psychotherapies Flashcards

1
Q

split treatment

A

describes the arrangement where a psychiatrist prescribes medication adn someone else provides therapy;

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2
Q

psychoanalysis is not inidicated for patients who

A

have problems with reality– psychosis and manic pt.

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3
Q

____ proposed that behaviros or sxs result from unconscious mental processes inclduing defense mechanisms

A

Freud

*** conflicts between one’s ego, id, superego and external reality

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4
Q

normal development: Id is present at ____, ego develops ____ and superego development ______

A

Id is present at birth, ego develops after birth and superego development is completed by age 6

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5
Q

according to Freud, _____ is the aspect of one’s psyche that represents “morality, society and parental teaching “

A

superego

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6
Q

The Freudian ________ represents internalization of cultural rules

A

superego

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7
Q

freud’d theories of the mind– topographic theory

A
  1. unconscious
  2. preconscoius
  3. conscious
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8
Q

involves current thoughts and secondary process thinking

A

conscious

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9
Q

includes repressed thoughts that are out of one’s awareness

A

unconscious

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10
Q

contains memories that are easy to bring into awareness but not unless consciously retireved

A

preconscious

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11
Q

unconscious, involves instictual sexual/aggressive urges and primary process thinking

A

Id

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12
Q

moral sonscience and ego ideal– inner image of oneself that one wants to become

A

Superego

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13
Q

serves as a mediator between Id, suprerego and external environment and seeks to develop satisfying interpersonal relationships – uses defense mechanisms to control instictual urges and distinguishes fantasy from reality using reality testing

A

Ego

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14
Q

used by the ego to protect oneself and relieves anxiety by keeping conflicts out of awareness

A

defense mechanisms

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15
Q

mature defense mechanisms

A

healthy and adaptive, and they are seen in normal adults

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16
Q

Neurotic defenses

A

encountered in OCD patients, pts with other anxiety disorders and adults under stress

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17
Q

immature defenses

A

seen inchildren, adolescent psychotic pt… primitive defense mechanisms

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18
Q

defense mechanism: a former street thug becomes a social worker to help reform kids in gangs

A

sublimation– channeling of destructive impulses to create something constructive

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19
Q

performing acts that benefit others in order to vicariously experience pleasure

A

altruism

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20
Q

expressing usually unpleasant or uncomfortable feelings without causing discomfort to self or others

A

Humor

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21
Q

satisfying socially objectionable impulses in an acceptable manner

A

sublimation

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22
Q

purposely ignoring an unacceptable impulse or emotion in order to diminish discomfort and accomplish a task

A

suppression

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23
Q

suppression is a conscious process

A

yep–involves avoiding paying attention to a particular emotion

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24
Q

mature defenses (4)

A
  1. altruism
  2. humor
  3. sublimantion
  4. suppression
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25
A man buys himself an expensive new watch and tells his friends that he needed it b/c his old one was not reliable enough and he needs to make sure to get his appointments on time
rationalization
26
regulating situiations and events of external environment to relieve anxiety
controlling
27
shifting emotions from an undesirable situation to one that is personally tolerable
Displacement
28
avoiding negative feelings by excessive use of intelectual functions and by focusing on irrelevant details
intellectualization
29
unconsciously limiting the experience of feelings or emotions associated with a stressful life event in order to avoid anxiety
isolation of affect
30
explanations of an event in order to justify outcomesor behaviors and to make them acceptable
rationalization
31
doing the opposite of an unacceptable impulse
reaction formation
32
preventing a thought or feeling from entering consciousness
repression
33
neurotic defenses (7)
1. controlling 2. Displacement 3. intellectualization 4. isolation effect 5. rationalization 6. reaction formation 7. repression
34
student who is angry with his mother talks back to his teacher the next day and refuses to obey her instructions
Displacement
35
Physician dying from colon cancer describes te pathophysiology of his disease in detail to his 12 year old son
intellectualization
36
woman describes the recent death of her beloved husband
isolation of affect
37
my boss fired me today b/s she's not meeting her quotas, not b/s I haven't done a good job
rationalization
38
man who is in love with his married coworker insults her
reaction formation
39
a man who accusses his wife of cheating on him while involved in numerous affairs
projection
40
giving in to an impulse even is socially inappropriate in order to avoid anxiety of suppressing that impulse
acting out
41
not accepting reality that is too painful
denial
42
performing behaviors from an earlier stage of development in order to avoid tension associated with current phase of development
regression
43
attributing objectionable thoughts or emotions to others
projection
44
immature defenses (4)
1. acting out 2. denial 3. regression 4. projection
45
man who has been told his therapist is going on vacation "forgets" his last appointment and skips it
acting out
46
woman who has been shceduled for a breast mass biopsy cancels her appointment b/c she believes she is healthy
Denial
47
woman brings her childhood teddy bear to the hospital when she has to spend the night
regression
48
Husband who is attracted to other women believes his wife is having an affair
projection
49
labeling people as all good or all bad
splitting
50
splitting is seen in which personality disorder
borderline perosonality disorder
51
attempting to reverse a situation by adopting a new behavior
undoing
52
man who has had a brief fantasy of killing his wfe by sabotaging her car takes the car in for a complete check-up
undoing
53
goal of psychoanalysis
resolve unconscious conflicts by bringing repressed experiences and feelings into awareness and intergrating them into the patient's conscious experience
54
Insight oriented
psychoanalysis
55
Psychoanalysis can be useful in the treatment of (5)
1. cluster B + C personality disorders 2. anxiety disorders 3. problems with coping 4. sexual disorders 5. persistent depressive disorder
56
the patient is asked to say whatever comes into his or her mind during therapy session
free association-- to bring forth thoughts and feelings from the unconscious so that the therapist may interpret them
57
dreams are seen to represent conflict between urges and fears
Dream interpretation
58
bond between the therapist and the patients who work together toward a therapeutic goal
therapeutic alliance
59
projection of unconscious feelings regarding important figure in the patients life into the therapist.
transference
60
projection of unsconcsious feelings about important figures in the therapist's life onto the patients
countertransference
61
givinga reward for a desired behavior
positive reinforcement
62
encouraging a behavior by removing an aversive stimulus
negative reinforcement
63
aversive response to a behavior
punishment
64
learning theory which states that behaviors are learned by conditioning and can similarly be unlearned by deconsitioning
behavioral therapy
65
stimulust that evokes a conditioned response
classical conditioning
66
behaviors can be learned when followed by a positive or negative reinforcement
operant conditioning
67
patient performs relaxation techniques while being exposed to increasing doses of an anxiety provoking stimulus
systematic desensitization
68
through habituation, the patient is confronted with a real or imagined anxiety provoking stimulus and not allowed to withdraw from it until he or she feels calm and in control
flooding and implosions
69
negative stimulus is repeatedly paired witha specific behavior to create an unpleasant response
aversion therapy
70
rewards are given afte rspecific behaviors to positively reinforce them
token economy
71
physiological data are given to patients as they try to mentally control physiological states
biofeedback
72
If I were smart, I would do well on tests. I must not be smart since I received average grades thsi semester
cognitive distortions-- faulty assumptions
73
I am stupid. I will never amount ot anything wothwhile. Nobody likesa worthless person
negative thoughts
74
focuse son a patients current sxs and problems by examining the connection between thoughts, feelings and behaviors
CBT
75
it incortportates cognitive and supportive techniques along with the mindfulness derived from traditional Budhist practive
DBT
76
DBT has demonstrated effectiveness in patients with
borderline personality disorders
77
_____________ is especially useful in the treatment of substance use disorder, adjustment disorder and personality disorder
Group therapy
78
Family therapy is especially useful in treating
schizophrenia and anorexia in adolescents
79
______ useful in the treatment of conflicts, sexual problems, and communication problems within the context of an intimate relationship
couples therapy