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Psychosocial Dysfunction FINAL > Psychodynamic > Flashcards

Flashcards in Psychodynamic Deck (35)
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1

Psychodynamic theory seeks to understand.......

why we engage in irrational behaviors when rational options exist and to understand the symbolic meaning of the choice we make.

2

When was PsychD most popular?

the 1950's to 1970's, but resurged to explain the unexplainable

3

Who transcribed it into OT practice in the 1970's?

Dr. Anne Mosey

4

In psychoanalytic theory, who is the expert?

the client!

5

personality development

ID: instinctual needs (unconscious)
EGO: rational thinking; mediator between ID and superego for planning, reasoning, remembering, evaluating, and decision-making process; expresses guilt or anxiety when the ID presses for gratification
SUPEREGO: moral standards; behaviors learned from interaction with caregivers

6

Emotional development

Shaped through experiences surrounding psychosexual stages
a. Unconscious: not readily accessible into awareness
b. Pre-conscious: can becomes conscious but requires effort ex: breakfast
c. Conscious: in active awareness and retrievable at any time

7

What is the function of the EGO?

A. reality testing (consensual validation, outer reality exploration
B. Structures sense of self (body image, self-esteem)
C. Controls thought processes (attention, memory, learning, and logical though, problem solving)
D. Ensures judgement
E. Implements self-control
F. Employs defense-mechanisms
G. Strives for competence/mastery

8

What describes a health EGO?

1. strong sense of self
2. realistic body image, self-esteem
3. ability to suppress immediate gratification
4. use of mature defenses in moderation

9

Name some defense mechanisms relevant to OT:

1. Projection
2. Acting Out
3. Sublimation (restructuring of aggressive drives into constructive activity) ex: anger into artwork
4. Regression: movement from mature to immature ex: bed wetting at 9
5. Identification: talking on characteristics of another (abused child grows up to abuse own children)

10

Name some other defense mechanisms

1. Reaction Formation: behavior opposite of unacceptable impulses
2. Denial
3. Repression
4. Displacement: ex: vent frustrations on smaller more weaker subjects
5. Intellectualization: repressing emotion by stating valid reasons why the traumatic experience may have occured

11

What are some of the defense categories?

a. Narcissitic: projection, denial, distortion
b. Immature: acting out, blocking, hypochondiasis, introjection, passive-aggressive, regression, schizoid, somatization
c. Neurotic defenses: controlling, displacement, dissociation, externalization, inhibition, intellectualization, isolation, rationalization, reaction formation, repression, sexualization
d. mature: altruism, anticipation, asceticism, humor, sublimination, suppression

12

according to Freud, what causes fixation in a certain psychosexual stage?

negative experiences

13

What is the age range for the oral stage?

birth to 1.5 years

14

what is the age range for the anal stage?

1.5 years to 3 years

15

what is the age range for the phallic stage (genitalia)?

3 years to 5 years

16

What is the age range for the latency stage (sexual repression)?

6 to 12 years

17

what is the age range for the genital stage?

12 + years

18

what develops with negative experiences in oral stage?

trust/dependency issues. Seek stimulation through smoking, drinking, eating, nail biting

19

what develops with negative experiences in anal stage?

retention: control/autonomy issues OR expulsive: messy, wasteful, destructive

20

what develops with negative experiences in the phallic stage?

hypersexuality, pedophilia

21

what develops with negative experiences in the latency stage?

social roles, guilt.. Poor peer relationships, no hobbies or interests, performance anxiety

22

what develops with negative experiences in the genital stage?

performance issues

23

when does change occurs

through performance of ego-adaptive skills

24

when does motivation occur?

When energy is focused on the mastery of ego skills

25

Psychodynamic activities should:

a. facilitate interaction and understanding among group members
b. promote increased self-awareness, sense of self, self-expression, and understand meanings
c. help to connect client's past, present, and future
d. have clear boundaries and routines, when appropriate, to help persons feel safe and function more effectively

26

What is the role of the therapist in psychodynamic therapy?

Facilitator! No rescuing- groups learn from their mistakes. Encourage independence in decision making

27

Some things that psychodynamic can be used for in OT include:

-personality disorders
-anxiety
-maladaptive behaviors

28

the most ________ needs will emerge first

pressing

29

Red indicates

strong emotions
-love, warms and comfort
OR
-intense, angry, excitement

30

Brown indicates

sadness and isolation