Lec 73 Models of the Mind Flashcards

1
Q

What is freud’s view of adult psychology?

A

linked to unconscious mental life and childhood-developmental experiences
psych symptoms reflect imperfect attempt of ego to restore equilibrium

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2
Q

What are the core psychodynamic assumptions?

A

automaticity: unconscious mental activity directs behavior, thoughts, feelings

approach vs avoidance: parts of mind always in conflict

ongoing emotional regulation: mind modifies/disavows experiences to preserve equilibrium = defense mech

past is alive in present: relationship patterns are repeated

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3
Q

What is non-conscious?

A

mental functioning not represented in consciousness and of which one is unaware including basic physiologic drives
devoid of logic or sense of time [ex. dreams]
also called unconscious processing

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4
Q

What is unconsciousness?

A

lack of consciousness or responsiveness to people and other environmental stimuli

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5
Q

What is subliminal?

A

that which is below an individual’s threshold for conscious perception

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6
Q

When does neural response to stimulus take place?

A

100s of msecs before awareness

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7
Q

What is the default mode network?

A

the brain at rest in absence of conscious awareness = certain brain regions constantly active when awake but not focused on the outside world; decrease activity when brain focuses on new task

orchestrates how brain organizes memories and systems needing preparation for future events; synchronizes parts of brain

brain probably makes constant predictions about outside environment in anticipation of receiving sensory input

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8
Q

How do unconscious vs conscious processess occur?

A
unconscious = parallel
conscious = serial
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9
Q

What is the greatest predictor of future experience? what does this mean?

A

past experience –> pathways function relatively automatically under stress leading to rigid patterns and less flexibility

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10
Q

What is conscious vs preconscious vs unconscious?

A

conscious: thoughts in your mind at the moment = logical
preconscious: info not currently in awareness but readily accessible
unconscious: info not easily accessible to consciousness, including basic physio drives devoid of logic or sense of time

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11
Q

What is affect of subliminal stimuli in different pts?

A
  • subliminal stimuli generate effects/actions
  • these effects often related to personal meaning of that stimulus to a specific patient

these actions can be initiated with or without conscious awareness of the goal or how one’s behavior has been motivated

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12
Q

What is Id? When does it appear?

A

Id = “It” = totally unconscious = What we are born with

  • unconscious primal urges: food, sex, aggression
  • drives instinct, allows our basic needs to be met
  • primitive processes based on pleasure principle
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13
Q

What is the economic model of development?

A

early experiences create a template for personal responses

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14
Q

What happens if Id gets too strong?

A

impulses and self-gratification can take over life

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15
Q

What is Ego? When does it appear?

A

Ego = “I”, “Me” = conscious and unconscious
appears age 3+
- mediator between Id and superego [primal urges vs acceptable behavior
- strength to satisfy needs of id, not upset superego, while considering reality of every situation
== executive of the psyche

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16
Q

What is superego? When does it appear?

A

Superego = “Above me” = conscious and unconscious

  • conscious and unconscious moral values, conscience, self-criticism
  • denies gratification, can lead to self-blame and attack on the ego

appears age 5+

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17
Q

What happens if superego gets too strong?

A

person may be driven by rigid morals and may be judgmental/unbending in interactions

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18
Q

What is updated psychodynamics about?

A
  • unconscious processes directing behavior, thoughts, feelings, responses
  • parts of mind in conflict [approach vs avoidance]
  • past alive in present –> repeating relationship patterns
  • mind regulates emotional experience to preserve equilibrium and avoid dissonance
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19
Q

What is transference?

A

unconscious transfer of past relationship pattern onto someone present [physician]

ex. psychiatrist is seen as parent

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20
Q

What is countertransference?

A

doctor projects feelings about formative or other important persons onto patient

ex. patient reminds physician of younger sibling

21
Q

What is transference to medications?

A

transference to medications/procedures –> expectations and conditioning affect adherence and response [placebo!]

22
Q

What is concordant countertransference?

A

doctor experiences pts feelings = empathy

= pt sad/angry so doctor sad/angry

23
Q

What is complementary countertransference?

A

doctor has feelings similar to what other people in pt’s life have felt in response to the pt = role responsiveness = mirrored brain activations between individuals

–> pt feels victimized + doctor feels hostile

24
Q

What are ego defenses?

A

unconscious mental processes to resolve conflict and prevent undesirable feelings =

unconsciously distort or keep out of awareness certain perceptions to preserve emotional equilibrium and protect self esteem

preserve ilusion of control and help maintain cohesive sense of self

active in anxiety/stress situations

25
Q

What is pathology of defense mech?

A

rigidly using limited repertoire of immature defenses

26
Q

What are mature vs immature defenses?

A

immature = appear early in development, distort reality, deal with negative arousal nonverbally, spatially, holistically

mature = cognitively complex, allow flexible adaptations to reality; based on repression

27
Q

What are the highest order defenses?

A

altruism, humor, sublimation, suppression

28
Q

What is altruism?

A
  • alleviating guilty feelings by unsolicited generosity toward others
    ex. mafia boss makes large donation to charity

mature defense

29
Q

What is humor?

A

appreciating amusing nature of anxiety-provoking situation, dealing with unconscious distressing feeling by joking

ex. nervous medical student jokes about the boards

mature

30
Q

What is sublimation?

A

expressing a socially or personally unacceptable wish in an acceptable way that does not conflict with one’s value system

ex. teenagers aggression toward farther redirected to perform well in sports

mature

31
Q

What is suppression?

A

intentional withholding of an idea or feeling from conscious awareness [vs repression]

ex. choosing not to worry about big game until it is time to play

mature

32
Q

What is first aid mnemonic for mature defenses?

A

mature adults wear a sash

  • sublimation
  • altruism
  • suppression
  • humor
33
Q

What is intellectualization?

A

concentrating on intellectual/abstract component of situation to avoid anxiety provoking emotions

ex. we do this after a relationship breakup

1st aid doesn’t have; lecture says mature

34
Q

What is rationalization?

A

giving logical reasons/excuses for actions performed for other reasons, usually to avoid self blame

ex. get fired, claim job is not important anyways

1st aid says immature; lecture says mature

35
Q

What is displacement?

A

transferring avoided ideas and feelings to some neutral person or object [vs projection]

ex. mother yells at child because husband yelled at her

1st aid says immature; lecture says mature

36
Q

What is isolation (of affect)?

A

separating feelings from ideas and events; aware of detail of event but lose connections with feelings about it

ex. describing murder in graphic detail with no emotional response

1st aid says immature; lecture says mature

37
Q

What is identification with aggressor?

A

modeling behavior after another person who is more powerful [though not necessarily admired]

ex. abused child identifies with an abuser

1st aid says immature; lecture says mature

38
Q

What is reaction formation?

A

replacing warded-off idea or feeling by unconsciously derived emphasis on its opposite

ex. pt with libidinous thoughts enters a monastery

1st aid says immature; lecture says mature

39
Q

What is somatization?

A

transformation of negative feelings toward other into negative feelings toward self, pain, illness, anxiety

ex. conversion disorder

1st aid doesn’t have; lecture says mature

40
Q

What is acting out?

A

expressing unacceptable feelings and thoughts through actions

ex. tantrums

immature

41
Q

What is denial?

A

avoiding awareness of some painful reality

ex. common reaction in newly diagnosed AIDS and cancer pts

immature

42
Q

What is splitting?

A

believing people either all good or all baad at different times due to intolerance of ambiguity. seen in borderline personality disorder

ex. pt says all nurses are cold and insensitive but that doctors are warm and friendly

immature

43
Q

What is projection?

A

attributing unacceptable internal impulse to external source

ex. man who wants another woman this his wife is cheating on him

immature

44
Q

What is projective identification?

A

object of projection invokes in that person precisely the thoughts feelings or behaviors projected

= self-fulfilling prophecy

45
Q

What is withdrawal?

A

avoiding things due to fear of being reminded of painful thoughts

immature

46
Q

What is dissociation?

A

temporary drastic change in personality, memory, consciousness, or motor behavior to avoid emotional stress

ex. extreme forms result in dissociative identity disorder [multiple personality disorder]

47
Q

What is repression?

A

distressing mental contents can cause problem –> blocked from entering consciousness –> reduces distress + protects self-concept

= involuntary

48
Q

What are negative effects of repression?

A

habit forming –> inflexibility = no adaptation

- inhibit conscious access to emotions + stresses the heart and immune system