Psychodynamic/Psychoanalytic Therapy Flashcards
Describe depression as melancholia
Loss of love object Loss of love, person exists Ambivalence Love and hate Hate 'kills off' person Love 'takes in' person Recovery not possible Self accusations No shame Accusations fit the loved person Shifted to own ego Introjection
Understand depression with rank theory
Status conflict High ideals by superego Inability to achieve Reduce aggression Prevent further injury Preserve stability Ego submissive and slow
What is attachment in infants?
A process of proximity seeking to an identified attachment figure in situations of perceived distress of alarm for the purpose of survival
Describe the link between the right brain and attachment
Attachment memories stored in right hemisphere, in implicit memory (introjection)
Right hemisphere associated with emotional regulation and how people react to stress
Differentiate between conscious, preconscious and unconscious
Conscious - within our awareness
Preconscious - memories
Unconscious - memories that cannot be retrieved
The conscious mind is driven by the unconscious
Differentiate between superego, ego and ID
Superego - moral part of mind, set of rules and principles, no concept of time, can’t negotiate (intolerable self criticism)
Ego - mature, rational part of mind that negotiates, understands that there are others who have needs (euphoric self satisfaction)
ID - primitive, selfish part of mind concerned about your own needs (basic needs with instant gratification), entirely unconscious, no concept of time or logic, no concept that others exist and have needs (sex and aggression)
List the principles of psychodynamic/psychoanalytic therapy
Emphasis on establishing s safe therapeutic environment
Safe, comfidential space that allows exploration of feelings
The therapeutic relationship is the focus of treatment
Links made between past and present –> insight
Supportive –> exploratory
Define the terms ‘hysteria’, ‘hypnosis’ and ‘free association’
Hysteria - medical problems without a neurological explanation
Hypnosis - trance like state to access different part of mind
Free association - talk about everything and anything that comes to mind
Define the defence mechanism terms ‘projection’, ‘sublimation’, ‘reaction formation’, ‘splitting’, ‘suppression’, ‘acting out’, ‘introjection’
Projection - projecting the conflict outside of self
Sublimation - attaining the gratification in an acceptable way
Reaction formation - doing the opposite of the initial desire
Splitting - separating the conflict as ‘all good’ or ‘all bad’
Suppression - consciously postponing the conflict for later
Acting out - discharging the anxiety as an outburst
Introjection - acquiring qualities of others as parts of our self
Describe Malan’s triangle of conflict
Defense
Anxiety
Hidden feeling/impulse
Define the terms ‘therapeutic alliance’, ‘transference’, ‘counter transference’
Therapeutic alliance - mutual trust in doctor/patient relationship to work towards the common goal of getting the patient better
Transference - transferring feelings from the past onto the doctor
Counter transference - transferring feelings from doctor/therapist onto the patient
Describe Malan’s triangle of persons
Others
Therapist
Parent
Describe depression as mourning
Love object is lost Loss of person, love exists Resists giving up love Every memory relived Wishful hallucinations Reality testing Conscious Free the ego
