psychotherapy Flashcards
unconscous
children and psychotics
ego
mediator btw id and external enviro. dev satisfying interpersonal relationships, use defense mech to control instinctual urges and distinguishes fantasy from reality using reality testing.
adult defense mechanisms
altruisim, humor, sublimation, suppression (purposefuly ignoring)
neurotic defenses
controlling, displacement (shifting emotions from an undesirable situation to one that is personally tolerable), intellectualization , insolation of affect, rationalization, reaction formation (doing pop of unacceptable impulse), repression (preventing though from entering consciousness)
immature defenses
acting out (giving into impulse), denial, regression, projection (attributing objectionable thoughts or emotions to others)
undoing
attempting to reverse a situation by adopting a new behavior
psychoanalysis
resolve unconsious conflicts by bringing repressed experiences into awareness.
insight oriented
target: under 40, not psychotic, intelligent, stable in relationship and daily liver
for: PeD, anxiety D, OCD, coping with life event, anorexia nervosa, sexual D, dysthymic D
psychotherapy technique
free association- whatever comes to mind. dream interpretation, therapeutic alliance, transference, countertransference.
patient lying down. psychiatrist sit out of view
behavioral therapy
tx psych disorder by helping pt change behavior that contribute to sx. extinguish maladaptive behaviors like phobias, sex dysfunc, compulsions by replace them with healthy alternatives
learning theory
behaviors can be conditioned and deconditioned
deconditioning techniques
systemic desensitization- perform relaxation technique while expose to increasingly anxiety inducing stimulus. end- stimulus associated with relaxation.. use for phobias
flooding and implosion: confront with real (flooding) or imagined (implosion) anxiety provoking stimulus and can’t w/d until feel calm. tx phobia
aversion therapy: negative stimulus paired to specific behavior to tx addiction or paraphilia ~ antibuse
token economy- reward for specific behavior
biofeedback-physiological date given to pt was they try to mentally ctrl physiological state. tx migraine,s HTN, chronic pain.
cognitive therapy
correct faulty assumptions and neg feelings that exacerbate psycho sx. ID maladaptive thoughts that replace with pos ones. tx depressive and anxiety D. can be used for paranoid PeD, OCD, somatoform D, eating D
dialectical behavior therapy
dev by marsha lineman. specific tx for borderline PeD. teaches coping skills with both indie and group therapy. 1-2 y commitment. tx 2-3/wk. solution focused therapy. main goal- reduce self injurious behavior, decr hospitalizations. taught mindfulness, interpersonal effectiveness, emotion regulation, distress tolerance
