Unit 3: Psychodynamic and Psychoanalytic theories

Question 1

Drive

Answer 1

Interchangeable to instinct. Expresses themselves with unconscious process

Question 2

Libido

Answer 2

The psychic energy that emanates from sexual drives.

Question 3

Eros and Thanatos

Answer 3

Life and death instincts

Question 4

Levels of consciousness

Answer 4

Conscious, preconscious and unconscious

Question 5

Structure of personality

Answer 5

Id, Ego and Superego

Question 6

Defense mechanisms

Answer 6

Repression, Denial, reaction formation, projection, displacement, sublimation, rationalisation, regression, identification and intellectualisation.

Question 7

Psychosexual stages of development

Answer 7

Oral, anal, phallic, latency and genital

Question 8

Erikson’s psychosocial stages

Question 9

Object relations theory

Answer 9

Relationships between child and significant others. Individuation (separate later and become individuals)
Donald Winnicott – transitional object, good enough mother (caring+independence), if not good enough – true self may not occur, false self (compliant of mothers and acting like they are and no true self)

Question 10

Kernberg’s OR theory

Answer 10

splitting (not viewed in total – babysitter eg.) ,esp seen in borderline disorders

Question 11

Kohut’s self-psychology

Answer 11

Narcissism – inability to love or relate to others – self absorption(grandiosity),
Powerful parent (idealized self-object),
Difficulty in depth – how individuals relate to others and how they view themselves,
They do not differentiate themselves from their mother
Outbursts – removal of mirroring (parent is happy with the child)
Problems occur as they are struck in grandiose self

Question 12

Winnocott’s theory application in therapy

Answer 12

Repair defective childhood parenting
Controlled regression (pt returns to the early stage of dependence)
Therapist sense what subject’s object of love/hate,
Therapist must deal with irrationality and strong feelings without getting angry or upset
Encourage development of true self

Question 13

Relational Concepts in Psychoanalysis
and Greenberg’s 4 premises

Answer 13

Did not believe in neutrality
How their reactions may influence the patient
They believe themselves as instruments – reacting to patient statements
Greenberg’s 4 premises
Analysts will have personal influence on the patient based on his/her personality
Each analyst–patient pair will be unique.
Treatment is unpredictable and depends on interaction
Analyst is subjective not objective

Question 14

Mitchell’s four modes of iteraction

Answer 14

How people relate in broad sense
How they communicate love to each other
How they view their own roles (mother, daughter etc.) – conscious / unconscious
Intersubjectivity

Question 15

Therapeutic goals in Psychodynamic and analytic theories

Answer 15

A change in person’s personality and character structure
During this unconscious conflicts are resolved
Self-understanding - analysis of childhood experiences that are reconstructed, interpreted, and analyzed.
The insight that develops helps bring about changes in feelings and behaviors.
However insight without change is not achieving the goal
Exploring the unconscious (Freud – sexual and aggressive drives, ego psychologist – ego defense mechanisms, and object relations –improved relations with self and others, self psychology – self absorption, relational psychology- similar object relations)

Question 16

Assessments

Answer 16

Dreams and Family history through analysis and therapy - unconscious
Trial analysis -first few weeks to assess appropriateness for therapy
Listen for unconscious motivations,
Early childhood relationship issues,
Defenses or other material will help them assess their patients’ problems.
Rorschach ink blot, TAT, Blacky Test (specifically Freudian concepts)
Short and long form of alliance inventory

Question 17

Psychotherapy

Answer 17

Psychoanalysis - the therapist speaks less than in a face-to-face psychotherapeutic interaction, offering occasional clarification and interpretation.
Psychotherapy / counseling
Use of suggestion support
Empathy
Questions, and confrontation of resistance,
As well as insight-oriented interventions in the form of clarification and interpretation

Question 18

Free association

Answer 18

Free association -content of free association may be bodily sensations, feelings, fantasies, thoughts, memories, recent events, and the analyst.
Couch – more unconscious material uncovered
Unconscious is related to behaviour and meaningful awareness by expression
Indicate anxiety provoking aspects
a slip of the tongue and omitted material can be analyzed based on knowledge of analyst
Difficulty in free association – behaviours are interpreted and meanings are shared

Question 19

Neutrality and empathy

Answer 19

free-associate to materials that are affected as little as possible by aspects of the analyst that is extraneous to the patient
Analysts disclosure- are concerned about harm
Aanalysts are not cold and uncaring
Analyst is empathic with the patient’s experience and feelings.
By understanding and encouraging free association rather than responding directly to the patient’s feelings (anger, hurt, happiness, and so forth),
the analyst allows a transference relationship feelings about the analyst) to develop

Question 20

Resistance

Answer 20

Unconscious resistance in the form of - being late for appointments, forgetting appointments, or losing interest in therapy
Acting out outside – drinking too much, extramarital affair
Transference resistance - managing the relationship with the therapist so that a wished or feared interaction with the analyst can take place

Question 21

Interpretation- techniques to interpret?

Answer 21

Free association
Dreams
Slips of the tongue
Symptoms
Transference

Question 22

What to interpret

Answer 22

Sexually repressed material,
Unconscious ways the individual is defending against repressed memories of traumatic or disturbing situations
Early childhood disturbances relating to unsatisfactory parenting etc.

Process of conveying
Readiness to accept (if intpt. Is too deep patient might not accept)
Psychological disorder – work with BPD may serve difft function than
Being aware of one’s unconscious – helps in interpretation

Question 23

Interpretation of dreams

Answer 23

Important means for uncovering unconscious
Providing insight for unresolved issues
Wishes, needs, and fears can be revealed
Manifest and latent content
The interpreter requests free association in relation to dream and recall feeling that the dream elicited
Therapists then help – to understand the repressed meaning of the material, thus developing new insights
Freud – sexual energy; others- ego, object relations, self, or relational approach.

Question 24

Interpretation of transference

Answer 24

Early relationships with parents – transference on to clients
Four approaches - drive, ego, object relations, and self-psychology base interpretations of transference on early, unconscious material.
The way they differ reflects their special listening perspective

Question 25

Interpretation of counter transference

Answer 25

Three different position on countertransference The irrational or neurotic reactions of therapists toward the patient The therapist’s entire feelings toward the patient, conscious or unconscious A counterpart of the patient’s transference

Question 26

Relational responses

Answer 26

Beyond transference and counter transference Issues that affect therapeutic work.

Question 27

Therapeutic goals in Jungian therapy

Answer 27

Individuation (conscious realization of psychological reality that is unique to oneself) Once you realize – integrate conscious and unconscious Developmentally Childhood – identify self archetype Adolescence – persona Mid-life – shift from earning for material reasons to spiritual reasons Old age - serinity

Question 28

Jungian Therapy

Answer 28

Unconscious – conscious Assessments – projective techniques, objective instruments that measure type, and assessments of dream and fantasy material Therapeutic relationship – flexible one (use their psyches to bring about personal and collective unconscious into awareness) To do this: dreams, active imagination, and other exploration methods Transference and countertransference.

Question 29

Jungian Assessments

Answer 29

Objective personality tests Projective personality tests Dream analysis Word association - Symptom analysis Case history Analysis of the unconscious Jung’s description of humane assessment

Question 30

Techniques and approaches-Jung

Answer 30

Word association provides complexes that disturb the individual – exploring unconscious Hypnosis to bring back painful memories Symptom analysis – PTSD Case history – tracking the development of the psychological disorder (to bring in changes of attitude; and aspects of the unconscious into the conscious) Analysis of unconscious (when conscious analysis is exhausted, varied, and related to a patient’s archetyes) He would also analyze his own dream to interpret the patient (famous in Jungian school)

Question 31

Other tests-Jung

Answer 31

TAT Rorschach (Klopfer – Jungian analyst – developed the test) He was also interested in Jung’s extraversion and introversion Murray- TAT Gray- Wheelwright Jungian Type Survey MBTI (thinking and feeling opposite ends and helps studying bipolar) Singer-Loomis Inventory of Personality

Question 32

Therapeutic relationships- Jung

Answer 32

Accepting pt for psychological disturbances and unconscious Using personal experience while interpreting Humanness “wounded healer” (touched by patient’s pain) The analyst’s awareness of changes in her unconscious, as represented by her shadow (for example, through tightening in the stomach) Can provide insight Provides different choices for interventions

Question 33

Jungian stages of therapy

Answer 33

1st stage – catharsis – emotional and intellectual confession 2nd stage – elucidation/interpretation – transference relationship 3rd stage – insight into social needs and striving for superiority 4th stage – transformation / individuation (from social needs fulfillment – ones own unique patterns and personality)

Question 34

Dream analysis

Answer 34

Distinguished between little (personal unconscious) and big Significant dreams – remembered for lifetime biggest jewel of psychic experience Compensatory function of dreams

Question 35

Dream material

Answer 35

Memories of past experiences Important events in the past that were repressed Unimportant daily or past events Memories of deeply disturbing secrets. Sometimes the dream comes from physical stimuli such as a cold room or a need to urinate. Sources of the dream – not important but the meaning of it to the dreamer

Question 36

Structure of dreams

Answer 36

Four important aspects Place in which the dream takes place; Major character in the dream; Relationship of the dreamer to the situation; Time Plot development – an indication of conflicts Decisive event – change takes place in the dream Conclusion or solution Understanding the entire structure of a dream is important for the analyst although sometimes the dreamer may remember only segments and fraction

Question 37

Dream interpretation- Jung

Answer 37

Relate to symbolic meaning of the dream to the conscious situation Depending upon the nature of the dream, either personal associations (personal lives) or archetypal (should be aware of their culture, folklore, mythology etc.) associations Continuity in dreams Subjective interpretation (each object/people partly represent the dreamer) - people in the dream are important to the dreamer Objective interpretation (object/people represent themselves) – people in the dream are important to the dreamer Nightmares – could also be representations of fears of other people Recurring themes - archetypes

Question 38

Compensatory functions

Answer 38

`Part of regulating the individual’s personality What does dream to the dreamer? Bringing unconscious into conscious helps understand its function Dreams compensate conscious - confirming, opposing, exaggerating, or in some other way relating to conscious experience. Not all dreams look for compensatory function They may anticipate some future event

Question 39

Active imagination

Answer 39

Jungian analysts – allow a variety of new unconscious events to come into conscious This is done via active imagination Purpose is to let complexes and emotional components come into the conscious It can be done both verbally and non-verbally Conversation with human/non-human fig. from the dream Active imagination is done with the help of archetypes (Anima/ animus and the wise old man) Gerhard Adler – recurrent dreams – conversing with those figures and asking its name Ego center of unconscious can understand collective unconscious

Question 40

Specialised techniques- Jung

Answer 40

Dance and movement therapy Poetry Artwork Pts create withput being too conscious – attach a symbolic value to the material Sandtray – figures – assign meaning ( arouse unconscious)

Question 41

Transference and counter-transference- Jung

Answer 41

Projection Negative (frustration is projected on to one another) and positive (Warm relationship) Unique to Jung- analysis of projection - archetypal from collective unconscious Course of change – Freud phase, not important phase, archetypal phase