psychotherapies Flashcards

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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
Q

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

A

rationalization

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26
Q

regulating situiations and events of external environment to relieve anxiety

A

controlling

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27
Q

shifting emotions from an undesirable situation to one that is personally tolerable

A

Displacement

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28
Q

avoiding negative feelings by excessive use of intelectual functions and by focusing on irrelevant details

A

intellectualization

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29
Q

unconsciously limiting the experience of feelings or emotions associated with a stressful life event in order to avoid anxiety

A

isolation of affect

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30
Q

explanations of an event in order to justify outcomesor behaviors and to make them acceptable

A

rationalization

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31
Q

doing the opposite of an unacceptable impulse

A

reaction formation

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32
Q

preventing a thought or feeling from entering consciousness

A

repression

33
Q

neurotic defenses (7)

A
  1. controlling
  2. Displacement
  3. intellectualization
  4. isolation effect
  5. rationalization
  6. reaction formation
  7. repression
34
Q

student who is angry with his mother talks back to his teacher the next day and refuses to obey her instructions

A

Displacement

35
Q

Physician dying from colon cancer describes te pathophysiology of his disease in detail to his 12 year old son

A

intellectualization

36
Q

woman describes the recent death of her beloved husband

A

isolation of affect

37
Q

my boss fired me today b/s she’s not meeting her quotas, not b/s I haven’t done a good job

A

rationalization

38
Q

man who is in love with his married coworker insults her

A

reaction formation

39
Q

a man who accusses his wife of cheating on him while involved in numerous affairs

A

projection

40
Q

giving in to an impulse even is socially inappropriate in order to avoid anxiety of suppressing that impulse

A

acting out

41
Q

not accepting reality that is too painful

A

denial

42
Q

performing behaviors from an earlier stage of development in order to avoid tension associated with current phase of development

A

regression

43
Q

attributing objectionable thoughts or emotions to others

A

projection

44
Q

immature defenses (4)

A
  1. acting out
  2. denial
  3. regression
  4. projection
45
Q

man who has been told his therapist is going on vacation “forgets” his last appointment and skips it

A

acting out

46
Q

woman who has been shceduled for a breast mass biopsy cancels her appointment b/c she believes she is healthy

A

Denial

47
Q

woman brings her childhood teddy bear to the hospital when she has to spend the night

A

regression

48
Q

Husband who is attracted to other women believes his wife is having an affair

A

projection

49
Q

labeling people as all good or all bad

A

splitting

50
Q

splitting is seen in which personality disorder

A

borderline perosonality disorder

51
Q

attempting to reverse a situation by adopting a new behavior

A

undoing

52
Q

man who has had a brief fantasy of killing his wfe by sabotaging her car takes the car in for a complete check-up

A

undoing

53
Q

goal of psychoanalysis

A

resolve unconscious conflicts by bringing repressed experiences and feelings into awareness and intergrating them into the patient’s conscious experience

54
Q

Insight oriented

A

psychoanalysis

55
Q

Psychoanalysis can be useful in the treatment of (5)

A
  1. cluster B + C personality disorders
  2. anxiety disorders
  3. problems with coping
  4. sexual disorders
  5. persistent depressive disorder
56
Q

the patient is asked to say whatever comes into his or her mind during therapy session

A

free association– to bring forth thoughts and feelings from the unconscious so that the therapist may interpret them

57
Q

dreams are seen to represent conflict between urges and fears

A

Dream interpretation

58
Q

bond between the therapist and the patients who work together toward a therapeutic goal

A

therapeutic alliance

59
Q

projection of unconscious feelings regarding important figure in the patients life into the therapist.

A

transference

60
Q

projection of unsconcsious feelings about important figures in the therapist’s life onto the patients

A

countertransference

61
Q

givinga reward for a desired behavior

A

positive reinforcement

62
Q

encouraging a behavior by removing an aversive stimulus

A

negative reinforcement

63
Q

aversive response to a behavior

A

punishment

64
Q

learning theory which states that behaviors are learned by conditioning and can similarly be unlearned by deconsitioning

A

behavioral therapy

65
Q

stimulust that evokes a conditioned response

A

classical conditioning

66
Q

behaviors can be learned when followed by a positive or negative reinforcement

A

operant conditioning

67
Q

patient performs relaxation techniques while being exposed to increasing doses of an anxiety provoking stimulus

A

systematic desensitization

68
Q

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

A

flooding and implosions

69
Q

negative stimulus is repeatedly paired witha specific behavior to create an unpleasant response

A

aversion therapy

70
Q

rewards are given afte rspecific behaviors to positively reinforce them

A

token economy

71
Q

physiological data are given to patients as they try to mentally control physiological states

A

biofeedback

72
Q

If I were smart, I would do well on tests. I must not be smart since I received average grades thsi semester

A

cognitive distortions– faulty assumptions

73
Q

I am stupid. I will never amount ot anything wothwhile. Nobody likesa worthless person

A

negative thoughts

74
Q

focuse son a patients current sxs and problems by examining the connection between thoughts, feelings and behaviors

A

CBT

75
Q

it incortportates cognitive and supportive techniques along with the mindfulness derived from traditional Budhist practive

A

DBT

76
Q

DBT has demonstrated effectiveness in patients with

A

borderline personality disorders

77
Q

_____________ is especially useful in the treatment of substance use disorder, adjustment disorder and personality disorder

A

Group therapy

78
Q

Family therapy is especially useful in treating

A

schizophrenia and anorexia in adolescents

79
Q

______ useful in the treatment of conflicts, sexual problems, and communication problems within the context of an intimate relationship

A

couples therapy