5: Psychoanalysis Flashcards

1
Q

Philosophical assumptions:

Scientific modernism

A

Medical approach:

Mental illness is caused by (psychological) processes within an individual and can be alleviated by appropriate treatment

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2
Q

Philosophical assumptions:

Objectivism:

A

nature exists independently of observers

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3
Q

Philosophical assumptions:

Psychic determinism

A

Behaviour is determined by irrational forces, unconscious motivations and biological or instinctual drives.

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4
Q

Philosophical assumptions:

Universalism

A

Scientific explanations apply to all times, places and situations, regardless of contexts in which they occur.

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5
Q

Philosophical assumptions:

Epistemological assumption:

A

Consistent, congruent client reports are followed by changes in symptoms and behaviour.

  • Subjective monism: each person has a true self that is revealed in dialogs with unbiased observers.
  • Objective monism: a single, empirically derived model, universally applicable to all people, will eventually explain objective, causal relationships among elements abstracted from reality
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6
Q

Philosophical assumptions:

Ontological assumption

A

Internalized child conflict - efficient cause of anxiety - ego defense - symptom

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7
Q

History: Sigmund Freud

A
  • with Charcot: hypnosis for hysteria
  • with Breuer Anna O
  • Hysteria caused by unacceptable emotions that cause guilt, embarrassment or shame. So they are repressed
  • Curative factors: insight and abreaction
  • Interpretation of dreams, essays on sexuality and psychoanalysis
  • Intro to narcissism: theory of libido and theory of drives
  • Psychosexual development, castration, female sexuality and application of psychoanalytic theory
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8
Q

Theories of Personality

Tophographic

A
  • Unconsciousness: not available to introspection. It includes what is actively repressed from conscious thought or what a person is averse to knowing consciously
  • Pre-consciousness: thoughts that are unconscious at the moment in question, but that are not repressed and are available for recall and easily capable of becoming conscious
  • Consciousness
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9
Q

Theories of personality:

Structural

A

Persistent functional units of the id, ego and superego

  • Id (horse): present at birth, instincts, unconscious, pleasure principles
  • Ego (strings): from life experiences, reasoning, all, reality principle
  • Superego (rider): from society and parental standards, moral imperatives: ideal superego and conscience, all, guilt
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10
Q

Theories of personality:

Structural
Characteristics:

A
  • Dynamic: interaction and conflict among psychic forces. Dreams, slips of the tongue and symptoms are the ego’s solutions to the conflict between the id’s unconscious wishes and the superego’s internalized fear of social censure.
  • Genetic: origin and development of psychic phenomena through the oral, anal, phallic, latency and genital stages
  • Economic: distribution, transformation and expenditure of psychological energy.
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11
Q

Therapeutic process: Techniques

Maintaining analytical framework

A

The acceptance of this framing is the agreement or therapeutic contract. Its implementation implies the working partnership

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12
Q

Therapeutic process: Techniques

Analysis of transference, countertransference and resistance

A
  • Transference: unconscious wishes related to past relationship are repeated in the framework of current relationship (towards therapist)
  • Countertransference: reaction of the therapist towards the client may interfere with objectivity
  • Resistance: anything that works against the progress of therapy and prevents the client from producing previously unconscious material
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13
Q

Therapeutic process: Techniques

Free association

A

Clients are encouraged to say whatever comes to mind. Basic rules:

  • Floating of attention: not providing any special attention to the logical thread of speech, it remains to be listening to the effects of unconsciousness on language
  • Abstinence, coldness of feelings and neutrality to prevent giving advice or adopting a pedagogic structure
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14
Q

Therapeutic process: Techniques

Interpretation

A

analyst pointing out, explaining and even teaching the client the meaning of behaviour that is manifested in dreams, free association, resistances and the therapeutic relationship itself

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15
Q

Therapeutic process: Techniques

Dream analysis

A

Consists of uncovering unconscious material and giving the client insight into some areas of unresolved problems during sleep, when defences are lowered and repressed feelings surface.
- Manifest content: what a person remembers and consciously
- Latent content: underlying (symbolic) hidden meaning (believed to be manifested of the subconscious)

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16
Q

Therapeutic content: defense mechanisms

Repression

A

removing painful thoughts, memories or feelings from conscious awareness (source of anxiety)

17
Q

Therapeutic content: defense mechanisms

Denial

A

way of distorting or not acknowledging what an individual thinks, feels or sees

18
Q

Therapeutic content: defense mechanisms

Reaction formation

A

acting in a way that is opposite to disturbing desires

19
Q

Therapeutic content: defense mechanisms

Projection

A

attributing one’s own unacceptable feelings or thoughts to others on the basis of projection

20
Q

Therapeutic content: defense mechanisms

Displacement

A

when anxious, placing feelings on objects or people that may be safe

21
Q

Therapeutic content: defense mechanisms

Sublimation

A

modification of drive (usually sexual or aggressive) into acceptable social behavior

22
Q

Therapeutic content: defense mechanisms

Rationalization

A

explaining poor performance, a failure or a loss by making excuses to lessen anxiety and soften the disappoinment

23
Q

Therapeutic content: defense mechanisms

Regression

A

to revert to a previous stage of development (immature behaviour) when faced with stress

24
Q

Therapeutic content: defense mechanisms

Identification

A

reducing anxiety and other negative feelings by taking on the characteristics of other people

25
Q

Therapeutic content: defense mechanisms

Intellectualization

A

emotional issues are not dealt with directly but rather are handled indirectly through abstract thought

26
Q

Therapeutic relationship

A
  • The therapist remains an anonymous blank screen
  • The client can project own needs, desires and values onto the therapist
  • The client is unable to form feelings about the therapist based on the actions or revelations of the therapist
  • Feelings towards the therapist may be a projection of feelings towards other significant people in the life of the client (transference)