Psychodynamics I & II

Question 1

What is psychic determinism?

Answer 1

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

Question 2

Describe the topographic model of human behavior and describe the layers

Answer 2

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

Question 3

What are the psychosexual stages of development?

Answer 3

Oral, Anal, Phallic, Latency, Genital

Question 4

Describe the Oral stage of psychosexual development

Answer 4

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

Question 5

Describe the Anal stage of psychosexual development

Answer 5

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

Question 6

Describe the phallic stage of psychosexual development

Answer 6

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

Question 7

Describe the latency stage of psychosexual development

Answer 7

6 - adolescent, sexuality is latent, learn gender roles

Question 8

Describe the genital stage of psychosexual development

Answer 8

Adolescent - on, capacity for intimacy

Question 9

What are the parts of the structural model?

Answer 9

Id, Ego/ego defense mechanisms, superego

Question 10

What is the id?

Answer 10

Fun, gratification

Question 11

What is the superego? When does it develop?

Answer 11

Conscience, rules, morals, values; Age 5

Question 12

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

Answer 12

The evolving “I”; Id, Superego, Reality

Question 13

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

Answer 13

Uses ego defense mechanisms

Question 14

What is delusional projection?

Answer 14

Frank delusions about external reality, usually of a persecutory type

Question 15

What is psychotic denial? Example?

Answer 15

Denial of external reality; I am Jesus

Question 16

What is distortion?

Answer 16

Grossly reshaping external reality to suit inner needs

Question 17

What are the Level (pathologic) I defense mechanisms?

Answer 17

Delusional projection, psychotic denial, distortion

Question 18

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

Answer 18

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

Question 19

What is projection? Example?

Answer 19

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

Question 20

What is somatization?

Answer 20

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

Question 21

What is acting out? Example

Answer 21

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

Question 22

What is splitting?

Answer 22

Seeing people/events as ALL good or ALL bad

Question 23

What are the Level III (Neurotic) Defenses?

Answer 23

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

Question 24

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

Answer 24

Alter private feelings; quirks or “hang-ups”

Question 25

What is denial?

Answer 25

Unable to accept intolerable facts about reality

Question 26

What is displacement? Example?

Answer 26

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

Question 27

What is dissociation?

Answer 27

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

Question 28

What is identification?

Answer 28

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

Question 29

What is intellectualization?

Answer 29

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

Question 30

What is isolation of affect? Example?

Answer 30

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

Question 31

What is rationalization?

Answer 31

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

Question 32

What is reaction formation?

Answer 32

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

Question 33

What is regression?

Answer 33

Appearance of child-like behavior during periods of stress

Question 34

What is undoing?

Answer 34

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

Question 35

What are the Level IV (Mature) Mechanisms?

Answer 35

Altruism, Sublimation, Anticipation, Suppression, Humor

Question 36

What age group are mature mechanisms found?

Answer 36

12-90

Question 37

What is altruism?

Answer 37

Vicarious but constructive and instinctually gratifying service to others

Question 38

What is sublimation? Example?

Answer 38

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

Question 39

What is anticipation?

Answer 39

Realistic anticipation of or planning for future inner discomfort

Question 40

What is suppression? Example?

Answer 40

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

Question 41

What is humor?

Answer 41

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

Question 42

What is transference?

Answer 42

Patient’s unconscious “transfer” and replay of relationship with influential figures from the past

Question 43

What is countertransference?

Answer 43

Doctor’s transference to the patient