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Introduction and Summary
There are four main approaches to the treatment of psychopathologies:
biomedical; psychodynamic; behavioral; and humanistic. Each
approach can be differentiated on four levels: its premise, its goal, the role
of the therapist and primary treatment methods, and the length of the treatment.
The overarching premise of any form of treatment is that pathologies produce
great mental and emotional distress and can be a cause of great functional
impairment. The common goal, then, is to improve the mental health of the
patient. Since different pathologies have different
etiological pathways, the best treatment approach
to follow is the one that works best for that specific disorder.
Historical treatments of abnormal behavior can be divided into two basic
categories: spiritual/religious and naturalistic/scientific. In the
spiritual/religious tradition, supernatural forces are seen as the cause of
mental disorders. Trephining, a primitive procedure that involved cracking
a hole in the skull of the sufferer presumably so that the evil force causing
the problem could escape, provides a good example of the primitive methods of
this tradition. One contemporary form of spiritual/religious treatment is the
guidance and counseling offered by religious figures such as priests, rabbis,
and ministers. The naturalistic/scientific approach, of which Hippocrates
was a pioneering figure, recommended such treatments as rest, exercise, and a
healthy diet. Later, rooted in this approach, asylums became the new form of
treatment for the mentally ill. The two main purposes of asylums were to remove
the mentally disturbed from society and to alleviate bizarre behavior by
providing rest and isolation for the individuals. These places, however, often
corrupted by inhumane living conditions and treatment of patients, basically
became prisons for the mentally ill.
Contemporary biological, psychodynamic, behavioral, and humanistic treatments
are directly rooted in nineteenth- and twentieth-century advancements, such as
improvements in theories and the development of the experimental method.
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