7. contemporary psychodynamic + humanistic therapies

Question 1

name the 3 psychodynamic therapies

Answer 1

1. short-term psychodynamic therapy
2. emotion focused therapy
3. interpersonal psychotherapy

Question 2

what are the origins of psychodynamic therapies?

what do they focus on?

Answer 2

psychoanalysis

they focus on unconscious processes that impact px behaviour

Question 2

name a few examples of psychodynamic therapies?

i can think of 3

Answer 2

1. short term psychodynamic therapy
2. mentalization based therapy
3. transferance focused psychotherapy

Question 3

give some examples of humanistic/experiential therapies

i can think of 3!

Answer 3

1. gestalt therapy
2. existential therapy
3. emotion focused therapy

Question 4

what kind of category does interpersonal psychotherapy fall into? why?

Answer 4

an external kind of humanistic/experiential therapy

was intially created as a controlled tx, focused on emotions

Question 5

what are the origins of humanistic/experiential therapies?

what premise does it follow?

Answer 5

person centered therapy (rogers)

premise: people are “self-actualizing”, can reach full potential

Question 6

what distinguishes psychodynamic therapies from one another?

conclusion from the Blagys & Hilsenroth article – there are 7 reasons

Answer 6

1. focus on affect and the expression of patient emotion
2. exploration of patient’s attempts to avoid topics or engage in activities that hinder therapy process
3. identify patterns in patient’s actions, thoughts, feelings, experiences, relationships
4. emphasis on past experiences
5. focus on patients’ interpersonal experiences
6. emphasis on therapeutic relationship
7. exploration of patient’s wishes, dreams, fantasies

Question 7

what is a core belief?

Answer 7

a deeply rooted difficulty in the patient’s life that affected their past and affects their present

Question 8

short-term psychodynamic therapy

1. goal
2. structure
3. the ideal candidate for this therapy

Answer 8

1. sx relief, character change (limited but significant), work on specific areas of focus
2. 1/week for less than a year, keeping focus on the focus of the client
3. px has to be psychologically minded, insightful, motivated, can engage readily and disengage easily

Question 8

short-term psychodynamic therapy

what are the 3 main techniques of this kind of therapy?

Answer 8

1. being supportive
2. being expressive
3. monitoring countertransference

Question 9

emotion focused therapy

1. who developed it and at which uni?
2. what was its original name?
3. how many sessions does it usually last?
4. what is the key determinant/premise of this therapy?

Answer 9

1. Leslie Greenberg, york u
2. process experiential therapy
3. 16-20 sessions
4. emotions are at the forefront - they are evolutionarily useful, but how we make sense of the is influenced by culture

Question 10

name the 4 types of emotions

Answer 10

1. primary
2. secondary
3. adaptive
4. maladaptive

Question 11

what is a primary emotion?

what is its function?

Answer 11

direct, initial reaction to an event

good for mobilization

Question 12

what is a secondary emotion?

Answer 12

emotions that we have in relation to primary emotions

Question 13

what is an adaptive emotion?

Answer 13

primary emotions that communicate information relating to what we need

Question 14

what are maladaptive emotions?

Answer 14

“old familiar feelings” that don’t change with situation

they do not communicate our needs

Question 15

what are the 3 principles targeted in tx of EFT?

Answer 15

1. emotion awareness
2. emotion regulation
3. emotion transformation

Question 16

EFT

what is emotion transformation?

what’s its purpose?

Answer 16

process of changing emotion with another emotion
purpose is to undo a maladaptive emotional response with a more adaptive emotion

replacing a secondary emotion into a primary emotion

Question 17

EFT

what are techniques used in emotion transformation?

there are 2

Answer 17

1. 2 chair dialogue
2. empty chair work

Question 18

EFT

what is the 2 chair dialogue?

Answer 18

have the person have a dialogue with themselves; one chair has the negative discourse repeated by the client, the other chair is the person saying kind things

Question 19

in watson 2004, what were the findings in treating depression with EFT compared to CBT?

Answer 19

outcomes were similar but there was a greater decrease in interpersonal problems in EFT compared to CBT

Question 20

what is the main premise of interpersonal psychotherapy?

the 3 Ps

Answer 20

the interpersonal context of a person is a mix of elements that
* predispose (attachment + biopsychosocial vulnerability)
* precipitate (acute interpersonal crisis)
* perpetuate (inadequate social support)
their distress

Question 21

interpersonal context, interpersonal psychotherapy

what is a predisposition?

Answer 21

the etiology of the person

Question 22

interpersonal context, interpersonal psychotherapy

what is the precipitation of the interpersonal context?

Answer 22

the acute event that leads to the distress

Question 23

interpersonal context, interpersonal psychotherapy

who would best suit interpersonal psychotherapy?

3 elements

Answer 23

1. secure attachment
2. specific interpersonal focus of distress
3. good support system

Question 24

what are the 4 problem areas that are targeted by IPT?

Answer 24

1. role transitions
2. role disputes
3. grief
4. interpersonal sensitivity

Question 25

examples of role transitions?

Answer 25

moving, new job, divorce

Question 26

what are role disputes?

Answer 26

disagreement in a relationship

Question 27

in what context would IPT address grief, if grief is a primary emotion?

Answer 27

grieving period is longer than “normal”

Question 28

what is interpersonal sensitivity?

Answer 28

difficulty forming and maintaining relationships

Question 29

what are some IPT techniques?

there are 4

Answer 29

1. interpersonal incidents
2. communication analysis
3. problem solving + role-playing
4. encouragement of affect

Question 30

IPT techniques - encouragement of affect

what’s the difference between content and process?

Answer 30

content: how the patient feels, the content of their emotions
process: using our non-verbal to express ourselves, how to patient expresses themselves non-verbally

Question 31

IPT was found to have a sleeper effect on 2 diagnoses. which ones?

Answer 31

bulimia nervosa + binge eating disorder