NRNP 6645: Psychotherapy with multiple Modalities Essay
NRNP 6645: Psychotherapy with multiple Modalities Essay
Psychotherapy is a broad term that defines the use of verbal and psychological techniques as interventions for mental disorders. Psychotherapy facilitates behavior change, enhances happiness, and enables one to overcome problems. Psychotherapy is considered to have a biological basis. Mental disorders such as post-traumatic stress disorder are thought to result from abnormalities in brain adaptation and incomplete processing of traumatic events. Psychotherapeutic techniques such as trauma-focused cognitive behavioral therapy and eye movement desensitization and reprocessing therapy tend to extricate and repair these maladaptive and incomplete memories by impacting neural circuits and substituting them with positive and new coping strategies (Javanbakht & Alberini, 2019). According to Javanbakht and Alberini (2019), psychotherapy has a complex biological foundation that does not target a single neuron, receptor, modulator, or neurotransmitter but is directed into the entire biological regulations that underlie complex brain responses. Finally, psychotherapy is associated with structural changes in the brain. For instance, a systematic review by Manthey et al. (2021) demonstrated an increase in the activation of the medial prefrontal cortex and rostral anterior cingulate cortex following successful trauma-focused cognitive behavioral therapy in patients with PTSD. The subsequent sections will explore the impact of culture, religion, and socioeconomic status on psychotherapy and the variations in legal and ethical considerations in psychotherapy.
Culture, Religion, and Socioeconomic Impact on the Value of Psychotherapy
Culture, religion, and socioeconomic status impact an individual’s perspective on the value of psychotherapy. Cultural beliefs impact both health-seeking behavior and perception of psychotherapy. For instance, in some cultures, mental illness is considered a curse and is associated with considerable stigmatization (Charzyńska & Heszen-Celińska, 2020). In such communities, individuals may shun seeking appropriate psychotherapy and resolve to other complementary and alternative forms of treatment such as divine interventions. Similarly, religious beliefs influence health-seeking behavior and choice of treatment. For instance, Muslims, Christians, and Hindus who believe that God is the ultimate healer may opt for prayers rather than psychotherapy for their healing (Charzyńska & Heszen-Celińska, 2020). Finally, socioeconomic status may impact access to psychotherapy. For instance, individuals from low socioeconomic status less often seek psychotherapy probably due to cost concerns as well as a lack of understanding of the benefits and efficacy of psychotherapy.
ORDER A PLAGIARISM FREE-PAPER HERE
Legal and Ethical Considerations of Psychotherapy
Struggling to meet your deadline ?
Get assistance on
NRNP 6645: Psychotherapy with multiple Modalities Essay
done on time by medical experts. Don’t wait – ORDER NOW!
Ethical and legal considerations of psychotherapy vary significantly between the individual, group, and family therapy which impacts therapeutic approaches. For instance, informed consent is ordinarily by an individual and a group in individual and group therapy respectively. Similarly, privacy and confidentiality are more with the individual than group or family therapy (Avasthi et al., 2022). Likewise, documentation, competency, and responsibilities of a therapist and therapeutic contracts also differ (Avasthi et al., 2022). For instance, a therapist working with individual documents and uses skills and knowledge tailored towards the individual while a therapist working with a group must be skilled and use appropriate knowledge that upholds the interests of the group over individual interests. Similarly, working with a group is quite challenging as sharing of the information may be hindered. Legally, issues of false memories, expert opinion, and professional negligence become more difficult to handle in a court of law concerning group therapy than individual therapy (Avasthi et al., 2022). Consequently, a therapist must establish a therapeutic relationship, be competent and responsible, and identify these variations to deliver the appropriate level of care.
Conclusion
Psychotherapy has a biological basis. Psychotherapy is a complex biological process that repairs maladaptive brain alterations using multiple neurons, receptors, neurotransmitters, and modulators. Culture, religion, and socioeconomic status influence access to psychotherapy. A therapist must recognize ethical and legal considerations to deliver appropriate psychotherapy. Finally, the resources used to reference are scholarly as they are peer-reviewed journal articles from recommended sources and have been published within the last five years.
References
Avasthi, A., Grover, S., & Nischal, A. (2022). Ethical and legal issues in psychotherapy. Indian Journal of Psychiatry, 64(Suppl 1), S47–S61. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_50_21
Charzyńska, E., & Heszen-Celińska, I. (2020). Spirituality and mental health care in a religiously homogeneous country: Definitions, opinions, and practices among Polish mental health professionals. Journal of Religion and Health, 59(1), 113–134. https://doi.org/10.1007/s10943-019-00911-w
Javanbakht, A., & Alberini, C. M. (2019). Editorial: Neurobiological models of psychotherapy. Frontiers in Behavioral Neuroscience, 13, 144. https://doi.org/10.3389/fnbeh.2019.00144
Manthey, A., Sierk, A., Brakemeier, E.-L., Walter, H., & Daniels, J. K. (2021). Does trauma-focused psychotherapy change the brain? A systematic review of neural correlates of therapeutic gains in PTSD. European Journal of Psychotraumatology, 12(1), 1929025. https://doi.org/10.1080/20008198.2021.1929025
ORDER A PLAGIARISM FREE-PAPER HERE
NRNP 6645 Psychotherapy with multiple Modalities
Discussion: 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.
To prepare:
• Review this week’s Learning Resource below( see link), 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.
By Day 3
Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective on the value of psychotherapy treatments. Describe how legal and ethical considerations for group and family therapy differ from those for individual therapy, and explain how these differences might impact your therapeutic approaches for clients in group, individual, and family therapy. Support your rationale with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
ORDER A PLAGIARISM FREE-PAPER HERE
Main Posting:
Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.–
Levels of Achievement:
Excellent
Point range: 90–100 40 (40.00%) – 44 (44.00%)
Good
Point range: 80–89 35 (35.00%) – 39 (39.00%)
Fair
Point range: 70–79 31 (31.00%) – 34 (34.00%)
Poor
Point range: 0–69 0 (0.00%) – 30 (30.00%)
Main Posting:
Writing–
Levels of Achievement:
Excellent
Point range: 90–100 6 (6.00%) – 6 (6.00%)
Good
Point range: 80–89 5 (5.00%) – 5 (5.00%)
Fair
Point range: 70–79 4 (4.00%) – 4 (4.00%)
Poor
Point range: 0–69 0 (0.00%) – 3 (3.00%)
Main Posting:
Timely and full participation–
Levels of Achievement:
Excellent
Point range: 90–100 9 (9.00%) – 10 (10.00%)
Good
Point range: 80–89 8 (8.00%) – 8 (8.00%)
Fair
Point range: 70–79 7 (7.00%) – 7 (7.00%)
Poor
Point range: 0–69 0 (0.00%) – 6 (6.00%)
First Response:
Post to colleague’s main post that is reflective and justified with credible sources.–
Levels of Achievement:
Excellent
Point range: 90–100 9 (9.00%) – 9 (9.00%)
Good
Point range: 80–89 8 (8.00%) – 8 (8.00%)
Fair
Point range: 70–79 7 (7.00%) – 7 (7.00%)
Poor
Point range: 0–69 0 (0.00%) – 6 (6.00%)
First Response:
Writing–
Levels of Achievement:
Excellent
Point range: 90–100 6 (6.00%) – 6 (6.00%)
Good
Point range: 80–89 5 (5.00%) – 5 (5.00%)
Fair
Point range: 70–79 4 (4.00%) – 4 (4.00%)
Poor
Point range: 0–69 0 (0.00%) – 3 (3.00%)
First Response:
Timely and full participation–
Levels of Achievement:
Excellent
Point range: 90–100 5 (5.00%) – 5 (5.00%)
Good
Point range: 80–89 4 (4.00%) – 4 (4.00%)
Fair
Point range: 70–79 3 (3.00%) – 3 (3.00%)
Poor
Point range: 0–69 0 (0.00%) – 2 (2.00%)
Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.–
Levels of Achievement:
Excellent
Point range: 90–100 9 (9.00%) – 9 (9.00%)
Good
Point range: 80–89 8 (8.00%) – 8 (8.00%)
Fair
Point range: 70–79 7 (7.00%) – 7 (7.00%)
Poor
Point range: 0–69 0 (0.00%) – 6 (6.00%)
Second Response:
Writing–
Levels of Achievement:
Excellent
Point range: 90–100 6 (6.00%) – 6 (6.00%)
Good
Point range: 80–89 5 (5.00%) – 5 (5.00%)
Fair
Point range: 70–79 4 (4.00%) – 4 (4.00%)
Poor
Point range: 0–69 0 (0.00%) – 3 (3.00%)
Second Response:
Timely and full participation–
Levels of Achievement:
Excellent
Point range: 90–100 5 (5.00%) – 5 (5.00%)
Good
Point range: 80–89 4 (4.00%) – 4 (4.00%)
Fair
Point range: 70–79 3 (3.00%) – 3 (3.00%)
Poor
Point range: 0–69 0 (0.00%) – 2 (2.00%)
Name:NRNP_6645_Week1_Discussion_Rubric