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Developmental psychology.pdf

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480 Integration of Behavior<br />

Figure 17.18<br />

Mental Health Centers. Many<br />

halfway houses, known by such<br />

names as "The Gate" and "The<br />

Open Door," assist troubled<br />

adolescents in re-entering normal life<br />

through the development of interests<br />

in music, art, writing, and other forms<br />

of personal expression.<br />

the old asylums, but in crowded, low-income areas, where the incidence of mental<br />

disorders is often highest. In addition to drug and supportive therapy, these centers<br />

offer nursing services, social and recreational programs, evening clinics, and halfway<br />

houses for people trying to make a readjustment in the community after a period of<br />

hospital residence (Figure 17.18).<br />

To solve the problem of finding sufficient personnel for these centers, the staff<br />

often includes a number of paraprofessional people, who do not have broad professional<br />

training but nevertheless have learned the basic elements of a selected aspect of mental<br />

health care. These nonprofessional workers can expedite programs in many ways, often<br />

through their own residence and personal contacts in the neighborhood. Among other<br />

contributions, they can intervene temporarily in critical home and work situations,<br />

bridge the gap between client and professional service, develop meaningful relations<br />

with the disturbed individuals, and in some cases offer forms of therapy as well.<br />

The other major dimension of the preventive mental health movement is educating<br />

the public. Part of this task lies in obtaining answers to numerous unanswered<br />

questions, but another part lies in communicating to laypersons what is already known<br />

about mental disorders. Direct contact with mental patients promotes this understanding;<br />

communities with open-ward mental hospitals seem to have more accepting attitudes<br />

than those with locked wards. Significant attitude changes have been observed<br />

among college students who have had regular contact with chronic mental patients<br />

(Holzberg & Knapp, 1965).<br />

Whether the preventive mental health approach would have made a difference<br />

with G. and J. W. must be left to speculation. But it certainly was not an issue with<br />

the boy. Instead, our current knowledge about the origins and treatment of emotional<br />

problems owes some debt to the early, exploratory research with poor Little Albert.<br />

Summary<br />

Psychotherapy<br />

1. Psychotherapy involves a series of interviews between a person seeking<br />

assistance and a therapist who listens, questions, or otherwise creates an<br />

atmosphere conducive to dealing with emotional problems. In<br />

psychoanalysis three techniques are emphasized: free association, in which<br />

the person attempts to express whatever comes to mind; transference, in<br />

which the person responds to the therapist as though he or she were<br />

someone else; and interpretation, in which the person, with the aid of the<br />

analyst, tries to determine the deeper, underlying meanings of certain<br />

behaviors, including dreams.

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