Mid-term Flashcards
Goal of Psychoanalysis
Bring the unconscious into the conscious to reduce repression
Instinct Theory
Humans have instinctive urges that must be suppressed or the individual will be come dysfunctional
Id, Ego, Superego
- Id - the unconscious
- Ego: realistic part that mediates the ego and superego to preserve the person
- Superego: moral conscience, ego-ideal
Repression
- Push unacceptable psychic material to the unconscious
- Done unconsciously, can become stuck (fixated)
Defense Mechanism
- Triggered, anxiety signals that unconscious material threatens to break through to conscious
Displacement
- unwelcome impulse is transferred onto another person (safer than intented target)
Identification
- Qualities of another are taken into the person’s personality
Projection
- Attribute unconscious qualities or impulses on another person
- the ego repudiates the unacceptable part of the personality and projects it outside and onto another (also can be seen in blame shifting)
Reaction Formation
- unacceptable urge is transformed into its opposite (e.g. rage to love)
- often a disguise for the opposite
- common for compulsive people and BPD
Sublimation
- Healthy reaction: funnel unacceptable impulse into a socially acceptable activity (turn rage to sport instead)
Regression
- retreat to an earlier stage of development
- often retreat to a fixated state
- common when overwhelmed, stressed
Theory of the Person Stages
- Oral - birth to first year
- Anal: 1-4
- Phallic: 4-6 (key stage for resolving Oedipal Complex)
- Genital Stage - adolescence
- Latency - period of sexual repression
Dysfuntional re Freud
Anyone who has unresolved unconscious conflicts (particularly Oedipal)
3 types of Anxiety (Freud)
- Realistic: reaction to real danger
- Neurotic: fear of libido
- Moral: fear of punitive superego
Conversion Disorder
- formerly called “hysteria”
- physiological symptoms that have no physical basis
- anxiety has converted to symptoms
Transference
- client re-creates a pivotal former relationship with the analyst
- brings out both positive and negative emotions towards therapist
Countertransference
- conflicts from therapist’s past are projected onto the analytic situation
- therapist loses their objectivity
Freud’s Phases of Therapy
- Opening: FTF first, see if analysis appropriate
- Transference Dev.: analyst interprets
- Working Through: new memories surface, client more confident wrt thoughts, behavior, past
- Resolution of Transference: sufficient insight
Introjection
- occurs when a person internalizes the ideas or voices of other people-often external authorities
- done unconsciously
Splitting
- separate dangerous feelings, objects and impulses from pleasant ones to manage them
- can be “all or nothing” thinking
- see things as all good or all bad
Jung’s Archetypes
- Psyche/Personna: conscious aspects of personality; appropriate ego
- Personal Shadow: lives in unconscious; negative aspects of person
- Collective Unconscious: knowledge, beliefs and experiences shared by all
- Animus/Anima: Animus (masculine), anima (feminine)
Jung’s 3 “Balances”
- Introversion/Extroversion
- Thinking/Feeling
- Sensation/Intuition
Disintegration Anxiety (define)
- Fear of psychological death
- Threat of fragmentation
Optimal Frustration
- disruption in empathy
- normal, need this to develop normally and avoid over polarized personality
3 Key needs Person Centred Therapy
- Empathy (the counsellor trying to understand the client’s point of view)
- Congruence (the counsellor being a genuine person)
- Unconditional positive regard (the counsellor being non-judgemental)
External Locus of Evaluation
- values are not self-generated, come from outside (external conditions of worth)
Internal Locus of Evaluation
- experiences are valued on the basis of the needs of the organism
- Orient towards experiences that “actualize”
- Usually this person has good positive self-concept and unconditional self-regard
Goal of PC Therapy
- diminished or eliminated conditions of worth and incongruence between self and experience
- decisions based on natural organismic valuing process and actualization
- lose the “conditional self”
Congruence
- Genuineness, realness, transparence
Unconditional Positive Regard
- approach client with complete acceptance and caring (prizing)
Empathy
- Counselor (e.g.) perceives the internal experience of another as if he were that person (but only temporary)
4 Concerns Existentialism
- Death
- Freedom
- Meaning
- Isolation
Basic Philosophy of ET
- Humans are free, responsible for their own lives and everyone has the potential for self-actualization
4 Modes of Being
- physical world
- inner psychological world, subjective experience
- in relation to others
- spiritual world
Role of Counselor in ET
- Fellow traveller
- Give responsibility back to client
Anxiety’s role in ET
- powerful anxiety- knowledge of own mortality (existential anxiety)
- motivator to live life with purpose (Yalom)
- creates defenses
- specialness- if special, death won’t apply to us
- ultimate rescuer- they will save us from nonexistence
Existential Guilt
- Guilt related to possibilities unfulfilled
- unavoidable
Happiness according to ET
- NOT a pursuit
- comes from finding meaning in situations
Dysfunction according to ET
- result of living an unexamined life (not thinking about meaning and value)
- Functional people always search for “authentic self”
ET present or past?
The immediate, subjective experience of the client and therapist (not the past)
Bracketing
- holding previous knowledge in awareness and putting it aside
Dereflection
- Redirect attention or deflect away from the self and out to the world
- Goal is to redirect clients’ attention to discover meaning in situations in the present moment, rather than becoming trapped in obsessive worry.
Classical Conditioning
- pair an unconditioned stimulus (e.g. food) - which produced salivation (unconditioned response) with something (bell) to result in a conditioned response
- the unconditioned becomes conditioned
Little Albert Experiment
- human emotions are learned and can be generalized
- can condition a generalized fear
Operant Conditioning
- positive and negative reinforcement to increase a behavior
- punishment to decrease a behavior
Observational Learning
- Bandura: humans can learn BOTH dysfunctional and functional learning
- vicarious conditioning (e.g.)
Is BT focused on Ego, Id or Superego?
- Id focused
Goal of BT
- Reduce or eliminate maladaptive behavior
- teach in increase adaptive responses
Ex. of BT Questions
- Is there a trigger for the behavior?
- How long does it last?
- How often does it occur?
- On scale of 1-10 how intense is it?
- Describe the behavior
- When is the behavior (or with whom) least likely to occur?
List of Some BT techniques
- Exposure therapy
- Systematic desensitization
- Reinforcement
- Extinction
- Stimulus control
- Modelling
- Role Play
Criticism of BT
- cold, mechanical
- ignores feelings and thoughts, past, interpersonal relationships
- superficial
- solution focused
- missed opportunities to go deeper
Positive Quality of BT
- Scientific basis
- empirical evidence that it works
Diversity and BT
- cold so may be good for some people who are less emotional
- sturctured, directive - good for those who value hierarchy
- can be seen as ignoring oppressed groups - who decides what is adaptive? can therapist take control without considering social/cultural forces?
- some behaviors are culturally appropriate so should not look to change those
Philosophy of Cognitive Therapy
- events/experiences trigger thoughts, which trigger reactions (emotional, behavioral or physiological)
Schemas
- organize information and attach meaning to it (innate process)
- use these to make sense of environment
4 Basic Human Motivators
- Preservation
- Reproduction
- Dominance
- Sociability
3 types of Cognition
- Automatic: survival/primal based
- Conscious: thinking
- Metacognitive: think about our thought processes
3 General Themes Negative Core Beliefs
- Helplessness
- Unlovable
- Worthlessness
Automatic Thoughts
- Fleeting thoughts that come out of nowhere but are based in core beliefs - can be images
Core and Intermediate Beliefs
- Core: what I believe is true about myself regardless of what others think
- Intermediate: conditional and include coping
Cognitive Triad
- Negative views of self, world and the future
Examples of Cognitive Distortions
- All or nothing thinking
- Overgeneralization
- Mental Filter - dwell on negative, ignore +
- Jump to conclusions (mind reading, fortune telling)
- Magnification/Minimization
- Labeling
- Personalization and Blame
- Should and Must statements
Goal of CT
- Idnetify faulty schemas and information and change it, try to eliminate AT’s
- Modify beliefs
- Teach problem-solving strategies
CT Techniques
- cognitive restructuring
- Thought Records
- Questioning - “what was going through your mind just now?”
- Downward arrow (identify beliefs to get to core beliefs)
- Social skills training
- Problem solving
- Cognitive disputation - question thoughts and beliefs to (e.g.) reduce anxiety
Critique of CT
- too simple
- may clash with collectivist culture cuz based on “everyone responsible for own fate”
Why is CT good?
- empirical support for effectiveness
- treatment manuals
- clients taught to help themselves