Psychotherapy Flashcards
2 components of DBT
DBT used to reduce suicidal behavior in Borderline personality d/o
(i) Individual component- discuss issues recorded on diary cards
- self-injurious/suicidal behaviors first, follows by therapy-interfering behaviors
(ii) Group component- once weekly
- mindfulness
- interpersonal effectiveness
- emotional regulation
- distress tolerance skils
Indications for behavioral therapy
Phobias, sexual dysfunction, compulsions, enuresis
2 Methods of behavioral therapy
(i) Conditioning
Differentiate classical and operant conditioning
Classical = association of stimuli (salivate at bell)
Operant = learning by reward (mouse learns to press lever to get treat)
What drug is an example of aversion therapy
Antabuse disulfram
aversion therapy = type of behavioral therapy useful in addiction and paraphilias
Indications for biofeedback
HR, pulse etc shown to pt to help control
- migraines
- HTN
- chronic pain
- bronchial asthma
- incontinence
Indications for supportive psychotherapy
Useful during transient decompensation (ex: adjustment d/o)
Differentiate systemic desensitization and flooding
Systemic desensitization: anxiety hierarchy- start w/ minimally invasive exercises and progress
Flooding (real stimuli) and implosion (imagined stimuli)- stimulus removed only when relaxed, relaxation techniques
Contraindications for psychoanalysis
Psychotic pts
-or ppl w/ severe cluster A and B personality d/o
-not indicated for ppl who have problems w/ reality testing
When do the following develop
(a) id
(b) ego
(c) superego
Normal development
(a) Id (unconscious) is present at birth
(b) Ego (mediator btwn id and external environment) develops after birth
(c) Superego (moral conscience) development begins at age 6
Differentiate unconscious, preconscious, and conscious
Unconscious = out of one’s awareness, involved primary processing (primitive, pleasure seeking w/ no regard for logic or time, seen in children and psychotics)
Preconscious = memories that are easy to bring into awareness, but not unless consciously retrieved
Conscious = current thoughts and secondary process thinking (logical, organized, mature, can delay gratification)
Describe the mechanism, what category is it?
(a) sublimination
(b) reaction formation
(c) repression
(d) supression
(e) Projection
Defense mechanisms = unconscious processes, used by the ego to relieve anxiety
(a) sublimination (mature): satisfying socially objectionable impulses in an acceptable manner (ex: unconscious urge to physically control ppl => become prison guard)
(b) reaction formation (neurotic): doing the opposite of an unacceptable impulse (ex: man in love w/ his married coworker insults her)
(c) repression (neurotic): unconsciously preventing a thought from entering consciousness
(d) suppression (mature): purposely ignoring an unacceptable impulse or emotion to accomplish a task
(e) projection (immature): attributing objectionable thoughts or emotions to others (ex: husband attracted to other women believes his wife is having an affair)
What defense mechanism is often seen in borderline personality d/o?
Splitting- labeling ppl as all good or all bad
“you’re cool but I hate the evil attending”
Indications for psychoanalysis
Psychoanalysis- resolve unconscious conflicts by bringing repressed experiences into awareness. Insight oriented
- cluster C personality d/o
- anxiety d/o
- OCD
- problems coping w/ life events
Describe the concept of CBT
Triangle of of thoughts, feelings, and behaviors
- work to change behaviors to change the other 2 (behavioral)
- work to change thoughts to change the other 2 (cognitive)
