Psychodynamic

Question 1

Psychodynamic theory seeks to understand…….

Answer 1

why we engage in irrational behaviors when rational options exist and to understand the symbolic meaning of the choice we make.

Question 2

When was PsychD most popular?

Answer 2

the 1950’s to 1970’s, but resurged to explain the unexplainable

Question 3

Who transcribed it into OT practice in the 1970’s?

Answer 3

Dr. Anne Mosey

Question 4

In psychoanalytic theory, who is the expert?

Answer 4

the client!

Question 5

personality development

Answer 5

ID: instinctual needs (unconscious)
EGO: rational thinking; mediator between ID and superego for planning, reasoning, remembering, evaluating, and decision-making process; expresses guilt or anxiety when the ID presses for gratification
SUPEREGO: moral standards; behaviors learned from interaction with caregivers

Question 6

Emotional development

Answer 6

Shaped through experiences surrounding psychosexual stages

a. Unconscious: not readily accessible into awareness
b. Pre-conscious: can becomes conscious but requires effort ex: breakfast
c. Conscious: in active awareness and retrievable at any time

Question 7

What is the function of the EGO?

Answer 7

A. reality testing (consensual validation, outer reality exploration
B. Structures sense of self (body image, self-esteem)
C. Controls thought processes (attention, memory, learning, and logical though, problem solving)
D. Ensures judgement
E. Implements self-control
F. Employs defense-mechanisms
G. Strives for competence/mastery

Question 8

What describes a health EGO?

Answer 8

1. strong sense of self
2. realistic body image, self-esteem
3. ability to suppress immediate gratification
4. use of mature defenses in moderation

Question 9

Name some defense mechanisms relevant to OT:

Answer 9

1. Projection
2. Acting Out
3. Sublimation (restructuring of aggressive drives into constructive activity) ex: anger into artwork
4. Regression: movement from mature to immature ex: bed wetting at 9
5. Identification: talking on characteristics of another (abused child grows up to abuse own children)

Question 10

Name some other defense mechanisms

Answer 10

1. Reaction Formation: behavior opposite of unacceptable impulses
2. Denial
3. Repression
4. Displacement: ex: vent frustrations on smaller more weaker subjects
5. Intellectualization: repressing emotion by stating valid reasons why the traumatic experience may have occured

Question 11

What are some of the defense categories?

Answer 11

a. Narcissitic: projection, denial, distortion
b. Immature: acting out, blocking, hypochondiasis, introjection, passive-aggressive, regression, schizoid, somatization
c. Neurotic defenses: controlling, displacement, dissociation, externalization, inhibition, intellectualization, isolation, rationalization, reaction formation, repression, sexualization
d. mature: altruism, anticipation, asceticism, humor, sublimination, suppression

Question 12

according to Freud, what causes fixation in a certain psychosexual stage?

Answer 12

negative experiences

Question 13

What is the age range for the oral stage?

Answer 13

birth to 1.5 years

Question 14

what is the age range for the anal stage?

Answer 14

1.5 years to 3 years

Question 15

what is the age range for the phallic stage (genitalia)?

Answer 15

3 years to 5 years

Question 16

What is the age range for the latency stage (sexual repression)?

Answer 16

6 to 12 years

Question 17

what is the age range for the genital stage?

Answer 17

12 + years

Question 18

what develops with negative experiences in oral stage?

Answer 18

trust/dependency issues. Seek stimulation through smoking, drinking, eating, nail biting

Question 19

what develops with negative experiences in anal stage?

Answer 19

retention: control/autonomy issues OR expulsive: messy, wasteful, destructive

Question 20

what develops with negative experiences in the phallic stage?

Answer 20

hypersexuality, pedophilia

Question 21

what develops with negative experiences in the latency stage?

Answer 21

social roles, guilt.. Poor peer relationships, no hobbies or interests, performance anxiety

Question 22

what develops with negative experiences in the genital stage?

Answer 22

performance issues

Question 23

when does change occurs

Answer 23

through performance of ego-adaptive skills

Question 24

when does motivation occur?

Answer 24

When energy is focused on the mastery of ego skills

Question 25

Psychodynamic activities should:

Answer 25

a. facilitate interaction and understanding among group members
b. promote increased self-awareness, sense of self, self-expression, and understand meanings
c. help to connect client’s past, present, and future
d. have clear boundaries and routines, when appropriate, to help persons feel safe and function more effectively

Question 26

What is the role of the therapist in psychodynamic therapy?

Answer 26

Facilitator! No rescuing- groups learn from their mistakes. Encourage independence in decision making

Question 27

Some things that psychodynamic can be used for in OT include:

Answer 27

• personality disorders
• anxiety
• maladaptive behaviors

Question 28

the most ________ needs will emerge first

Answer 28

pressing

Question 29

Red indicates

Answer 29

strong emotions
-love, warms and comfort
OR
-intense, angry, excitement

Question 30

Brown indicates

Answer 30

sadness and isolation

Question 31

Blue indicates

Answer 31

calmness or serenity

Question 32

black indicates

Answer 32

death and mourning, unhappiness, sexuality, power/submission, formality, and sophistication

Question 33

The Johari Window is used for

Answer 33

self-uderstanding, increasing awareness, and for personal growth. Works best in high trust environment. Developed by Jospeh Luft and Harry Ingram in 1950’s.

Question 34

the goals of the Johari window is to:

Answer 34

make the OPEN area as large as possible

Question 35

Cole’s 7 steps, all steps incorporated

Answer 35

• introuction
• Activity (2 phases, planning and doing)
• Evaluation