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Psychotherapies Flashcards

(46 cards)

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1
Q

For what population is psychoanalysis contraindicated?

A

patient w/ reality testing failure (ie psychosis, mania)

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2
Q

Freud’s normal stages of development:

A

1) id: birth
2) ego: after birth
3) superego by age 6

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3
Q

Contrast id and superego

A

id: primary instincts (sexual, aggressive)
superego: morality, society, parental teaching

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4
Q

Describe ego

A

mediator between id and superego (primitive vs morals)

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5
Q

What is “ego ideal”

A

superego, what one wants to become

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6
Q

Topographic theory involves what three though processes?

A
  • unconscious
  • preconcious
  • conscious
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7
Q

Compare topographic and structural theory components

A
  • unconscious ~ id
  • conscious ~ ego
  • preconcious ~ superego
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8
Q

Which component (topographic and structural) uses defense mechanisms?

A

ego, unconscious

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9
Q

Which component completes reality testing?

A

ego

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10
Q

What are the four mature defense mechanisms?

A

SASH

1) sublimation
2) altruism
3) suppression
4) humor

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11
Q

Is sublimation conscious or unconscious?

A

conscious

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12
Q

What mature defense mechanism is described in the following example:

  • street thug becomes social worker to reform kids in gangs
  • person with unconscious urges to physically control others becomes prison guard
A

-sublimation!

unacceptable impulse –> acceptable action

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13
Q

In addition to mature defense mechanism, what other types exist?

A
  • neurotic

- immature

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14
Q

What are the four immature defense mechanisms?

Note, mature= SASH, immature = ____, neurotic= all others

A
  • RAP-D
  • regression
  • acting out
  • projection
  • denial
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15
Q

What immature defense mechanism is described in the following example?

-man accuses his wife of cheating on him which he himself is involved in an affair

A

projection

(ones own objectionable thought/emotion/action pinned on another)

I’m cheating –> you’re cheating

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16
Q

What neurotic defense mechanism is described in the following examples?

  • student is angry with mom, so he talks back to his teacher at school
  • husband is angry with female boss, so he yells at his wife at home
A

-displacement
(angry with mom –> angry with teacher)
(angry with boss –> angry with wife)

**Contrast with projection
(my thought= your thought, projection)
(my emotion towards one person= my emotion towards a less threatening target, displacement)

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17
Q

What type of defense mechanism is projection? displacement?

A 
projection= immature 
displacement= neurotic
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18
Q

What neurotic defense mechanism is described in the following example?

-physician is dying of colon cancer –> describes details of pathophys for colon cancer to his young son

A

intellectualization

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19
Q

What neurotic defense mechanism is described in the following example?

-I bought a 500 dollar watch because I cant be late for appointments

Study These Flashcards
A

-rationalization

(contrast with intellectualization, both of which are neurotic defenses)

intellectualization= avoid negative feelings toward situation by focusing on intellectual details 
rationalization = explain an event in order to justify it
20
Q

Describe reaction formation

Study These Flashcards
A

doing the opposite of an unacceptable impulse

kindergarteners are mean to the girls they have a crush on

21
Q

Contrast repression and suppression

Study These Flashcards
A

repression: unconscious removal of thought, neurotic
suppression: conscious act, mature

22
Q

Describe “undoing”

Study These Flashcards
A

attempting to reverse a situation by adopting a new behavior
(want to kill wife, clean her car instead)
(want to kill gullo, be nice to him anyways)

23
Q

Psychoanalysis is _____ oriented.

Its goal is what?

Study These Flashcards
A

insight

bring unconscious conflicts into awareness

24
Q

Psychoanalysis is useful in the treatment of what disorders?

Study These Flashcards
A
  • PD (clusters B-C)
  • anxiety
  • sexual disorders
  • PDD
  • coping with life events
25
What are transference and countertransference in psychoanalysis?
- transference: unconscious feelings of patient toward an important figure transferred to therapist - countertransference: projection of therapsists unconscious feelings onto patient
26
What are four psychoanalysis based therapies?
- psychoanalytically oriented psychotherapy - brief dynamic psychotherapy - interpersonal therapy - supportive psychotherapy
27
Describe supportive psychotherapy
helps patient feel safe during difficult time, builds up mature defenses (not insight oriented like typical psychoanalysis)
28
Who pioneered behavioral therapy?
Skinner | psychoanalysis= Freud
29
Behavioral theory is based on _____
learning theory
30
Describe classical conditioning
stimulus evokes a conditioned response | pavlovs dogs
31
Describe operant conditioning
behaviors learned via positive/negative reinforcement
32
Describe the systematic desensitization type of behavioral therapy
patient performs relaxing technique during anxiety provoking situation at increases doses eventually they associated the experience with a relaxing technique
33
What is a behavioral therapy very similar to systematic desensitization
flooding and implosion | no low --> high dose of exposure, all at once
34
What is aversion therapy (behavioral therapy type)
that nail polish that tastes like poop to make you stop biting nails. disulfiram for alcoholics
35
What is token economy behavioral therapy?
sticker charts in kindergarten. do good desired behavior, get reward
36
What is biofeedback behavioral therapy?
patients are given their physiologic data during anxiety, migraine etc so they can tret to control visceral changes? weird?
37
What are the key types of behavioral therapy?
- systematic desensization/ flooding and implosion - aversion therapy - token economy - biofeedback
38
Who pioneered cognitive therapy
Beck | freud= psychoanalysis, Skinner= behavioral
39
Cognitive therapy is most often used to treat what disorders?
depression and anxiety | usually combined with behavioral = CBT
40
How effective is cognitive therapy compared to medication
can just EQUALLY effective
41
Cognitive therapy is based on what?
cognitive theory of depression (cognitive distortions and negative thoughts) cognitive distortions= faulty assumptions. I'm not smart since I made a B.
42
Therapy that commonly involves "homework" after each session?
CBT
43
Good treatment for borderline PD?
DBT (dialectical behavioral therapy)
44
Therapy good for addiction?
group therapy
45
Why is group therapy so effective for addiction?
- patients gain insight into their own condition by listening to others talk about their own similar problem - patients get immediate support from others
46
Family therapy is especially useful for _____
anorexia | schizophrenia

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