113b - Psychotherapies Flashcards

1
Q

Which kind of therapy focuses on mindfulness practices?

Which patients are most likely to benefit from this kind of therapy?

A

Dialectical behavior therapy

(A type of cognitive behavior therapy)

  • Borderline personality
  • PTSD
  • Substance abuse
  • Chronic suicidality
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2
Q

According to Freud, what is the difference between the Id, the Superego, and the Ego?

A
  • Id
    • Personal drives; what we WANT to do
    • Hides in the unconscious
  • Superego
    • Values, beliefs learned from society: what we SHOULD do
  • Ego
    • Deals with the demands of reality: what we DO
    • Balance between Id impulses and superego demands
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3
Q

Patients with deep, complex cases who want to understand the connections between past and present would most likely benefit from which kind of psychotherapy?

A

Psychodynamic psychotherapy

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4
Q

Believing a person or situation is “all good” or “all bad” describes which primitive defense mechanism?

A

Splitting

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5
Q

What kind of psychotherapy does this describe?

  • Based on ideas of classical and operant conditioning, behaviors
  • Focuses on the “here and now”
  • Identifies thoughts/triggers in order to extinguish maladaptive behaviors and generate adaptive behaviors
A

Cognitive behavioral therapy

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6
Q

How does the role of the therapist differ in psychodynamic vs. cognitive behavioral therapy?

A
  • Psychodynamic therapist is:
    • Non-directive, leads unstructured sessions
    • Facilitates exploration, personal growth/insight of the patient
  • Cognitive behavioral therapist is:
    • Active, educational, leads structured sessions
      • There may be a “curriculum” to follow
    • Facilitates training, techniques to extinguish maladaptive behaviors, generate adaptive behaviors
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7
Q

What kind of psychotherapy does this describe?

  • Based on the idea that unresolved childhood conflicts lead to transference, defense mechanism, symptoms
  • Focus on the emotional world of the patinet - past and present
  • Explore the origins of defenses, resistance
A

Psychodynamic therapy

Freuidian! Goal to “make the unconscious conscious”

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8
Q

Patinets who are struggling with grief after losing a loved one or having difficulty adapting after a life-changing event would most likely benefit from which kind of therapy?

A

Interpersonal therapy

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9
Q

Which patients would benefit most from desinsitization therapy/

A

Patients with specific phobias

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10
Q

Jane has a big argument with her manager at work and yells at her children when she comes home

Which defense mechanism is this?

A

Displacement

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11
Q

Are all defense mechanisms maladaptive?

A

No

  • Primitive defense mechanisms can be maladaptive because they may prevent growth
    • Denial
    • Splitting
    • Compartmentalization
    • Projection
  • More mature defense mechanisms protect the ego from stress and allow us to behave in civilization
    • Rationalizing
    • Intellectualization
    • Sublimation
    • Humor
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12
Q

Patients who are struggling with a specific problem, such as insomnia or somatic symptom disorder, would most likely benefit from which kind of psychotherapy?

A

Cognitive behaviroal therapy

Focus is on changing behavior

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13
Q

What is transference (as it relates to psychotherapy)

A

How the patient reacts to the therapist based on pts previous experience

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14
Q

Which kind of therapy is best for patients in crisis when it isn’t warranted or practical to identify or resolve other symptoms or the root of the problem?

A

Supportive therapy or crisis therapy

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15
Q

A department employee who is threatened by their new boss decares that the boss is actually threatened by them

What kind of defense mechanism is this?

A

Projection

Attributing one’s own feelings onto someone else

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16
Q

How does dialectical behavior therapy differ from cognitive behavioral therapy?

A
  • CBT
    • Helps patients solve a specific problem
    • Requires that the patient engage with the curriculum, learn new skills, tasks
    • More “cognitive load”
  • Dialectical behavior therapy
    • Less “cognitive load”
    • Emphasis on midfulness practices, emotional regulation, distress tolerance
    • Better for patients who are severely distrubed and managing powerful, opposing emotions