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PSYCH ROTATION > First Aid: Psychotherapies > Flashcards

First Aid: Psychotherapies Flashcards

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1
Q

The unconscious involves what type of thinking?

A

primary process thinking (primitive, pleasure-seeking urgers)

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2
Q

Who typically has primary process thinking?

A

children

psychotics

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3
Q

What is involved in the preconscious?

A

memories that are easy to bring into awareness

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4
Q

What is involved in the conscious?

A

current thoughts and secondary process thinking (logical, mature and can delay gratification)

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5
Q

What is the unconscious that involves instinctual sexual/aggressive urges and primary process thinking>

A

id

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6
Q

When is the id present?

A

at birth

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7
Q

What is the mediator between the id and the external environment (seeks to develop satisfying interpersonal relationships)?

A

ego

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8
Q

What does the ego use to control instinctual urges?

A

defense mechanisms

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9
Q

What does the ego use to distinguish fantasy from reality?

A

reality testing

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10
Q

Who has problems with reality testing?

A

psychotics

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11
Q

What is the superego?

A

moral conscious

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12
Q

When does the superego develop?

A

present by age 6

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13
Q

True or false: defense mechanisms are normal and healthy in moderation

A

true

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14
Q

True or false: defense mechanisms are conscious processes

A

FALSE (unconscious)

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15
Q

What types of defenses are encountered in OCD patients, hysterical patients and adults under stress?

A

neurotic

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16
Q

What are the most primitive defense mechanisms seen in children, adolescents, etc.?

A

immature

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17
Q

Performing acts that benefit others in order to vicariously experience pleasure

A

altruism

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18
Q

Expressing feelings through comedy without causing discomfort to self or others

A

humor

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19
Q

Satisfying socially objectionable impulses in an acceptable manner (channel them rather than prevent them)

A

sublimation

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20
Q

Purposely ignoring an unacceptable impulse or emotion in order to diminish discomfort and accomplish a task

A

suppression

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21
Q

Altruism, humor, sublimation and suppression are all examples of what?

A

mature defenses

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22
Q

Regulating situations and events of external environment to relieve anxiety

A

controlling

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23
Q

Shifting emotions from an undesirable situation to one that is personally tolerable

A

displacement

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24
Q

Avoiding negative feelings by excessive use of intellectual functions and by focusing on irrelevant details or inanimate objects

A

intellectualization

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25
Q

Unconsciously limiting the experience of feelings or emotions associated with a stressful life event in order to avoid anxiety

A

isolation of affect

26
Q

Creating explanations of an event in order to justify outcomes or behaviors and to make them acceptable

A

rationalization

27
Q

Doing the opposite of an unacceptable impulse

A

Reaction formation

28
Q

Preventing a thought or feeling from entering consciousness

A

Repression

29
Q

What is the difference between repression and suppression?

A

Repression is UNconscious

Suppression is a conscious act

30
Q

Controlling, displacement, intellectualizaiton, isolation of affect, rationalization, reaction formation and repression are all examples of what

A

neurotic defenses

31
Q

Giving in to an impulse, even if socially inappropriate in order to avoid the anxiety of suppressing that impulse

A

acting out

32
Q

Not accepting reality that is too painful

A

denial

33
Q

Performing behaviors from an earlier stage of development in order to avoid tension associated with current phase of development

A

regression

34
Q

Attributing objectionable thoughts or emotions to others

A

projection

35
Q

What are acting out, denial, regression and projection examples of

A

immature defenses

36
Q

Attempting to reverse a situation by adopting a new behavior

A

undoing

37
Q

What is the insight oriented therapy that has a goal of resolving unconscious conflicts?

A

psychoanalysis

38
Q

How often must patients get psychoanalysis to get a result?

A

4-5 times a week for multiple years

39
Q

What is the technique when a pt is asked to say whatever comes to mind?

A

free association

40
Q

What is the goal of free association?

A

bring forth thoughts and feelings from unconscious so that therapiest may interpret them

41
Q

Why might a therapist want to interpret a dream?

A

dreams represent conflict between urges and fears

42
Q

What is the word for the bond between the therapist and the patient who work together for a goal?

A

therapeutic alliance

43
Q

What is the projection of unconscious feelings about the important figures in the patient’s life onto the therapist?

A

transference

44
Q

What is the projection of unconscious feelings about important figures in the therapist’s life onto the patient?

A

countertransference

45
Q

How do psychoanalytically oriented psychotherapy and brief dynamic psychotherapy differ from psychoanalysis?

A
  • Briefer (weekly for 6-18 months)

- Face-to-face with therapist (no couch)

46
Q

What is the goal of interpersonal therapy?

A

Improve interpersonal relationships (focus on development of social skills)

47
Q

What is the goal for supportive psychotherapy?

A
  • Make pt feel safe during a difficult time

- Empathy, understanding and education

48
Q

What is the goal of behavioral therapy?

A
  • Help patients change behaviors that contribute to symtpoms

- Extinguish maladaptive behaviors by replacing them with healthy alternatives

49
Q

Theory where behaviors can be learned by conditioning and similarly unlearned by deconditioning

A

learning theory

50
Q

What type of conditioning is when a stimulus can eventually evoke a conditioned response

A

classical

51
Q

What type of conditioning is when a behavior is learned when followed with positive or negative reinforcement?

A

operant

52
Q

What type of behavioral therapy is commonly used to treat phobias and involves relaxation techniques with gradual exposure to increasing doses of a stimulus?

A

systemic desensitization

53
Q

What behavioral therapy is commonly used to treat phobias that involves confrontation with stimulus and not allowing withdrawal until pt is calm and in control?

A

flooding (real) and implosion (imagined)

54
Q

What type of therapy is used to treat addicts and paraphilias and involves pairing specific behavior with negative stimulus?

A

aversion therapy

55
Q

What behavioral therapy uses rewards after specific behaviors to positively reinforce them (used with mentally retarded or disorganized individuals)?

A

token economy

56
Q

What type of therapy involves giving physiological data to a pt as they try to mentally control physiological states?

A

biofeedback

57
Q

What type of therapy seeks to correct faulty assumptions and negative feelings that exacerbate psychiatric symptoms?

A

cognitive therapy

58
Q

What type of marital therapy do you see the couple separately?

A

concurrent

59
Q

What type of therapy may help sexual problems?

A

four-way therapy (with 2 therapists)

60
Q

What is the specific treatment for borderline personality disorder?

A

dialectical behavioral therapy

61
Q

How long does dialectical behavioral therapy take?

A

1-2 year commitment (treatment 2-3 times per week)

PSYCH ROTATION (18 decks)

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