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BD Exam II Material (Richie) > E2L2 - Psychology (Dr. Kate Goldhaber) > Flashcards

E2L2 - Psychology (Dr. Kate Goldhaber) Flashcards

1
Q

Biological urges, instincts. Maximizes pleasure; acts according to the pleasure principle.

What part of the psyche is this, according to Freud’s model?

A

Id

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2
Q

Realistic thinking. Postpones pleasure till appropriate. Mediates between desires of id and superego; acts according to the reality principle.

What part of the psyche is this, according to Freud?

A

Ego

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3
Q

Values, conscience, ideals

What part of the psyche is this, according to Freud?

A

Superego

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4
Q

What is a “defense mechanism”

A

Ways the EGO wards off anxiety/unpleasant emotions. Defense mechanisms can become pathological.

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5
Q

Married man is attracted to another woman, and accuses wife of cheating with another man. Defense mech?

A

Projection

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6
Q

Anxious, homesick college freshmen sleeps with favorite childhood teddy bear…

A

Regression

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7
Q

Attending doc mistreats resident, who in turn is abusive towards M3…

A

Identification

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8
Q

Inability to recall abuse in your early childhood…

A

Repression

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9
Q

Giving personally embarrassing testimony in court, in a very professional manner

A

Isolation of affect

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10
Q

In anatomy, med student copes with feelings of digest and revulsion towards the dead by focusing on the assigned lesson

A

Intellectualization

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11
Q

Doc tells patient he has cancer. When asked about the prognosis, doc launches into lengthy molecular mechanism.

A

Intellectualization

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12
Q

Man comes home and takes out pent-up aggression on dog.

A

Displacement

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13
Q

Angry wife fantasizes about husbands death. She then reminds him to take his meds.

A

Undoing

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14
Q

Neglectful parent showers presents on his/her children

A

Undoing

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15
Q

Joe has a sadistic impulse to inflict pain, and channels that energy into becoming a surgeon.

A

Sublimation

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16
Q

Angry boy takes up kick-boxing.

A

Sublimation

17
Q

Jim makes up for feelings of emptiness/inferiorion/isolation by volunteering at a soup kitchen

A

Altruism

18
Q

You come home and the sink is a mess. You ignore the sink until after you’re done studying

A

Suppression

19
Q

Which is the only defense mechanism that is a conscious act

A

Suppression

20
Q

Sad clown, depressed comedian, self-deprecating comments

A

Humor

21
Q

Level I - pathological defenses

A

Psychotic denial

Delusional projection

22
Q

Level II - immature defenses

A

Fantasy
Projection
Passive aggression
Acting out

23
Q

Level III - Neurotic defenses

A 
Intellectualization
Reaction formation
Dissociation
Displacement
Repression
24
Q

Level IV - Mature defenses

A 
Humor
Sublimation
Suppression
Altruism
Anticipation
25
Q

Jane grew up perceiving others as unhelpful or harmful. She ends up viewing her doctor in the same way.

A

Transference

26
Q

Physician who had a loving relationship with his father, prefers treating an older male pt.

A

Counter-transferrence

27
Q

A pt. reminds a doc of his abusive mom. He makes her wait in the lobby longer than other pts.

A

Counter-transference

28
Q

People feel two ways about behavioral changes. Good about the long term, bad about the short term.

A

Ambivalence

29
Q

5 strategies for managing ambivalence

A
  1. Empathy
  2. Identify gap between where pt. is now, and where he wants to be
  3. Don’t argue or try to convince
  4. Roll with resistance, don’t challenge head on
  5. Support self-efficacy, instill hope and encouragement
30
Q

4 categories of change-talk

A
  1. Disadvantage of status quo
  2. Advantages of change
  3. Optimism for change
  4. intention to change
31
Q

In a recent study, __ % of respondents indicated they had experienced shame based on something their doc said

A

50%

32
Q

2 shaming topics for women

A

sex and weight

33
Q

To improve outcomes when shame is involved…

A

focus on the behavior and not the person.

34
Q

Functions of emotion?

A

Prep us for action
Communicate to others
Communicate to self

35
Q

T/F Validation is agreement

A

F.

36
Q

Levels of validation? List 6

A
  1. Listening, paying attention
  2. Reflecting, acknowledging other’s points
  3. Working to understand; asking questions
  4. Understanding probs in context
  5. Normalizing responses when they are normative
  6. Extending, matching with your own vulnerability.
37
Q

Example of normalizing responses when they are normative

A

“I understand your concern. But for your information, the average for men is 5.9” so you are gifted!”

BD Exam II Material (Richie) (7 decks)

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