Psychodnamics I & II

Question 1

What is the fundamental hypotheses of psychoanalytic theory? What is the topographic model? What is the structural model? What are Freud’s psychosexual stages of development? What is fixation? Regression?

Answer 1

Fundamental hypotheses - Psychic determinism: Every event/symptom has meaning & Consciousness is an exceptional psychic process. Topographic: Conscious, Pre-conscious [Repression Barrier] Unconscious.Structural: Id (pleasure), Ego (conscience: rules, morals, values), Superego (balance, purpose). Psychosexual: Oral (birth - 1.5), Anal (1.5 - 3), Phallic (3 - 5/6), Latency (6 - adolescent), Genital (Adolescent/Adult –>). Fixation: Extra investment of libido in one phase. Regression: Reversion to earlier phase under stress.

Question 2

What are the level I psychotic mxns? Who are they common in? How does this appear to users? Beholders?

Answer 2

Delusional projection, Psychotic Denial, Distortion. Common in <5, dreams, fantasy. User: alter reality. Beholder: crazy. (Psychotic Delia is Psychic & Disturbed)

Question 3

“Frank delusions about external reality, usually of persecutory type.”

Answer 3

Delusional Projection

Question 4

“Denial of external reality.”

Answer 4

Psychotic Denial

Question 5

“Grossly reshaping external reality to suit innter needs.”

Answer 5

Distortion.

Question 6

What are level II immature mxns? Who are they common in? How does this appear to users? Beholders?

Answer 6

Projection, Somatization, Acting Out, Splitting. Common in 3-15, PDs. User: Alter distress due to threat of interpersonal intimacy or loss. Beholder: Socially undesirable. (Immature Preston Sometimes Acts Spoiled)

Question 7

“Attributing one’s own unacknowledged feelings to others.”

Answer 7

Projection – Paranoid PD

Question 8

“Turning an unacceptable impulse or feeling into a physical symptom.”

Answer 8

Somatization – Hypochondriac, Psychosomatic Disorders

Question 9

“Avoiding personally unacceptable feelings by behaving in an attention-getting, often socially inappropriate manner.”

Answer 9

Acting out – Antisocial PD

Question 10

“Seeing people and events as all good or all bad.”

Answer 10

Splitting – Borderline PD

Question 11

What are level III neurotic mxns? Who are they common in? How does this appear to users? Beholders?

Answer 11

Denial, Displacement, Dissociation, Identification, Intellectualization, Isolation of Affect, Rationalization, Reaction Formation, Regression, Undoing. Common in 3-90, neurotic disorder, acute stress. User: alter private feelings or instinctual expression. Beholder: “quircks/hang-ups” (Triple D, Triple R, Triple R, U)

Question 12

“Not believing personally intolerable facts about reality.”

Answer 12

Denial – Most common in medical practice

Question 13

“Transfer of emotions from an unacceptable to acceptable person or object.”

Answer 13

Displacement – Phobias, Conversion, Prejudice

Question 14

“Separation of function of mental processes to avoid emotional distress.

Answer 14

Dissociation – Acute reaction to trauma. Multiple PD.

Question 15

“Unconsciously patterning one’s behavior after that of someone who is more powerful.”

Answer 15

Identification

Question 16

“Using the mind’s higher functions to avoid experiencing uncomfortable emotions.”

Answer 16

Intellectuallization – OCD

Question 17

“Failing to experience the feelings associated with a stressful life event, although logically understanding the significance of the event.”

Answer 17

Isolation of Affect

Question 18

“Providing seemingly reasonable explanations for unacceptable or negative events, feelings, actions.”

Answer 18

Rationalization

Question 19

“Denying unacceptable feelings and adopting opposite attitudes.”

Answer 19

Reaction Formation

Question 20

“Appearance of child-like patterns of behavior during stress.”

Answer 20

Regression

Question 21

“Erasing an unacceptable event in the past by adopting acceptable behavior (superstitious) or atonement of confession).”

Answer 21

Undoing

Question 22

What are level IV mature mxns? Who are they common in? How does this appear to users? Beholders?

Answer 22

Altruism, Sublimation, Anticipation, Suppression, Humor. Common in healthy 12-90. User: Integrate reality, interpersonal relationships, and private feelings. Beholder: Appear as convenient virtues. (Mature Alton is Suave And Super Humble)

Question 23

“Unselfishly assisting others to avoid negative personal feelings.”

Answer 23

Altruism

Question 24

“Rerouting an unacceptable drive in a socially acceptable way.”

Answer 24

Sublimation

Question 25

“Consciously putting aside but not repressing unwanted feelings.”

Answer 25

Suppression

Question 26

“Expression of feeling without causing discomfort.”

Answer 26

Humor

Question 27

“Realistic anticipation of or planning for future inner discomfort.”

Answer 27

Anticipation

Question 28

What is transference? Counter-transference?

Answer 28

Unconscious transfer of past relationship/encounters/figures onto physicians…The physician;s transference to the patient.