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2033 Psychodynamic
SWINT2033 – Advanced Direct Practice: Psychodynamic
| Question | Answer |
|---|---|
| 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
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