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Psychotherapies Flashcards

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1
Q

For what population is psychoanalysis contraindicated?

A

patient w/ reality testing failure (ie psychosis, mania)

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2
Q

Freud’s normal stages of development:

A

1) id: birth
2) ego: after birth
3) superego by age 6

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3
Q

Contrast id and superego

A

id: primary instincts (sexual, aggressive)
superego: morality, society, parental teaching

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4
Q

Describe ego

A

mediator between id and superego (primitive vs morals)

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5
Q

What is “ego ideal”

A

superego, what one wants to become

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6
Q

Topographic theory involves what three though processes?

A
  • unconscious
  • preconcious
  • conscious
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7
Q

Compare topographic and structural theory components

A
  • unconscious ~ id
  • conscious ~ ego
  • preconcious ~ superego
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8
Q

Which component (topographic and structural) uses defense mechanisms?

A

ego, unconscious

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9
Q

Which component completes reality testing?

A

ego

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10
Q

What are the four mature defense mechanisms?

A

SASH

1) sublimation
2) altruism
3) suppression
4) humor

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11
Q

Is sublimation conscious or unconscious?

A

conscious

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12
Q

What mature defense mechanism is described in the following example:

  • street thug becomes social worker to reform kids in gangs
  • person with unconscious urges to physically control others becomes prison guard
A

-sublimation!

unacceptable impulse –> acceptable action

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13
Q

In addition to mature defense mechanism, what other types exist?

A
  • neurotic

- immature

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14
Q

What are the four immature defense mechanisms?

Note, mature= SASH, immature = ____, neurotic= all others

A
  • RAP-D
  • regression
  • acting out
  • projection
  • denial
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15
Q

What immature defense mechanism is described in the following example?

-man accuses his wife of cheating on him which he himself is involved in an affair

A

projection

(ones own objectionable thought/emotion/action pinned on another)

I’m cheating –> you’re cheating

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16
Q

What neurotic defense mechanism is described in the following examples?

  • student is angry with mom, so he talks back to his teacher at school
  • husband is angry with female boss, so he yells at his wife at home
A

-displacement
(angry with mom –> angry with teacher)
(angry with boss –> angry with wife)

**Contrast with projection
(my thought= your thought, projection)
(my emotion towards one person= my emotion towards a less threatening target, displacement)

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17
Q

What type of defense mechanism is projection? displacement?

A 
projection= immature 
displacement= neurotic
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18
Q

What neurotic defense mechanism is described in the following example?

-physician is dying of colon cancer –> describes details of pathophys for colon cancer to his young son

A

intellectualization

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19
Q

What neurotic defense mechanism is described in the following example?

-I bought a 500 dollar watch because I cant be late for appointments

A

-rationalization

(contrast with intellectualization, both of which are neurotic defenses)

intellectualization= avoid negative feelings toward situation by focusing on intellectual details 
rationalization = explain an event in order to justify it
20
Q

Describe reaction formation

A

doing the opposite of an unacceptable impulse

kindergarteners are mean to the girls they have a crush on

21
Q

Contrast repression and suppression

A

repression: unconscious removal of thought, neurotic
suppression: conscious act, mature

22
Q

Describe “undoing”

A

attempting to reverse a situation by adopting a new behavior
(want to kill wife, clean her car instead)
(want to kill gullo, be nice to him anyways)

23
Q

Psychoanalysis is _____ oriented.

Its goal is what?

A

insight

bring unconscious conflicts into awareness

24
Q

Psychoanalysis is useful in the treatment of what disorders?

A
  • PD (clusters B-C)
  • anxiety
  • sexual disorders
  • PDD
  • coping with life events
25
Q

What are transference and countertransference in psychoanalysis?

A
  • transference: unconscious feelings of patient toward an important figure transferred to therapist
  • countertransference: projection of therapsists unconscious feelings onto patient
26
Q

What are four psychoanalysis based therapies?

A
  • psychoanalytically oriented psychotherapy
  • brief dynamic psychotherapy
  • interpersonal therapy
  • supportive psychotherapy
27
Q

Describe supportive psychotherapy

A

helps patient feel safe during difficult time, builds up mature defenses

(not insight oriented like typical psychoanalysis)

28
Q

Who pioneered behavioral therapy?

A

Skinner

psychoanalysis= Freud

29
Q

Behavioral theory is based on _____

A

learning theory

30
Q

Describe classical conditioning

A

stimulus evokes a conditioned response

pavlovs dogs

31
Q

Describe operant conditioning

A

behaviors learned via positive/negative reinforcement

32
Q

Describe the systematic desensitization type of behavioral therapy

A

patient performs relaxing technique during anxiety provoking situation at increases doses

eventually they associated the experience with a relaxing technique

33
Q

What is a behavioral therapy very similar to systematic desensitization

A

flooding and implosion

no low –> high dose of exposure, all at once

34
Q

What is aversion therapy (behavioral therapy type)

A

that nail polish that tastes like poop to make you stop biting nails.

disulfiram for alcoholics

35
Q

What is token economy behavioral therapy?

A

sticker charts in kindergarten.

do good desired behavior, get reward

36
Q

What is biofeedback behavioral therapy?

A

patients are given their physiologic data during anxiety, migraine etc so they can tret to control visceral changes? weird?

37
Q

What are the key types of behavioral therapy?

A
  • systematic desensization/ flooding and implosion
  • aversion therapy
  • token economy
  • biofeedback
38
Q

Who pioneered cognitive therapy

A

Beck

freud= psychoanalysis, Skinner= behavioral

39
Q

Cognitive therapy is most often used to treat what disorders?

A

depression and anxiety

usually combined with behavioral = CBT

40
Q

How effective is cognitive therapy compared to medication

A

can just EQUALLY effective

41
Q

Cognitive therapy is based on what?

A

cognitive theory of depression
(cognitive distortions and negative thoughts)
cognitive distortions= faulty assumptions. I’m not smart since I made a B.

42
Q

Therapy that commonly involves “homework” after each session?

A

CBT

43
Q

Good treatment for borderline PD?

A

DBT (dialectical behavioral therapy)

44
Q

Therapy good for addiction?

A

group therapy

45
Q

Why is group therapy so effective for addiction?

A
  • patients gain insight into their own condition by listening to others talk about their own similar problem
  • patients get immediate support from others
46
Q

Family therapy is especially useful for _____

A

anorexia

schizophrenia

Psych (16 decks)

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