Psychodynamic Therapies (Week 3)) Flashcards

1
Q

Key Focus of Psychodynamic Theory

A

Problems reflect internalized representations of ourselves, others, and the world that were shaped by early childhood experiences and relationships. These internalized representations can distort our experiences of self, other, and the world.

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2
Q

Adlerian Inferiority

A

A basic feeling of inadequacy and insecurity

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3
Q

Adlerian Striving for Superiority

A

A motive to move from a sense of inteferiority to one of superiority, which includes a sense of competence, belonging, and significance.

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4
Q

Adlerian Social Interest

A

A motive to “strive for superiority in a way that contributes constructively to others and to society.”

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5
Q

Adlerian Life Tasks

A

Love
Work
Friendship
Self
Spirituality

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6
Q

Adlerian Convictions

A

Basic beliefs about self, others, the world that the indvidual expresses through thoughts, feelings, and actions about how best to strive for superiority.

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7
Q

Adlerian Fictional Lifestyle Goals

A

The child’s perception of the ultimate condition that, when achieved, will finally secure the child’s superiority. This condition is fictional because an individual created it and it can never be attained completely or permanently. Our continued striving for these increases our sense of suffering.

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8
Q

Adlerian Personality Priorities

A

Themes or lifestyle typologies

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9
Q

Adlerian Superiority Personality Priority

A

Being competent, right, useful, martyred.
Purposeful, competent, strives to be the best.
Costs: overinvolvement, overstress, uncertainty about one’s relationship with others.
Avoids meaninglessness.
Intense eye contact, attentive, constant movement.
Can make counselor feel insecure or inadequate.
Symbolized by Lion.

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10
Q

Adlerian Control of Others Personality Priority

A

Being in charge of others, authority, rule maker, boundary enforcer.
Take charge, reliable.
Cost is emotional distance; others withdraw or attack.
Avoids vulnerability.
Makes none or minimal body movements; challenging eye contact.
Can make counselor feel challenged and lead to a power struggle.
Symbolized by Eagle.

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11
Q

Adlerian Control of Self Personality Priority

A

Being “a rock in the storm,” composed, reserved.
Cost is emotional ditance, diminished spontaneity and creativity.
Avoids vulnerability.
Makes no or minimal body movements; rigidity; impassive facial expression.
Can make counselor feel distanced.
Symbolized by Eagle.

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12
Q

Adlerian Comfort Personality Priority

A

Being adaptable, calm, not “rocking the boat.”
Relaxed, easy-going.
Cost is diminished productivity, reduced positive social interaction.
Avoids stress.
Body movements: slouch, easy and fluid walk, shrug or shaking head
Can make counselor feel irritated, annoyed, and/or impatient
Symbolized by turtle.

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13
Q

Adlerian Pleasing Personality Priority

A

Being able to fulfill the needs of others first, altruistic, caring, unselfish.
Cooperative, eager to please.
Cost: stunted growth, alienation; extended relationship outcomes include rejection, disgust, frustration, despair, and exasperation
Avoids rejection.
Body movements: constant eye contact, half smile, immediate forward movement when called, hands in prayer/supplication.
Can make counselor feel pleased.
Symbolized by chameleon.

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14
Q

Adlerian “Mistaken Beliefs” or “Private Logic”

A

Faulty assumptions that develop in childhood as children make sense of their experience.

These tend to reflect black-and-white thinking.

Making these more public, even in a counseling relationship, helps you begin to question these.

We would call these “cognitive distortions” in Cognitive-Behavioral therapy.

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15
Q

Adlerian Overgeneralization

A

One type of mistaken belief/private logic.
Makes contextual truths into global truths, contaminating future experiences.

E.g., “It is never safe to take risks.” or “All men are bad.”

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16
Q

Adlerian False or Impossible Goals of Security

A

Removes risk by making unreasonable demands, setting expectations that are too high. These often begin with “only if . . . “ statements.

E.g., “Only if I can control my children will I be a good parent.”

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17
Q

Adlerian Minimization or Denial of One’s Worth

A

Owns sense of inferiority, thereby avoiding responsiblity.

E.g., “I’m just one person. There’s nothing I can do about it.”

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18
Q

Adlerian Faulty Values

A

Values that reflect low, or a lack of, social interest.

E.g., “Do whatever it takes for you to be happy and get what you want.”

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19
Q

Adlerian Family Constellation and Birth Order

A

“How a child perceives significance in the family becomes the blueprint for later beliefs about self and others. . . . Therefore exploration of the client’s perception of her original family and her place within it can produce key information about the client’s present functioning.”

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20
Q

Adlerian Lifestyle Interview Guide

A

Includes section about personal attributes in relationship to siblings. Things people rank themselves highly in they will likely continue to display. Therapists can get this information in writing before first meeting.

21
Q

Adlerian Early Recollections

A

Counselor often asks client to narrate earliest memories. Focus is on what clients concluded about themselves, others, and the world from the recollected experience and how they continue to enact those convictions in their current lives.

“What is the most vivid part of that memory?”
“What feelings do you most closely associate with that memory?”
“What thoughts do you most closely associate with that memory?”

22
Q

Adlerian Therapy Goals

A
  1. Increase insight into one’s lifestyle.
  2. Decrease feelings of inferiority and discouragement.
  3. Identify and challenge mistaken beliefs, perceptions, and/or goals.
  4. Improve functioning related to life tasks.
  5. Increase social interest.
23
Q

Adlerian Therapeutic Relationship Characteristics

A
  1. Egalitarian/collaborative
  2. Encouraging
  3. Modeling social interest
  4. Educator
24
Q

Adlerian Interventions

A
  1. Encouragement
  2. Education
  3. Confrontation
  4. Catching oneself (helping client to notice when have hands in cookie jar)
  5. “Spitting in the soup” (pointing out areas where client is experiencing aa payoff through self-sabotage. E.g., talking about future worries keeps you from having to deal with the now)
  6. Acting “as if”
  7. Push button technique (choosing emotional/active response)
25
Q

What are external objects?

A

Actual people (in object-relations theory)

26
Q

What are internal objects?

A

internalized representations of self and other influenced by our earliest interactions

27
Q

What is splitting?

A

A defense mechanism used to protect oneself from conflict, in which objects are dichotomized into extreme representations . . . with either positive or negative qualities resulting in polarized viewpoints that fluctuate in extremes of seeing the self or others as either all good or all bad.

28
Q

What is projective identification?

A

an interactional process whereby a subject perceives an object as if it contained unwelcome elements of the subject’s personality and evokes responses from the object that conform to those perceptions (i.e., initiates a self-fulfilling prophecy)

29
Q

What is mirroring and idealizing?

A

Caregivers become the model for children. Children become themselves based on the impressions received from looking at caregivers’ reactions to them.

30
Q

What characterizes a secure attachment style?

A

Comfort with intimacy and autonomy in close relationships

31
Q

What characterizes a preoccupied/anxious attachment style?

A

Overinvestment and involvement in close relationships; dependence on others for self-worth.

32
Q

What characterizes a dismissing/avoidant attachment style?

A

Over reliance on self, downplaying the importance of intimate relationships

33
Q

What characterizes a fearful/anxious-avoidant attachment style?

A

Desires intimacy but avoids it due to fear of rejection. Expectation of getting hurt.

34
Q

What determines attachment style?

A
  1. presence
  2. stability
  3. sensitivity
35
Q

What is the autism stage?

A

Stage of the separation-individuation process in which the infant is unable to distinguish between self and external world. The main task is to maintain equilibrium with the environment. 0-2 months.

36
Q

What is the symbiotic stage?

A

Stage of the separation-individuation process in which the baby begins to develop an awareness of the caregiver and experiences a sense of oneness with the caregiver. 2-6 months.

37
Q

What is the separation and individuation stage?

A

Stage of the separation-individuation process in which the child begins to physically distance from the caregiver through exploration but returns to the caregiver for reassurance, experiencing a sense of separateness. 6 months-3 years.

38
Q

What characterizes Erikson’s trust/mistrust stage of psychosocial development?

A

Infancy: Can I trust the world?

39
Q

What characterizes Erikson’s autonomy/doubt stage of psychosocial development?

A

Early childhood: Can I control my own behavior?

40
Q

What characterizes Erikson’s initiative/guilt stage of psychosocial development?

A

Preschool: Can I become independent of my parents and explore my limits?

41
Q

What characterizes Erikson’s industry/inteferiority stage of psychosocial development?

A

Primary school: Can I master the skills necessary to survive and adapt?

42
Q

What characterizes Erikson’s identity/role confusion stage of psychosocial development?

A

Secondary school: Who am I? What are my beliefs, feelings, and attitudes?

43
Q

What characterizes Erikson’s intimacy/isolation stage of psychosocial development?

A

Young adulthood: Can I give fully of myself to another?

44
Q

What characterizes Erikson’s generativity/stagnation stage of psychosocial development?

A

Middle adulthood: What can I offer succeeding generations?

45
Q

What characterizes Erikson’s integrity/despair stage of psychosocial development?

A

Late adulthood: Have I found contentment and satisfaction through my life’s work and play?

46
Q

What are the goals of psychodynamic therapy?

A
  1. Increased insight followed by agency
  2. Increased ego strength, self-esteem, and self-cohesion
  3. Increased emotional maturity.
  4. Decreased internal and interpersonal conflict
  5. Increased personality integration
  6. Increased ability to experience mature dependency and intimacy
47
Q

What characterizes the psychodynamic therapeutic relationship?

A
  1. Warmth
  2. Holding environment
  3. Acknowledging and analyzing transference and countertransference (using it as a resource)
48
Q

What interventions are used in psychodynamic therapy?

A
  1. Listening with empathy
  2. Interpretation to promote insight
  3. Intersubjective responding (exploring and processing here-and-now experiences between counselor and client as a way to increase insight)
  4. Working through insight to prompt new action
49
Q

What are some types of psychodynamic therapy/theory?

A
  1. Adlerian
  2. Ego psychology
  3. Object-relations
  4. Self psychology