Halter Chapter 2 (Not Recommended) Flashcards
An Austrian neurologist who revolutionized thinking about mental health disorders =
Sigmund Freud
Introduced a groundbreaking theory of personality structure, levels of awareness, anxiety, the role of defense mechanisms, and the stages of psychosocial development =
Sigmund Freud
Freud believed that there were how many levels of psychosocial awareness?
3 Levels
How did Freud describe the three levels of psychological awareness?
By turning the mind into a metaphorical iceberg
Tip of the iceberg. Contains all the material a person is aware of at any one time =
The Conscious
What does the conscious include?
Perceptions, Memories, Thoughts, Fantasies, & Feelings
Just below the surface. Contains material that can be retrieved rather easily through conscious effort =
Preconscious
The bottom of the iceberg. Includes all repressed memories, passions, and unacceptable urges =
Unconscious
Memories + Emotions associated with trauma may be found here=
The unconscious
Exerts a powerful yet unseen effect on the conscious thoughts and feeling of a person =
The Unconscious
Is a person usually able to retrieve unconscious material without the help of a therapist?
No
Freud made 3 major and distinct but interactive systems of the personality. What are they?
Ego, Superego, ID
Totally unconscious and impulsive. The source of all drives, instincts, reflexes, and needs =
ID
At birth, we are all-
ID
Lacks the ability to problem solve and is illogical =
ID
Can’t tolerate frustration and seeks to discharge tension and return to a more comfortable level of energy =
ID
Within the first few years of life as the child begins to interact with others, what develops?
The Ego
The ID is a part of the-
Unconscious
What level of awareness does the ego fall into?
All 3
The problem solver and reality tester, attempts to navigate the outside world =
The Ego
Grants you the ability to differentiate subjective experiences, memory images, and objective reality =
Ego
Tells the ID that “You have to delay gratification for right now” and then sets a course of action =
Ego
Develops between 3 and 5 years old. The moral component of personality =
The Superego
In what levels of awareness does the superego reside?
All 3
In what way does the superego consist of the conscious?
All of the “should not’s” internalized from parents and society
In what way does the superego consist of the ego?
All of the “shoulds” internalized from parents and society
When behavior falls short of ideal, this may produce guilt.
When behavior reaches that of ideal, it may produce pride.
This is an example of how superego fits into the-
Unconscious
In a mature and well-adjusted individual, the 3 systems of the personality all work together under the administrative leadership of the-
Ego
If the superego is too powerful, what happens?
The person may be self-critical + suffer feelings of intense inferiority
If the ID is too powerful, what happens?
The person lacks impulse control
What develops defense mechanisms?
The Ego
Wards off anxiety by preventing conscious awareness of feelings =
Defense Mechanisms
Defense mechanisms share what 2 main features?
They all (Except suppression) operate on an unconscious level.
They deny, falsify, or distort reality to make it less threatening.
Can we survive without defense mechanisms?
No
Can defense mechanisms distort reality so much that we can’t experience difficulty with healthy development and personal growth?
Yes
Freud believed that the human development proceeds through how many psychosexual stages from infancy to adulthood?
5 Stages
What timeframe determines a person’s lifetime adjustment pattern and personality traits?
First five years
After 5 years old, you enter school and-
Build upon the personality and adjustment patterns of your first 5 years of life
The basis of psychoanalysis =
Educated Guesses (Interpretations)
Is psychoanalysis used today?
Not often, because of how long and expensive it is
What are the 2 most important concepts from classic psychoanalysis?
Transference + Countertransference
Refers to unconscious feelings the PT has toward a healthcare worker that were originally felt toward a significant other =
Transference
“You remind me of my sister” is an example of-
Transference
Can transference be positive or negative?
It can be either
Does psychoanalysis encourage transference?
Yes, it helps understanding original relationships
Refers to unconscious feelings the healthcare worker has toward the PT =
Countertransference
Strong negative/ positive feelings toward a PT can be a red flag for-
Countertransference
What are the tools of psychoanalysis?
Free Association
Dream Analysis
Defense Mechanism Recognition
Interpreting the symbolic meanings in a PT’s dreams =
Dream Analysis
Actively encouraging a PT to freely share whatever words or thoughts come to mind to access the unconscious =
Free Association
Assisting the PT in recognizing + subsequently changing the over-use of maladaptive defense mechanisms =
Defense Mechanism Recognition
What is the difference between traditional psychoanalysis and psychodynamic therapy?
Psychodynamic uses the same tools as traditional psychoanalysis, but the therapist has increased involvement + interacts with the PT more freely.
Psychoanalysis is also targeted toward the here and now and is less about reconstructing the developmental origins of conflicts.
Do insurance companies often reject covering for psychodynamic therapy because of its length of potentially up to 20 sessions?
Yes
Is psychodynamic therapy longer than most other common therapies?
Yes
Who are the best candidates for psychodynamic therapy?
Relatively healthy and well-functioning people that have a clear area of difficulty and are well-motivated for changw
What types of patients will not benefit from psychodynamic therapy?
PT’s with Psychosis, Severe Depression, Borderline Personality Disorders, and Severe Personality Disorders
Freud’s theory emphasizes-
The importance of early childhood
Developed a model for understanding psychiatric alterations that focused on interpersonal problems =
Harry Stack Sullivan
Believed that humans are driven by interaction =
Sullivan
Emphasized the importance of the early relationship with the primary caregiver or significant other =
Sullivan
Sullivan believed that the purpose of all behavior is to-
Get needs met through interpersonal interactions + avoid or reduce anxiety
Coined the term Security Operations =
Sullivan
Describes the measures a person uses to reduce anxiety + enhance security =
Security Operations
Collectively, all Security Operations make up the-
Self-System
Interpersonal Therapy is-
An effective short-term therapy
What is the assumption behind interpersonal theory?
That psychiatric disorders are influenced by interpersonal interactions and the social context
What is the goal of interpersonal therapy?
Reduce/ eliminate psychiatric symptoms (particularly depression) by improving interpersonal functioning + satisfaction with social relationships
Interpersonal therapy has been proven successful in the treatment of-
Major Depressive Disorder
When the therapist identifies the nature of the mental problem to be resolved and then selects strategies consistent with that problem area =
Interpersonal Therapy