Assessment

Question 1

What is Assessment

Answer 1

Includes assessing the acute problems and ongoing patters, constructing an initial forumula and making a recommendation for treatment.

Question 2

Holding Environment

Answer 2

establishing a connection that helps patients feel secure, safe and trusting

Question 3

What does history include

Answer 3

history of present illness (when was the last time the person was at their baseline), history of symptoms, development/personal history

Question 4

ego functions

Answer 4

patient’s characteristic ways of thinking, feeling, and behaving

Question 5

ethical judgement/super-ego function

Answer 5

patient’s capacity to distinguish right from wrong

Question 6

reflective capacity

Answer 6

ability to step outside their immediate thoughts to look at them critically. Two aspects include Psychological Mindness and reality testing

Question 7

psychological mindedness

Answer 7

the way in which patients think about their mind, is there a unconscious? Can childhood events effect the present?

Question 8

id

Answer 8

wishes, desires

Question 9

super-ego

Answer 9

conscience and personal ideals

Question 10

ego

Answer 10

person’s inner mental life and relationship to the world

Question 11

self-perception

Answer 11

how we see ourselves relates to both our identity and our self appraisal

Question 12

identity

Answer 12

sense of who we are. Likes, dislikes, talents, limitation, often consolidated in teen years

Question 13

self-appraisal

Answer 13

how well our subjective sense of our self matches up with what we are actually able to do. Relates to both setting yourself up for failure and low self esteem

Question 14

ideals/ego-ideal

Answer 14

inner images, fantasies, who we wish to be.

Question 15

self-esteem regulation

Answer 15

ability to bounce back fro self esteem blows

Question 16

empathize

Answer 16

ability to appreciate the way others see the world

Question 17

mentalization

Answer 17

ability to think about others as having thoughts and feelings distinct from ones own

Question 18

internal/external stress

Answer 18

internal stress thoughts and fantasies, feelings and anxiety, pain and other physical sensations. External stress includes relationships, economic/work pressures, trauma etc

Question 19

defenses

Answer 19

unconscious and automatic ways he mind responds to internal and external stress/emotional conflict. Some are adaptive and some are less adaptive

Question 20

object constancy

Answer 20

knowing that bad and good can exist in the same person

Question 21

object permanence

Answer 21

knowing something out of sight is still there.

Question 22

splitting

Answer 22

experiencing feelings as if they are coming from outside the self. Normal in children, but problematic when they need to protect their good image of an abusive parent or care giver

Question 23

types of less adaptive defenses (tend to be based on splitting)

Answer 23

• Splitting
• Projection
• Projective identification
• Pathological idealization & devaluing
• Denial
• Dissociation
• Acting Out
• Regression

Question 24

adaptive defenses (based on repression)

Answer 24

• Isolation of Effect
• Intellectualization
• rationalization
• Displacement
• Somatization
• Undoing
• Reaction Formation
• Identification
• Excessive Emotionality
• Externalization
• Sexualization
• Repression
• Turning against the self

Question 25

Isolation of Affect

Answer 25

the mind represses the affect but the thoughts remain concicous. Person seems devoid of feeling

Question 26

Intellectualization

Answer 26

uses substitution of excessive thinking to take the place of painful or uncomfortable feelings

Question 27

Rationalization

Answer 27

Deals with unacceptable feelings by coming up with good reasons for the problematic situation/feeling

Question 28

Displacement

Answer 28

exchanges the object of a wish or feeling for one that feels more acceptable EX Nate is afraid of his father, but instead feels afraid of the school principal.

Question 29

Somatization

Answer 29

causes thoughts or feelings to be experienced as bodily sensations (headache, diarrhea, chest pain etc)

Question 30

Undoing

Answer 30

Minds do-over, reverses something that feels unacceptable or uncomfortable EX: She cheated people all day long at work then gave a dollar to a bigger on the street

Question 31

Reaction formation

Answer 31

turns unacceptable feelings into their opposite EX Ms Q is overprotective of her infant son in an effort to protect herself from rage at not being able to sleep at night

Question 32

Identification

Answer 32

If you can't bet them, join them. Feelings of jealousy are dealt with by pulling in characteristics of the other person

Question 33

Excessive Emotionality

Answer 33

Represses thoughts while affect remains conscious. Not feeling emotional that a divorce is final but exploding that grocery order is delayed

Question 34

Externalization

Answer 34

leads people to perceive internal conflicts as if they were external conflicts. Note that this is not a splitting-based defense mechanism, because the feelings are still perceived as coming from within the self EX Ms U consulted a therapist to talk about whether she should stay with her fiancé or begin to date an old boyfriend who had contacted her. Months into therapy, she realized that she was ambivalent about getting married at all.

Question 35

Sexualization

Answer 35

Takes issues that are not sexual and makes them so in order to avoid deeper feelings

Question 36

Repression

Answer 36

hiding thoughts, feelings and fantasies leading to forgetting, denial and inhibited sexuality

Question 37

Turning Against the Self

Answer 37

Substitutes the self for the object EX Mr X was angry with his father for buying a new house rather than paying for a year of his college education; however, he experienced this rage as self-criticism for not doing as well as he could have during his first semester.

Question 38

Most Adaptive Defenses (can be problematic if used persistently and inflexibly)

Answer 38

* Humor * Alturism * Sublimation * Supression

Question 39

Sublimation

Answer 39

when an uncomfortable thought goes straight from the unconscious to the conscious in a useful form. Like discharging anger by writing poetry or going to the gym

Question 40

Supression

Answer 40

Differs from repression as it is conscious. Scarlet O'hara "I won't think of that now"

Question 41

Projective Identification

Answer 41

On person projects a thought/feeling onto another person and behaves in a way that makes the second person feel that way EXMr C is passed over for a promotion by his boss. Although he says that this is fine with him, his unconscious rage is so overwhelming that he comes in two hours late for a week until his boss is so enraged that he fires him.

Question 42

Pathological Idealization/devaluation

Answer 42

the person who is idealized today may easily be devalued tomorrow:

Question 43

General Cognitive Function

Answer 43

persons built in cognitive apparatus (intelligence, memory, speech, language, linear thinking). Gross impairments make it difficult to benefit from psychotherapy

Question 44

Reality Testing

Answer 44

can differentiate reality from fantasy

Question 45

Judgment/Impulse Control

Answer 45

aware of appropriateness and consequences of intended behavior and acts in a way that reflects this awareness

Question 46

Sensory Stimulus Regulation

Answer 46

ability to tune out insignificant stimuli (like traffic noise)

Question 47

Five Domains of Function

Answer 47

Self, relationships, adapting, cognition, work/play

Question 48

supportive stance

Answer 48

Supporting the patient's thoughts and feelings instead of uncovering the problem or challenging

Question 49

uncovering stance

Answer 49

challenging the patient to uncover what is below the surface problem,