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Flashcards in Psychotherapy Deck (12):
1

what are mature defence mechanisms

Mature - adaptive to a normal healthy adult life.
- Altruism - Alleviating negative feeling via unsolicited generosity. e.g. mafia boss donate to charity.
- Humor- Expression of personally uncomfortable feeling without causing emotional discomfort. A pleasant release from anxiety
- Sublimation - working off unmet desires, or unacceptable impulses, in activities that are constructive.
- Compensation - counteracting real or imagined weaknesses by emphasising desirable traits or seeking to excel in the area of weakness or in other areas.
- Suppression - intentionally withholding an unwanted idea or feeling. e.g. medical student anxiety about exam chooses to go out for a brake for a while.

2

what are the immature defence mechanisms

Immature - manifestation of childlike or disturbed behaviour to stressor
- acting out
- Denial
- Repression- unconsciously preventing painful or dangerous thoughts from entering awareness.
- Displacement - substituting a different target for impulses when the original would be dangerous or unacceptable.
- Projection - attributing one’s own feelings, shortcomings, or unacceptable impulses on others.
- Reaction formation - preventing dangerous impulses from being expressed in behaviour by exaggerating opposite behaviour. Act in the opposite way then you feel.
- Regression - retreating to an earlier level of development or to earlier, less demanding habits or situations.
- Dissociation
- Fixation
- Identification
- Isolation
- Passive aggression
- Rationalisation - justifying your behaviour by giving reasonable and rational but false, reasons for it.
- Splitting

3

What is transference and countertransferance

Transference - process of the patient unconsciously and inappropriately displacing onto individuals in his or her current life those patterns of behaviour and emotional reactions that originated with significant figures from earlier life, often childhood.
Countertransferance - process where the physician unconsciously displaces onto the patient patterns of behaviours or emotional reactions as if he or she were a significant figure from earlier in the physician's life.

4

What is psychodynamic psychotherapy

Time limited treatment of 10-12 session.
For pts with depression, anxiety, PTSD
Types
- brief focal psychotherapy
- time-limited psychotherapy
- Short term dynamic psychotherapy
- Short term anxiety-provoking psychotherapy

5

CBT for Mx of anxiety

In an Attack: Controlled breathing for panic attacks. - Slow and stead breathing, 6 second breath hold for rapid breathers and 3 sec in and 3 sec out. Causes a feedback
CBT: Relational emotive therapy eg ABCDE

6

What is motivational interviewing

Where do you see yourself in 2 yrs.

7

Terms: Id, Ego, superego

ID - Meeting basic needs
EGO - Deals with reality
Superego - Adds moral

8

Terms: Conscious and unconscious

Conscious: Super ego and Ego
Unconscious: ID, Superego, Ego

9

What is psychodynamic psychotherapy

Psychodynamic therapy, also known as insight-oriented therapy, focuses on unconscious processes as they are manifested in a person’s present behavior. The goals of psychodynamic therapy are a client’s self-awareness and understanding of the influence of the past on present behavior. In its brief form, a psychodynamic approach enables the client to examine unresolved conflicts and symptoms that arise from past dysfunctional relationships and manifest themselves in the need and desire to abuse substances.

10

Explain principles of CBT for Depression

Challenge Automatic negative therapy

11

Automatic negative thought eg in depression

Overgeneralisation
Filtering
All or nothing
Personalisation
Catastrophising
Emotional Reasoning
Mind Reading
Fortune Telling Error
Should Statements
Magnification/Minimisation

12

CBT for Eating

CBTE
Perception of food and wt.