Lecture 3 - Psychodynamic and Person-centered approaches Flashcards

(44 cards)

1
Q

Psychoanalytic/psychodynamic approach

A

Freud (1856-1939), Austrian neurologist

Founded the psychoanalytic school of psychology– Observations of clinical patients

Explanation of problematic psychological
functioning– Unconscious conflicts within the person

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2
Q

Levels of consciousness

A

Repression

No clear division, rather different
degrees
– Dreams
– Stressful times in symptoms of illness
or psychological disturbance
– Alcohol or drugs

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3
Q

The nature of human beings and the source of Human Motivation

A

Lies in the structure and development of
personality

Libido
– Child born with fixed amount of mental energy
– Adult sexual drives

Human motivation
– To satisfy basic instinctual drives
* Sexual drives
* Life-preserving drives

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4
Q

Structure of Personality

A

Instinctual needs
Rational thinking
Moral standards
-> generate psychopathology

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5
Q

Id, Ego, and Superego

A

Id
– Instinctual drives (nursing, defecating etc.), instant
gratification
– Primitive energy present at birth

Ego
– Evolves as child develops and learns how to be socially
acceptable, controls urges of the Id

Super Ego
– Acts as conscience helping decide right and wrong

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6
Q

Defence Mechanisms

A

When Id, Ego and Superego are in balance
– Psychological health maintained

When in conflict
– Behaviour can indicate psychopathology

In order to reduce conflict (stress and
anxiety)
– defense
mechanisms

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7
Q

Repression

A

Supressing bad memories,
or even current thoughts
that cause anxiety

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8
Q

Regression

A

Moving back to an earlier developmental stage

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9
Q

Rationalisation

A

Finding a rational explanation for something you’ve done wrong

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10
Q

Sublimation

A

Transforming impulses into something constructive

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11
Q

Stages of psychosexual development

A

Freud also believed psychopathology also caused by how child negotiated stages of development

-progressive periods of development from infancy to maturity

Unsuccessful at a particular stage

-individual fixated at that stage of development

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12
Q

Stages of Psychosexual Development

A

Oral stage - birth to 1 year

Anal stage - from 1 to 3 years

Phallic stage - 3-5 years

Latency stage - 5 to 12 years

Genital stage - around 12 to 18 years or older

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13
Q

Adult fixation - Anal

A

toilet-training - developing ego -> control and cleanliness or reckless and impulsive

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13
Q

Adult fixation - Oral

A

Mouth -> over-eating, smoking, drinking, over-dependence on others

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14
Q

Adult fixation - Phallic

A

Supressing bad memories,
or even current thoughts
that cause anxiety
->
Difficulty with authority,
aggression, relationship difficulties
and possibly anti-social sexual
behaviour

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15
Q

Psychodynamic Formulation

A

A formulation takes general concepts from
theory and applies them to a particular
individual and their difficulties (Johnstone
& Dallos, 2014).

A psychodynamic formulation–
‘Explains how and why a patient’s equilibrium
has become disturbed and how the problems
or symptoms have arisen and are maintained’
(Johnstone & Dallos, 2014, p.7)

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16
Q

Clinical Perspective: Core Ideas

A

Psychological or emotional pain– Life is difficult and demanding and our psyche is constructed in a way to deal with it

These struggles create ‘turbulence’ in mental life

This results in our developing ways of avoiding pain (unconscious)

The unconscious elements of our ‘internal world’ have a fundamental influence on how we live our lives

Our unconscious attempts to avoid pain often fail, but our awareness is limited and so they are repeated over and over again

Failing defences are what give form to, and maintain patterns of, psychological disorder

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17
Q

Psychoanalytic/Psychodynamic Approach

A

+ Extremely influential in explanations and treatments
- Central concepts hard to objectively define and measure - limits modern-day evidence-based research
- No longer explanation or treatment of choice for most psychological problems

18
Q

Psychodynamic Approaches: Theories & Therapies

A

Theories: Assume unconscious conflicts develop early in life

Therapies: To reveal unconscious conflicts that may be causing symptoms of psychopathology

19
Q

Psychoanalysis - Freud

A

Based on theoretical ideas of
Freud (1856-1939)
Aim:– Bring unconscious conflicts into awareness– Help client understand source of conflicts
* Identify past experiences/discuss nature of important relationships– Help client towards a sense of control over behaviour, feelings and attitudes

20
Q

Psychoanalysis techniques

A

Free association
Dream analysis

21
Q

What is Transference?

A

Feelings of patient for therapist
Initially seen as a nuisance, but later encouraged as a re-enactment of earlier significant relationships
Exploration of transference used as a therapeutic tool
Counter transference = reactions of therapist to patient

22
Q

What is free association?

A

patient is encouraged to speak freely about thoughts, feelings, emotions etc.

23
Q

What is dream analysis?

A

Analysing content in dreams:
Manifest content - literal
Latent content - deeper meaning

24
Subjectivity of psychoanalysis
Analyst interprets info from all above sources - helps client to identify underlying conflicts and develop ways of dealing with them
25
Humanistic Approach
People have the ability to – Acquire self-awareness – Develop values and a sense of meaning in life – Pursue freedom of choice If these abilities are encouraged/developed – Conflict, emotional distress and psychopathology can often be resolved – Gaining insight, personal development and self-actualisation Focus on ameliorating psychopathological symptoms
26
Person-centered approach
Developed by Carl Rogers (1902-1987) - American psychologist and counsellor - One of the founders of humanistic psychology - Influence around the world
27
Philosophical underpinnings of Person-Centered Approach
– Humanism * Dignity and worth of human beings– Existentialism * Individuals play an active role in shaping own lives– Phenomenology regarding nature of reality * We all function within a perceptual or subjective frame of reference (Rogers, 1956)
28
Humanism
Belief in dignity and worth of an individual People are rational and have capacity for truth and goodness Humanistic approach to personality – Based on a model of growth – Strive to achieve/become because of a fundamental human need for fulfilment/self actualisation Achieved through actively searching for meaning in life – Continual challenge or journey which is to be experienced
29
Existentialism
A philosophical movement Emphasises choice, freedom and individual existence Major themes: – Concrete individual existence – Individual vocation * Finding a unique meaning for your own life – Choice and commitment * Freedom to choose entails commitment and responsibility to choose their own path * Refusing to choose/not choosing is making a choice
30
Phenomenology
Noticing events, feelings, experiences, NOT interpreting them To put aside assumptions – Start with a clean slate To contemplate, notice and observe, treating the experience as unique To achieve an accurate description of what is being experienced and the way in which it is being experienced
31
Rogers' Fundamental Belief re: Human Nature
Organisms, including human beings, have a natural, internal, positive developmental drive towards growth and fulfilment – Even in the worst conditions Human beings, although they possessed a universal actualising tendency, were unique– So the process of self-actualisation will be distinct and specific to each individual
32
The actualising tendecy
‘…there is one central source of energy in the human organism…it is a function of the whole organism rather than some portion of it; and…is perhaps best conceptualised as a tendency towards fulfilment, toward actualisation, toward the enhancement and maintenance of the organism (Rogers, 1963)’.
33
Rogers' Theoretical Ideas re: Personality
Set out in 19 propositions (Rogers, 1951) Describe – How people change – Under what circumstances people change – Why particular relationship qualities promote change
34
Carl Rogers Theory of Personality
Organismic valuing Positive regard/Positive self-regard Conditional positive regard – Conditions of worth Conditional positive self-regard Real self/Ideal self (self-concept) Incongruity Defenses
35
Person-centered Theory
- Difficult to evaluate - some concepts not easy to define (e.g. UPR) + Lead to development of widely used therapeutic approach - Overly optimistic view + Mechanisms re: how we evaluate our own behaviour well described (i.e., conditions of worth)
36
Humanistic Therapies
A reaction to previous thinking about human experience Psychoanalysis - Pessimistic view of human nature, People selfish and driven by sexual and aggressive impulses Behaviourism - Objectifying and dehumanising the person, emphasising the environment in determining behaviour
37
Humanistic Therapies emphasizes what?
– Human nature as essentially positive – Choices, values and purpose in life – Client’s inner resources for change – Problems a result of not accepting responsibility for one’s actions
38
What are some Humanistic Therapies?
– Enable acceptance of responsibility for actions – Foster awareness of subjective experiences – Fulfil potential for personal growth
39
Person-Centered Therapy
-A way of being -Rests on a deep respect for, and trust in, the individual’s capacity for growth and development -Not provide a set of rules, techniques to control the process -Non-directive - Requires a commitment to encounter clients in a direct person-to-person manner
40
The Core Conditions for Person-Centered Therapy
The counsellor activates the self-healing process (self-actualising tendency) by providing ‘core’ helping conditions Rogers (1957) put forward six core conditions: 1.Two persons are in psychological contact 2.The client is in a state of incongruence, being vulnerable or anxious 3.The therapist is congruent or genuine
41
Core conditions cont.
4. The therapist experiences unconditional positive regard for the client (non-judgemental warmth or acceptance towards the client) 5. The therapist experiences an empathic understanding of the client’s internal frame of reference and endeavours to communicate this experience to the client 6. The communication to the client of the therapist’s empathic understanding and unconditional positive regard is to a minimal degree achieved Necessary AND Sufficient
42
The Process of Change
Rogers believed – Ideal for human beings to be in a state of becoming (striving to become fully functioning) Based on research into his own practice re: change process in counselling – Rogers developed: Theory of the seven stages of process (Rogers, 1961) * Stages a flowing continuum rather than fixed and discrete
43
7 Stages of Process (Rogers, 1961)
Stage One: The client is very defensive, and extremely resistant to change. Stage Two: The client becomes slightly less rigid, and will talk about external events or other people. Stage Three: The client talks about him/herself, but as an object and avoids discussion of present events. Stage Four: The client begins to talk about deep feelings and develops a relationship with the counsellor. Stage Five: The client can express present emotions, and is beginning to rely more on his/her own decision making abilities and increasingly accepts more responsibility for his/her actions. Stage Six: The client shows rapid growth towards congruence, and begins to develop unconditional positive regard for others. This stage signals the end of the need for formal therapy. Stage Seven: The client is a fully functioning, self-actualising individual who is empathic and shows unconditional positive regard for others. This individual can relate their previous therapy to present day real-life situation.