Clinical Psychology Flashcards

(100 cards)

1
Q

Psychodynamic Therapy

A

-human behavior is motivated by the unconscious
-early development has an influence on the present
-insight into the unconscious is the key to therapy

Ex. Freud Psychoanalysis, Adler’s Individual , Jung’s Analytical, Mahler’s Object Relations Theory

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2
Q

Freudian Psychoanalysis

A

human beings are determined by events occurring in the first 5 years;
personality theory;
maladaptive behavior results from unresolved childhood conflict;
therapy goals: being consciously aware of the unconscious

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3
Q

Freud’s personality theory

A

structural: id, ego, superego
developmental: libido changes across 5 stages- oral, anal, phallic, latency, and genital
defense mechanisms

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4
Q

defense mechanisms

A

used by the ego toward off anxiety resulting from
conflicts between id impulses and the demands of the superego or reality;

lead to maladaptive behavior when they become a habit way of dealing with conflict

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5
Q

reaction formation

A
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6
Q

projection

A
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7
Q

repression

A
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8
Q

sublimation

A
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9
Q

Freud’s psychodynamic techniques

A

analysis: free association, dreams, resistance, transference
confrontation, clarification, interpretation, catharsis;
working through

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10
Q

Adler’s Individual Therapy

A

teleological approach: behavior is motivated by future goals!
personality: focus on inferiority feelings, serving for superiority, style of life, & social interest;
two styles of life

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11
Q

style of life

A

how a person compensates for inferiority;

healthy style of life: goals reflect optimism, confidence, the welfare of others

mistaken style of life: goals are self-centered, strive for personal power, competition

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12
Q

4 goals of Behavior in children

A

power, attention, revenge, display deficiency

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13
Q

Jung’s Analytical Psychotherapy

A

libido: general psychic energy
behavior determined by past events & future goals
personality: consequence of conscious & unconscious;
individuation

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14
Q

archetypes

A

primordial images that structure how people perceive experiences

ex. persona, shadow, anima, animus

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15
Q

persona

A

public mask

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16
Q

shadow

A

dark side

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17
Q

anima

A

feminine

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18
Q

animus

A

masculine

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19
Q

individuation

A

integration of conscious & unconscious –> unique identity –> wisdom

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20
Q

Jung & transference

A

interested in it;
projection of unconscious

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21
Q

Object Relations Theory

A

Mahler;
view object seeking as basic drive;
goal: bring conscious awareness to unconscious relationship & replace with appropriate ones
focus: splitting, projective identification

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22
Q

(Mahler’s) Model of Early Development

A

[1m] normal infantile autism: self-absorbed
normal symbiotic phase: child aware of mom
[4/5m] separation-individuation
separation anxiety
[3y] object constancy

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23
Q

Introjection

A

assimilating aspect of the object onto self

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24
Q

Humanistic Therapy

A

free-will;
here & now;
rejection of diagnostic labels;
self-actualization

ex. Rogerian, Gestalt, Existential, Reality,

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25
Person Centered Therapy (Rogerian)
self-actualization tendency= source of motivation; maladaptive behavior is due to incongruence b/w self & experience
26
3 therapeutic conditions of rogerian therapy
unconditional positive regard; genuiness: genuine & authentic accurate empathetic understanding
27
Gestalt Therapy
Perls; whole> sum of parts;& emphasis on contact, awareness, & experimentation; personality: self & self-image Goal: become a unified whole!
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self
aspect that promotes one's ability to live as fully integrated person
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self-image
"darker side"
30
Gestalt & Maladaptive behavior
neurotic behavior is a growth disorder that stems from disturbance in boundary b/w self & environment
31
boundary disturbances
introjection, projection, retroflection, confluence
32
introjection
accepting concept/facts w/o fully understanding them
33
projection
disowning aspects of self & associating them to other people
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retroflection
doing to oneself what they want to do to others
35
confluence
no boundary --> intolerance of any diff b/w self & others
36
Gestalt & transference
transference= counterproductive!! focus on helping client differentiate between fantasy & reality)
37
Existential Therapy
Frankl; emphasis on personal & responsibility or developing meaningful life; success v failure identity
38
Personal Construct Therapy
Kelly; Constructivist! focus on how client experiences world based on how bipolar dimension construct
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Brief Therapies
time limited, focus on current concerns, therapist takes an active role; Ex. Interpersonal, solution focused, Transtheoretical, Motivational Interviewing
40
Interpersonal Therapy
Kierman & Weissman; focus on social relationships primary problem areas: unresolved grief, role transitions, interpersonal deficits, & interpersonal role dispute
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Primary Problem Areas of Interpersonal Therapy
unresolved grief, role transition, interpersonal; deficits, & interpersonal role dispute
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Solution Focused Therapy
focus on the solution not the problem nor etiology; use of questions
43
miracle question
"If everything was fixed..."
44
exception question
"when did you not feel that way?"
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scaling question
"1 to 10"
46
Transtheoretical Model
Prochaska & Diclemente; focus on factors that facilitate behavior change; stages of change (progression not linear) *interventions most effective when they match the stage a person is in
47
Stages of Change
pre contemplation: individual has little insight into the need to change; contemplation: individual aware that change is needed but not committed to change preparation: plans to take action & has realistic plan action: takes steps to change behavior: maintenance: change in behavior for 6+ months & takes steps to prevent relapse
48
Motivational Interviewing
focus on factors that impede ability to change; Goal: enhance intrinsic motivation by helping client examine their ambivalence about change; advocates a collaborative relationship b/w therapist & client
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Techniques for MI
OARS Open ended questions Affirmations Reflective listening Summaries
50
Family Therapies
focus on the unit and not on the individual ex. general systems, communication/interaction family, extended family system, structural family, strategic family, Millan's systemic, behavioral, Object Relations Family
51
General Systems Theory
system is maintained through interactions; family is open system maladaptive behavior is due to dysfunctional communication patterns
52
cybernetics
involves a feedback loop; negative: reduces deviation positive: increases deviation & disrupts system
53
double-blind communication
conflicting negative injunctions "do this & you will be punished"
54
communication/ interaction family therapy
2 assumptions: all behavior is communication & all communication has a report & command function 2 communication patters: symmetrical & complementary
55
symmetrical communication pattern
equality b/w communication but may lead to one-upmanship
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complementary communication pattern
reflect inequality
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Extended Family Systems
Bowen; family functioning in terms of inter-related concepts: differentiation, emotional triangles, family projection process, multigenerational transmutation
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diffrentiation
individual ability to separate intellectuals & emotional functions
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undifferentiated family ego
family members whose members are highly emotionally fused
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emotional triangle
third person added to a duo to increase stability & decrease tension
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family projection process
process by which parental conflicts & emotional immaturity are transmitted to children
62
multigenerational transmission process
lower levels of differentiation are passed down from one generation to another; *leads to maladaptive behavior
63
Genogram
depicts relationships between family members & is used as an ASMT tool
64
Structural Family Therapy
Minhuchin; looks at power hierarchies, subsystems & boundaries *maladaptive behavior results from inflexible family structure
65
Detouring
rigid triad where people focus on one child either by overprotecting or scapegoating
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stable coalition
rigid triad where parent 1 & child team up & gang up against parent 2
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triangulation
rigid triad where each parent pull child to their side; AKA unstable coalition
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Techniques used in Structural Family Therapies
Joining: blending with the family (mimesis & tracking) evaluating family structure restructuring family
69
Strategic Family Therapy
Haley; maladaptive behavior: role of communication & control *based on assumption that behavior change is due to change in perception & emotions relies on paradoxical interventions
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paradoxical interventions
alters behaviors of family members; using resistance in a constructive way; Ex. ordeals, restraining, positioning, reframing, prescribing
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ordeal
perform unpleasant task every time symptom occurs
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restraining
encouraging family not to change
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positioning
therapist accepts & exaggerates client assertions about the problem
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reframing
giving symptoms a more + meaning
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prescribing
instructing client to maintain/exaggerate symptom
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Milan Systemic Family Therapy
Milan; maladaptive behavior results from family patterns that are so fixed, members can't make new choices goal: help members see their choices *use circular questions which are asked to each member
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Behavioral Family Therapy
based on operant conditioning, social learning, & social exchange; maladaptive behavior is learned & maintained by antecedents & consequences goal: identify function of maladaptive behavior & replace with more adaptive ones
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Object Relations Family Therapy
maladaptive behavior is due to intrapsychic & interpersonal factors source of dysfunction is projective identification
79
projective identification
family member projects old introjects onto another family member
80
Group Therapy
Yalom; groups go through stages: orientation, conflict, development of cohesiveness *therapist is meant to be a technical expert and participant
81
Yale's 11 curative factors
cohesion, interpersonal learning, catharsis, self-understanding (most important for group members) + altruism, universality, guidance, identification, family-reenactment, installation of hope, & existential factors
82
people suited for group therapy
when the problem is interpersonal issue, person motivated to change, person has a + view of group therapy, & person likes peer support
83
Feminist Therapy
emphasis on power difference between women & men & how that affects behavior; goal: bring empowerment
84
self-in relation theory
mean gender diff can be traced to differences in mom-daughter & mom-son relationships
85
Hypnosis
used to recover repressed memories
86
acupunture
useful for reducing some types of pain by unlocking flow of qi
87
reflexology
applying pressure to reflex areas to re-establish balance
88
primary prevention
goal is to decrease prevalence, strategies that promote health available to ALL members
89
secondary prevention
decrease prevalence by decreasing duration through early detection/intervention
90
tertiary prevention
decrease duration & consequences of mental & physical disorder
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Health Belief Model
health behaviors influenced by 1) susceptibility to illness 2) individual evaluation of benefits & costs 3) internal & external cues to action *implies that all behaviors can be modified by targeting knowledge
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organizational consultation
entire organization is consulted
93
advocacy consultation
consultant fosters goals of disenfranchised group
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mental health consultation
Caplan; involves consultant, consultee, & client
95
client-centered case consultation
working with therapist to develop plan that will increase their ability to work with patient
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consultee-centered-case consultation
enhancing consulate's performance in delivering services to specific population; targets consultee's skills & knowledge *theme interference can occur
97
theme interference
conflict related to when a type of client/situation interferes with working with similar situation
98
program-centered administration consultation
work with 1+ consultee & resolve problems relate to existing PROGRAM
99
consultee-centered administration consultation
help administrative-level personnel improve professional functioning to be more effective in future
100
things to keep in mind with telepsychology
-maintaining confidentiality & privacy -how to obtain informed consent -local & federal laws