NRNP 6640-14 Foundations of Psychotherapy

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NRNP 6640-14 Foundations of Psychotherapy

NRNP 6640-14 Foundations of Psychotherapy

“Unexpressed emotions will never die. They are buried alive and will come forth later in
uglier ways.”
—Sigmund Freud
While working with a patient in the late 1800s, Sigmund Freud discovered the health
benefits of talking about emotions and illnesses. When Sigmund Freud introduced his
“talking cure” (fundamental psychotherapy), his efforts were met with considerable
skepticism. However, as more and more psychiatrists learned that Freud’s methods
brought about change in patients who suffered from a variety of mental health issues, his
methods were adopted and refined. Today, psychotherapy is recognized as a viable
treatment for a wide variety of mental health issues, many of which are examined
throughout this course.
This week, as you explore the foundations of psychotherapy, you consider its biological
basis. You also examine the influence of culture, religion, and socioeconomics on
psychotherapy treatments.
Photo Credit: Joe Houghton – www.joehoughtonphotography.ie / Moment / Getty Images

Learning Resources
Required Readings
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and
standards of practice (2nd ed.). Washington, DC: Author.
 Standard 1 “Assessment” (pages 44 & 45)
Note: Throughout the program you will be reading excerpts from the ANA’s Scope &
Standards of Practice for Psychiatric-Mental Health Nursing. It is essential to your success
on the ANCC board certification exam for Psychiatric/Mental Health Nurse Practitioners
that you know the scope of practice of the advanced practice psychiatric/mental health
nurse. You should also be able to differentiate between the generalist RN role in
psychiatric/mental health nursing and the advanced practice nurse role.
Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A
how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing
Company.
 Chapter 1, “The Nurse Psychotherapist and a Framework for Practice” (pp. 3–52)

Fournier, J. C., & Price, R. B. (2014). Psychotherapy and neuroimaging. Psychotherapy:
New Evidence and New Approaches, 12(3), 290–298. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360/

Holttum, S. (2014). When bad things happen our brains change but psychotherapy and
support can help the recovery of our brains and our lives. Mental Health and Social
Inclusion, 18(2), 52–58. doi:10.1108/MHSI-02-2014-0006

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Petiprin, A. (2016). Psychiatric and mental health nursing. Nursing Theory. Retrieved from
http://www.nursing-theory.org/theories-and-models/psychiatric-and-mental-health-
nursing.php

Fisher, M. A. (2016). Introduction. In Confidentiality limits in psychotherapy: Ethics
checklists for mental health professionals (pp. 3–12). Washington, DC: American
Psychological Association. doi:10.1037/14860-001

Document: Midterm Exam Study Guide (Word document)

Document: Final Exam Study Guide (Word document)

Required Media
Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals
[Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 2 minutes.

Accessible player
Laureate Education (Producer). (2015e). Therapies are helpful: Dodo bird conjecture [Video
file]. Baltimore, MD: Author.
Provided courtesy of the Laureate International Network of Universities.

Note: The approximate length of this media piece is 2 minutes.

Accessible player
Credit: Provided courtesy of the Laureate International Network of Universities.
Laureate Education (Producer). (2015f). Therapies change and integrate different
approaches over time [Video file]. Baltimore, MD: Author.
Provided courtesy of the Laureate International Network of Universities.

Note: The approximate length of this media piece is 1 minute.

Accessible player
Credit: Provided courtesy of the Laureate International Network of Universities.

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2012). Clinical interview: Intake,
assessment, & therapeutic alliance [Video file]. Mill Valley, CA: Psychotherapy.net.

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy
theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.

Discussion: Does Psychotherapy Have a Biological Basis?
Many studies have found that psychotherapy is as effective as psychopharmacology in
terms of influencing changes in behaviors, symptoms of anxiety, and changes in mental
state. Changes influenced by psychopharmacology can be explained by the biological basis
of treatments. But how does psychotherapy achieve these changes? Does psychotherapy
share common neuronal pathways with psychopharmacology? For this Discussion,
consider whether psychotherapy also has a biological basis.
Learning Objectives
Students will:

 Evaluate biological basis of psychotherapy treatments
 Analyze influences of culture, religion, and socioeconomics on personal perspectives
of psychotherapy treatments
To prepare:
 Review this week’s Learning Resources.
 Reflect on foundational concepts of psychotherapy.
Note: For this Discussion, you are required to complete your initial post before you will be
able to view and respond to your colleagues’ postings. Begin by clicking on the "Post to
Discussion Question" link and then select "Create Thread" to complete your initial post.
Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post
anonymously. Please check your post carefully before clicking Submit!
By Day 3
Post an explanation of whether psychotherapy has a biological basis. Explain how culture,
religion, and socioeconomics might influence one’s perspective of the value of
psychotherapy treatments. Support your rationale with evidence-based literature.
Read a selection of your colleagues' responses.
By Day 6
Respond to at least two of your colleagues by providing an additional scholarly resource
that supports or challenges their position along with a brief explanation of the resource.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 1 Discussion Rubric
Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 1 Discussion

Week in Review
Now that you have:

 Evaluated the biological basis of psychotherapy treatments
 Analyzed the influence of culture, religion, and socioeconomics on personal
perspectives of psychotherapy treatments
 Analyzed nursing and counseling theories to guide practice in psychotherapy
Next week, you will:
 Analyze psychometric properties of assessment tools
 Evaluate appropriate use of assessment tools in psychotherapy
 Compare assessment tools used in psychotherapy
Next Week

To go to the next week:
Week 2

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