Psychoanalytic Approach to Therapy Flashcards

1
Q

What is the structure of the personality, according to Freudian psychoanalytic theory?

A

According to the Freudian psychoanalytic view, the personality consists of three systems: the id, the ego, and the superego.

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2
Q

What is the Id? (Freud)

A

Text: The Id is roughly all the untamed drives or impulses that may be likened to the biological component. The original system of personality; at birth all is id. Instinctual, and ruled by the “pleasure principle”, the id aims to reduce tension, avoid pain, and seek pleasure.

Class: Basic impulses (sex and aggression); seeking immediate gratification; irrational and impulsive. Operates at an unconscious level.

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3
Q

What is the Ego? (Freud)

A

Text: The Ego attempts to organize and and mediate between the Id and the reality of dangers posed by the Id’s impulses. Ruled by the “reality principle”, the Ego does realistic and logical thinking, formulating plans of action for satisfying needs.

Class: Executive mediating between id impulses and superego inhibitions; testing reality; rational. Operates mainly at a conscious level but also at a preconscious level.

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4
Q

What is the Superego? (Freud)

A

Text: The Superego is the internalized social component, largely rooted in what the person imagines to be the expectations of parental figures - established as a way to protect ourselves from the danger of our drives. The Superego may be more punitive and demanding than the person’s parents really were. Includes a person’s moral code, main concern is whether an action is “good or bad” or “right or wrong”.

Class: Ideals and morals; striving for perfection; incorporated from parents; becoming a person’s conscious. Operates at mostly a preconscious level.

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5
Q

What is Anxiety?

A

Anxiety is a feeling of dread that results from repressed feelings, memories, desires, and experience that emerge to the surface of awareness. It can be considered as a state of tension that motivates us to do something. Develops out of a conflict among the id, ego, and superego over control of the available psychic energy. The function of anxiety is to warn impeding danger.

There are three kinds of anxiety: reality, neurotic, and moral.

Reality anxiety: the fear of danger from the external world, and the level of such anxiety is proportionate to the degree of real threat.

Neurotic anxiety: fear that the instincts will get out of hand and cause one to do something for which one will be punished; resides in the id, and fear is dominated by impulses.

Moral anxiety: fear of one’s own conscience; internal fear and threat from the superego.

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6
Q

What are the (six) clinical evidences for postulating the unconscious?

A

1) Dreams are a symbolic representations of unconscious needs, wishes, and conflicts. (manifest content - literal subject of the dream, AND latent content - underlying meaning of the dream).
2) Slips of the tongue and forgetting - ex. a familiar name.
3) Posthypnotic suggestions.
4) Material derived from free-association techniques.
5) Material derived from projective techniques
6) Symbolic content of psychotic symptoms.

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7
Q

What is Freud’s view of human nature?

A

Text: The Freudian view of human nature is basically deterministic. Behaviour is determined by irrational forces, unconscious motivations, biological and instinctual drives. Originally used the term ‘libido’ to refer to sexual energy, later broadened it to include the energy of all the life instincts - serving the purpose of the survival of the individual and the human race.

Also postulated death instincts, accounting for aggressive drive. Suggesting that people manifest an unconscious wish to die or hurt themselves or others through their behaviour.

Class: Libido - sexual energy. Life instincts serve the purpose of the survival of the individual and the human race.

Freud also postulates Thanatos - death instincts (aggressive drive). People manifest through their behaviour an unconscious wish to die or to hurt themselves.

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8
Q

What is consciousness vs unconscious?

A

Consciousness is a thin slice of the total mind. Like the iceberg that lies below the surface of the water, the larger part of the mind exists below the surface of awareness.

Unconscious stores all experiences, memories, and repressed material. The root of all forms of neurotic symptoms and behaviours.

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9
Q

What are ego-defense mechanisms?

A

Ego-defense mechanisms help the individual cope with anxiety and prevent the ego from being overwhelmed. Can be normal behaviours that can have adaptive value, provide they do not become a style of life that enables the individual to avoid facing reality.

Defenses employed depend on the individual’s level of development and degree of anxiety. Defense mechanisms have two characterists in common: 1) they either deny or distort reality, and 2) they operate on an unconscious level.

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9
Q

What is repression?

A

Repression is a defense mechanism.

Threatening or painful thoughts and feelings are excluded from awareness.

Uses for behaviour: One of the most important Freudian process, it is the basis of many other ego defenses and of neurotic disorders. Freud explained repression as an involuntary removal of something from consciousness. It is assumed that most of the painful events of the first 5 or 6 years of life are buried, yet these events do influence later behaviour.

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10
Q

What is denial?

A

Denial is a defense mechanism.

“Closing one’s eyes” to the existence of a threatening aspect of reality.

Uses for behaviour: Denial of reality is perhaps the simplest of al self-defense mechanisms. It is a way of distorting what the individual thinks, feels, or perceives in a traumatic situation. This mechanism is similar to repression, yet it generally operates at preconscious and conscious levels.

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11
Q

What is reaction formation?

A

Reaction formation is a defense mechanism.

Actively expressing the opposite impulse when confronted with a threatening impulse.

Uses for behaviour: By developing conscious attitudes and behaviours that are diametrically opposed to disturbing desires, people do not have to face the anxiety that would result if they were to recognize these dimensions of themselves. Individuals may conceal hate with a facade of love, be extremely nice when they harbour negative reactions, or mask cruelty with excessive kindness.

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12
Q

What is projection?

A

Projection is a defense mechanism.

Attributing to others one’s own unacceptable desires and impulses.

Uses for behaviour: This is a mechanism of self-deception. Lustful, aggressive, or other impulses are seen as being possessed by “those people out there, but not by me”.

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13
Q

What is displacement?

A

Displacement is a defense mechanism.

Directing energy toward another object or person when the original object or person is inaccessible.

Uses for behaviour: Displacement is a way of coping with anxiety that involves discharging impulses by shifting from a threatening object to a “safer target”. For example, the meek man who feels intimidated by his boss comes home and unloads inappropriate hostility onto his children.

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14
Q

What is rationalization?

A

Rationalization is a defense mechanism.

Manufacturing “good” reasons to explain away a bruised ego.

Uses for behaviour: Rationalization helps justify specific behaviours, and it aids in softening the blwo connected with disappointments. When people do not get positions they have applied for in their work, they think of logical reasons they did not success, and they sometimes attempt to convince themselves that they really did not want the position anyway.

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15
Q

What is sublimation?

A

Sublimation is a defense mechanism.

Diverting sexual or aggressive energy into other channels.

Uses for behaviour: Energy is usually diverted into socially acceptable and sometimes even admirable channels. For example, aggressive impulses can be channeled into athletic activities, so that the person finds a way of expressive aggressive feelings and, as an added bonus, is often praised.

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16
Q

What is regression?

A

Regression is a defense mechanism.

Going back to an earlier phase of development when there were fewer demands.

Uses for behaviour: In the face of severe stress or extreme challenge, indivudals may attempt to cope with their anxiety by clinging to immature and inappropriate behaviours. For example, children who are frightened in school may indulge in infantile behvaiour such as weeping, excessive dependence, thumbsucking, hiding, or clinging to the teacher.

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17
Q

What is introjection?

A

Introjection is a defense mechanism.

Taking in and “swallowing” the values and standards of others.

Uses of behaviour: Positive forms of introjection include incorporation of parental values or the attributes and values of the therapist (assuming that these are not merely uncritically accepted). One negative example is that in concentration camps some of the prisoners dealt with overwhelming anxiety by accepting the values of the energy through identification with the aggressor.

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18
Q

What is identification?

A

Identification is a defense mechanism.

Identifying with successful causes, organizations, or people in the hope that you will be perceived as worthwhile.

Uses for behaviour: Identification can enhance self-worth and protect one from a sense of being a failure. This is part of the developmental process by which children learn gender-role behaviours, but it can also be a defense reaction when used by people who feel basically inferior.

19
Q

What is compensation?

A

Compensation is a defense mechanism.

Masking perceived weaknesses or developing certain positive traits to make up for limitations.

Uses for behaviour: This mechanism can have direct adjustive value, and it can also be an attempt by the person to say, “Don’t see the ways in which I am inferior, but see me in my accomplishments”.

20
Q

What is ritual and undoing?

A

Ritual and undoing is a defense mecahnism.

Overriding the negative with a habit.

21
Q

What are Freud’s psychosexual stages of development?

A

Psychosexual stages refer to the Freudian chronological phases of development.

First year: Oral stage
Ages 1-3: Anal stage
Ages 3-6: Phallic stage
Ages 6-12: Latency stage
Ages 12-18: Genital stage
Ages 18-60+: Genital stage continues

22
Q

What are Erickson’s Psychosocial Stages?

A

First year: Infancy (Trust vs. Mistrust)
Ages 1-3: Early Childhood (Autonomy vs. Doubt)
Ages 3-6: Preschool Age (Initiative vs. Guilt)
Ages 6-12: School Age (Industry vs. Inferiorirty)
Ages 12-18: Adolescence (Identity vs. Role Confusion)
Ages 18-35: Young Adulthood (Intimacy vs. Isolation)
Ages 35-60: Middle Age: (Generativity vs. Stagnation)
Ages 60+: Later Life (Integrity vs. Despair)

23
Q

What is object-relations theory?

A

Emphasizes how our relationships with other people are affected by the way we have internalized our experiences of others and set up representations of others within ourselves. Object relations are interpersonal relations as these are represented intrapsychically, and as they influence our interactions with the people around us.

Emphasizes attachment and separation.

24
Q

What is self-psychology?

A

Emphasizes how we use interpersonal relationships (self objects) to develop our own sense of self.

25
Q

What is relational psychoanalysis?

A

Emphasizes the interactive process between client and therapist.

26
Q

What is brief psychodynamic therapy (BPT)?

A

Adaptation applies the principles of psychodynamic theory and therapy to treating selective disorders within a pre-established time limit of, generally, 10 - 25 sessions.

27
Q

What is interpersonal therapy?

A

Short term therapy that focuses on one of four problem areas: grief, role dispute, role transition, and interpersonal deficits.

28
Q

What are key components of the therapeutic process in psychoanalytic therapy?

A
  • The goal is to make the unconscious conscious and strengthen the ego so that behaviour is based on reality.
  • Increase adaptive functioning, which involves the reduction of symptoms and the resolution of conflicts.
  • The process is not limited to solving problems and learning new behaviours.
  • Achieving insight but not just an intellectual understanding.
29
Q

What is the therapeutic process?

A

Therapist preparation: Finding an orientation, therapy for therapists

Preparing the client: Establishing safety, educating the client about the therapy process

Establishing boundaries: The frame (or container) of therapy

Basic therapy processes: Listening, talking, enactments, disclosure, touch

30
Q

What is blank-screen approach?

A

Blank-screen approach, also known as anonymous nonjudgemental stance, is when analysts engage in very little self-disclosure and maintain a sense of neutrality to foster a transference relationship, in which their client will make projections onto them.

31
Q

What is transference?

A

Transference “refers to
the transfer of feelings originally experienced in an early relationship to other important people in a persons’ present environment”. The client’s unconscious shifting to the analyst of feelings.

Transference relationship refers to the clients tendency to view the therapist in terms that are shaped by his or her experiences with important caregivers and other significant figures who played important roles during the developmental process.

32
Q

What is ‘working-through’?

A

A process which consists of repetitive and elaborate explorations of unconscious material and defenses, most of which originated in early childhood.

33
Q

What is countertransference?

A

Countertransference includes any of our projections that influence the way we perceive and react to our client, occurring when we are triggered into emotional reactivity, respond defensively, or when we lose our ability to be present in the relationship because our own issues become involved.

34
Q

What are the therapeutic techniques and procedures used in psychoanalysis?

A
  • Maintaining the analytic framework
  • Free association
  • Interpretation
  • Dream analysis
  • Analysis and interpretation of resistance
  • Analysis and interpretation of transference
35
Q

What is dream analysis? Latent content? Manifest content? Dream work?

A

Dream analysis is an important procedure for uncovering unconscious material and giving the client insight into some areas of unresolved problems. Therapists use the “royal road to the unconscious” to bring unconscious material to light.

Latent content: consists of hidden, symbolic, and unconscious motives, wishes, and fears.

Manifest content: The dream as it appears to the dreamer

Dream work: The process by which latent content of a dream is transformed into the less threatening manifest content.

36
Q

What is resistance?

A

Resistance is essentially anything that works against the progress of therapy and prevents the client from producing previously unconscious material. It’s the client’s reluctance to bring to the surface of awareness unconscious material that has been repressed. In can be an idea, attitude, feeling, or action (conscious or unconscious) that gets in the way of change.

37
Q

What is free association?

A

A process in which after some face-to-face sessions with the analyst, clients lie on a couch and say whatever comes to mind without self-censorship.

38
Q

What is interpretation?

A

Interpretation consists of the analyst’s pointing out, explaining, and even teaching the client the meanings of behaviour that is manifested in dreams, free association, resistances, transference, and the therapeutic relationship itself. The function is to enable the ego to assimilate new material and speed up the process of uncovering further unconscious material.

39
Q

What changes have occurred in theory and psychodynamic psychotherapy?

A
  • Attention to bias and discrimination
  • Identity and background considerations
  • Trauma and schemas
  • Treatment relationship
  • Somatic manifestations of trauma
  • Narrative rewriting
  • Role of psychotherapy
40
Q

How is psychoanalysis applied to group counselling?

A

Group work provides a rich framework for working through transference feelings
- The group becomes a microcosm of members’ everyday lives.
- Projections onto the leader and members are clues to unresovled intrapsychic conflicts that can be identified, explored, and worked through in the group
- Pushing the client too rapidly or offering ill-timed interpretations will render the process ineffective

41
Q

What are the strengths of psychoanalysis from a diversity perspective?

A

Erickson made significant contributions to how social and cultural factors affect people in many cultures over the life span.

This approach promotes intensive psychotherapy for therapists, giving them insight into their countertransference including biases and prejudices.

42
Q

What are the shortcomings of psychoanalysis from a diversity perspective?

A
  • Cost prohibitive for many people (more for upper/middle-class)
  • Cultural expectations may lead clients to want more dierction/structure from the professional
  • More concerned with long-term personality reconstruction than with short-term problem solving
  • Fails to address social, cultural, and political factors that oppress clients.
43
Q

What are the contributions of the classical psychoanalytic approach?

A
  • Understanding resistance that take the form of cancelling appointments, fleeing from therapy prematurely, refusing to look at oneself
  • Understanding that unfinished business can be worked through to provide a new ending to events that have restricted clients emotionally
  • Understanding the value and role of transference
  • Understanding the overuse of ego defenses
44
Q

What are the contributions of the contemporary psychoanalytic approach?

A
  • Understanding literature on attachment, emotion, defenses, personality, and other areas that support the theoretical models and clinical experiences of psychoanalytic therapists
  • Understanding the value of concepts such as unconscious motivation, the influence of early development, transference, countertransference, and resistance
45
Q

What are the limitations and criticisms of the psychoanalytic approach?

A
  • May not be appropriate for all cultures or socioeconomic groups
  • Deterministic focus does not emphasize current maladaptive behaviours
  • Minimizes the role of the environment
  • Requires subjective interpretation
  • Relies heavily on client fantasy
  • Lengthy treatment may not be practical or affordable for many clients
46
Q

What is Jung’s perspective on the development of personality? Individuation? Collective unconscious? Archetypes? Personal? Animus/anima? Shadow?

A

Jung’s analytical psychology is an elaborate explanation of human nature that combines ideas from history, mythology, anthropolgy, and religion.

We are shaped by our past and future.

Individuation: harmonious integration of the conscious and unconscious aspects of personality is an innate and primary goal - integration. Accepting the shadow (dark side) allows for us to not be dominated by this dimension of our being.

Collective unconscious: the deepest level of the psyche containing the accumulation of inherited experiences of human and prehuman species.

Archetypes: Images of universal experiences contained in the collective unconscious. Includes the persona, anima, animus, and shadow.

Persona: Mask or publci fact we wear to protect ourselves.

Animus/Anima: represent the biological and psychological aspects of masculinity and femininity.

Shadow: deepest roots and is the most dangerous/powerful of the archetypes. Represents out dark side, thoughts, feelings, and actions.