Clinical (15-19%) Flashcards
Define personality
the study of why people act the way they do and why different people act differently
The “old school” personality theories were generally of what sort?
Type theory
What is a type theory
the idea that people could be placed into personality categories based on physical appearance
What type of personality theory dominated the western world during the 1800s?
Phrenology
Examining head and skull shape to determine personality is called…
phrenology
Who devised a type theory based on body type?
William Sheldon
Define somatotypes
body types that were used to guess at individuals personalities
What were the three somatotypes proposed by Sheldon?
Endomorph - short, plump body
Metomorph - muscular, athletic
Ectomorph - skinny, fragile body
According to Sheldon, what was a short, plump body supposed to say about your personality?
That you were sociable with pleasure-seeking behavior
According to Sheldon, what was a muscular, athletic body supposed to say about your personality?
That you are energetic and aggressive
According to Sheldon, what was a skinny, fragile body supposed to say about your personality?
That you are inhibited and intellectual.
Psychoanalytic theory was founded by who?
Sigmund Freud
Psychoanalytic theory proposes that what is central to human nature?
Conflict
Freud originally though the central conflict of human nature was between these two things, and later changed his mind to seeing it as between these two things.
Libido vs. ego
Eros vs. Thanatos
What is Eros in terms of psychoanalytic theory?
The life force which includes love and sex
What is Thanatos in terms of psychoanalytic theory?
The death force which includes self-destructive behavior
What motivates individuals according to psychoanalytic theory?
the need to seek pleasure and avoid pain
What were the elements of Freud’s topographic model of the mind?
Conscious elements (openly acknowledged) Preconscious forces (below the sources but accessible) Unconscious elements (drives and wishes)
What were the elements of Freud’s structural model of the mind?
1) Id
2) Ego
3) Superego
What is the function of the Id?
Unconscious biological drives and wishes - it operates on the pleasure principle and is especially prevalent early on in life.
What is the function of the superego?
The part of the mind that imposes learned or socialized drives. It is not something we are born with but develops over time and is influenced by moral and parental training.
What is the ego?
The part of the mind that mediates between the environment and the pressures of the id and superego.
What is the “reality principle” as it applies to psychoanalytic theory?
How the ego has to respond to the demands of the environment by delaying gratification.
In psychoanalytic theory what determines a positive state of mental health?
How well the ego handles the competing push and pull between the competing forces of the id, superego, and ego (environment).
Define psychic determinism
The idea that mental events do not happen by chance but always have an underlying cause that can be determined by analysis.
In psychoanalytic theory, what determines a negative state of mental health?
Repressed drives and conflicts
According to psychoanalytic theory how might neurosis manifest itself?
1) Pathological behavior
2) Dreams
3) unsconscious behaviors
How often are patients in psychoanalysis seen by their therapist?
4-5 times per week for many years
In psychoanalysis the terms used for the discharge of repressed emotion is known as
catharsis OR abreaction
What two elements of dreams did Freud evaluate?
1) manifest content (the actual content of the dream)
2) latent content (the unconscious forces the dreams are trying to express)
What methods play a role in psychoanalysis
1) (initially) hypnosis
2) (later) free association
3) dream analysis
Who developed the types of hypnosis used by Freud?
Jean Charcot and Pierre Janet
Who developed the free association techniques used by Feud?
Joseph Breuer
What is the meaning of transference as it applies to psychoanalysis
a patient’s displacement or projection onto the analyst of those unconscious feelings and wishes originally directed toward important individuals, such as parents, in the patient’s childhood.
It is posited that this process brings repressed material to the surface where it can be reexperienced, studied, and worked through to discover the sources of a patient’s current neurotic difficulties and to alleviate their harmful effects.
What is the meaning of transference as it applies more broadly to psychology?
an unconscious repetition of earlier behaviors and their projection onto new subjects as it applies to all human interactions
What is countertransference?
The therapist’s unconscious (and often conscious) reactions to the patient.
These thoughts and feelings are based on the therapist’s own psychological needs and conflicts and may be unexpressed or revealed through conscious responses to patient behavior.
It may either be a hindrance to therapy OR it may serve as a source of insight into the patient’s effect on other people. In either case, the analyst or therapist must be aware of, and analyze, countertransference so that it can be used productively within the therapeutic process.
What is it called when a therapist uses the problems that are emerging from transference to resolve problems that are a result of previous relationships?
Object relations therapy
What is the goal of psychoanalysis?
To make more unconscious forces conscious which makes the ego better able to mediate them.
Why is Freud’s methodology widely criticized?
Because it was not created using the scientific method but rather based on single case studies of women.
Define “defense mechanism” in terms of psychoanalysis
One of the ways the ego protects itself from threatening unconscious forces.
What are some defense mechanisms?
Denial Displacement Intellectualization Projection Regression Repression Rationalization Reaction Formation Sublimation Undoing
Define sublimation
Substitute a unacceptable behavior with a more acceptable (often highly creative or productive behavior) to satisfy the impulse
Define regression
reverting back to an earlier psychosexual stage of development, often in response to external problems or internal conflicts.
More generally - a return to a prior, lower state of cognitive, emotional, or behavioral functioning
Define rationalization
denying the true motivations for one’s behavior in favor of false but more acceptable or self-serving explanations. (ie. sour grapes)
Define projection
attempting to disown ones unacceptable feelings or characteristics by falsely attributing them to others
Define undoing
trying to negate or reverse an unacceptable act by then doing its opposite (ie trying to right wrongs)
Define reaction formation
behaving in a manner that is directly opposed to an underlying impulse that the individual considers unacceptable
Define displacement
transferring impulses or feelings from their original object to a less threatening object (usually aggression).
Define denial
preventing painful or anxiety producing truths from even entering into one’s consciousness
Define repression
denying painful or anxiety-producing memories, feelings, or thoughts from becoming conscious
Define intellectualization
which conflicts or emotional problems are dealt with abstractly or concealed by excessive intellectual activity
Define “screen memory”
a memory that serves as representations of important childhood experiences (in psychoanalysis)
What is psychoanalysis’ perspective on aggression?
That it is a central force in humans that must find a socially acceptable outlet
Who applied Fruedian ideas to child psychology and development?
Anna Freud
Who applied object-relations theory and psychoanalysis to children?
Melanie Klein
Who are some Neo-Freudian thinkers?
Karen Horney and Harry Stack Sullivan
Harry Stack Sullivan’s work focused on
Social and interpersonal relationships (in the context of Freud)
What did Karen Horney believe about neuroticism?
That it is expressed as movement toward, against, and away from people.
Karen Horney (a Neo-Freudian) focused more on what over instinct?
culture and society
What is the name of theories that focus on the role of the unconscious?
psychodynamic theory
The school of psychology that Alfred Adler founded is called…
Individual Theory
What motivates individuals in Individual or Alderian Theory?
Social Needs & Feelings of Inferiority
How does individual theory view people?
as creative, social, and whole
In individual theory why do mental health issues occur?
Individuals are too affected by inferior feelings to pursue the will to power. Goals that are pursued are self-serving or egotistical
Define “will to power”
An idea from Alderian (or individual) theory where individuals quest for feelngs of superiority
What early psychologist was known for his role in family therapy?
Alfred Adler
How does therapy look in individual theory?
Patients examine their motivations, perceptions, goals, and resources through their lifestyle and choices. Unconscious choices do play a role.
What is seen as the goal of the mind in individual theory?
becoming or realizing ones self.
What is the goal of individual theory?
1) reduce feelings of inferiority
2) foster social interest and contribution
What is the weakness of individual theory?
Best used for individuals who are relatively normal and looking to grow rather than those with significant clinical concerns.
What personality types did Adler outline
1) Choleric (ruling-dominant)
2) Phelgmatic (getting-leaning)
3) Melancholic (avoiding)
4) Sanguine (socially useful)
What is the choleric personality type like?
High in activity but low in social contribution (dominant)
What is the phlegmatic personality type like?
Low in activity and high in social contribution (dependent)
What is the melancholic personality type like?
Low in activity and low in social contribution (withdrawn)
What is the sanguine personality type like?
High in activity and high in social contribution (healthy)
The school of psychology that Carl Jung came up with is called…
Analytical Theory
Jung noted that the unconscious is divided into…
1) The personal unconscious
2) the collective unconscious
What are features of the personal unconscious
from ones own experiences and these can become conscious
Define collective unconscious
Inherited dynamics most commonly archetypes
What are 5 most commonly cited archetypes from Jung
1) Persona
2) Shadow
3) Anima
4) Animus
5) Self
Define “persona” in relation to archetypes
a person’s outer mask and mediator to the external world
Define “shadow” in relation to archetypes
a person’s dark side often projected onto others
Define “anima” in relation to archetypes
the female elements than a man posesses
Define “animus” in relation to archetypes
the male elements that a female posesses
Define “self” in relation to archetypes
the full individual’s potential
According to Analytic Theory what results in mental health issues?
Signal that something is wrong in the makeup of the psyche, it provides clues as to how one could become more aware.
How does therapy work in Analytic Theory
unconscious material is explored through the analysis of an individual’s dreams, artwork, and personal symbols.
What is the goal of analytic theory?
Use unconscious messages in order to become more aware and closer to full potential
What is the downside/criticism of analytical theory?
It is seen as too mystical or spiritual
Analytical theory posits that the primary motivation of individuals is what?
moving the psyche toward life and awareness
Define psyche
the mind in its totality, as distinguished from the physical organism, the soul or the very essence of life
The school of psychology founded by Carl Rodgers is…
Humanistic theory
Maslow is considered part of what school of psychology?
Humanistic theory
What are other names for humanistic theory?
person-centered theory
Rogerian theory
According to humanistic theory what results in mental health issues?
a lack of congruence between their real selves and their self concept.
What are the 3 forces in psychotherapy?
1) Psychoanalysis
2) Behaviorism
3) Humanism
What are the characteristics of therapy in a humanistic theory?
Therapist is:
1) Non directive
2) Provides empathy
3) Provides unconditional positive regard
4) Act genuinely, in congruence with their feelings
What is the goal of humanistic therapy
provide a trusting atmosphere where a client can engage in self-directed growth including:
1) congruent self concept
2) positive self-regard
3) internal locus of evaluation
4) willingness to experience
What is the criticism of humanistic theory?
The belief that it can help with any psychological problem and thus lacked any use of diagnostic tools.
What does humanistic theory believe about people’s motivation?
Actualizing tendency where people want to move out of conflict to fill their full potential.
What did George Kelly suggest about personality?
That personal constructs determine personality and behavior
Define personal construct
conscious ideas about the self, others, and situations
What is the order of needs in Maslow’s hierarchy of needs?
Physiological needs Safety Needs Social Belonging Esteem Self-Actualization
Who were the originators of behavioral theory?
BF Skinner, Ivan Pavlov and Joseph Wolpe
How do behaviorists change maladaptive behavior?
Through new learning
Behavior theory is based on…
learning
What is radical behaviorism?
Radical behaviorism focuses on conditioning and the idea that behavior is only based on consequences.
What is neobehaviorism?
The idea that internal events such as cognition and emotion also impact behavior
Behaviorism feels that mental health issues are a result of…
learning maladaptive responses
Therapy using behavior therapy involves
short term, directed counter-conditioning techniques to foster the learning of new responses.
What are some behavioral therapy techniques?
1 - systematic desensitization 2 - flooding 3 - aversion therapy 4 - shaping 5 - modeling 6 - assertiveness training 7 - role playing
What is the purpose of systemic desensitization in human therapy with behavioral therapy?
To use classical conditioning to relieve anxiety.
What is another name for flooding?
implosive therapy
What is another name for implosive therapy?
flooding
Why might aversion therapy be used?
To treat addiction
What type of learning does modeling use?
Social learning
What conditions has behavior therapy been helpful in treating?
1) phobias
2) obsessive compulsive disorders
3) childhood disorders, especially bedwetting
What is the technical term for bed wetting?
enuresis
What is the major criticism of behavioral therapy?
That it treats the symptoms not the primary cause of the problem.
What was Neal Miller’s contribution to psychology?
Proposed the 1) Drive, 2) Cue, 3) Response, 4) Reward cycle.
Who showed the behavioral explanation for displaced aggression?
Neal Miller and John Dollard
Who originated the social cognitive perspective?
Alburt Bandura and Walter Mischel
According to the social cognitive perspective what results in mental health issues?
Dysfunctional expectancies (expectations that either cannot or will not be fulfilled int he way desired)
How does therapy work from a social cognitive perspective?
Addresses faulty expectations but usually involves cognitive-behavioral therapy where maladaptive thoughts and behaviors are addressed.
What is the goal of therapy from a social cognitive framework?
To improve a person’s perceived self-efficacy beliefs
What is a criticism of social-cognitive theory?
It is not a unified, systematic approach to studying personality.
What does the social cognitive perspective have to say about personality?
That it results from interactions between behaviors, conditions, and the environment.
Explain reciprocal determinism
instead of conceptualizing the environment as a one-way determinant of behavior, reciprocal determinism maintains that the environment influences behavior, behavior influences the environment, and both influence the individual, who also influences them.
Walter Mischel is best known for what experiment?
The mashmallow test
What did the marshmallow test study?
delay of gratification
What are recent criticisms of the marshmallow test?
That it may have to do more with socioeconomic status and food insecurity than attention and goal setting.
Who developed the terms internal and external locus of control?
Julian Rotter
Who coined the term learned helplessness?
Martin Seligman
Martin Seligman is considered part of what school of psychology?
Social cognitive perspective
The idea of locus of control is associated with what school of psychology?
Social cognitive perspective
Who is the originator of cognitive theory?
Aaron Beck
What is considered to cause mental health issues in Cognitive theory?
maladaptive cognitions
What are some maladaptive cognitions in cognitive theory?
1) arbitrary inference
2) overgeneralization
3) magnifying/minimizing
4) personalizing
5) dichotomous thinking (black/white thinking)
Define arbitrary inference
Drawing a conclusion without solid evidence
Define dichotomous thinking
black and white thinking, all-or-nothing thinking
Define personalizing (As it relates to cognitive theory)
inappropriately taking responsibility
what is the cognitive triad?
negative views about the self, the world, and the future
What does the Beck Depression Inventory measure?
the cognitive triad
What is the purpose of the Beck Depression Inventory?
It is used to gauge the severity of diagnosed depression
What is central to the idea of cognitive theory?
It is the way a person interprets experience (conscious thought patterns) rather than the experience itself (or ones emotions or behaviors) that are important.
How does therapy work in cognitive theory
1) Therapy is usually directed to help exposure and restructure maladaptive thoughts and reasoning.
2) It is usually short-term
3) It is focused on tangible evidence of the clients logic
What is the goal of cognitive theory therapy?
To correct maladative cognitions
What is the criticism of cognitive theory
Is thought to address the symptoms rather than the underlying cause (and thus is thought that it might not cure the problem.)
Who is the founder or rational-emotive behavioral therapy?
Albert Ellis
what does REBT stand for?
Rational-emotive behavioral therapy
What is the central idea of rational-emotive behavioral therapy?
That intertwined thoughts and feelings produce behavior
Rational-emotive behavior therapy combines elements of what other theories?
cognitive, behaviors, and emotion theory
According to Rational-emotive behavioral therapy, why does mental illness occur?
1) An activating event occurs
2) a client applies beliefs about the events
3) this leads to consequences of emotional disruptive
How does rational-emotive behavioral therapy work?
1) therapy is directive
2) the therapist helps the client to dispute the previously applied incorrect beliefs.
What is the ABCDE of rational-emotive behavior therapy
1) activating event,
2) beliefs
3) consequence (emotional disruption)
4) dispute (the beliefs to replace with)
5) effective (beliefs)
What is the goal of rational-emotive behavior therapy?
to replace self-defeating beliefs with effective rational beliefs, allowing thoughts, feelings, and behaviors to co-exist.
What are criticisms of rational-emotive behavioral therapy
It is been called too sterile and mechanistic
Who are the originators of Gestalt Theory?
Fritz Perals, Max Wertheimer, and Kurt Koffka
What is the goal of Gestalt Theory?
Fully experience and perceive the present (separate from ones beliefs, biases, and attitudes which are based in the past) in order to become a whole and integrated person.
What causes mental illness according to Gestalt Theory?
disturbances of awareness that include 1) a lack of full experience (unacknowledgement) or a lack of insight (putting pieces together)
What does Gestalt therapy look like?
Engage in a dialogue about here and now experiences rather than talking about the past.
The goal of Gestalt therapy is?
exploration fo awareness and a full experiencing of the present.
What is criticism of Gestalt therapy?
Not suited for low-functioning or disturbed clients
What school of psychology did Victor Frankl start?
Existential theory
Who founded Existential theory?
Victor Frankl
The main two drives in existential theory are…
Being vs. nonbeing, meaningfulness vs. meaninglessness
What is considered the main cause of mental illness according to existential theory?
Meaninglessness leading to neurotic anxiety
What does existential therapy look like?
Deep questions related to the client’s perception and meaning of existence are discussed
What is the goal of existential therapy?
To help clients understand how they are creating meaning in the world and to help them make different choices based on what gives life meaning.
What is the criticism of existential therapy?
It has been called too abstract for severely disturbed individudals
What are some types of phenomenological theories?
Existential theory
Client-centered therapy
What is an phenomenological theory?
a type of personality theory or psychotherapy that places on the individuals self or experience at the center of analysis for how well their personality is functioning and/or what changes they should make.