PSY343 - 2. Psychoanalysis and Psychodynamic Therapies Flashcards

Question

Therapeutic Stance: Neutrality

Answer 1

therapist as “blank screen” Listening with ‘third ear: Attuned to underlying meanings, symbols, contradictions + important omission that may help analyst unlock the unconscious

Answer 2

Evenly hovering attention: Listening to all the levels of communication at once

Answer 3

Interpretation: shares understanding of central theme, often facet of transference Free association: Exploring unconscious through spontaneous associations (words, dreams, fantasies, memories), unedited streams of consciousness

Answer 4

Dream interpretation: investigation of repressed feelings expressed through dreams, hidden motives, wishes, fears Defense analysis: Focuses on what patient is resisting, how s/he is resisting, and why s/he is resisting

Answer 5

necessity of good rapport betw the analyst + patient Ruptures in alliance can lead to a temp deterioration of mutual agreements concerning tasks + goals of treatment + heightened resistance + increase in negative transference

Answer 6

reactions towards transference due to own unconscious conflict Originally considered serious obstacle to effective treatment

Answer 7

Current definition broadened to include all | analyst’s reactions to patient conscious + unconscious

Answer 8

Eurocentric approach: Rooted in secular values Heavily influenced by gender and sexual politics of late 19th + 20th century Difficult to study scientifically

Answer 9

Maintain structural theory of id, ego,superego | Focus on how paKent experiences self in context of interpersonal relationships

Answer 10

Transference – countertransference enactments important source of info about interpersonal + intrapsychic dynamics of both members interpreting transference still key to elucidating patient’s intrapsychic life

Answer 11

Degree transference major focus of treatment main distinction Rejection/deemphasis of drive theory + psychosexual stages

Answer 12

Focus on attachment: interpersonal relationships | Frequency of sessions, use of a couch

Answer 13

emphasize relationship betw self + others as major organizing principle in lives Reject Freud’s idea initial pull toward objects based primarily on object’s role in serving instinctual discharge

Answer 14

importance of early mother-infant relationship + in facilitating or arresting personality development

Answer 15

Psychopathology from environmental failures leading to faulty internalization of early interpersonal relationships patient-analyst dyad interactive + reciprocally influential Interpretation deemphasized for providing corrective emotional experience

Answer 16

Active Ingredients: Increasingly coherent, plausible narratives co-constructed by patient + therapist holding environment provided by therapist can constitute corrective emotional experience that allows patient to risk new ways of relating to others

Answer 17

patient can experience diff aspects of self + learn various self-states influenced by interpersonal contexts patient emerges with more balanced integrated view of self + other

Answer 18

Human behaviour is goal-oriented + socially embedded | family serves as first social group; people are influenced by their unique positions in their family constellation

Answer 19

Pathological personalities emerge from family atmosphere of competition, mistrust, neglect, domination, abuse or pampering Social interest: willingness to participate in life + cooperate with others opposite of self-interest

Answer 20

Time-limited treatment Collaboration betw client + therapist necessary for change to take place Therapy helps patients become aware of mistaken goals + change behaviour

Answer 21

Incorporates presence of resistance. value of interpretation, working alliance central Length treatment decreased Targets focal interpersonal problem within first few sessions

Answer 22

Goals determined early Therapist less neutral, more active Transference interpretations happen earlier

Answer 23

No RCTs difficult to study process long term + unstructured

Answer 24

case study basis for developing clinical + theoretical views | Empirical research considered less useful given idiographic nature of psychoanalysis

Answer 25

efforts to establish stronger empirical base for effectiveness of psychodynamic therapies more effective than placebo, supportive therapy, or TAU; no difference between psychodynamic + other bona fide treatments

Answer 26

Efficacious for common mental disorders(depression, anxiety, personality disorders, PTSD, etc.) 5 year follow up 87% (of patients who received TAU continued borderline personality disorder vs. 13% of psychodynamic patients

Answer 27

checking back with the client whether he agrees with her interpretation discourse rather than blank space contemporary

Answer 28

bring to consciousness unconsciously reenacting old patterns | losing father - respond to loss by numbing himself when there’s a threat