Transcript 3 - UBC Psychology`s Research Labs

Psychology 417A:
Psychology and Developing Societies
May 27
Class Meeting 7
Topic
Case Study: Psychotherapy
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Assignment 1 Check-In ….
Successes, problems, concerns?
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Assignment 1 Submission
• You are expected to submit an electronic copy of your
assignment to Ben via e-mail before 11:59PM on June 2.
• In addition to submitting an electronic copy of your
assignment to Ben, you must submit an electronic copy
to TurnItIn.
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What is TurnItIn?
• TurnItIn is a plagiarism detection system that scans
and compares your paper to online content (e.g., other
students’ papers, published works, websites).
• It provides an “originality report” that documents the
overlap between your paper and online content,
identifying sources of plagiarized content.
• Overlap between your paper and online content is
acceptable if you properly cite the sources of information
(see the course syllabus and APA Publication Manual for
citation procedures).
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TurnItIn Instructions
• Step-by-step instructions are available in the “Student
Quickstart Guide” at http://www.turnitin.com/static/
support/guides_manuals.html.
• Go to www.turnitin.com. If you do not have an account,
create an account by clicking “Create Account.”
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• Use the following information to create an account or
add Psychology 417A to your existing account:
Class ID: 8079223
Password: psyc417a
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Additional Notes on TurnItIn
• The electronic copy submitted to TurnItIn must be
identical to the electronic copy submitted for grading; do
not change the content or format of the document.
• You will receive “0” on your paper if you do not submit it
to TurnItIn.
• You may view your originality report before submitting
the electronic copy for grading to address any concerns
regarding plagiarism.
• Please contact Ben if you have any questions or
difficulties submitting your paper to TurnItIn.
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Agenda
1. Guest speakers: Amos and Edith Kambere, Umoja
Operation Compassion Society.
2. Summary of readings: Eryn, Florence, Sarah.
3. Psychotherapy practice and research in Africa: Small
group activity.
4. Discussion questions.
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Psychotherapy Practice and
Research in Africa
• Definition of psychotherapy:
“Broadly speaking, psychotherapy can be defined as
the treatment of a behavioural disorder, mental illness
or emotional condition by psychological means. This
definition … include[s] all treatment based on verbal
communication between a mental health professional
and client aimed at treating a mental or emotional
disorder” (Van’t Hof & Stein, 2011, p. 6).
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• Lifetime prevalence of DSM disorders (World Mental
Health Survey, WHO; see Kessler et al. 2007):
 Nigeria: 12.0% (low-income country)
 South Africa: 30.3% (middle-income country)
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• Treatment of DSM disorders in past 12 months (World
Mental Health Survey, WHO; see Demyttenaere et al.,
2004; Seedat et al., 2008):
 Nigeria: 0.8%
 South Africa: 19.0%
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• Percentage of people with “serious” disorders who
had not received treatment in the past 12 months
(World Mental Health Survey, WHO; see
Demyttenaere et al., 2004):
 Developing countries: 76.3-85.5%
 Developed countries: 35.5-50.3%
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• Impediments to treatment in African settings (Van’t
Hof & Stein, 2011):
 Scarcity of mental health professionals (e.g.,
psychologists, psychiatrists, psychiatric nurses).
 Scarcity of mental health resources (e.g., psychiatric
beds, diagnostic equipment, essential medicines).
 Insufficient financial resources to support mental
health services.
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 Stigma and discrimination related to psychological
illness.
 Lack of acceptance of psychotherapy among Africans
(due to reluctance to speak of family problems, focus
on physical vs. psychological symptoms).
 Lack of “Africanization” of diagnostic systems and
treatment approaches; discrepancies between the
therapist’s and patient’s explanatory models.
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• In African settings, psychotherapy is most frequently
sought in response to (see Lopez et al., 2011):
 Natural disasters (e.g., earthquakes, famine, floods).
 HIV/AIDS (among individuals living with HIV/AIDS and
their family members).
 “Human-made” trauma (e.g., forced migration, shelling,
sexual violence, torture).
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• Research examining efficacy of Western treatment
approaches in Africa:
 Few randomized control trials of Western treatment
approaches in Africa have been conducted to date:
1. Testimony psychotherapy: PTSD, ineffective (rural
Mozambique; Igreja et al., 2004).
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2. Narrative exposure therapy: PTSD, effective
(Sudanese refugees in Uganda; Neuner et al., 2004,
2008).
3. Interpersonal therapy: Depression, effective (rural
Uganda; Bass et al., 2006; Bolton et al., 2003).
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4. Rational-emotive therapy: Irrational cognitions, selfesteem, anxiety, Type A behaviour, effective (urban
South Africa; Moller et al., 1993, 1996).
5. Psychoeducation: Depression, psychotic symptoms,
effective (urban Nigeria; Olley et al., 2001).
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• In order to increase psychotherapeutic opportunities
for Africans, theorists (e.g., Muthukrishna & Sam,
2011; Van’t Hof & Stein, 2011) recommend:
 Promotion and implementation of government policies
that emphasize mental health.
 Developing “integrated” psychotherapies that combine
western treatment approaches with African
philosophies (e.g., ubuntu therapy; Van Dyk & Nefale,
2005).
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Zöller, 1997, cited in Madu et al., 1997, p. 205:
“…the conflict between ‘Western’ and ‘traditional’ methods
of treatment is, in my opinion a waste of resources; they
rather should complement one another.”
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 The provision of psychotherapeutic services at primary
health settings (e.g., hospitals, physicians’ offices).
 The use of lay counsellors; local lay people may be
given limited training in psychotherapeutic techniques.
 The use of traditional healers; traditional healers may
be given limited training in psychotherapeutic
techniques.
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Van’t Hof & Stein, 2011, p. 6:
“Traditional healing ceremonies are symbolically
meaningful events applying therapeutic techniques aimed
at reducing anxiety and emotional distress in individuals.
The ceremonies evolve around contact between a
traditional healer and a patient for treating emotional or
mental problems and therefore can be considered
psychotherapeutic treatments.”
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• Small group activity:
 Create pairs.
 Contrast the following vignettes (adapted from
Muthukrishna and Sam, 2011):
What parallels do you see between the functions
served by psychologists and the functions served
by traditional healers?
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Vignette 1: In Canada, a man suddenly began to behave
in bizarre ways. His relatives suspected that he was sick,
so took him to a psychologist at a nearby hospital. Upon
careful examination, the psychologist declared that the
man was indeed sick. Even though his behaviour was
bizarre, his relatives did not ostracize him because he
was not seen as responsible for his odd behaviour. After
further examination, including a detailed medical history,
psychological tests, and interviews, the psychologist
diagnosed the man as having schizophrenia and outlined
a method of treatment, including psychotherapy and
medication. After two months of psychotherapy and
medication, the bizarre behaviour subsided and the man
was well again.
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Vignette 2: In Uganda, a man suddenly began to behave
in bizarre ways. His relatives suspected that an evil spirit
possessed him, so took him to the shrine of the local
healer. Upon careful examination, the healer declared
that the man was indeed possessed. Even though his
behaviour was bizarre, his relatives did not ostracize him
because he was not seen as responsible for his odd
behaviour. After further examination, including interviews
with close family members and friends, the healer
identified the evil spirit. He then gave instructions as to
how the evil spirit should be exorcised. The exorcism
involved different forms of rites and rituals, such as the
drinking of different kinds of herbs, dancing, and animal
sacrifices by the man himself and his relatives. After two
months of observing the rites and rituals, the bizarre
behaviour subsided and the man was well again.
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Naming
Expression of
repressed
affect/behaviour
Empathy
Confession
Medicinal
remedies
Communication
of social ideals
Social support
Expectation/hope
Relaxation
techniques
Collaboration
Behavioral change
Projection/
transference
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Agenda
1. Guest speakers: Amos and Edith Kambere, Umoja
Operation Compassion Society.
2. Summary of readings: Eryn, Florence, Sarah.
3. Psychotherapy practice and research in Africa: Small
group activity.
4. Discussion questions.
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For Our Next Class Meeting .…
1. Complete the assigned readings for May 29.
Note: Supplementary (not required) reading: Ash, S.
L., & Clayton, P. H. (2004). The articulated learning:
An approach to guided reflection and assessment.
Innovative Higher Education, 29, 137-154.
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2. Student leaders: Amanda, Sara.
3. Non-leader students:
• Submit (via e-mail) two discussion questions to me by
9:00AM on May 29.
4. Please bring a laptop or tablet to class to complete the
course evaluation.
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