Odisha State Board CHSE Odisha Class 12 Psychology Solutions Unit 4 Long Answer Questions Part-4.

CHSE Odisha 12th Class Psychology Unit 4 Long Answer Questions Part-4

Long Questions With Answers

Question 1.
Write the Steps in the Formulation of a Client’s Problem.
Answer:
Clinical formulation refers to formulating the problem of the client in the therapeutic model being used for the treatment. The clinical formulation has the following advantages:

Understanding of the problem :
The therapist is able to understand the full implications of the distress being experienced by the client.

Identification of the areas to be targetted for treatment in psychotherapy:
The theoretical formulation clearly identifies the problem areas to be targeted for. therapy. Thus, if a client seeks help for their inability to hold a job and reports an inability to face superiors, the clinical formulation in behaviour therapy would state it as a lack of assertiveness skills and anxiety. The target areas have thus been identified as the inability to assert oneself and heightened anxiety.

Choice of techniques for treatment:
The choice of techniques for treatment depends on the therapeutic system in which the therapist has been trained. However, even within this broad domain, the choice of techniques, timing of the techniques, and expectations of the outcome of the therapy depend upon the clinical formulation. The clinical formulation is an ongoing process. Formulations may require reformulations as clinical insights are gained in the process of therapy. Usually, the first one or two sessions yield enough clinical material for the initial clinical formulation. It is not advisable to start psychotherapy without a clinical formulation.

Question 2.
What is psychodynamic therapy?
Answer:
Psychodynamic therapy pioneered by Sigmund Freud is the oldest form of psychotherapy. His close collaborator Carl Jung modified it to what came to be known as analytical psychotherapy. Subsequently, Freud’s successors, known as Neo-Freudians, established their own versions of classical psychodynamic therapy. Broadly, psychodynamic therapy has conceptualised the structure of the psyche, the dynamics between different components of the psyche, and the source of psychological distress.

You have already studied these concepts in the chapters, on Self and Personality, and Psychological Disorders. The method of treatment, steps in the treatment, nature of the therapeutic relationship, and the expected outcome from the psychodynamic therapy are explained below.

Methods of Eliciting the Nature of Intrapsychic Conflict:
Since the psychoanalytic approach views intrapsychic conflicts to be the cause of the psychological disorder, the first step in the treatment is to elicit this intrapsychic conflict. Psychoanalysis has invented free association and dream interpretation as two important methods for eliciting intrapsychic conflicts. The free association method is the main method for understanding the client’s problems.

Once a therapeutic relationship is established, and the client feels comfortable, the therapist makes her/him lie down on the couch, close her/his eyes and asks her/him to speak whatever comes to mind without censoring it in any way. The client is encouraged to freely associate one thought with another, and this method is called the method of free association. The censoring superego and the watchful ego are kept in abeyance as the client speaks whatever comes to mind in an atmosphere that is relaxed and trusting.

As the therapist does not interrupt, the free flow of ideas, desires and conflicts of the unconscious, which had been suppressed by the ego, emerges into the conscious mind. This free uncensored verbal narrative of the client is a window into the client’s unconscious to which the therapist gains access. Along with this technique, the client is asked to write down her/his dreams upon waking up.

Psychoanalysts look upon dreams as symbols of the unfulfilled desires present in the unconscious. The images of the dreams are symbols which signify intrapsychic forces. Dreams use symbols because they are indirect expressions and hence would not alert the ego. if the unfulfilled desires are expressed directly, the ever-vigilant ego would suppress them and that would leads to anxiety. These symbols are interpreted according to an accepted convention of translation as indicators of unfulfilled desires and conflicts.

Modality of Treatment:
Transference and Interpretation:
Transference and Interpretation are the means of treating the patient. As the unconscious forces are brought into the conscious realm through free association and dream interpretation described above, the client starts identifying the therapist with the authority figures of the past, usually childhood. The therapist may be seen as the punitive father, or as the negligent mother.

The therapist maintains a non-judgmental yet permissive attitude and allows! the client to continue with this process of emotional identification. This is the process of transference. The therapist encourages this process because it helps her/him in understanding the unconscious conflicts of the client. The client acts out her/his frustrations, anger, fear and depression that s/he harboured towards that person in the past, but could. not express at that time.

The therapist becomes a substitute for that person in the present. This stage is called transference neurosis. A full-blown transference neurosis is helpful in making the therapist aware of the nature of intrapsychic conflicts suffered by the client. There is the positive transference in which the client idolises, or falls in love with the therapist, and seeks the therapist’s approval.

Negative transference:
Negative transference is present when the client has feelings of hostility, anger, and resentment towards the therapist. The process of transference is met with resistance. Since the process of transference exposes the unconscious wishes and conflicts, thereby increasing the distress levels, the client resists transference. Due to resistance, the client opposes the progress of therapy in order to protect herself/himself from the recall of painful unconscious memories. Resistance can be conscious or unconscious.

Conscious resistance is present when the client deliberately hides some information. Unconscious resistance is assumed to be present when the client becomes silent during the therapy session, recalls trivial details without recalling the emotional ones, misses appointments, and comes late for therapy sessions. The therapist overcomes the resistance by repeatedly confronting the patient about it and by uncovering emotions such as anxiety, fear, or shame, which are causing the resistance. Interpretation is the fundamental mechanism by which change is effected.

Confrontation and clarification:
Confrontation and clarification are the two analytical techniques of interpretation. In a confrontation, the therapist points out to the client an aspect of her/his psyche that must be faced by the client. Clarification is the process by which the therapist brings a vague or confusing event into sharp focus. This is done by separating and highlighting important details about the event from unimportant ones. Interpretation is a more subtle process. It is considered to be the pinnacle of psychoanalysis.

The therapist uses the unconscious material that has been uncovered in the process of free association, dream interpretation, transference and resistance to make the client aware of the psychic contents and conflicts which have led to the occurrence of certain events, symptoms and conflicts. Interpretation can focus on intrapsychic conflicts or on deprivations suffered in childhood.

The repeated process of using confrontation, clarification, and interpretation is known as working through. Working through helps the patient to understand herself/ himself and the source of the problem and to integrate the uncovered material into her/his ego. The outcome of working through is insight. Insight is not a sudden event but a gradual process wherein the unconscious memories are repeatedly integrated into conscious awareness. These unconscious events and memories are re-experienced in transference and are worked through.

As this process continues, the client starts to understand herself/himself better at an intellectual and emotional level, and gains insight into her/his Conflicts and problems. Intellectual understanding is intellectual insight. -The emotional understanding, acceptance of one’s irrational reaction to the unpleasant events of the past, and the willingness to change emotionally as well as making the change is emotional insight.

Insight is the end point of therapy as the client has gained a new understanding of herself/himself. In turn, the conflicts of the past, defence mechanisms and physical symptoms are no longer present and the client becomes a psychologically healthy person. Psychoanalysis is terminated at this stage.

Duration of Treatment:
Psychoanalysis lasts for several years, with one-hour sessions for 4-5 days per week. It is an intense treatment. There are three stages in the treatment. Stage one is the initial phase. The client becomes familiar with the routines, establishes a therapeutic relationship with the analyst and gets some relief with the process of recollecting the superficial materials from the consciousness about the past and present troublesome events.

Stage two is the middle phase, which is a long process. It is characterised by transference, resistance on the part of the client and confrontation and clarification, i.e. working through on the therapist’s part. All these processes finally, lead to insight. The third phase is the termination phase wherein the relationship with the analyst is dissolved and the client prepares to leave the therapy.

Question 3.
What is Behaviour Therapy and how it is used in patients?
Answer:
Behaviour therapies postulate that psychological distress arises because of faulty behaviour patterns or thought patterns. It is, therefore, focused oh the behaviour and thoughts of the client in die present. The past is relevant only to the extent of understanding the origins of faulty behaviour and thought patterns. The past is not activated or relived. Only the faulty patterns are corrected in the present.

The clinical application of learning theory principles constitutes behaviour therapy. Behaviour therapy consists of a large set of specific techniques and interventions. It is not a unified theory, which is applied irrespective of the clinical diagnosis or the symptoms present. The symptoms of the client and the clinical diagnosis are the guiding factors in the selection of the specific techniques or interventions to be applied.

Treatment of phobias or excessive and crippling fears would require the use of one set of techniques while that of anger outbursts would require another. A depressed client would be treated differently from a client who is anxious. The foundation of behaviour therapy is on formulating dysfunctional or faulty behaviours, the factors which reinforce and maintain these behaviours and devising methods by which they can be changed.

Method of Treatment:
The client with psychological distress or with physical symptoms, which cannot be attributed to physical disease, is interviewed with a view to analysing her/his behaviour patterns. Behavioural analysis is conducted to find malfunctioning behaviours, the antecedents of faulty learning and the factors that maintain or continue faulty learning. Malfunctioning behaviours are those behaviours which cause distress to the client.

Antecedent factors are those causes which predispose the person to indulge in that behaviour. Maintaining factors are those factors which lead to the persistence of faulty behaviour. An example would be a young person who has acquired the malfunctioning behaviour of smoking and seeks help to get rid of smoking. Behavioural analysis conducted by interviewing the client and the family members reveals that the person started smoking when he was preparing for the annual examination.

He had reported relief from anxiety upon smoking. Thus, an anxiety-provoking situation becomes the causative or antecedent factor. The feeling of relief becomes the maintaining factor for him to continue smoking. The client has acquired the operant response of smoking, which is maintained by the reinforcing value of relief from anxiety. Once the faulty behaviours which cause distress, have been identified, a treatment package is chosen.

The aim of the treatment is to extinguish or eliminate faulty behaviours and substitute them with adaptive behaviour patterns. The therapist does this by establishing an|ecedent operations and consequent operations. Antecedent operations control behaviour by changing something that precedes such behaviour. The change can be done by increasing or decreasing the reinforcing value of a particular consequence. This is called establishing operation.

For example, if a child gives trouble eating dinner, an establishing operation would be to decrease the quantity of food served at tea time. This would increase the hunger at dinner and thereby increase the reinforcing value of food at dinner. Praising the child when she/he eats properly tends to encourage this behaviour. The antecedent operation is the reduction of food at tea time and the consequent operation is praising the child for eating dinner. It establishes the response to eating dinner.

Question 4.
What is behavioural technique?
Answer:
Behavioural Techniques:
A range of techniques is available for changing behaviour. The principles of these techniques are to reduce the arousal level of the client, alter behaviour through classical conditioning or operant conditioning with different contingencies of reinforcements, as well as to use vicarious learning procedures, if necessary. Negative reinforcement and aversive conditioning are the two major techniques of behaviour modification.

As you have already studied in Class XI, Negative reinforcement refers to following an undesired response with an outcome that is painful or not liked. For example, the teacher reprimands a child who shouts in class. This is negative reinforcement.

Aversive conditioning:
Aversive conditioning refers to the repeated association of undesired responses with an aversive consequence. For example, an alcoholic is given a mild electric shock and asked to smell the alcohol. With repeated pairings, the smell of alcohol is aversive as the pain of the shock is associated with it and the person will give up alcohol. If adaptive behaviour occurs rarely, positive reinforcement is given to increase the deficit.

For example, if a child does not do homework regularly, positive reinforcement may be used by the child’s mother by preparing the child’s favourite dish whenever s/he does homework at the appointed time. The positive reinforcement of food will increase the behaviour of doing homework at the appointed time. Persons with behavioural problems can be given a token as a reward every time a wanted behaviour occurs.

The tokens are collected and exchanged for a reward such as an outing for the patient or a treat for the child. This is known as the token economy. Unwanted behaviour can be reduced and wanted behaviour can be increased simultaneously through differential reinforcement. Positive reinforcement for the wanted is one such method. The other method is to positively reinforce the wanted behaviour and ignore the unwanted behaviour.

The latter method is less painful and equally effective. For example, let us consider the case of a girl who sulks and cries when she is not taken to the cinema when she asks. The parent is instructed to take her to the cinema if she does not cry and sulk but not to take her if she does. Further, the parent is instructed to ignore the girl when she cries and sulks.

The wanted behaviour of politely asking to be taken to the cinema increases and the unwanted behaviour of crying and sulking decreases. You read about phobias or irrational fears in the previous chapter. Systematic desensitisation is a technique introduced by Wolpe for treating phobias or irrational fears. The client is interviewed to elicit fear-providing situations and together with the client, the therapist prepares a hierarchy of anxiety-provoking stimuli with the least anxiety-provoking stimuli at the bottom of the hierarchy.

The therapist relaxes the client and asks the client to think about the least anxiety-provoking situation. It gives details of relaxation procedures. The client is asked to stop thinking of the fearful situation if the slightest tension is felt. Over sessions, the client is able to imagine more severe fear-provoking situations while maintaining relaxation. The client gets systematically desensitised to the fear.

The principle of reciprocal inhibition operates here:
This principle states that the presence of two mutually opposing forces at the same time inhibits the weaker force. Thus, the relaxation response is first built up and a mildly anxiety-provoking scene is imagined, and the anxiety is overcome by the relaxation. The client is able to tolerate progressively greater levels of anxiety because of her/his relaxed state. Modelling is the procedure wherein the client learns to behave in a certain way by observing the behaviour of a role model or the therapist who initially acts as the role model. Vicarious learning, i.e. learning by observing others, is used through a.

Question 5.
What is Cognitive Therapy?
Answer:
Cognitive therapies locate the cause of psychological distress in irrational thoughts and beliefs. Albert Ellis formulated Rational Emotive Therapy (RET). The central thesis of this therapy is that irrational beliefs mediate between antecedent events and their consequences. The first step in RET is the antecedent belief- consequence {ABC) analysis. Antecedent events, which caused psychological distress, are noted.

The client is also interviewed to find the irrational beliefs, which are distorting the present reality. Irrational beliefs may not be supported by empirical evidence; e in the environment. These beliefs are characterised by thoughts with ‘musts’ and ‘shoulds’, i.e. things ‘must’ and ‘should’ be in a particular manner. Examples of irrational beliefs are, “One should be loved by everybody all the time”, “Human misery is caused by external events over which one does not have any control”, etc.

This distorted perception of the antecedent event due to the irrational belief leads to the consequence, i.e. negative emotions and behaviours. Irrational beliefs are assessed through questionnaires and interviews. In the process of RET, the irrational beliefs are refuted by the therapist through a process of non-directive questioning. The nature of questioning is gentle, without probing or being directive.

The questions make the client think deeper into her/his assumptions about life and problems. Gradually the client is able to change the irrational beliefs by making a change in her/his philosophy about life. The rational belief system replaces the irrational belief system and there is a reduction in psychological distress. Another cognitive therapy is that of Aaron Beck.

His theory of psychological distress characterised by anxiety or depression states that childhood experiences provided by the family and society develop core schemas or systems, which include beliefs and action patterns in the individual. Thus, a client, who was neglected by the parents as a child, develops the core schema of “I am not wanted”. During the course of their life, a critical incident occurs in her/his life. She/he is publicly ridiculed by the teacher in school.

This critical incident triggers the core schema of “I am not wanted” leading to the development of negative automatic thoughts. Negative thoughts are persistent irrational thoughts such as “nobody loves me’’, “I am ugly”, “I am stupid”, “I will not succeed”, etc. Such negative automatic thoughts are characterised by cognitive distortions. Cognitive distortions are ways of thinking which are general in nature but which distort reality in a negative manner.

These patterns of thought are called dysfunctional cognitive structures. They lead to errors of cognition about social reality. Repeated occurrences of these thoughts leads to the development of feelings of anxiety and depression. The therapist uses questioning, which is a gentle, non-threatening disputation of the client’s beliefs and thoughts. Examples of such questions would be, “Why should everyone love you ?”, “What does it mean to you to succeed?”, etc.

The questions make the client think in a direction opposite to that of the negative automatic thoughts whereby s/he gains insight into the nature of her/ his dysfunctional schemas, and is able to alter her/his cognitive structures. The aim of the therapy is to achieve this cognitive restructuring which, in turn, reduces anxiety and depression.

Similar to behaviour therapy, cognitive therapy focuses on solving a specific problem for the client. Unlike psychodynamic therapy, behaviour therapy is open, i.e. the therapist shares her/his method with the client. It is short, lasting between 10-20 sessions. Cognitive Behaviour Therapy is the most popular therapy presently.

Question 6
What is Cognitive Behaviour Therapy (CBT)?
Answer:
Research into the outcome and effectiveness of psychotherapy has conclusively established CBT to be a short and efficacious treatment for a wide range of psychological disorders such as anxiety, depression, panic attacks, borderline personality, etc. CBT adopts a biopsychosocial approach to the delineation of psychopathology. It combines cognitive therapy with behavioural techniques.

The rationale is that the client’s distress has its origins in the biological, psychological, and social realms. Hence, addressing the physical aspects through relaxation procedures, die psychological ones through behaviour therapy and cognitive therapy techniques and the social ones with environmental manipulations makes CBT a comprehensive technique which is easy to use, applicable to a variety of disorders and has proven efficacy.

Question 7.
What is Humanistic-existential Therapy?
Answer:
The humanistic-, existential therapies postulate that psychological distress arises from feelings of loneliness, alienation, and an inability to find meaning and genuine fulfilment in life. Human beings are motivated by the desire for personal, growth and self-actualisation, and mi innate need to grow emotionally. When these needs are curbed by society and family, human beings experience psychological distress.

Self-actualisation is defined as an innate or inborn force that moves the person to become more complex, balanced, and integrated, i.e. achieving complexity and balance without being fragmented. Integrated means a sense of the whole, being a complete person, being in essence the same person in spite of the variety of experiences that one is subjected to. Just as lack of food or water causes distress, the frustration of self-actualisation also causes distress.

Healing occurs when the client is able to perceive the obstacles to self-actualisation in her/his life and is able to remove them. Self-actualisation requires free emotional expression. The family and society curb emotional expression, as it is feared that a free expression of emotions can harm society by unleashing destructive forces. This curb leads to destructive behaviour and negative emotions by thwarting the process of emotional integration.

Therefore, the therapy creates a permissive, nonjudgmental and accepting atmosphere in which the client’s emotions can be freely expressed and complexity, balance and integration could be achieved. The fundamental assumption is that the client has the freedom and responsibility to control her/his own behaviour. The therapist is merely a facilitator and guide.

It is the client who is responsible for the success of therapy. The chief aim of the therapy is to expand the client’s awareness. Healing takes place through a process of understanding the unique personal experience of the client herself/himself. The client initiates the process of self-growth through which healing takes place.

Question 8.
What is Existential Therapy?
Answer:
Victor Frankl, a psychiatrist and neurologist propounded the Logotherapy. Logos is the Greek word for soul anti Logotherapy means treatment for the soul. Frankl calls this process of finding meaning even in life-threatening circumstances the process of meaning-making. The basis of meaning-making is a person’s quest for finding the spiritual truth of one’s existence.

Just as there is an unconscious, which is the repository of instincts (see Chapter 2), there is a spiritual unconscious, which is the storehouse of love, aesthetic awareness, and values of life. Neurotic anxieties arise when the problems of life are attached to the physical, psychological or spiritual aspects of one’s existence. Frankl emphasised the role of spiritual anxieties in leading to meaninglessness and hence it may be called existential anxiety, i.e. neurotic anxiety of spiritual origin.

The goal of logotherapy is to help patients to find meaning and responsibility in their life irrespective of their life circumstances. The therapist emphasises the unique nature of the patient’s life and encourages them to find meaning in their life. In Logotherapy, the therapist is open and shares her/his feelings, values and his/her own existence with the client. The emphasis is on here and now. Transference is actively discouraged. The therapist reminds the client about the immediacy of the present. The goal is to facilitate the client to find the meaning of her/his being.

Question 9.
What is Client-centred Therapy?
Answer:
Client-centred therapy was given by Carl Rogers. Rogers combined scientific rigour with the individualised practice of client-centred psychotherapy. Rogers brought into psychotherapy the concept of self, with freedom and choice as the core of one’s being. The therapy provides a warm relationship in which the client can reconnect with her/his disintegrated feelings. The therapist shows empathy, i.e. understanding the client’s experience as if it were her/his own, is warm and has unconditional positive regard, i.e. total acceptance of the client as she is.

Empathy sets up an emotional resonance between the therapist and the client. Unconditional positive regard indicates that the positive warmth of the therapist is not dependent on what the client reveals or does in the therapy sessions. This unique unconditional warmth ensures that the client feels secure and can trust the therapist. The client feels secure enough to explore her/his feelings. The therapist reflects the feelings of the client in a nonjudgmental manner.

The reflection is achieved by rephrasing the statements of the client, i.e. seeking simple clarifications to enhance the meaning of the client’s statements. This process of reflection helps the client to become integrated. Personal relationships improve with an increase in adjustment. In essence, this therapy helps a client to become her/his real self with the therapist working as a facilitator.

Question 10.
What is Gestalt Therapy?
Answer:
The German word gestalt means ‘whole’. This therapy was given by Frederick (Fritz) Peris together with his wife Laura Peris. The goal of gestalt therapy is to increase an individual’s self-awareness and self-acceptance. The client is taught to recognise the bodily processes and the emotions that are being blocked out from awareness. The therapist does this by encouraging the client to act out fantasies about feelings and conflicts. This therapy can also be used in group settings.

Question 11.
What is Biomedical Therapy?
Answer:
Medicines may be prescribed to treat psychological disorders. Prescription of medicines for the treatment of mental disorders is done by qualified medical professionals known as psychiatrists. They are medical doctors who have specialised in the understanding, diagnosis and treatment of mental disorders. The nature of medicines used depends on the nature of the disorders. Severe mental disorders such as schizophrenia or bipolar disorder require antipsychotic drugs. Common mental disorders such as generalised anxiety or reactive depression may also require milder drugs.

The medicines prescribed to treat mental disorders can cause side effects which need to be understood and monitored. Hence, it is essential that medication is given under proper medical supervision. Even the drugs which normal individuals use to stay awake to study for examinations or to get a ‘high’ at a party have dangerous side effects. These drugs can cause addiction, and harm the brain and the body. Therefore, it is dangerous to self-medicate with drugs which affect the mind.

Factors Contributing to Healing in Psychotherapy:
As we have read, psychotherapy is a treatment of psychological distress. There are several factors which contribute to the healing process. Some of these factors are as follows:

A major factor in healing is the techniques adopted by the therapist and the implementation of the same with the patient/client. If the behavioural system and the CBT of the school are adopted to heal an anxious client, the relaxation procedures and cognitive restructuring largely contribute to the healing.

The therapeutic alliance, which is formed between the therapist and the patient/ client, has healing properties, because of the regular availability of the therapist, and the warmth and empathy provided by the therapist.

At the outset of therapy, while the patient/client is being interviewed in the initial sessions to understand the nature of the problem, s/he unburdens the emotional problems being faced. This process of emotional unburdening is known as catharsis, and it has healing properties.

There are several non-specific factors associated with psychotherapy. Some of these factors are attributed to the patient/client and some to the therapist. These factors are called non-specific because they occur across different systems of psychotherapy and across different clients/patients and different therapists. Non-specific factors attributable to the client/patient are the motivation for change, the expectation of improvement due to the treatment, etc.

These are called patient variables. Non-specific factors attributable to the therapist are positive nature, absence of unresolved emotional conflicts, presence of good mental health, etc. These are called therapist variables.

Ethics in Psychotherapy
Some of the ethical standards that need to be practised by professional psychotherapists are:

• Informed consent needs to be taken.
• The confidentiality of the client should be maintained.
• Alleviating personal distress and suffering should be the goal of all attempts by the therapist.
• The integrity of the practitioner-client relationship is important.
• Respect for human rights and dignity.
• Professional competence and skills are essential.

Question 12.
What are Alternative Therapies available for treatment?
Answer:
Alternative therapies are so-called because they are alternative treatment possibilities to conventional drug treatment or psychotherapy. There are many alternative therapies such as yoga, meditation, acupuncture, herbal remedies and so on. In the past 25 years, yoga and meditation have gained popularity as treatment programmes for psychological distress. Yoga is an ancient Indian technique detailed in the Ashtanga Yoga of Patanjali’S Yoga Sutras.

Yoga as it is commonly called, today either refers to only the asanas or body posture component or to breathing practices or pranayama, or to a combination of the two. Meditation refers to the practice of focusing attention on the breath or on an object or thought or mantra. Here attention is focused. In Vipassana meditation, also known as mindfulness-based meditation, there is no fixed object or thought to hold the attention.

The person passively observes the various bodily sensations and thoughts that are passing through in her or his awareness. The rapid breathing techniques to induce hyperventilation as in Sudarshana Kriya Yoga (SKY) is found to be a beneficial, low-risk, low-cost adjunct to the treatment of stress, anxiety, post-traumatic stress disorder (PTSD), depression, stress-related medical illnesses, substance abuse, and rehabilitation of criminal offenders.

SKY has been used as a public health intervention technique to alleviate PTSD in survivors of mass disasters. Yoga techniques enhance well-being, mood, attention, mental focus, and stress tolerance. Proper training by a skilled teacher and a 30-minute practice every day will maximise the benefits. Research conducted at the National Institute of Mental Health and Neurosciences (NIMHANS), India, has shown that SKY reduces depression.

Further, alcoholic patients who practice SKY have reduced depression and stress levels. Insomnia is treated with yoga. Yoga reduces the time to go to sleep and improves the quality of sleep. Kundalini Yoga taught in the USA has been found to be effective in the treatment of mental disorders. The Institute for Nonlinear Science, University of California, San Diego, USA has found that Kundalini Yoga is effective in the treatment of the obsessive-compulsive disorder.

Kundalini Yoga combines pranayama or breathing techniques with the chanting of mantras. Prevention of repeated episodes of depression may be helped by mindfulness-based meditation or Vipassana. This meditation would help the patients to process emotional stimuli better and hence prevent biases in the processing of these stimuli.

Rehabilitation Of The Mentally Ill:
The treatment of psychological disorders has two components, i.e. reduction of symptoms, and improving the level of functioning or quality of life. In the case of milder disorders such as generalised anxiety, reactive depression or phobia, reduction of symptoms is associated with an improvement in the quality of life. However, in the case of severe mental disorders such as schizophrenia, reduction of symptoms may not be associated with an improvement in the quality of life.

Many patients suffer from negative symptoms such as disinterest and lack of motivation to do work or to interact with people. Rehabilitation is required to help such patients become self-sufficient. The aim of rehabilitation is to empower the patient to become a productive member of society to the extent possible. In rehabilitation, the patients are given occupational therapy, social skills training, and vocational therapy. In occupational therapy, the patients are taught skills such as candle making, paper bag making and weaving to help them to form a work discipline.

Social skills training helps the patients to develop interpersonal skills through role play, imitation and instruction. The objective is to teach the patient to function in a social group. Cognitive retraining is given to improve the basic cognitive functions of attention, memory and executive functions. After the patient improves sufficiently, vocational training is given wherein the patient is helped to gain the skills necessary to undertake productive employment.