New York City Transit Workers. North American Journal of Psychology, 14(3), 471–484.
Madanes, C. (1991). Strategic family therapy. In A. S. Gurman and D. P. Kniskern (Eds.), Handbook of Family Therapy, Vol. 2. (pp. 396–416). Philadelphia, PA: Brunner/Mazel.
Marcus, D. K., O’Connell, D., Norris, A. L., Sawaqdeh, A. (2014). Is the Dodo bird endagered in the 21st century? A meta-analysis of treatment comparison studies. Clinical Psychology Review, 34, 519-530.
Marques, L., Alegría, M., Becker, A. E., Chen, C. N., Fang, A., Chosak, A., & Diniz, J. B. (2011). Comparative prevalence, correlates of impairment, and service utilization for eating disorders across US ethnic groups: Implications for reducing ethnic disparities in health care access for eating disorders. International Journal of Eating Disorders, 44(5), 412–420.
Mayo Clinic. (2012). Tests and procedures: Transcranial magnetic stimulation. Retrieved from http://www.mayoclinic.org/tests-procedures/transcranial-magnetic-stimulation/basics/definition/PRC-20020555
McGovern, M. P., & Carroll, K. M. (2003). Evidence-based practices for substance use disorders. Psychiatric Clinics of North America, 26, 991–1010.
McGrath, R. J., Cumming, G. F., Burchard, B. L., Zeoli, S., & Ellerby, L. (2009). Current practices and emerging trends in sexual abuser management: The safer society North American survey. Brandon, VT: The SaferSociety Press.
Minuchin, P. (1985). Families and individual development: Provocations from the field of family therapy. Child Development, 56(2), 289–302.
Mullen, E. J., & Streiner, D. L. (2004). The evidence for and against evidence-based practice. Brief Treatment and Crisis Intervention, 4(2), 111–121.
Muñoz-Cuevas, F. J., Athilingam, J., Piscopo, D., & Wilbrecht, L. (2013). Cocaine-induced structural plasticity in frontal cortex correlates with conditioned place preference. Nature Neuroscience, 16, 1367–1369.
National Association of Cognitive-Behavioral Therapists. (2009). History of cognitive behavioral therapy. Retrieved from: http://nacbt.org/historyofcbt.htm.
National Institute of Mental Health. (2017, November). Mental Illness. Retrieved from: https://www.nimh.nih.gov/health/statistics/mental-illness.shtml#part_154784.
National Institutes of Health. (2013, August 6). Important events in NIMH history. Retrieved from http://www.nih.gov/about/almanac/organization/NIMH.htm
National Institute on Drug Abuse. (2008). Addiction science: From Molecules to managed care. Retrieved from http://www.drugabuse.gov/publications/addiction-science/relapse
National Institute on Drug Abuse. (2011). Drug facts: Comorbidity: Addiction and other mental disorders. Retrieved from http://www.drugabuse.gov/publications/drugfacts/comorbidity-addiction-other-mental-disorders
National Institute on Drug Abuse. (2012). Principles of drug addiction treatment: A research-based guide (3rd ed.). Retrieved from http://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment
Nelson, P. (1993). Autobiography in Five Short Chapters. In There’s a Hole in my Sidewalk: The Romance of Self-Discovery. Hillsboro, OR: Beyond Words Publishing.
Page, R. C., & Berkow, D. N. (1994). Unstructured group therapy: Creating contact, choosing relationship. San Francisco, CA: Jossey Bass.
Pagnin, D., de Queiroz, V., Pini, S., & Cassano, G. B. (2004). Efficacy of ECT in depression: A meta-analytic review. Journal of ECT, 20, 13–20.
Prochaska, J. O., & Norcross, J. C. (2010). Systems of psychotherapy (7th ed.). Belmont, CA: Wadsworth.
Prudic, J., Peyser, S., & Sackeim, H. A. (2000). Subjective memory complaints: A review of patient self-assessment of memory after electroconvulsive therapy. The Journal of ECT, 16(2), 121–132.
Rathus, J. H., & Sanderson, W. C. (1999). Marital distress: Cognitive behavioral treatments for couples. Northvale, NJ: Jason Aronson.
Reti, I. R. (n.d.). Electroconvulsive therapy today. Retrieved from Johns Hopkins Medicine: http://www.hopkinsmedicine.org/psychiatry/specialty_areas/brain_stimulation/docs/DepBulletin407_ECT_extract.pdf
Richman, L. S., Kohn-Wood, L. P., & Williams, D. R. (2007). The role of discrimination and racial identity for mental health service utilization. Journal of Social and Clinical Psychology, 26(8), 960–981.
Rizzo, A., Newman, B., Parsons, T., Difede, J., Reger, G., Holloway, K., . . . Bordnick, P. (2010). Development and clinical results from the Virtual Iraq exposure therapy application for PTSD. Annals of the New York Academy of Sciences, 1208, 114–125.
Rogers, C. (1951). Client-centered psychotherapy. Boston, MA: Houghton-Mifflin.
Sackett, D. L., & Rosenberg, W. M. (1995). On the need for evidence-based medicine. Journal of Public Health, 17, 330–334.
Scott, L. D., McCoy, H., Munson, M. R., Snowden, L. R., & McMillen, J. C. (2011). Cultural mistrust of mental health professionals among Black males transitioning from foster care. Journal of Child and Family Studies, 20, 605–613.
Shechtman, Z. (2002). Child group psychotherapy in the school at the threshold of a new millennium. Journal of Counseling and Development, 80(3), 293–299.
Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65, 98–109.
Simpson D. D. (1981). Treatment for drug abuse. Archives of General Psychiatry, 38, 875–880.
Simpson D. D, Joe, G. W, & Bracy, S. A. (1982). Six-year follow-up of opioid addicts after admission to treatment. Archives General Psychiatry, 39, 1318–1323.
Snowden, L. R. (2001). Barriers to effective mental health services for African Americans. Mental Health Services Research, 3, 181–187.
Spring, B. (2007). Evidence-Based Practice in Clinical Psychology: What it is, Why it Matters; What You Need to Know. Journal of Clinical Psychology, 63(7), 611-631.
Stensland, M., Watson, P. R., & Grazier, K. L. (2012). An examination of costs, charges, and payments for inpatient psychiatric treatment in community hospitals. Psychiatric Services, 63(7), 66–71.
Stewart, S. M., Simmons, A., & Habibpour, E. (2012). Treatment of culturally diverse children and adolescents with depression. Journal of Child and Adolescent Psychopharmacology, 22(1), 72–79.
Streeton, C., & Whelan, G. (2001). Naltrexone, a relapse prevention maintenance treatment of alcohol dependence: A meta-analysis of randomized controlled trials. Alcohol and Alcoholism, 36(6), 544–552.
Sue, D. W. (2001). Multidimensional facets of cultural competence. Counseling Psychologist, 29(6), 790–821.
Sue, D. W. (2004). Multicultural counseling and therapy (MCT). In J. A. Banks and C. Banks (Eds.), Handbook of research on multicultural education (2nd ed., pp. 813–827). San Francisco, CA: Jossey-Bass.
Sue, D. W., & Sue, D. (2007). Counseling the culturally different: Theory and practice (5th ed.). New York, NY: Wiley.
Sussman, L. K., Robins, L. N., & Earls, F. (1987). Treatment–seeking for depression by Black and White Americans. Social Science & Medicine, 24, 187–196.
Szasz, T. S. (1960). The Myth of Mental Illness. American Psychologist, 15, 113–118.
Thomas, K. C., & Snowden, L. R. (2002). Minority response to health insurance coverage for mental health services. Journal of Mental Health Policy and Economics, 4, 35–41.
Tiffany, F. (2012/1891). Life of Dorothea Lynde Dix (7th ed.). Boston, MA: Houghton, Mifflin.
Torrey, E. F. (1997). Out of the shadows: Confronting America’s mental illness crisis. New York, NY: Wiley.
Townes D. L., Cunningham N. J., & Chavez-Korell, S. (2009). Reexaming the relationships between racial identity, cultural mistrust, help-seeking attitudes, and preference for a Black counselor. Journal of Counseling Psychology, 56(2), 330–336.
U.S. Department of Health and Human Services, Health Resources and Services Administration, Office of Rural Health Policy. (2005). Mental health and rural America: 1984-2005. Retrieved from ftp://ftp.hrsa.gov/ruralhealth/RuralMentalHealth.pdf
U.S. Department of Housing and Urban Development, Office of Community Planning and Development. (2011). The 2010 Annual Homeless Assessment Report to Congress. Washington, DC. Retrieved from http://www.hudhre.info/documents/2010HomelessAssessmentReport.pdf
U.S. Department of Labor. (n.d.). Mental health parity. Retrieved from: http://www.dol.gov/ebsa/mentalhealthparity/
Wagenfeld, M. O., Murray, J. D., Mohatt, D. F., & DeBruiynb, J. C. (Eds.). (1994). Mental health and rural America: 1980–1993 (NIH Publication No. 94-3500). Washington, DC: U.S. Government Printing Office.
Wampold, B. E., Flückiger, C., Yulish, N. E., Frost, N. D., Pace, B. T., Goldberg, S. B. … Hilsenroth, M. J. (2017). In pursuit of truth: A critical examination of meta-analyses of cognitive behavior therapy. Psychotherapy Research, 27(1), 14-32.
Wampold, B. E., Mondin, G. W., Moody, M., Stich, F., Benson, K., & Ahn, H. (1997). A Meta-Analysis of Studies Comparing Bona Fide Therapies: Empirically, “All Must Have Prizes.” Psychological Bulletin, 122, 203-230.
Weil, E. (2012, March 2). Does couples therapy work? The New York Times. Retrieved from http://www.nytimes.com/2012/03/04/fashion/couples-therapists-confront-the-stresses-of-their-field.html?pagewanted=all&_r=0
Weiss, R. D., Jaffee, W. B., de Menil, V. P., & Cogley, C. B. (2004). Group therapy for substance abuse disorders: What do we know? Harvard Review of Psychiatry, 12(6), 339–350.
Willard Psychiatric Center. (2009). Echoes of Willard. Retrieved from http://www.echoesofwillard.com/willard-psychiatric-centre/
Wolpe, J. (1958). Psychotherapy by reciprocal inhibition. Stanford, CA: Stanford University Press.
