Classical Psychoanalytic Theory (Freud)

Question 1

Describe the topographic model

Answer 1

Freud, 1900

Unconscious: unacceptable thoughts and feelings

Preconscious: acceptable thoughtd and feelings that can become conscious

Conscious: ideas and feelings in awareness

Question 2

Freud’s View of Dreams

Answer 2

(Freud 1900) “The royal road to the unconscious” and “the disguised fulfillment of conflictual wishes”

Question 3

4 operations at work in a dream

Answer 3

Freud 1900

Condensation - combining different unconscious thoughts into one

Displacement - direction of feelings onto unrelated subject

Representability - an object that is absent is represented by an image

Secondary revision - making the dream coherant

Question 4

Oral stage

Age and Pathology

Answer 4

Freud 1905

Birth to 18 months

Can manifest as depressed

Question 5

Anal stage

Age and Pathology

Answer 5

Freud 1905
18 months to 3 years

Can manifest as obsessional

Question 6

Phallic stage

Age and Pathology

Answer 6

Freud 1905
3-6

Can manifest as hysteria

For males: aggression, ambition, vanity

For females: seductiveness or submission

Resolution involves identification with same-sex parent

Think oedipal/elektra complex

Question 7

Latency stage

Age and Pathology

Answer 7

Freud 1905

Age 6-puberty

Fixation leads to sexual unfulfillment

Question 8

Genital stage

Answer 8

Freud 1905

Puberty-death

Question 9

Structural model

Answer 9

Freud 1923

Id: operates on the pleasure principle

Ego: mediator, relies on reality principle

Superego: irrationally moralistic aspect of the mind

Question 10

Drive/conflict theory

Answer 10

Freud, 1926

• A press for the drives creates internal conflict which seeks expression
• The ego engages defenses to repress drives (or fails, causing symptoms); operates on the reality principle
• In a healthy person, compromise formation satisfies all parts of the structural model

Question 11

Psychoanalysis:techniques

Think: wicca

Answer 11

(Auld, Hyman & Rudzinski 2005)

Association(free)
Confrontation-presenting to the client what has become preconscious; staring an action or utterance
Clarification - description of the perception of something unconscious
Interpretation - makes the unconscious conscious by labeling a wish-defense complex
Working Through - interpretation in areas of life and relationships

Question 12

Psychoanalysis: Events in Treatment

Think: RITT

Answer 12

(Auld, Hyman, & Rudzinski, 2005)

Resistance and initial stages to prevent discovery

Interpretation: Calling attention to resistance and interprets the purpose it services

Transference develops, the patient relates to the therapist as they are someone from the patient’s life

Transference Neurosis–when all of the vital unconscious conflicts are focused on the therapist

Question 13

Psychoanalysis: 3 Types of Anxiety

Answer 13

(Freud, 1926)

Realistic Anxiety: of the physical world

Moral Anxiety: threats to the ego

Neurotic anxiety: fear of being overwhelmed by the id

Question 14

Psychoanalysis: Development of Neurosis

Answer 14

(Auld, Hyman, & Rudzinski, 2005)

1) Infantile Wish (pregenital sexual wish) is stimulated
2) Wish cannot be gratified, which leads to frustration
3) Defenses develop which also reduce adaptability to the world

Question 15

Freudian Depressive Personality

Answer 15

(Freud, 1905)

Over or under-indulgence at oral phase (leads to addiction, dependence, depression)

Question 16

Freudian Obsessional Personality

Answer 16

Freud (1905)
Over or under-indulgence at anal phase (orderliness, perfectionism, control or cruelty, impulsiveness, rebelliousness, disorganization)

Question 17

Freudian Hysterical personality (think histrionic)

Answer 17

(Freud, 1905) Reduction or seduction at the phallic/oedipal phase

Question 18

Psychoanalysis: Curative Factors

Answer 18

(Freud, 1926)

1) Make the unconscious conscious by undoing repression
2) Helping the patient to develop compromise formation (modifying the go) by deciding to renounce gratification, allow it, or some combination

Question 19

Psychoanalysis: Goals for Treatment

Answer 19

(Freud, 1923)
Ego Strength
Adaptation
Common Understanding (patient and therapist)
Hopefulness
Defense
Identification and Internalize
Consciousness
Energy

Question 20

How to explain therapy to the patient psychoanalytically

Answer 20

(Freud, 1923)

• Discuss the goals of treatment for the first few sessions
• Become curious about the self, explore the past to understand the present
• Expression of things not fully aware; everything is important

Question 21

Anna Freud’s contrbutions

Answer 21

(A. Freud, 1936)

• heightened the impact of the environment of the child
• ego develops out of frustration which leads to development of defenses
• when ego development is disturbed, primitive and rigid defenses develop
• goal is to develop an observing ego(ability to An important function of the observing ego is the ability to monitor or reflect upon one’s feelings, impulses, and thoughts rather than impulsively acting them out [Sterba, 1934])

Question 22

Ego Psychology: curative factor

Answer 22

gaining insight (developing an observing ego)

Developing mature and flexible defenses

Question 23

Ego psychology: Technique

Answer 23

Therapist Acts as observing ego (interpreting defenses)
Interprets superego functioning
Fosters identification with the therapist to develop ego

Question 24

Core components to all analytic theories

Answer 24

Pine, 1990

Psychic determinism (there are no accidents, everything is related to the unconscious)

Much of mental life is unconscious

Much of who we are is rooted in early life

Question 25

Ego psychology: Ego functions

Think JARID

Answer 25

Reality Testing
	Judgment
	Affect regulation
	Reality testing 
	Impulse control
	Defenses

Question 26

Transference and Countertransference

Answer 26

Freud, 1912

Positive–good attachment onto therapist
Negative–inappropriate angry feelings toward therapist”

Counter transference–therapist feelings toward clients–response toward client