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Psyc 573 > PPT # 4 Psychodynamic Model of Counseling > Flashcards

PPT # 4 Psychodynamic Model of Counseling Flashcards

1
Q

What is the most widely practiced form of therapy in the US?

A

Psychotherapy

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2
Q

What seeks to understand how each patient’s individual life story connects to the individual’s emotional suffering.

A

Psychodynamic

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3
Q

What is the goal of psychodynamic psychotherapy?

A

-Is to make the patient more aware of aspects of his or her life story that are not within consciousness.

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4
Q

Patients are encouraged to use what technique?

A

Free association

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5
Q

What is the emphasis on in psychodynamic psychotherapy?

A

Therapeutic Alliance

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6
Q

What is included in the Theory of Mind?

A
  1. Unconscious
  2. Motives in Conflict
  3. Development of the Mind
  4. Fantasy
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7
Q

Theory of Mind: What does the unconscious encompass?

A

Wishes

feelings

thoughts

attitudes

memories

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8
Q

Theory of Mind: Describe the motives in conflict

A

Relationship between id & ego

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9
Q

Theory of Mind: Describe the development of the mind.

A

– fixed stages (goals), challenges in development lead to specific conflicts

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10
Q

Theory of Mind: What is fantasy?

A

– our mind plays out desires in “real world” scenarios in our mind. Usually related to our childhood.

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11
Q

Define “object”

A

Actually means person and especially the significant person that is the object or target of another’s feelings or intentions.

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12
Q

Define “relation”

A

refers to interpersonal relations and suggests the residues of past relationships that affect a person in the present.

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13
Q

What does Object Relation stress?

A
  • the importance of early mother-child bonding (or lack of).
    1. infants form mental representations of themselves in relation to others and that these internal images
    2. significantly influence interpersonal relationships later in life
    3. Gives rise to attachment theory
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14
Q

Who, in the therapeutic process, is viewed as the “object”?

A

Therapist

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15
Q

List the Ego-Defense Mechanisms.

A
  1. Repression
  2. Denial
  3. Reaction Formation
  4. Projection
  5. Displacement
  6. Rationalization
  7. Sublimation
  8. Regression
  9. Isolation of Affect
  10. Splitting
  11. Suppression
  12. Humor
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16
Q

Define Ego-Defense Mechanisms “Repression”

A
  • Burying a painful feeling or thought from your awareness though it may resurface in symbolic form. Sometimes considered a basis of other defense mechanisms.
  • I.E., you can’t remember your father’s funeral.
17
Q

Define Ego-Defense Mechanisms “Denial”

A
  • Not accepting reality because it is too painful.

- You are arrested for drunk driving several times but don’t believe you have a problem with alcohol.

18
Q

Define Ego-Defense Mechanisms “Reaction Formation”

A
  • Adopting beliefs, attitudes, and feelings contrary to what you really believe
  • When you say you’re not angry when you really are.
19
Q

Define Ego-Defense Mechanisms “Projection”

A
  • Attributing your own unacceptable thoughts or feelings to someone or something else
  • You get really mad at your husband but scream that he’s the one mad at you.
20
Q

Define Ego-Defense Mechanisms “Displacement”

A
  • Channeling a feeling or thought from its actual source to something or someone else.
  • When you get mad at your sister, you break your drinking glass by throwing it against the wall.
21
Q

Define Ego-Defense Mechanisms “Rationalization”

A
  • Justifying one’s behaviors and motivations by substituting “good”, acceptable reasons for these real motivations
  • “I always study hard for tests and I know a lot of people who cheat so it’s not a big deal I cheated this time.”
22
Q

Define Ego-Defense Mechanisms “Sublimation”

A
  • Redirecting unacceptable, instinctual drives into personally and socially acceptable channels
  • Intense rage redirected in the form of participation in sports such as boxing or football
23
Q

Define Ego-Defense Mechanisms “Regression”

A
  • Reverting to an older, less mature way of handling stresses and feelings
  • You and your roommate have get into an argument so you stomp off into another room and pout
24
Q

Define Ego-Defense Mechanisms “Isolation of Affect”

A
  • Attempting to avoid a painful thought or feeling by objectifying and emotionally detaching oneself from the feeling
  • Acting aloof and indifferent toward someone when you really dislike that person
25
Q

Define Ego-Defense Mechanisms “Splitting”

A
  • Everything in the world is seen as all good or all bad with nothing in between.
  • You think your best friend is absolutely worthless because he forgot a lunch date with you.
26
Q

Define Ego-Defense Mechanisms “Suppression”

A
  • The effort to hide and control unacceptable thoughts or feelings
  • You are attracted to someone but say that you really don’t like the person at all
27
Q

Define Ego-Defense Mechanisms “Humor”

A
  • Focusing on funny aspects of a painful situation

- A person’s treatment for cancer makes him lose his hair so he makes jokes about being bald.

28
Q

“______ __________ brings apparently unconnected ideas into relation with one another, revealing links that give us access to the unconscious.”

A

free association

29
Q

What is transference?

A

occurs when the client reacts to the therapist as he or she did to an earlier “significant other”

30
Q

What is countertransference?

A

is the reaction of the therapist toward the client that may interfere with objectivity

31
Q

What is resistance?

A

is anything that works against the progress of therapy and prevents the production of unconscious material

32
Q

What are the roles of the therapist?

A
  1. Neutrality – the therapist refuses to “take sides” in regards to patient’s conflict.
  2. Anonymity – therapist uses little (preferably no) self-disclosure in session.
  3. Abstinence – recognizing patients transference, but not “playing into them”
  4. Personal therapy is “mandated” for therapists as they work through their own resistance and counter transference.
33
Q

Describe the Eriksonian Psycho-Social Model

A
  • Erik Erikson (1950) is well known for his efforts to integrate psychoanalytic theory with cultural factors.
  • Expanded Freud’s psychosexual “drives” into 8 developmental tasks
  • Psychodynamic concepts can be helpful in understanding some of the cultural problems that trouble patients
34
Q

Give examples of research and evidence base in psychodynamic psychotherapy.

A
  1. Outcome Research
    • Has “lagged behind” – methodological “problems”
    • Evidence that it is “as good” as others
  2. Process Research
    • Attachment, reflective function, transference
  3. Research on the Underlying Model of Personality
    • Attachment research and neuroscience
  4. Brief and Manualized Treatments
    • Exist…but difficult.
35
Q

What are the limitations of psychodynamic psychotherapy?

A
  1. Patients must be able to invest a substantial amount of time (and often money) in order to engage fully in this type of psychotherapy
  2. Emphasizes an exploration of the patient’s internal mental life rather than external considerations such as cultural, societal, interpersonal, or traumatic factors
  3. A psychodynamic approach may not be active enough for patients who need immediate behavioral change
  4. Requires subjective interpretation
36
Q

Describe the limitations fro a diversity perspective….

A
  • Perceived as being based on upper- and middle-class values
  • Cost of treatment is prohibitive for many people
  • Cultural expectations may lead clients to want more direction and structure from the professional
  • Generally more concerned with long-term personality reconstruction than with short-term problem solving
  • Approach fails to address social, cultural, and political factors that are oppressive to clients

Psyc 573 (7 decks)

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