Psychotherapy Flashcards

1
Q

ID

A

Unconscious
Governed by pleasure
Contains contradictions
No concept of time

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2
Q

Neurosis

A

Feelings linked to memories that are unacceptable and stuffed by mental mechanisms

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3
Q

Ego

A

NO EMOTIONS

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4
Q

Parapraxis

A

Freudian slip!

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5
Q

Dreams

A
Condensation
Diffusion
Displacement
Projection
Symbolisation

NO REGRESSION

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6
Q

Psychosexual development

A
0-18 months = oral
18 months - 3 years = anal
3 years - 5 years = phallic
5 years - puberty = latent
puberty - death = genital
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7
Q

During which psychosexual development phase is the Oedipus complex?

A

PHALLIC
3-5 years
Want to possess mother and replace father

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8
Q

Developmental stages of anxiety

A
  1. Disintegration
  2. Annihilation
  3. Separation
  4. Castration
  5. Superego
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9
Q

Contra-indications to psychodynamic therapy

A

Psychosis
OCD
SUD, active
ASPD

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10
Q

Defense mechanisms

A

George Vaillant
4-tiered hierarchy

  1. Primitive (psychologically fleeing reality)
  2. Immature
  3. Neurotic
  4. Mature
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11
Q

Primitive defence mechanisms?

A

Psychotic denial
Delusional projection
Psychotic distortion
Omnipotence

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12
Q

Immature defence mechanisms?

A
Denial
Projection
Splitting
Regression
Acting out
Somatisation
Projective identification
Introjection
Passive aggressive
Schizoid fantasy
Hypochondriasis
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13
Q

Neurotic defence mechanisms?

A
Displacement
Intellectualisation
Rationalisation
Isolation of affect
Reaction formation
Dissociation
Repression
Sexualization
Retroactive cancelling
Control
Externalizing
Inhibition
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14
Q

Mature defence mechanisms?

A
Altruism
Anticipation
Asceticism
Humor
Sublimation
Suppression
Affirmation
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15
Q

Biopsychosocial model?

A

Georges Engel

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16
Q

Alfred Adler

A

Inferiority complex
Organ inferiority
Masculine protest
Family rank (siblings reacting to births)

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17
Q

Franz Alexander

A

Corrective emotional experience
Re-expose the patient, under more favourable circumstances, to emotional situations which could not be handled in the past.

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18
Q

Erikson Stages of Ego Development

A

0 - 18 months = Trust vs. mistrust
18 months - 3 years = Autonomy vs. shame/doubt
3 - 5 years = Initiative vs. guilt
5 - 13 years = Industry vs. inferiority
13 - 20 years = Identity vs. role confusion
20 - 45 years = Intimacy vs. isolation
40 - 60 years = Generativity vs. stagnation
> 60 years = Ego integrity vs. despair

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19
Q

Mahler Separation-Individuation theory

A
0-2 months = Normal autism
2-5 months = Normal symbiotic
5-10 months = Differentiation
10-18 months = Practicing
18-24 months = Rapprochement
24-36 months = Object CONSTANCY
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20
Q

Piaget cognitive development

A

0-2 years = sensorimotor stage (OBJECT PERMANENCE)
2-7 years = pre-operational (EGOCENTRIC)
7-11 years = concrete operational (CONSERVATION)
> 11 years = formal operational (ABSTRACT, HYPOTHETICAL)

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21
Q

Otto Kernberg

A

Borderline organization

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22
Q

Wilfred Bion

A

Projective identification

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23
Q

Donald Winnicott

A

GOOD ENOUGH MOTHER (mother gradually allows baby to experience some frustration so baby can build an external reality)

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24
Q

Melanie Klein

A
  1. Schizo-paranoid position: primary anxiety = annihilation, BAD BREAST
  2. Depressive position: incorporate good and bad, ambivalence
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25
Q

Assimilation

A

Integrate external elements in mind

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26
Q

Accommodation

A

Adjust internal structures based on situation

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27
Q

Bowlby

A

Secure base

Attachment behaviour is INNATE and triggers innate response in mother

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28
Q

4 stages of grief based on attachment?

A
  1. Acute despair
  2. Anger & research
  3. Empty and disorganized
  4. Re-organization
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29
Q

Mary Ainsworth attachment types

A
  1. Secure = 60% in kids @ 2yo
  2. Anxious-ambivalent = distressed at separation, angry rejection, ambivalent at reunion, exaggeration reaction for attention, inconsistent parental responses
  3. Avoidant = not affected by separation, avoids contact when reunited, focuses on toys, minimizes attachment
  4. Disorganized = contradictory behaviour when reunited, neglect, risk factor for dissociation
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30
Q

René Spitz

A

Anaclitic depression

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31
Q

Attunement

A

Parent mimics child’s play

32
Q

Heinz Kohut

A

Self-object, self-psychology

  1. Grandiose self = mirror transference
  2. Alter ego = twinship transference
  3. Ideal parent image = idealizing transference
33
Q

Carl Jung

A

Introverted vs. extroverted
Persona = public image

Anima = undeveloped femininity in males
Animus = undeveloped masculinity in females
34
Q

Thomas & Chess temperament

A
  1. Easy (40%)
  2. Difficult (10%) - 70% WILL DEVELOP CD
  3. Slow to warm up (15%)
  4. No category (35%)
35
Q

Cloninger temperament

A
  1. Harm avoidance = SEROTONIN, high in cluster C
  2. Reward dependence = NE, low in cluster A
  3. Novelty seeking = DOPAMINE, high in cluster B
  4. Persistance, ANTERIOR CINGULATE CORTEX
36
Q

3 character traits

A

Self-directedness
Cooperativeness
Self-transcendance

37
Q

Malan triangles

A
  1. Urges (impulses)
  2. Defense
  3. Anxiety
  4. Therapist
  5. Parents (past relationships)
  6. Others (current relationships)
38
Q

Systemic Desensitization

A

Gradual exposure + relaxation techniques

Joseph Wolpe

39
Q

Classic conditioning

A

PAVLOV

Pairing neutral stimulus with unconditional stimulus (flooding, exposition)

40
Q

Operant conditioning

A

SKINNER

Shaping, reinforcement, punishment

Intermittent reinforcement with variable behaviour ratio = most addictive (video-poker)

41
Q

Extinction

A

Works with flooding

Gradual decrease in conditional response when no longer paired with unconditional stimulus (aka salivate less at bell if no longer paired with food)

42
Q

Generalisation

A

Conditional response to conditional stimulus also triggered by other similar stimuli

43
Q

Seligman

A

LEARNED HELPLESSNESS

44
Q

Premack principle

A

Use a frequent behaviour to reinforce an infrequent one (AKA NO BROCCOLI = NO DESERT)

45
Q

Immersion

A

Expose to the most fearful situation right away

46
Q

Interoceptive exposure

A

Induce feared physiological sensations (dizziness, hyperventilation)

47
Q

Aaron Beck

A

Empirical collaboration (explain to patient and have them agree with steps of therapy)

Socratic questioning (ask questions to lead to patient to their own answers)

Retroaction (homework)

48
Q

Beck Triad

A

Vision of self
Vision of future
Vision of world

49
Q

IPT

A

Klerman and Weissman

  1. Bereavement
  2. Interpersonal conflict
  3. Role transition
  4. Interpersonal deficit
50
Q

Contraindications to couple therapy

A
  1. severe psychosis
  2. one couple desires divorce
  3. one parter refuses to participate
51
Q

Biofeedback

A

OPERANT conditioning

Tension headache
Migraines
Asthma
Arrhythmia
Raynaud's
52
Q

Group psychotherapy contra-indications

A
Severe acting out
Acute psychotic/paranoid/suicidal ideations
Excessif denial
Doesn't tolerate group setting
Incompatibility with other group members
Language barrier
53
Q

Most important therapeutic factor in group therapy?

A

COHESION

54
Q

5 family therapy models

A
  1. Structural (Minuchin)
  2. Circular questioning (Tomm)
  3. Systemic/intergenerational (Bowen)
  4. Experiential (Satir, Whitaker)
  5. Strategic (Milton, Haley)
55
Q

Structural family therapy

A

MINUCHIN

Frontiers
Hierarchy
Alliances/coalition

56
Q

Circular questioning family therapy

A

TOMM

One member describes another in terms of differences and changes

57
Q

Systemic/intergenerational family therapy

A

BOWEN

Neurotic repetition
Degree of differentiation
Emotional triangle (HOT TRIANGLE)
GENOGRAM

58
Q

Experiential family therapy

A

SATIR, WHITAKER

Importance of current experience and spontaneity
FAMILY SCULPTURE

59
Q

Strategic family therapy

A

MILTON, HALEY

Family life cycle
Resistance, power

60
Q

Contraindications to family therapy

A
Member emotionally unstable
History of violence
Collusive rigid family
Family religious beliefs
Essential member refuses treatment
Not priority (ex: treat addiction first)
61
Q

Pillars of existential therapy?

A

Sens (meaning)
Liberté (freedom)
Isolement (isolation)
Mort (death)

62
Q

How young for CBT?

A

6 years old

63
Q

Kugler-Ross stages of grief

A
  1. Denial/shock
  2. Anger (why me?)
  3. Bargaining
  4. Depression (Beck triangle)
  5. Acceptance (death is inevitable)
64
Q

Primary process

A

Condensation
Displacement
Symbolic representation

65
Q

Reminiscence therapy

A
Increase tolerance of conflict
Increase self-esteem
Acceptance
Relieve guilt and fears
Resolve old problems
Increase life meaning

NOT focused on intrapsychic conflict

66
Q

Basic principles of motivational interviewing

A

Express empathy
Develop discrepancy
Roll with resistance
Support self-efficacy

67
Q

Ideal size for group therapy?

A

8-10 patients

68
Q

IPT indications

A

MDD (acute, recurrent, maintenance, geriatric, adolescent, HIV+, postpartum, antepartum)

BAD (adjunctive)

Dysthymia (limited evidence)

Bulimia (individual or group)

69
Q

First steps in CBT

A
Trust
Rapport
Educate
Normalize difficulties
Instill hope
Elicit/correct expectations
Goal list
70
Q

What’s not included in stress management therapy?

A

PEER SUPPORT

71
Q

Order of interpretation in brief dynamic psychotherapy?

A

Defense
Anxiety
Impulse

72
Q

Winnicott

A

Capacity for TRUST and FAITH

73
Q

“Narcissistic” defence mechanisms

A

Denial
Distortion
Projection

74
Q

Transference neurosis

A

Return to earlier forms of relating
Repeating patterns
Specific to psychoanalysis

75
Q

Ego functions

A

Control of instinctual drives
Relation to reality
Judgment
Object relationships

76
Q

Fixation

A

Stuck on stage of psychosexual development

NOT DEFENCE MECHANISM