Psychodynamics I & II Flashcards by Paul Shanley

What is psychic determinism?

Every event/symptom has meaning, consciousness is an exceptional psychic process (most processes are unconscious)

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Describe the topographic model of human behavior and describe the layers

Conscious (Currently aware), Preconscious (Easily recalled), Repression barrier, Unconscious (Driving forces such as repressed thoughts and feelings)

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What are the psychosexual stages of development?

Oral, Anal, Phallic, Latency, Genital

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Describe the Oral stage of psychosexual development

Birth to 1.5 years, sucking, dependent (oral gratification, enjoy food, chew gum, smoke, drink, passive, dependent)

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Describe the Anal stage of psychosexual development

1.5 - 4 yo, crawling, exploring (anal traits: fixation, neat, on time, correct, organized, stingy, controlled)

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Describe the phallic stage of psychosexual development

3-6 yo, curious about sex differences and get close to parent of opposite sex

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Describe the latency stage of psychosexual development

6 - adolescent, sexuality is latent, learn gender roles

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Describe the genital stage of psychosexual development

Adolescent - on, capacity for intimacy

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What are the parts of the structural model?

Id, Ego/ego defense mechanisms, superego

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What is the id?

Fun, gratification

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What is the superego? When does it develop?

Conscience, rules, morals, values; Age 5

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What is the ego? What factors does the ego balance?

The evolving “I”; Id, Superego, Reality

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If the ego can’t deal with something, what does it do?

Uses ego defense mechanisms

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What is delusional projection?

Frank delusions about external reality, usually of a persecutory type

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What is psychotic denial? Example?

Denial of external reality; I am Jesus

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What is distortion?

Grossly reshaping external reality to suit inner needs

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What are the Level (pathologic) I defense mechanisms?

Delusional projection, psychotic denial, distortion

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What are the Level II (Immature) defense mechanisms? When/in whom are they seen?

Projection, somatization, acting out, splitting; people with personality disorders and individuals ages 3-15

What is projection? Example?

Attributing one’s own unacknowledged feelings to others; “This guy hates me!”

What is somatization?

Turning an unacceptable impulse or feeling into complaints of pain and illness

What is acting out? Example

Direct expression of an unconscious wish or impulse in order to avoid being conscious of the affect that accompanies it; Delinquent activity to avoid being aware of one’s anger

What is splitting?

Seeing people/events as ALL good or ALL bad

What are the Level III (Neurotic) Defenses?

Denial, Displacement, Dissociation, Identification, Intellectualization, Isolation of Affect, Rationalization, Reaction Formation, Regression, Undoing

How are the level III defenses utilized by user and observed?

Alter private feelings; quirks or “hang-ups”

What is denial?

Unable to accept intolerable facts about reality

What is displacement? Example?

Redirection of feelings toward a relatively less cared for object than the person or thing arousing the feelings; Kicking dog when you have a shitty boss

What is dissociation?

Temporary but drastic modification of one's character or of one's sense of personal identity to avoid emotional distress

What is identification?

Unconscious patterning one's behavior after a powerful, influential person

What is intellectualization?

Thinking about instinctual wishes in formal, affectively bland terms, and not acting on them. The idea is in consciousness, but the feeling is missing

What is isolation of affect? Example?

Intellectual knowledge and understanding of a negative event without experiencing the feelings; Doctor describing a mutilated accident victim in cool clinical terms

What is rationalization?

Providing superficially reasonable accounts to explain away negative events, feelings, and actions

What is reaction formation?

Behavior in a fashion diametrically opposed to an unacceptable instinctual impulse; Wanting to drink but instead being vehemently against it

What is regression?

Appearance of child-like behavior during periods of stress

What is undoing?

Protecting against a negative past event by acceptable "corrective" behavior; Exercise 5 times per day to correct for cirrhosis of your liver

What are the Level IV (Mature) Mechanisms?

Altruism, Sublimation, Anticipation, Suppression, Humor

What age group are mature mechanisms found?

12-90

What is altruism?

Vicarious but constructive and instinctually gratifying service to others

What is sublimation? Example?

Indirect or attenuated expression of instincts without either adverse consequences or marked loss of pleasure; kickboxing

What is anticipation?

Realistic anticipation of or planning for future inner discomfort

What is suppression? Example?

Conscious or semiconscious decision to postpone paying attention to a conscious impulse or conflict; "I'm not gonna think about it until tomorrow"

What is humor?

Overt expression of ideas and feelings without individual discomfort or immobilization and without unpleasant effect on others.

What is transference?

Patient's unconscious "transfer" and replay of relationship with influential figures from the past

What is countertransference?

Doctor's transference to the patient