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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:

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. 

Learning Resources

Required Readings (click to expand/reduce)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596 

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson.

Chapter 2, “Basic Techniques of Family Therapy” (pp. 33–35 only)

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

Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.

Chapter 1, “The Nurse Psychotherapist and a Framework for Practice”

Chapter 2, “The Neurophysiology of Trauma and Psychotherapy”

Required Media (click to expand/reduce)

Bambling, M. (2013). Neurobiology of behavior change [Video/DVD] https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/neurobiology-of-behavior-change

Boyd, L. (2017, April 27). After watching this, your brain will not be the same [Video]. [TEDxVancouver] YouTube. https://www.youtube.com/watch?v=LNHBMFCzznE

Harrigan, J. (Director). (2007). Human brain development: Nature and nurture [Video/DVD]. Davidson Films. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/human-brain-development-nature-and-nurture

Shuttlesworth, M. (2013, August 14). Ethical and legal issues in abnormal psychology [Video]. YouTube. https://www.youtube.com/watch?v=pRXibYiorQ0

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