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Psychodynamic Psychotherapy > Assessment > Flashcards

Flashcards in Assessment Deck (49)
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1

What is Assessment

Includes assessing the acute problems and ongoing patters, constructing an initial forumula and making a recommendation for treatment.

2

Holding Environment

establishing a connection that helps patients feel secure, safe and trusting

3

What does history include

history of present illness (when was the last time the person was at their baseline), history of symptoms, development/personal history

4

ego functions

patient's characteristic ways of thinking, feeling, and behaving

5

ethical judgement/super-ego function

patient's capacity to distinguish right from wrong

6

reflective capacity

ability to step outside their immediate thoughts to look at them critically. Two aspects include Psychological Mindness and reality testing

7

psychological mindedness

the way in which patients think about their mind, is there a unconscious? Can childhood events effect the present?

8

id

wishes, desires

9

super-ego

conscience and personal ideals

10

ego

person's inner mental life and relationship to the world

11

self-perception

how we see ourselves relates to both our identity and our self appraisal

12

identity

sense of who we are. Likes, dislikes, talents, limitation, often consolidated in teen years

13

self-appraisal

how well our subjective sense of our self matches up with what we are actually able to do. Relates to both setting yourself up for failure and low self esteem

14

ideals/ego-ideal

inner images, fantasies, who we wish to be.

15

self-esteem regulation

ability to bounce back fro self esteem blows

16

empathize

ability to appreciate the way others see the world

17

mentalization

ability to think about others as having thoughts and feelings distinct from ones own

18

internal/external stress

internal stress thoughts and fantasies, feelings and anxiety, pain and other physical sensations. External stress includes relationships, economic/work pressures, trauma etc

19

defenses

unconscious and automatic ways he mind responds to internal and external stress/emotional conflict. Some are adaptive and some are less adaptive

20

object constancy

knowing that bad and good can exist in the same person

21

object permanence

knowing something out of sight is still there.

22

splitting

experiencing feelings as if they are coming from outside the self. Normal in children, but problematic when they need to protect their good image of an abusive parent or care giver

23

types of less adaptive defenses (tend to be based on splitting)

*Splitting
*Projection
*Projective identification
*Pathological idealization & devaluing
* Denial
*Dissociation
*Acting Out
*Regression

24

adaptive defenses (based on repression)

*Isolation of Effect
*Intellectualization
*rationalization
*Displacement
*Somatization
*Undoing
*Reaction Formation
* Identification
*Excessive Emotionality
*Externalization
*Sexualization
*Repression
*Turning against the self

25

Isolation of Affect

the mind represses the affect but the thoughts remain concicous. Person seems devoid of feeling

26

Intellectualization

uses substitution of excessive thinking to take the place of painful or uncomfortable feelings

27

Rationalization

Deals with unacceptable feelings by coming up with good reasons for the problematic situation/feeling

28

Displacement

exchanges the object of a wish or feeling for one that feels more acceptable
EX Nate is afraid of his father, but instead feels afraid of the school principal.

29

Somatization

causes thoughts or feelings to be experienced as bodily sensations (headache, diarrhea, chest pain etc)

30

Undoing

Minds do-over, reverses something that feels unacceptable or uncomfortable
EX: She cheated people all day long at work then gave a dollar to a bigger on the street