NRNP 6645 Assignment: Biological Basis and Ethical/Legal Considerations of Psychotherapy

NRNP 6645 Assignment: Biological Basis and Ethical/Legal Considerations of Psychotherapy

NRNP 6645 Assignment: Biological Basis and Ethical/Legal Considerations of Psychotherapy

Biological Basis and Ethical/Legal Considerations of Psychotherapy
Psychotherapy is a non-pharmacological intervention used in psychiatry with a biological basis. Firstly, psychotherapy stimulates the release of neurotransmitters in the brain, which helps improve mental health status. Studies have shown that psychotherapy stimulates the release of serotonin, which minimizes symptoms of major depression. Psychotherapy also regulates hormones associated with stress response. Psychotherapy techniques such as mindfulness practice reduce the release of stress hormones such as cortisol. As a result, it reduces the severity of depressive symptoms among patients with mood disorders. Psychotherapy facilitates the acquisition of new skills and behaviors among psychiatric patients (Bertolín-Guillén, 2024). This process facilitates the development of new neural circuits that support new behaviors that minimize the symptoms of mental health problems.

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Culture, religion, and socioeconomics might influence one’s perspective on the value of psychotherapy treatments. Cultural values, beliefs, and practices influence how communities perceive mental health problems and treatments. Cultures where mental health patients are stigmatized might have low utilization rates of psychotherapy since patients might rely on other alternatives such as traditional medicine for mental health treatment (Gonzalez et al., 2022). Religious beliefs and practices also affect one’s perspective on the value of psychotherapy treatments. Individuals who consider mental health problems from a spiritual perspective are least likely to place value on psychotherapy treatments. This is because they will utilize prayers and spiritual causes to treat their mental health problems. Socioeconomic factors such as educational level, income, and access to and availability of psychotherapy treatments also affect one’s perspective on the value of psychotherapy treatments (Boettcher et al., 2021). Patients from poor backgrounds might experience cost-related barriers in accessing psychotherapy treatments.
Legal and ethical considerations for group and family therapy differ from those of individual therapy. Individual therapy is associated with few ethical and legal concerns compared to family and group therapy. Therapists encounter minimal challenges such as threats to confidentiality and privacy of information. However, working with families or groups is associated with challenges such as conflicting goals, expectations, and threats to data integrity. Therefore, these differences will increase the need for strategies such as seeking informed consent, educating participants on the importance of data integrity, and respecting diversity when working with individuals, families, and groups (Avasthi et al., 2022). This paper has used scholarly resources. They are related to psychotherapy use in mental health and were published by experts with extensive experience in psychiatric nursing.

References
Avasthi, A., Grover, S., & Nischal, A. (2022). Ethical and legal issues in psychotherapy. Indian Journal of Psychiatry, 64(Suppl 1), S47. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_50_21
Bertolín-Guillén, J. M. (2024). Psychobiology and treatment of personality disorders and related prominent traits. Psychiatry and Psychological Disorders, 3(1). https://www.mediresonline.org/uploads/articles/1714814750Psychobiology_and_Treatment_-_PPD_GP.pdf
Boettcher, V. S., Nowak, A. C., & Neuner, F. (2021). Mental health service utilization and perceived barriers to treatment among adult refugees in Germany. European Journal of Psychotraumatology, 12(1), 1910407. https://doi.org/10.1080/20008198.2021.1910407
Gonzalez, M. B., Sittner, K. J., & Walls, M. L. (2022). Cultural efficacy as a novel component of understanding linkages between culture and mental health in Indigenous communities. American Journal of Community Psychology, 70(1–2), 191–201. https://doi.org/10.1002/ajcp.12594

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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.

Resources

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

Learning Resources

Required Readings

Gehart, D. R. (2024). Mastering competencies in family therapy: A practical approach to theories and clinical case documentation (4th ed.) Cengage Learning.

Chapter 1, “Competency and Theory in Family Therapy”

Chapter 2, “Philosophical Foundations and Family Therapy: Systems Theory and Postmodernism”

Chapter 3, “Social Justice in Family Therapy”

Chapter 4, “Cross-Theoretical and Integrative Frameworks”

Chapter 5, “Contemporary Practice: Research, Ethics, and Telehealth”

Petiprin, A. (2016). Psychiatric and mental health nursing

Links to an external site.. 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

Bambling, M. (2013). Neurobiology of behavior change

Links to an external site. [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

Links to an external site. [Video]. [TEDxVancouver] YouTube. https://www.youtube.com/watch?v=LNHBMFCzznE

Harrigan, J. (Director). (2007). Human brain development: Nature and nurture

Links to an external site. [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

Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=pRXibYiorQ0

To prepare:

Review this week’s Learning Resources, 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.Upload a copy of your discussion writing to the draft Turnitin for plagiarism check. Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on 2 different days by providing an additional scholarly resource that supports or challenges their position, along with a brief explanation of the resource.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!