Psychodynamics

Question 1

libido phase

Answer 1

life force (includes sexual and aggressive)

Question 2

oral phase

Answer 2

birth to 1.5 years. sucking, dependent. adult oral traits: enjoy food, gum, smoke, drink. passive and dependent.

Question 3

anal phase

Answer 3

1.5 to 3 years. crawling, exploring, “no!”, potty training, terrible twos. adult anal traits: neat, on time, correct, organized, careful with money, controlled

Question 4

fixation

Answer 4

extra investment of libido in one phase

Question 5

regression

Answer 5

reversion to earlier phase under stress

Question 6

phallic phase

Answer 6

oedipal complex in boys, electra complex in girls. 3-6 years old. curious about sex differences. close to parent of the opposite sex.

Question 7

latency phase

Answer 7

6 yrs - adolescent. girlscouts/boyscouts. figured out that youre a girl/boy. think other sex has cooties etc

Question 8

genital phase

Answer 8

adolescent/adult on. adult sexual phase. capacity for true intimacy. understand sexual differences between girls / boys

Question 9

Id

Answer 9

“child”. from birth. fun, gratification. “i want it now”

Question 10

Superego

Answer 10

“parent”. from age 5 on, when you start understanding right from wrong. conscience, morals, rules, values. develops based on input from parents, teachers, religious authorities, political authorities, societal norms, legal system. “thou shalt not!”

Question 11

ego

Answer 11

“adult”. growing, evolving. the balancing of the superego and Id. deals with external and internal reality. your personality

Question 12

ego under stress

Answer 12

ego defense mechanisms come out to decrease distress, and make reality better

Question 13

psychotic mechanisms

Answer 13

common in healthy individuals before the age of five. common in adult dreams and fantasy. for the user, these mechanisms alter reality. to the beholder, they appear crazy

Question 14

delusional projection

Answer 14

psychotic mech. frank delusions about external reality, usually of a persecutory type. paranoia usually. perception of other people or their feelings literally inside oneself.

Question 15

psychotic denial

Answer 15

denial of external reality. Ex: thinking you are jesus. psychotic mech

Question 16

distortion

Answer 16

psychotic mech. reshaping external reality to suit inner needs. unrealistic megalomaniacal beliefs. hallucinations, wish-fulfilling delusions of delusional superiority or entitlement. denial of personal responsibility for one’s own behavior.

Question 17

immature mechanisms

Answer 17

common in healthy individuals from age 3-15. seen in personality disorders. for user, alter distress due to threat of interpersonal intimacy or its loss. for beholder, they appear socially undesirable

Question 18

projection

Answer 18

immature mech. attributing one’s own unacknowledged feelings to others. severe prejudice, rejections of intimacy through unwarranted suspicion, hypervigilance to external danger. paranoid personality

Question 19

somatization

Answer 19

immature mech. turning an unacceptable impulse or feeling from bereavement, lonliness, fear, or anger into complaints of pain or somatic illness. hypochondriac, psychosomatic disorders

Question 20

acting out

Answer 20

immature mech. direct expression of an unconscious wish or impulse in order to avoid being conscious of the affect that accompanies it. delinquent or impulsive act to avoid being aware of one’s feelings. antisocial personality disorder.

Question 21

splitting

Answer 21

immature mech. seeing people and events as ALL good or ALL bad. will quickly switch between these extreme positions. borderline personality disorder

Question 22

neurotic defenses

Answer 22

common in healthy people age 3-90. seen in neurotic disorders and acute stress. for the user, these alter private feelings or instinctual expression. for beholder, they are quirks or hang ups.

Question 23

denial

Answer 23

neurotic. unable to accept intolerable facts about reality. most common defense seen in medical practice

Question 24

displacement

Answer 24

neurotic. redirection of feelings toward a relatively less cared for object than the person or situation arousing the feelings. most phobias, many hysterical conversion reactions, and some prejudice involve displacement.

Question 25

dissociation

Answer 25

neurotic. temporary but drastic modification of one’s character or of one’s sense of personal identity to avoid emotional distress. acute reaction to trauma. “i dont remember the incidence at all.” seen in multiple personality disorder

Question 26

identification

Answer 26

neurotic. unconscious patterning of one’s behavior after a powerful, influential person. coach/parent. stockholm syndrome

Question 27

intellectualization

Answer 27

neurotic. thinking about instinctual wishes in formal, affectively bland terms, and not acting on them. idea is in the consciousness, but the feeling is missing. isolation, rationalization, ritual, restitution, busywork. seen in obsessive compulsive disorder

Question 28

isolation of affect

Answer 28

neurotic. intellectual knowledge and understanding of a negative event without experiencing the feelings. someone sentenced to life in jail and showing no emotion

Question 29

rationalization

Answer 29

neurotic. providing superficially reasonable accounts to explain away negative events, feelings, actions.

Question 30

reaction formation

Answer 30

neurotic. behavior in a fashion diametrically opposed to an unacceptable instinctual impulse. overtly caring for someone else when one wishes to be cared for. hating someone or something one really likes. loving a rival.

Question 31

regression

Answer 31

neurotic. appearance of child-like behavior during periods of stress. seen in medical crises.

Question 32

undoing

Answer 32

neurotic. protecting against a negative past event by acceptable ‘corrective’ behaviors, such as rituals, superstitions, formal atonement, or confession.

Question 33

mature mechanisms

Answer 33

common in healthy people age 12-90. for user, integrate reality, interpersonal relationships, and private feelings. to the beholder, they appear as convenient virtues.

Question 34

altruism

Answer 34

mature. vicarious but constructive and instinctually gratifying service to others, philanthropy, etc. provides benefit, which acting out/projection dont. leaves person using defense gratified, unlike reaction formation

Question 35

sublimation

Answer 35

mature. indirect or attenuated expression of instincts without either adverse consequences or marked loss of pleasure. taking an instinct of something that would be bad but channeling it to be good, like a person who loves fighting becoming a boxer as a career. artistic expression, etc

Question 36

anticipation

Answer 36

mature. realistic anticipation of or planning for future inner discomfort. includes goal directed but overly careful planning or worrying.

Question 37

suppression

Answer 37

mature. conscious or semiconscious decision to postpone paying attention to a conscious impulse or conflict. looking for silver linings, minimizing discomfort. postponing but not avoiding.

Question 38

humor

Answer 38

mature. overt expression of ideas and feelings without individual discomfort on self or others

Question 39

transference

Answer 39

patient’s unconscious transfer and replay of relationship with influential figures from the past.

Question 40

countertransference

Answer 40

MD’s transference to the patient.