First Aid: Psychotherapies

Question 1

The unconscious involves what type of thinking?

Answer 1

primary process thinking (primitive, pleasure-seeking urgers)

Question 2

Who typically has primary process thinking?

Answer 2

children

psychotics

Question 3

What is involved in the preconscious?

Answer 3

memories that are easy to bring into awareness

Question 4

What is involved in the conscious?

Answer 4

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

Question 5

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

Answer 5

id

Question 6

When is the id present?

Answer 6

at birth

Question 7

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

Answer 7

ego

Question 8

What does the ego use to control instinctual urges?

Answer 8

defense mechanisms

Question 9

What does the ego use to distinguish fantasy from reality?

Answer 9

reality testing

Question 10

Who has problems with reality testing?

Answer 10

psychotics

Question 11

What is the superego?

Answer 11

moral conscious

Question 12

When does the superego develop?

Answer 12

present by age 6

Question 13

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

Answer 13

true

Question 14

True or false: defense mechanisms are conscious processes

Answer 14

FALSE (unconscious)

Question 15

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

Answer 15

neurotic

Question 16

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

Answer 16

immature

Question 17

Performing acts that benefit others in order to vicariously experience pleasure

Answer 17

altruism

Question 18

Expressing feelings through comedy without causing discomfort to self or others

Answer 18

humor

Question 19

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

Answer 19

sublimation

Question 20

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

Answer 20

suppression

Question 21

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

Answer 21

mature defenses

Question 22

Regulating situations and events of external environment to relieve anxiety

Answer 22

controlling

Question 23

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

Answer 23

displacement

Question 24

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

Answer 24

intellectualization

Question 25

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

Answer 25

isolation of affect

Question 26

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

Answer 26

rationalization

Question 27

Doing the opposite of an unacceptable impulse

Answer 27

Reaction formation

Question 28

Preventing a thought or feeling from entering consciousness

Answer 28

Repression

Question 29

What is the difference between repression and suppression?

Answer 29

Repression is UNconscious | Suppression is a conscious act

Question 30

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

Answer 30

neurotic defenses

Question 31

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

Answer 31

acting out

Question 32

Not accepting reality that is too painful

Answer 32

denial

Question 33

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

Answer 33

regression

Question 34

Attributing objectionable thoughts or emotions to others

Answer 34

projection

Question 35

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

Answer 35

immature defenses

Question 36

Attempting to reverse a situation by adopting a new behavior

Answer 36

undoing

Question 37

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

Answer 37

psychoanalysis

Question 38

How often must patients get psychoanalysis to get a result?

Answer 38

4-5 times a week for multiple years

Question 39

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

Answer 39

free association

Question 40

What is the goal of free association?

Answer 40

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

Question 41

Why might a therapist want to interpret a dream?

Answer 41

dreams represent conflict between urges and fears

Question 42

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

Answer 42

therapeutic alliance

Question 43

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

Answer 43

transference

Question 44

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

Answer 44

countertransference

Question 45

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

Answer 45

- Briefer (weekly for 6-18 months) | - Face-to-face with therapist (no couch)

Question 46

What is the goal of interpersonal therapy?

Answer 46

Improve interpersonal relationships (focus on development of social skills)

Question 47

What is the goal for supportive psychotherapy?

Answer 47

- Make pt feel safe during a difficult time | - Empathy, understanding and education

Question 48

What is the goal of behavioral therapy?

Answer 48

- Help patients change behaviors that contribute to symtpoms | - Extinguish maladaptive behaviors by replacing them with healthy alternatives

Question 49

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

Answer 49

learning theory

Question 50

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

Answer 50

classical

Question 51

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

Answer 51

operant

Question 52

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

Answer 52

systemic desensitization

Question 53

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?

Answer 53

flooding (real) and implosion (imagined)

Question 54

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

Answer 54

aversion therapy

Question 55

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

Answer 55

token economy

Question 56

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

Answer 56

biofeedback

Question 57

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

Answer 57

cognitive therapy

Question 58

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

Answer 58

concurrent

Question 59

What type of therapy may help sexual problems?

Answer 59

four-way therapy (with 2 therapists)

Question 60

What is the specific treatment for borderline personality disorder?

Answer 60

dialectical behavioral therapy

Question 61

How long does dialectical behavioral therapy take?

Answer 61

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