Psychodynamic continued (w4) Flashcards
What are the 3 levels of functioning analysis?
Ego
Object Relations
Self
What are the components of Ego Functioning analysis?
Reality testing
Impulse Control
Frustration tolerance
Cognitive Modulation Over Affect
Judgment
Psychological Mindfulness
Synthesis and Integration
Abstract thinking
Maturity of ego defenses
What is Reality Testing
The level of functioning a person has and where they regress to when under duress
also pertains to a persons reflective functioning
What is impulse control
Immediate vs delayed gratification
the ability to step back and deliberate about something
What is frustration tolerance
how well do we tolerate something that makes us mad
what is Cognitive modulation over affect
ones ability to not react immediately
allowing the limbic system and frontal lobe to interact and cognitively process the event
what is judgement
how well we can assess something
how we reflect on things
what is psychological mindfulness
combining the other aspects of ego functioning
what is abstract thinking
thinking differently
critical thinking skills vs having concrete thinking
What is the superego evaluation
a persons moral compass, sense of conscious, and either permissive or punitive thinking
What are the components of Object Relations Analysis
Childhood relationships
real and transferential aspects of relationships
current relationships
tripartite interpretation
Why are childhood relationships important for object relations
Affects the attachment style an adult will have
affects interpersonal relationships
why are current relationships important for object relations
the ability to have and maintain relations with others in their lives
are they capable of having sustained and enduring relationships
What is tripartite interpretation
connecting the dots for the patients to see how they got to where they are and to teach what a healthy relationship looks like
What are the components of self assessment analysis
Identity integration
long-term commitment potential
well-developed self-object boundaries
complex self-identity
flexibility
higher order ego functions
what is identity integration
comfort with who you are
continuity of self over time and behavioral consistency
dimensionality - not arrogance but a continuity of knowing yourself
what is long-term commitment potential
enduring relationships with other people and life long friendships
what is a well-developed self-object boundaries
Maintain a self of who you are
You and me and then us all entangled
I know where I begin and end
You have a sense of self - not that they “complete you”
what is complex self-identity
having many different versions of ourselves but they are still who we are
ie. teacher, father, brother, son, etc.
what is higher order ego functioning
having a neurotic level of functioning
not regressing to borderline or psychotic levels of functioning
What are the levels of Functional Analysis
Neurotic
Narcissistic
Borderline
Psychotic
What is neurotic (functional analysis)
the highest level of character development possible; the main issue here is misperceptions of reality/misattributions to explain situations or interpersonal interactions, and thus emotional reactions, judgments, and behaviors that are inappropriate to the characteristics of the situation
what is narcissistic (functional analysis)
no major trauma in early development; however, the issue here is impingement/intrusion of the caregiver upon the child also, there is the perceived or actual failure of the caregiver to recognize/validate the feelings and inner states of the child; the child learns to inhibit their own needs and to view their needs as shameful and also perhaps overwhelming
what is borderline (functional analysis)
originally meant to designate the place between the psychotic and the neurotic; issues here include the infant/child’s feeling ambivalence about being over-attached/enmeshed with the caregiver vs. being abandoned
