Lectures

Question 1

Psychodynamic “Active Ingredients”

Answer 1

1) Making Unconscious Conscious
2) Supports Ego Function/Domains of Function
3) Reactivating Development

Question 2

Why bring unconscious to conscious

Answer 2

1) Abreaction/Catharis (release of tension)
2) Prevention of that which proliferates in the dark – it may not be what you think
3) Self awareness

Question 3

What is Domain Function/Ego Function

Answer 3

Help us with reality testing, impulse control, self esteem regulation. Five major functions are self, relationships, adapting, cognition, work/play.

Client may benefit from borrowing the therapists function.

Question 4

What is reactivating development

Answer 4

psychotherapy can help to reactivating a development that was arrested due to abuse, neglect, person’s temperament or genetics

Question 5

Depth Therapy

Answer 5

Going deep, uncovering therapy. Heavy, intense, done selectively

Question 6

Four Phases according to Psychodynamic Psychotherapy (more Common)

Answer 6

1) Assessment
2) Beginning
3) Middle
4) Ending

Question 7

Three Phases According two Psychodynamic Therapy textbook

Answer 7

1) Emotional Uncovering
2) Cognitive restructuring
3) Leading to difference in behavioral response

Question 8

Goals of Assessment

Answer 8

1) Chief Complaint
2) History (Development/Psychological)
3) Domains of function - strengths and difficulties
4) Reflective capacity/psychological mindedness
5) Motivation and resources

Question 9

Five Domains of Function. IF you know these about the person you know them pretty well.

Answer 9

Self
Relationship
Adapting
Cognition
Work/Play

Question 10

Defensive Processes

Answer 10

Used by the psyche (ego/you) to fend of anxiety. We need them. They begin as global, inevitable and adaptive ways of experiencing the world. They are in our personalities . Defenses are neutral in themselves how we deploy them can be positive or negative

Question 11

Why we use the defenses we do

Answer 11

1) Temprament
2) Nature of the stressors that are suffered in early childhood
3) Defenses modeled or taught by parents/significant figures
4) Consequences of using particular defenses .

Question 12

Mature Defense

Answer 12

Allows person to function at a higher level and is more socially acceptable. Usually develops later in life

Question 13

Reflective Capacity

Answer 13

Ability to step back and look at yourself from a different vantage point.

Question 14

Cognitive dissonance

Answer 14

Difference between someone’s values and someone’s actions.

Question 15

Observing Ego

Answer 15

able to have reflective capacity, reality testing, psychological mindedness

Question 16

Experiencing Ego

Answer 16

All ID.

Question 17

Reality Testing

Answer 17

Ability to contrast fantasies and desires versus reality

Question 18

Reductionistic vs Holistic

Answer 18

Reductionism is an attempt to break down a complex thing into small set to make it easier to deal with. Holistic deals with the whole (biology, sociology, psychology). Therapy is more wholistic than reductionistic

Question 19

Options that happen in result of defending against a trauma

Answer 19

1) Repress both the memory and the feeling it evokes
2) Repress memory but not feeling, sad but don’t know why
3) Repress feeling but not memory, remember it but have no feelings

Question 20

Denial

Answer 20

Primitive defense, one of the first we are capable of using. 100% denial is rare. In some ways every defense is denial or repression

Question 21

Repression

Answer 21

Forgetting can be memory or feeling.

Question 22

Projection

Answer 22

Placing oneself into the mind or heart of another. Not always negative.

Question 23

Acting Out

Answer 23

Example of cutting oneself. Do it to see if they feel alive, isolates pain into one area

Question 24

Undoing

Answer 24

a person tries to cancel out or remove an unhealthy, destructive or otherwise threatening thought or action by engaging in contrary behavior. Commonly seen with OCD

Question 25

When to use uncovering/supporting based on domains of function

Answer 25

People with problematic functioning generally need support while people with healthier functioning can benefit from uncovering unconscious thoughts and fantasies

Question 26

Questions not addressed often enough

Answer 26

Violence (domestic/verbal), Sex (How is your sex life?), Death and Grief (any unresolved grief), Ethnicity/race (sometimes an elephant in the room), values (religious? atheistic, agnostic? How do you find meaning)