CLINICAL AND ABNORMAL PSYCHOLOGY Flashcards
CLINICAL PSYCHOLOGY
- study of theory, assessment, and treatment of mental and emotional disorders
Psychoanalytical theory
- Sigmund Freud
- most extensive complex theory of human nature
- conflict central to human nature, between drives of conscious and unconscious
- individuals motivated by drive reduction
Greatest conflict in psychoanalytical theroy
- 1st was between libido (sex) and ego
- later revised that conflict is between eros (life instinct) and thanatos (death instict)
Layout of mind in psychoanalytical theroy
- first viewed layout of mind as a topographic model of mental life which conscious elements were openly acknolwedged forced and unconscious elements e.g. drives and wishes and layers below consciousness
- later model is was structural = mental life has particular organization rather than layers
3 components of structural organization:
1) ego
2) id
3) superego
Ego
- mediates between envionrment and pressures of id and superego
Id
- contains unconscious biological drives
- life at birth consists of id (biological drives e.g. aggression) then develops to include unconscious wishes
Superego
- imposed learned or socialized drives
- not born with - influenced by moral and parental training
How well a person handles their ego =
- determines their mental health
- constant push pull between competing forces of id, superego, and environment
Abnormal theory (psychoanalytical)
- result of repressed drives and conflicts that manifest in dysfunctional ways
- pathological behaviour, dreams, and unconscious behavior are symptoms of underlying unresolved conflicts
Psychic determinisms
- pathological behavior from unresolved conflict is manifested when ego does not find acceptable ways to express conflict
Therapy (psychoanalytical)
- Psychoanalysis or analysis
- seen 4-5x week vs. 1x or 2x and for many years
- intitially used hyponosis and later switched to free association
Charcot and Janet
- hypnosis
Breuer
- free association
- process in which patients reeports thoughts
Catharsis or abreaction
- discharge of repressed emotion through free association
Transference
- central idea to psychoanalysis
- patients react to therapist like they reacted to their parents
- serve as metaphor for patient’s repressed emotions about parents
Countertransference
- how therapist feels about their patient
- unconscious feelings or wishes
Object relations theory
- therapist uses patients transference to help them resolve problems that were result of previous relationships by correcting emotional experience in their therapist-patient realtionship
Goal of therapy (psychoanalyitical)
- lessen unconscious pressures by making much of this material conscious as possible
- allow ego to better mediate forces
Criticism (psychoanaylitical)
- develops theories from single cases studies of woman
- not scientific method
Aggression
- central force in humans that must find socially acceptable outlet
Defense mechanism
- way in which ego protects itself from threatening unconscious material/environmental forces
Repression/denail
- not allowing threatening material into awareness
Rationalization
- justifying/rationalizing behavior or feelings that cause guilt
Projection
- accusing others of having one’s own unacceptable feelings
Displacement
- shifting unacceptable feelings or action to less threatening recipient
Reaction formation
- embracing feelings or behaviours opposite to the true threatening feeling that one has
Compensation
- excelling in one area to make up for shortcomings in another
Sublimination
- channeling threatening drives into acceptable outlets
Identification
- imitating a central figure in one’s life
Undoing
- performing ritualistic activity in order to relieve anxiety about unconscious drives
Dreams
- safe outlets for unconcious meterial and wish fulfillment
Manifest content
- actualy content of reams provides info for latent content
Latent content
- unconscious forces the dreams are trying to express
Pleasure principle
- AKA primary process
- human motivation to skeek pleasure, avoid pain
- salient in early life
- where id operates
Reality principle
- AKA secondary process
- guided by ego and responds to demands of the environment by delaying gratification
Screen memory
- serve as representations of important childhood experiences
Individual theory/Alderian theory
- Alfred Adler
- people are viewed as creative, social and whole
- people realize themselves via “becoming”
- motivated by social needs and feelings of inferiority when current self doesn’t match self-ideal
Will to power
- health individual has will to power to quest for superiort in spite of inferiority
- pursue quest that are outside himself and beneficial to society
Abnormal theory (Alderian)
- unhealthy individuals are too much affected by inferior feelings to pursue the will to power
- make excuses and if they do pursue goals are self-serving and egotistical
Therapy (Alderian)
- psychodynamic approach where unconscious feelings play a role
- examination of person’s lifestyle and choices
- patient examines motivation perception, goals and resources
Goal of therapy (Alderian)
- aims to reduce feelings of inferiortiy
- foster social interest and social contribution
Criticism (Alderian)
- best use with normal people in search of growth
What did Alder create?
- a peronality typology based on personal activity and social interest
Ruling-dominant type (choleric)
- high actibity
- low social contribution
- dominant
Getting-learning type (phlegmatic)
- low activity
- high social contribution
- dependent
Avoiding type (melancholic)
- low activity
- low social contribution
- withdrawn
Socially useful type (sanguine)
- high activity
- high social contribution
- healthy
Analytical Theory
- Gustav Jung
- freud placed too much emphasis on libido
- psyche was directed towards life and awarness (rather than sex)
Unconscious is divded into 2 types (jung)
- personal unconscious: material from own experiences that can become conscious
- collective unconcscious: dynamics of psyche inherited from ancestors
- commmon to all people and contain archetypes
Archetype (jung)
- best knwon concept
- universially meaningful concepts passed down through collective unconscious since beginning of man
- allow us to oranized expericnce across cultures
Persona (jung)
- person’s outer mask
Shadow (jung)
- person’s dark side
- often projected onto other
Anima (jung)
- female elements that man possess
Animus (jung)
- male elemtns that females possess
Self
- full individual potential, symbolized in cultures by figures
e. g. mandala
Abnomal theory (jung)
- something is wrong in makeup of the psyche
- provides clues about how one could become more aware
Therpy( jung)
- psychodynamic because unconscious elements are addressed
- material exposed via analsis of individual’s dreams, personal symbols etc.
Goal of therapy (jung)
- use unconscious messages in order to become more aware and closer to full potential
Criticisms (jung)
- too mystical/spiritual
Client centered therapy
- rogers
- AKA person centered/Rogerian therapy centered around humanistici and optimistic outlook on human nature
- individuals have atualizing tendency that can direct them out of conflict and toward full potential
- best via atmosphere that fosters growth
Abormal theroy (roger)
- people who lack congruency between real selves and their conscious self concept
- feelings are inconsistent with acknowledged concept of self
therapy (roger)
- direct by client
- therapist is nondirective and only provide atmopshere for client’s self-exploration
Empathy(roger)
- by therapist shoudl appreacite rather than just observe the client’s world
Unconditional positive regard (roger)
- facilitates a trusting and safe environment
- therapist maintains positive feelings no matter what the therapist chooses
Genuinessess/congreuence (roger)
- feelings and experiences of therapist should match
- shoud not maintain a professional reserve but speak genuinely with client
Goal of therapy (roger)
- provide trusting atmosphere where client can egnahe in self-directed growth
- evidence = congruent self-concept, positive self-regard, internal locus of evluation and willingess to experience
Criticism (roger)
- used no diagnositc tools because believed that client-centered therapy applied to any psychological problem
Behaviour Theory
- Skinner, Pavlov, Wolpe
- applicatio of classical and operatn conditions to human abnormal behviaour
- based on learning
- change maladaptie beaviour through new learning
Radicsl behaviourism
- associatd with skinner’s operant ideas
- behaviour only related to consequences
Neobehaviourism
- used pavlov’s classical couterconditioning principles to create new responses to stimuli
Abnormal theroy (behaavioursm)
- result of learning
Therapy (beahvuoursm)
- short term and direted
- thoughts, unconscious etc. are not addressed
- uses techniques of counterconditioning to foster the learning of new responses in client
Sytematic desensitization (behavioursim)
- developed by Wolpe
- classical conditioning to relieve anxiety
- exposed to increainly anxiety provoking stimuli until anxiety associated with those stimui is decreased
Flooding or impolsive therapy (behviourism)
- applies classical conditioning in order to relieve anxiety
- repeatdly exposed to any anxiety producing sitmuli so that overeposure leads to lessen anxiety
Aversion therapy (beahviourism)
- operant pinciple of negative reinforcement to reduce anxiety
- anxiety reaction is created where there was preiously none
- treat addiction and fetishes
Shaping (behviourism)
- operant conditiongin to change behaviour
- reinforced for beahviours that come closer to desired action
Modeling (behviourism)
- employs social learning that exposes client to more adaptive behaviours
Assertiveness training (beahvuourism)
- provides tools and exprience thorough which client is more assertive
Role playing (beahvioursm)
- allow client to practive new beaivours and repsonses
Goal of therapy (beahvoiurism)
- change beaviour in desired or adpative direction
- extremly successful in treatiung phobias, fetishes, OCD, seuxal probems, and childhood disorders
Crtiticism (beahviourism)
- accused of treating symptoms rather than underlying probem
Cognitive thoery
- beck
- consious thought patterns are starring role in peoples lives
- way person interprets experince, rather than the epeirnce itself
Abnoral theroy (beck)
- maladaptive cognitiongs lead to abnormal beahviours
Arbitrary inference (beck)
- drawing conlsucions without solid evidnece
Overgeneralization (beck)
- Mistaking isolated incident for the norm
Magnifying/minimizing (beck)
- making too much or little of something
Peronalizing (beck)
- inappropriately taking responsbility
Dichotomous thining (beck)
back and white thinking
Cognitive triad
- negative views about self, world and future cuase depression
Beck depression inventory (BDI)
- measures cognitive traid to guage severity of depression
Therapy (beck)
- directed therapy to expose maladaptive thought and reasoning patterns
- short term and focus on tangible evidence of client’s logica (e.g. what they say or do)
Goal of therapy (beck)
- to correct maladaptive cognitions
Criticims (beck)
- address how person thinks rather why pattersn were initally developed
- removing symptoms may not cure the problem