NRNP6645 Week 1 Discussion
Respond to 2 student post
BIOLOGICAL BASIS AND ETHICAL/LEGAL CONSIDERATIONS OF PSYCHOTHERAPY
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?
Psychotherapy is used with individuals as well as in groups or families. The idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric-mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential.
For this Discussion, you will consider whether psychotherapy also has a biological basis and analyze the ways in which legal and ethical considerations differ in the individual, family, and group therapy settings.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
Review this week’s Learning Resources, reflecting on foundational concepts of psychotherapy, biological and social impacts on psychotherapy, and legal and ethical issues across the modalities (individual, family, and group).
Search the Walden Library databases for scholarly, peer-reviewed articles that inform and support your academic perspective on these topics.
Shweta Ishan Patel 10:08amFeb 27 at 10:08am Manage Discussion Entry There is a solid biological basis for the discipline of psychotherapy. Alterations to the structure or function of brain activity may be associated with shifts in cognitive processes.
Numerous imaging and functional scanning studies have demonstrated that psychotherapy changes brain function. The biological basis for these alterations is clear. Interactions between neurology and psychotherapy are only getting off the ground. To get a better understanding of the neural bases of psychological processes, scientists have been studying the neurological connections between the mind, brain, and behavior for many generations. Research and approaches in neuroscience have provided new insights into the structure and function of the complex neural networks that support human behavior, which has reshaped the field of psychology. Theoretical notions based on the brain that are utilized in psychotherapy and our knowledge of mental diseases are both affected by this (Faustino, 2022). Attachment theory is an intriguing example of this kind of thinking; it postulates that a set of neurobiological urges that evolved to enable humans to thrive and survive is responsible for some of our most profound interpersonal motives. Research shows that adults and children alike benefit much from safe connection in terms of their mental health. Neuroscientists have shown that early relationship experiences affect epigenetic regulation of gene expression, which in turn affects later behavior. Regular contact with significant others, such as caretakers, triggers the production of a gene that acts as a “building block” for the integration of many neurobiological processes in the brain. Chromatin and DNA methylation are both influenced by experience, which allows it to physiologically program gene expression.
In addition, new therapeutic techniques have emerged because of neuroscience’s influence on the field of psychotherapy. Interpersonal neurobiology (IPNB) is an interdisciplinary field that studies the brain, relationships, and human cognition from the ground up. Dan Siegel created it using concepts from neuroscience; it delves into the ways in which interpersonal interactions alter the brain and the effects of treatment on the brain (Beijan, 2020).
When considering psychotherapy, one’s cultural and religious background are crucial. Considering the client’s socioeconomic status, religion, and cultural background is essential for mental health professionals when diagnosing and treating mental illness. As a result, the therapist is better able to meet the individual requirements of each client throughout therapy. To ensure cultural competence, the PMHNP should familiarize themselves with the patients’ histories, religious practices, cultural nuances, and other personal information. The Western concept of mental illness is viewed differently by many cultures. According to Wheeler (2014), mental health treatments are more likely to be accepted when people are culturally competent.
When compared to individual treatment, group and family therapy face distinct ethical and legal hurdles. When working with groups or families, for instance, therapists have more challenges than when working with individuals, such as protecting the privacy and confidentiality of each client. power dynamics and disputes, can impact the therapeutic process. When working with families, therapists must also consider the dynamics inside the family unit.
system and the potential effects on each component thereof. The treatment that clients in group, individual, and family therapy get may be impacted by these variances. As an example, in group therapy, the therapist may need to facilitate communication and collaboration amongst participants while also attending to everyone’s needs. When working with a family, therapists may need to address how the patient’s family dynamics are impacting their difficulties. Recognizing these differences and adapting their therapeutic theories appropriately is crucial for therapists. This will allow them to provide effective and ethical group, individual, and family therapy to their clients. References Beijan, L. L. (2020). Incorporating Interpersonal Neurobiology in Child Parent Relationship. Therapy. International Journal of Play Therapy, 29(2), 65–73. https://doi.org/10.1037/pla0000113 Faustino, B., (2022). Minding my brain: Fourteen neuroscience?based principles to enhance psychotherapy responsiveness. Clinical Psychology & Psychotherapy, 29(4), 1254–1275. https://doi.org/10.1002/cpp.2719 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
Elizabeth Morafa 5:47pmFeb 27 at 5:47pm Manage Discussion Entry Week1 Discussion Psychotherapy Psychotherapy is a reference to talk therapy where an individual is subjected to conversation with a trained professional to improve mental health. According to MSEd (2023), in these sessions, the patient explores his or her thoughts, feelings, and concerns while talking about many elements of their life. This is utilized to promote well-being while addressing specific issues faced by the patient. Psychotherapy seeks to assist patients in improving their happiness, changing their behavior, and resolving issues. These discussions take place in a private setting with a certified psychotherapist, psychiatrist, therapist, or counselor, enabling the patient to open up without fear of rejection. This paper discusses the various aspects of psychotherapy treatment in clinical settings.
Biological Basis of Psychotherapy Psychotherapy is based on the concept of neuroscience and its effect on behavioral symptoms. Marano et al. (2012) explain that psychotherapy modifies the neurological connections underlying ideas, feelings, and concerns, which has an impact on how the brain grows, matures, and functions. All of the biological controls, including neurotransmitters, hormones, and modulators, that underlie complex brain responses are accessed during psychotherapy. Since psychotherapy assists the patient in managing stressors and obstacles in their environment, it also adheres to the principles of evolutionary adaptation
. Influence of Culture, Religion, and Socioeconomics on Psychotherapy Treatments Culture, religion, and socioeconomics are important factors that can shape one’s perspective on the value of psychotherapy treatments. According to Hwang (2006), the impacts of these factors include how mental health is viewed, how psychological issues and their causes are addressed, and how getting professional assistance is acceptable and accessible. Cultural factors influence the definition and expression of mental health and distress, the coping mechanisms employed, and the type of care sought. Religion can affect how someone perceives and manages mental health problems, what type of purpose and meaning they find in them, and what kind of support and direction they look for. Socioeconomic status can have an impact on mental health experiences and responses, opportunities and constraints faced, and services and resources available.
Legal and Ethical Considerations for Therapies According to Sophie (2023), the difference between group and family therapy from individual therapy in various such as; informed consent is sought from a patient before starting the treatment while When using group or family therapy, the therapist must have everyone’s informed consent and go over the objectives, expectations, advantages, and disadvantages of the treatment. In individual therapy, the therapist exhibits competency in the knowledge, abilities, and attitudes pertinent to the requirements, objectives, and preferences of the client. Although the therapist in group and family therapy also exhibits skill, fulfilling the members’ varied and dynamic needs, goals, and preferences can be difficult.
The Impact of these Approaches These differences might impact the choice of therapeutic approaches for clients in group, individual, and family therapy in various ways including; the effect of informed consent impacts therapeutic approaches through improvising to avoid conflict of interest. Throughout therapy, a psychiatrist should review and amend the informed consent because group or family dynamics can change. Competence is influenced by the need to apply various sources in acquiring and improving the feature such as training, supervision, and self-study. The approach to therapy also requires development in the competency aspects including specific knowledge and skills in group and family dynamics, interventions, and processes. References Hwang, W. C. (2006). The psychotherapy adaptation and modification framework: application to Asian Americans. American Psychologist, 61(7), 702. https://doi.org/10.1037/0003-066X.61.7.702Links to an external site. Marano, G., Traversi, G., Nannarelli, C., Pitrelli, S., Mazza, S., & Mazza, M. (2012). Functional neuroimaging: points of intersection between biology and psychotherapy. Clin Ter, 163(6), e445-456. https://doi.org/jk.net/46193963/1464949089/Links to an external site. MSEd, K. C. (2023, May 25). Psychotherapy types and techniques. Verywell Mind. https://www.verywellmind.com/psychotherapy-4157172?printLinks to an external site. Sophie O. (2023, October 16). Ethical and Professional Issues in Group Practice essay example [UPdAted]. ChalkyPapers. https://chalkypapers.com/ethical-and-professional-issues-in-group-practice/Links to an external site.
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