Clinical Psychology Flashcards
3 Levels of the Psyche in Psychoanalysis
- **Conscious: **
-thoughts, feelings, perceptions -
Pre-conscious:
-readily available to the conscious -
Unconscious:
-largest part, unavailable to conscious
-Stores threatening experiences
What is the goal of Freudian Psychoanalysis?
To bring the unconscious to the conscious
Structure of Psyche in Freudian Psychoanalysis
Ego:
-operates with reality
-works on all 3 levels of consciousness -Secondary processing
**Id: **
-impulsive, biological, pleasure seeking
-Primary processing
**Superego: **
-originates through internalized parental values
-Tries to moderate the Ids impulses
-Works on all three levels of consciousness
9 of them
Types of Freudian Defense Mechanisms
- Repression
- Denial
- Reaction Formation
- Rationalization
- Sublimation
- Unconscious employed to ‘solve’ problem
- Projection
- Sublimation
- Regression
Riley Doesn’t React Rationally Sometimes Until Projecting Sexual Rage
What does Freudian Analysis Target in Sessions?
- Transference/Countertransference
- Free association
- Resistance
- Dreams
-Therapist interprets
CCIW
Techniques Used in Freudian Analysis
- Confrontation
- Clarification
- Interpretation
-Links conscious to unconscious
-Leads to catharsis - Working through
-Assimilating new insights
Jungian Structure of the Psyche
-
Conscious
-Inner experiences we’re aware of -
Personal Unconscious
-Repressed memories
-Complexes that influence behaviour -
Collective Unconsious
-Wisdom shared by all people
-Passed generationally
-Archetypes: universal mental structures that predispose us to react in certain ways
Types of Jungian Archetypes
- Cultural symbols
- Persona: social mask
- Shadow: exiled parts
- Anima/Animus: masc/femme energy
MBTI
Jungian Personality Traits
- Introversion: direct energy inward
- Extraversion: direct energy outward
-
Personality functions:
* Sensing
* Thinking
* Feeling
* Intuiting
Techniques of Jungian Analysis
- Transference
- Active Imagination
- Dream interpretation
Goals of Jungian Analysis
2 of them
- Make the unconscious conscious
- Individuation: integration of the conscious and unconscious
What is the main component of Adlerian Psychology?
No elaboration, just singular answer
Style of Life
What is Style of Life?
- Innate social interest
- Ways that people strive for superiority
- Healthy or Mistaken SOL
- Influenced by first 5 years of life
Describe Healthy Style of Life
Have goals for personal accomplishment that are balanced with goals for the welfare of others
Describe Mistaken (unhealthy) Style of Life
- Overcompensation for feelings of inferiority
- Goals are self centred
Goals of Adlerian Therapy
Shift mistaken SOL to healthy SOL
3 Phases of Adlerian Therapy
- Rapport building
- Exploring development of SOL
- Develop social interest
Strategies used in Adlerian Therapy
- Early recollections
- Dream interpretation
- Encouragement
- Modelling
- ‘Prescribing the Symptom’
- ‘Acting As If’
Who can Adlerian Therapy be used with?
5 groups
- Individual
- Group
- Family
- Parent Training
* Systematic Training for Effective Parenting (STEP) - Teaching Training
* STET (teacher)
Who are the Neo-Freudians?
3 of them
-
Erich Fromm
* Character styles -
Karen Horney
* Basic anxieties, attachment coded -
Harry Sullivan
* 3 modes (PPS) basically development stages
Karen Horney’s Ideas
- Basic Anxieties: helplessness and isolation
-
Interpersonal Coping:
* Move towards
* Move against
* Move away
Healthy=use all three. Neurotic=use one
Receivers Exploit Hores Moving Product
Erich Fromm
Character styles (5), view of humanness
Theme: society impedes us recognizing our nature
5 Character Styles:
* Receptive
* Exploitative
* Hoarding
* Marketing
* Productive (only this one lets us see true nature)
Harry Sullivan’s Developmental Modes
- Protaxic Mode: no differentiation between self and external world. Pre-symbol
- Parataxic Mode: Private symbols. Differentiate some experience. Can see connections between events
- Syntaxic Mode: use symbols with shared meaning. Logical thought. Early distortions here cause neuroticism
How did Neo-Freudians Differ from Freudian’s?
Less focus on instinctual drives
Focus on social and cultural contributors
Anna Fried Erik Dipped in Heinz Ketchup
Who were the Ego Analysts?
4 of them
- Anna Freud
- Erik Erikson
- David Rappaport
- Heinz Hartmann
Ego Analyst’s View of Ego
Ego Autonomous Functions: non-conflict focused. Learning, memory, comprehension, perception
Ego Defensive Functions: resolution of internal conflicts
Focus on current experience
Pathology: Ego loses autonomy from Id
Focus of Object Relations Therapy
Therapeutic relationship
Reparenting
Use: empathy, support, acceptance
Techniques of Object Relations Therapy
- Resistance
- Transference
- Dream interpretation
What Causes Psychopathology in Object Relations Theory?
Problems with separation-individuation
Mahler’s 3 Stage Model of Object Relations
-
Normal Autistic Stage:
* aware only of self -
Normal Symbiotic Stage:
* aware of ext environment, but no distinguish self from others -
Separation-Individuation:
* Differentiation
* Practicing
* Rapprochement
* Beg. of object constancy
What are the Humanistic and Existential Therapies?
4 of them
Person centred therapy (Rogers)
Gestalt therapy (Perls)
Existential therapy (Yalom)
Reality therapy (Glasser)
Goal of Person Centred Therapy
Increase congruence and a flexible self-concept
Theme of Person Centred Therapy
All humans have a self actualizing tendency
Techniques and 3 Core Conditions of Person Centred Therapy
Empathy
Congruence of therapist
Unconditional positive regard
What is Incongruence within Person Centred Therapy?
- Discrepancy between self and experience
- Psychological maladjustment: distort/deny experience rather than be open
- May occur when conditional worth is put upon a child
Goal of Gestalt Therapy
Increase self-awareness and accountability for ones thoughts, feelings and actions
Gestalt Therapy: What is a Boundary Disturbance?
When an imbalance is created during the persons striving for homeostasis
Gestalt Therapy: What causes maladjustment?
Being unable to get a need met due to a barrier
Gestalt Therapy: Techniques
- “I” Statements
- Empty Chair
- Dream Work
CRIP D
Gestalt Therapy: Types of Boundary Disturbances
5 of them
-
Projection
* put unwanted parts on others -
Introjection
* take on others thoughts/beliefs -
Deflection
* avoid direct contact w/ others -
Confluence
* blurred separation of self and others -
Retroflection
* Do to self what you would like to do to other
Theme of Existential Therapy
Behaviour, feelings, personality a result of struggles with fears of: death, isolation, meaninglessness, freedom, responsibility
Types of Anxiety in Existential Therapy
2
Existential Anxiety: inevitable. must learn to cope with it to live
Neurotic Anxiety: out of proportion, sense of loss of free will, low accountability
Reality Therapy: 5 Basic Needs
- Survival
- Love & belonging
- Power
- Fun
- Freedom
Reality Therapy: Success Identity
Needs are met responsibly and do not infringe on rights of others
Reality Therapy: Failure Identity
Needs not met responsibly, harm self and others
Very Solution Focus Like
Reality Therapy: Techniques
6 CHIM RC
- Instruction
- Modelling
- Roleplay
- Contracts
- Confrontation
- Humour
Reality Therapy: Stages
WDEP
W: ID the wants, needs, perceptions
D: ID what they doing, clarify wanted direction
E: Engage in critical self-evaluation. Are my behaviours effective?
P: Plan for improvement and commit to change
What are the Cognitive Therapies?
6
- Beck’s CBT
- Ellis’s REBT
- Michenbaum’s Stress Inoculation Training
- Self Instructional Training
- Problem Solving Therapy
- Biofeedback
Beck’s CBT: 3 types of cognitions
- Automatic Thoughts: lead to dysfunctional behaviour
- Schemas: core beliefs, adaptive or maladaptive
- Cognitive Distortions
Beck’s CBT: What are the cognitive distortions?
5 SOAP D
- Arbitrary reference
- Selective abstraction
- Overgeneralization
- Personalization
- Dichotomous
Beck’s CBT: Techniques
7 of them (BASTRRR)
- Reality testing
- Reattribution
- Redefining
- Thought recording
- Socratic questioning
- Activity scheduling
- Behavioural rehearsal
REBT
Alphabet
A: activating event
B: belief about event
C: emotional/behaviour consequence of that belief
D: Dispute irrational belief
E: Effective, rational beliefs
REBT: Types of Irrational Beliefs
3
- Awfulizing
- “I can’t stand its”
- Damnation of self, others and world
Stress Innoculation Training: Goals
Michenbaum
- Skills training and modification of maladaptive cognitions
- Managing mild stress will improve ability to manage higher stress
Stress Inoculation Training: Phases
3
- Conceptualization: educate about stress and role of perceptions
- Skills Acquisition: Teach coping skills
- Application & Follow Through: imagination and then in-vivo. Slowly increase intensity
Stress Inoculation Training: what does it treat?
Primarily used for PTSD
Self Instructional Training: 5 Steps
- Cognitive Modeling
- Overt External Guidance
- Overt Self Guidance: do while voicing instructions
- Faded Overt Self Guidance: does task while whispering instructions
- Covert Self Instructions: client does while internally repeating instructions