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2033 Psychodynamic

SWINT2033 – Advanced Direct Practice: Psychodynamic

Patient's transference to the therapist is a ____ principle of psychodynamic psychotherapy Basic
Types of knowledge Declarative (facts), Procedual (skills)
Mod of expression (with or without conscious awareness) Explicit, Implicit
When separated from mother a child may react in one of four attachments 1) securly, 2) anxious-avoidant, 3) ambivalent/resitant, 4) disorganized/disoriented
Quality of a figure form the past are attributed to the therapist is called Transference
Motivatation of drive gratification Ego psychology
basic units of ego psychology ego, id, superego
Motivation of object seeking object relations theory
basic units of object realtions theory self and others represented by an affect
Motivation of self-cohesion/self-esteem self psychology
Basic units of self psychology self and selfobject
Motivation of phsyical sense of safety Attachment theory
Basic units of attachment theory internal working models
Self psychology transference is understood as the therapist completion of the patient's self
When the therapist experiences the patient as someone from the past it is called Countertransference
When the patient opposes a therapists efforts to produce insight, it is called Resistance
These are used to deal with unpleasant thoughts and emotions Defense mechinisms
The difference between resitance and defense mechanisms resistance can be observed and the later must be inferred.
When patients oppose a therapist because of a blieve how the therapist is viewing them is called transference resistance
What we do with our lives is shaped by unconscious forces psychic determinism
In psychodynamic, the therapis seeks to recognize and validate the true self of the patient called The patient's unique subjectivity
Long-term therapy is normally waht duration 24 sessions or 6 months
Much of mental life is unconscious
What combined with genetic factors shape an adult childhood experience
what is the primary souce of understanding the patient for the therapist the patient's transference
Besides transference a major focus of understanding is ___? resistance
Psycodynamic therapist assists the patient in achieving a sense of authenticity and uniqueness
In assessing a patient, the therapist must let the patient... Tell their story in their own way
In the assessment the patient must be a___in the interview Collaborator
Psychodynamic interviewers must carefully ___ the patient relates to the therapist how
A personality has five compoenents 1) biological temperment, 2) constellatoin of schemas, 3) sense of self, 4) defense mechanisms, 5) related cognitive style
paranoid personalities use ___ as a primary defense projection
Schizoid clienst often use ___ as a primary defense restreat into fantasy
Defense mechanisms are hierarchial from primitive to mature
Common primitive defenses are splitting, projection
Compartmentalizing experiences defense mechanism Splitting
Behaving in such a way that subtle press is place on another person to take on characteristics placed on him Projective identification
percieving and reqacting to unacceptable implulses as though they were outside the self Projection
Avoiding awareness of exeternal reality Denial
distrupting sense of continuity of identity, memory, consciousness or perception to maintain a sense of control Dissociation
attributing perfect or near-perfect quality to others as a way to avoid ancity or negative feelings Idealization
enacting a wish or fantasy impulsively Acting out
converting emotional pain into physical symptoms Somatization
Returing to an earlier phase of development Regression
Retreating into a private internal world schizoid fantasy
Internalizing aspects of a significant other to deal with the loss of that person introjection
Internalizing qualitys of another person by becoming like that person indentification
shifting feelings associated from one to another displacement
use excessive abstract ideation to avoid feelings intellectualization
separating an idea from its associated effect to avoid feelings isolation affect
justify unacceptable attitudes/thoughts to make them tolerable rationalization
endowing an object or behavior with sexual significance to turn something negative into something stimulating sexualization
transforming an unacceptable into its opposite reaction formation
expelling unacceptable ideas from entering consciousness repression
attepting to negate behavior by clarifying or doing the opposite undoing
Finding comic elements in difficult situations to reduce discomfort humor
consciously deciding not to attend a feeling suppression
eliminating pleasurable aspects of experience to remove conflicts asceticism
committing oneself to the needs of others over the self altruism
delay immediate gratification by planning anticipation
transform objectionable and unacceptable aims into acceptable ones sublimation
Developmental acquisition that permits child to resond to other people's behavior, belief and feelings Mentalization
Mentalization is also known as reflective functioning
Freudian Conscious Ego
Freudiend Pre-conscious Superego
Freudian Defenses and unconcious ID
Oral Stage Birth to 2 years- psychosis
Anal Stage 1-3 years - Neurosis
Phallic Stage 3-5 years- Personality disorder
The theme of oral stage trust and dependency
The theme of anal stage Control
Theme of phallic stage Guilt
Avoids awareness of painful aspect of reality by ablishing external reality Denial
Percieving and reactng to unacceptable inner impulses as reality Projection
Grossly reshaping external reality to suit inned needs Distortion
Latency stage 6-12 years
Genital stage 12-18 years
Theme of latency stage Work
Theme of genital stage Sexual Identity
Narcissistic Defenses Denial, projection Distoriion
Immature Defenses Acting out, blocking, hypochondriasis, Introjection, Passive aggressive, regression, somatization, controlling, displacement, externalization
Acting out Substitution behavior for affect, giving in to impulses to avoid anxiety
Similar to repression but creates anxiety Blocking
Internalizing the qualities of an object to avoid painful separation or to overcome fear introjection
Perceiving internal factors to external objects Externalization
Consciously limiting ego to avoid anxiety inhibition
excessively using intellectual processes to avoid intellectualization
separating an idea from its affect isolation
temporarily but drastcally modifying on’s sense of personal identity to avoid emotions disassociation
transforming unacceptable impulses into their oppositive-- overcompensating reaction formation
Mature defenses altruism, anticipation, asceticism, humor, sublimation, suppression, purpose
(object relations) Interpersonal relationship patters focus
(OR) studies of early childhood deprivation origins and social context
(OR) Healthy development requires a nurturing early environment, people are relationship-seeking from birth nature of the individual
(Bowlby) Orientation and signals without discrimination of figure (0-12 weeks) PHASE I-child does not have capacity to discriminate among individuals
(Bowlby) Infant begins to show difference between mother (3-6 mo.) PHASE II
(Bowlby) Develops articulating skills (6-mo to 3 years) PHASE III
(Bowlby) Ability to inference mother’s goal and manipulate (three years and beyond) PHASE IV
(Erickson) 0-1 year stage trust vs mistrust
(Erickson) 2-3 Autonomy vs shame
(Erickson) 3-6 initiative vs guilt
(Erickson) 7-12 industry vs inferiority
(Erickson) 12-18 ego-identity vs role-confusion
(Erickons) 20s intimacy vs isolation
(Erickson) 30-50 generativity vs self-absorption
(Erickson) 50+ integrity vs despair
psychoanalytic patients are invited to relate whatever comes into their minds during the analytic session, and not to censor their thoughts Free association
a phenomenon characterized by unconscious redirection of feelings from one person to another. Transference
redirection of a therapist's feelings toward a patient Counter-Transference
redirection of a therapist's feelings toward a patient Psychic determinism
Security blanket is an example of a transitional object
The holding environment is also seen as a figurative "safe space" for people to talk about what is going on Holding Environment
Secure, Ambivalent, Avoident and disorganized Atttachment Styles
Mary Ainsworth pulls kid out and see how child reacts Strange situation test
The nature vs nurture conflict is known as conflict vs deficit
sexual and aggression Frueds drives
Id vs ego is what process vs thnking? primary process vs secondary thinking
Problem in forming relations with people in their minds mentalization
Frued vs Objects relations Infant as individual vs we all want to connect and pleasure is learned from connection
Infants hallucinate wish fulfillment that mother will be comforting is which theory Object relations
This theorist says discusses how children separate from parents Margret Mahler
Margret Mahler separation stages autism, symbiotic, diferentiation, rapproachment, libidinal constancy
Heinz Kohut developed what theory self psychology
Self psychology is about what depression vs. what traditional view of depression empty depression vs. guilty depression (empty man vs tragic man)
Self psychology says that patient needs to be admired , affirmed, self-esteem
in self psychology there are two times when the self can be injured 0-2 years old (Mirroring) and 2-4 years (Idealizing)
Mirroring look to the parent to affirm you are OK
Idealizing child idealizes the parents
In self psychology the patient looks to parents to establish themselves, otherwise gets narcissistic rage Self object
In self psychology the therapists goal is to be Empathic
In self psychology anxiety is caused by fragmentation
For Winnicott, a defense designed to protect the True Self by hiding it. The "False Self"
Self Psych-- needs people to confirm and admire Mirror hungry person
Self psych- a true narcissist needy type idealized hungry person
Self Psych- Conforms to a selfobject Alter Ego
Self Psych - control selfobject to give cohesion merger hungry person
Goal of Self Psych is Transmuting internalization .. defined as to help person talk about the needs they are avoiding
Ego functions are directly related to development
Ego Psychology believes that people are born with an innate ability to function adaptively
Ego Psych has two defenses Strengths and deficits
Internal working model is how we see ourselves
empathy involves the analyst’s attempt to understand the patient from within his/her own emotional world Vicarious introspection
Created by: DragonflyDM