Psychotherapy Flashcards
What is the basic principle of psychotherapy?
Systematic use of relationships (pt to therapist, pt to pt, pt to relatives/friends) to produce changes in feelings, cognition, and behaviour.
What are the three types of psychotherapies?
Type A
Type B
Type C
What are Type A therapies?
Psychological treatments as an integral part of MH care, in a wider healthcare setting eg GP, CPN
What are Type B therapies?
Eclectic psychological therapies.
Pick and chose from all schools of thought to fit the pt
What are Type C therapies?
Formal psychotherapies
What type c specialist therapies are there?
CBT Psychodynamic therapies Systematic therapy Family therapy Group therapy
What is the concept of psychoanalysis?
If you let a patient talk uninterupted, evidence will eventually come to the surface for what the problem is that a patient has.
What is the id?
The aprt of the mind containing basic urges and primitive drives
What is the ego?
The rational part of a personality
What is a super-ego?
The part of the mind that works on the principle of morality
What is repression?
A defense mechanism of the mind - preventing disturbing thoughts from becoming conscious
What is denial?
A defense mechanism of the mind - refusal to accept reality or fact, acting as if a painful event, thought or feeling did not exist. Characteristic of childhood.
What is projection?
A defense mechanism of the mind - attribute unacceptable thoughts etc to another person.
i.e. You think someone hates you because of how they look at you, but they look at you that way because you disliked them before and didn’t hide it. Their “hate” is as a direct result of your “hate”
What is displacement?
A defense mechanism of the mind where pts satisfy impulses with substitute objects. Often anger is displaced.
e.g. harming a pet/damaging an object instead of harming a human who you feel aggressive towards
What is regression?
A defense mechanism of the mind where the pt goes back to an earlier state of development e.g. childhood
What is sublimation?
A defense mechanism of the mind where the pt satifies impulses by doing socially acceptable things eg sport
What is the theory of attachment?
The first relationship provides the infant with an attachment template, which is carried forward into life and relationships in future
What is transference?
unconscious transfer of feelings and attitudes from pt to therapist
What is counter-transference?
The feelings the therapist has in relation to the pt - important to analyse this to help understand the pt