E2L2 - Psychology (Dr. Kate Goldhaber)

Question 1

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

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

Answer 1

Id

Question 2

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?

Answer 2

Ego

Question 3

Values, conscience, ideals

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

Answer 3

Superego

Question 4

What is a “defense mechanism”

Answer 4

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

Question 5

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

Answer 5

Projection

Question 6

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

Answer 6

Regression

Question 7

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

Answer 7

Identification

Question 8

Inability to recall abuse in your early childhood…

Answer 8

Repression

Question 9

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

Answer 9

Isolation of affect

Question 10

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

Answer 10

Intellectualization

Question 11

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

Answer 11

Intellectualization

Question 12

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

Answer 12

Displacement

Question 13

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

Answer 13

Undoing

Question 14

Neglectful parent showers presents on his/her children

Answer 14

Undoing

Question 15

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

Answer 15

Sublimation

Question 16

Angry boy takes up kick-boxing.

Answer 16

Sublimation

Question 17

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

Answer 17

Altruism

Question 18

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

Answer 18

Suppression

Question 19

Which is the only defense mechanism that is a conscious act

Answer 19

Suppression

Question 20

Sad clown, depressed comedian, self-deprecating comments

Answer 20

Humor

Question 21

Level I - pathological defenses

Answer 21

Psychotic denial

Delusional projection

Question 22

Level II - immature defenses

Answer 22

Fantasy
Projection
Passive aggression
Acting out

Question 23

Level III - Neurotic defenses

Answer 23

Intellectualization
Reaction formation
Dissociation
Displacement
Repression

Question 24

Level IV - Mature defenses

Answer 24

Humor
Sublimation
Suppression
Altruism
Anticipation

Question 25

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

Answer 25

Transference

Question 26

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

Answer 26

Counter-transferrence

Question 27

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

Answer 27

Counter-transference

Question 28

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

Answer 28

Ambivalence

Question 29

5 strategies for managing ambivalence

Answer 29

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

Question 30

4 categories of change-talk

Answer 30

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

Question 31

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

Answer 31

50%

Question 32

2 shaming topics for women

Answer 32

sex and weight

Question 33

To improve outcomes when shame is involved...

Answer 33

focus on the behavior and not the person.

Question 34

Functions of emotion?

Answer 34

Prep us for action Communicate to others Communicate to self

Question 35

T/F Validation is agreement

Answer 35

F.

Question 36

Levels of validation? List 6

Answer 36

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.

Question 37

Example of normalizing responses when they are normative

Answer 37

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