Psychoanalytic Psychotherapies Flashcards

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1
Q

mechanisms of change

A

making the unconscious conscious

emotional insight

creating meaning and historical reconstruction

increasing and appreciating limits of agency

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2
Q

appropriate candidates

A

motivated
openly disclosing
willing to self-scrutinize
not in need of immediate crisis intervention
“problems in living” reflected in stress
personality disorders

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3
Q

short term dynamic psychotherapy

A

less than 40 sessions

often uncontrolled or lack rigorous active control groups; many limited by small sample sizes

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4
Q

long term psychoanalytic therapy

A

not rigorously studied

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5
Q

cultural considerations

A

developed for educated, middle-class western europeans

therapists must:
- be aware of their own bias, society attitudes, more judgement
- utilize a range of techniques

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6
Q

BEGINNING

A
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7
Q

psychoanalytic pluralism

A

no types/just one psychoanalytic theory

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8
Q

order of freud developments:

1) develops structural model of id, ego, and superego
2) coins term “psychoanalyse”
3) works with patient anna o.

A

order: 3, 2, 1

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9
Q

Anna O.

A

young women doing well in life but develops odd symptoms while aiding sick father
- paralysis of extremities
- weak neck
- suddenly cannot hear or speak

diagnosed with hysteria

tried talk therapy (release trauma psychologically rather than physically)

used experimental approach

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10
Q

freud concluded that hysteria resulted from _____

A

trauma

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11
Q

freud leans away from ______ and more towards _____ ____________ to help achieve catharsis (release of negative emotion and experiences)

A

hypnosis; free association

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12
Q

freud emphasized _______ ______ (carefully observing what’s taking place without influencing)

A

scientific rigor

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13
Q

free association

A

patient says “whatever comes to mind”

therapist interprets manifest and latent content

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14
Q

manifest vs. latent content

A

m - surface material, exactly what person said

l - deeper level, underlying meaning of manifest content

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15
Q

drive theory

A

libido produces state of tension that needs to be released!

pleasure principle

shows pattern of how we as people repeat our experiences over and over

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16
Q

pleasure principle

A

we are driven to repeat experiences that release tension

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17
Q

stages of psychosexual development

A

how to achieve release of libido

1) oral phase
- younger age
- everything goes in the mouth to achieve oral gratification

2) anal phase
- toddler
- control of bowels/choice of retaining or passing feces
- important to not instill shame in child for this

3) phallic phase
- shifting to genitals

4) latency period
- socializing through and into puberty
- what is or isn’t accepted in society
- disconnect b/t mentally vs. societal acceptions

5) genital phase
- adult
- through sexuality

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18
Q

id

A

instinctual/entirely unconscious

where drive lives

primal wishes, fantasies, desires, etc.

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19
Q

ego

A

gradually emerge as we develop

concerns of reality/navigating conflicts b/t id + superego
- ex) delaying gratification

look for ways to channel expressions

apart of both unconscious and conscious

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20
Q

superego

A

develops as we internalize norms of society
- “right things to do”
- can become overly harsh and demanding

will change as societal norms do

some conscious (expectations of society), some unconscious

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21
Q

ego psychology

A

fixed structure of personality with 3 components: id, ego, superego

primary and secondary processes (ego’s job to satisfy them)

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22
Q

primary process of ego psychology

A

begin at birth and operate unconsciously

raw/primitive functioning

cannot distinguish b/t past, present, future, just is

look for latent content to understand these processes

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23
Q

secondary process of ego psychology

A

functioning associated with consciousness

logical, sequential, orderly, rational

24
Q

Jung

A

initially studied under Freud

drawn to experimental studies of the unconscious

broke from freud to develop his own school known as analytical or Jungian psychology

complexes
- repressed ideas that an emotionally difficult to experience consciously
- observed through reaction time

25
Q

Jung’s differences from Freud

A

collective unconscious
- vast, hidden unconscious resource shared understanding/experiences b/t humans

unconscious has creative and growth-oriented components
- freud: all down side
- jung: not all bad

understand unconscious through observing complexes
- delayed reaction time

less emphasis on sexuality’s role in motivation
- not all drive stemming from this

26
Q

is there a difference between the british and united states system of psychoanalytic pluralism

A

yes!

27
Q

common principles of psychoanalytic perspectives

A

humans are motivated by wishes and fantasies that are unconscious

humans are ambivalent about changing
- want to but don’t want to change @ the same time, comes with resistance to change

therapy should help clients understand how their own construction of the past and present plays a role in perpetuating patterns
- role: identify how to achieve tension release and relationship with therapist can bring patterns to light

28
Q

conflict theory

A

childhood neurosis common and expressed through anxiety

in adulthood, neurosis occurs due to conflict between unconscious wishes and defenses = intrapsychic conflict (what is or isn’t ok to act on)

29
Q

object relations theory

A

internal representations guide perceptions and actions

very early attachment experiences (infant and caregiver) build internal working models

attachment theory

30
Q

attachment theory

A

humans build internal working models of caregivers that allow them to maintain proximity

  • “what do I need to do to keep this person near me so I can survive?”
31
Q

developmental arrest definition

A

as child develops, gets “stuck” in one of these places

32
Q

developmental arrest components

A

psychological problems are due to caregivers’ failure to provide “good enough” environment
- should NOT be perfect, providing some adversity to understand how to defend themselves

infants believe they are omnipotent and wishes are fulfilled by mother
- no development of ego/delayed gratification

optimal disillusionment
- goal of “good enough”
- learning to accept limitations of others and develop healthy ego boundary
- failing to attend to need but an attempt was made, gradual and balanced

false self
- needs not met @ all or rarely
- infant learns to overall adjust to others, learn wishes and needs don’t matter
- lose touch with your own needs but instead needs of others

33
Q

defense mechanisms

A

sit primarily in ego and happen unconsciously

defense styles
- process that helps avoid emotional pain, helps short term but hurts long term
- impact our physical and mental health
- have implications for treatment

34
Q

sublimation

A

conflicted emotions –> productive outlet

hurts: ruining other areas of life when outlet overtakes life

35
Q

repression

A

forgetting something negative or unwanted

no memory or awareness

36
Q

displacement

A

transfer feelings from one source to another

ex) get yelled at at work, yell at family when you get home

37
Q

regression

A

revert to childlike state

ego doesn’t attempt to control emotions

38
Q

denial

A

refusal to accept truth/reality

feels good short term, not long term

different than repression (which has no memory of event)

39
Q

splitting

A

attempt to avoid negative feelings about person, split them into either all good or all bad

inability to reconcile people have good and bad qualities

ex) someone does one bad thing = they are a bad person

40
Q

projection

A

feeling and motive about self towards another person

ex) hearing laughing and then thinking it is about you

41
Q

reaction formation

A

negative belief unwilling to admit to self = proclaim the opposite

ex) attraction toward same sex = proclaiming homophobia

42
Q

intellectualization

A

talking about something while keeping emotional distance

very matter-of-fact

can recognize they played role but without emotions

ex) stroke patient describing their own experience as not their own or giving details about accident but not about their feelings

43
Q

rationalization

A

attempt to explain something away/coming up with an excuse (taking away responsibility)

ex) I failed because my teacher hates me

44
Q

theory of psychotherapy basic theory

A

intrapsychic conflict and maladaptive use of defense mechanisms

45
Q

one-person vs. two-person

A

one: patient is considered a person and the therapist is a blank observer

two: relationship b/t 2 people, therapist is a person too

46
Q

intersubjectivity

A

therapy is complicated/debate b/t therapist and patient

goal = come to consensus

47
Q

enactment

A

same patterns are going to happen in therapy as they do outside (which is mostly why they go to therapy)

create false self: over adapt to others, meet others’ needs

48
Q

we don’t see the world as it is. we see the world as ___ _____

A

we are

49
Q

transference

A

what takes place from patient to therapist

patient’s schemas shape relationship with therapist as one they had with a past person

50
Q

countertransference

A

therapist’s reaction to totality of patients transference

51
Q

therapeutic alliance is how well …

A

patient and therapist are aligned in treatment plans and trust

key to withstand tough tines in treatment

52
Q

resistance in therapy

A

people have a tendency to resist change

working through, not an obstacle but an opportunity

53
Q

methods of psychotherapy (interaction)

A

empathy
- emphasis on emotion
- empathetic conjectures: “I can imagine…”, “I can see..”
- hypothesize what person was experiencing

clarification
- interpret what patient is saying
- making unconscious conscious
- hypothesizing latent content

interpretation
- hypothesis for what may be happening
- often in form of questions to ease information on patient
- skill in determining when interpretation should be shared with client/beneficial to hear

support/advise
- part of relationship, can help build alliance

54
Q

methods of psychotherapy (process)

A

opening
- beginning to reveal information at their own pace
- looking for themes, patterns, conflicts, defense mechanisms, and evidence of resistance

development of transference
- patients reaction to therapist

working through
- to develop insight
- interpretations of how past influences present
- patterns that play out all the time for patient/what unconscious behavior is causing this

termination
- ending treatment, patient-led
- therapist needs to be aware of countertransference (if they don’t want patient to leave)
- goal: for patient to see own role in patterns and role in driving own change, they are in control

55
Q

review notes on annie’s therapy sessions!

A

got it :)