Psychodynamic Approaches 1 Flashcards
Dimensional approach does not address what process
What is cause of the disorder
Co-constructing hypothesis
Or best guess about origins of a persons difficulties by both therapist and client
With psychological formulation, the diagnostic has ____ on type of treatment given
Little impact
Psychological formulation aims to identify process that led to and maintain problems ____
faced by the individual
Refer to picture; A
Negative automatic thoughts
Refer to picture; B
Physical symptoms
Refer to picture; C
Emotions
Refer to picture; D
Behaviors
Refer to picture; E
Trigger event
Refer to picture; F
Conditional assumptions
Refer to picture; G
Core beliefs
Refer to picture; H
Early events
Hypothesis
Guide the therapist and establish criteria to evaluate intervention
Approach
Single position regarding theory and practice of psychotherapy
School
Grouping of similar approaches
Theories and approaches don’t develop in a vacuum but are _____
Dramatically influenced by context of time, place, character of originator
Settings of working in mental health sector
Healthcare, social care, education, charities, private sector
Roles in working in mental health sector
Counseling psychologist, MH social worker, PWP, psychotherapist, counselor, clinical psychologist, high intensity therapist
Freud’s psychodynamic approaches
Conflict, early life, internal causes, deterministic, dynamic unconscious, early life experiences
Determinism
Human behaviors, thoughts, feelings, determined by cause and effect
Anna O implications
Behavior is influenced by unconscious mental processes, psychical symptoms could be removed by talk therapy, reminiscences painful, shameful or alarming—banished from consciousness
Levels of consciousness
Conscious, preconscious, unconscious
Conscious
Thoughts feelings that we are aware of
Preconscious
Memories and knowledge that we’re unaware of but can easily be brought into awareness
Unconscious
Inadmissible material experiences that we’re unaware of
Helmholtz
Energy neither created nor destroyed but can only transform from one form to another, or transfers from one object to another
Brücke
All living things are energy systems
Freud believed _____ was the energy system and ____ are the source of energy in behavior
Personality, instincts
Eros
Preservation of self and species, sexual drive
Thanatos
Destructive energy
Id
Ruled by pleasure principle
Super ego
Conscience
Ego
Reality principle
Psychodynamic
Mind as a dynamic energy system
Ego is reconciling
Competing id and superego demands with reality
When forces balanced
Psychological health and well-being
Idea of balance is reminiscent of
Hippocrates’ Humoral approach
Realistic
Conflict with reality
Moral
Conflict with super ego
Neurotic
Conflict with id
Freud stages of development
Oral, anal, phallic, latency, genital
Oral ages
0-2
Anal ages
2-3
Phallic ages
3-6
Latency ages
6-12
Genital ages
12+
Oral source of pleasure
Sucking
Anal source of pleasure
Pooping
Phallic source of pleasure
Masturbating
Latency source of pleasure
Sexual inhibitions
Genital source of pleasure
Development of adult sexuality
Conflicts at each stage must be resolved or
Fixations are created and have impact on personality
Oral fixations
Dependence, depression, guilt, mistrust, eating problems, excessive smoking/drinking
Anal fixations
Focus on tidiness, obsessive behaviors, obstinacy, stubbornness
Phallic fixations
Antisocial personality, difficulties with romance, self deprecation, aggression
Latency fixation
Problems with self control
Genital fixation
Identity confusion
Most difficult stage to move through
Phallic
Basic conflict of phallic stage
Incestuous desires child develops for opposite ex parent which are repressed due to threatening nature
Oedipus
Mother as love object for male child and identification with father
Electra
Female child striving for fathers love and approval and identification with mother
Neurotic anxiety
Caused by when instinctual demands from id place it in danger
Defense mechanisms
Relieve anxiety and develop in childhood and struggle against sexuality
Defense mechanisms deny, falsify, or distort reality and operate
Unconsciously
Ego defense mechanisms examples
Repression, reaction formation, regression, denial, projection, sublimation, displacement
Repression
Preventing unacceptable thoughts from entering consciousness
Repression example
Stop thinking about cookies! You need to stop eating cookies!
Reaction formation
Preventing awareness of unacceptable desires by taking opposite stance
Reaction formation example
Kill them with kindness
Regression
Reverting to earlier developmental level
Regression example
“Afterwards she only ate kids cereal and couldn’t sleep unless it was in her mothers bed”
Denial
Refusing to face reality
Sublimation
Channeling frustrated energy into socially acceptable outlet
Displacement
Directing energy towards a different object or person than the original, shifting to a safer target
Repression contributes to
Neuroses