Psychotherapy Flashcards
ID
Unconscious
Governed by pleasure
Contains contradictions
No concept of time
Neurosis
Feelings linked to memories that are unacceptable and stuffed by mental mechanisms
Ego
NO EMOTIONS
Parapraxis
Freudian slip!
Dreams
Condensation Diffusion Displacement Projection Symbolisation
NO REGRESSION
Psychosexual development
0-18 months = oral 18 months - 3 years = anal 3 years - 5 years = phallic 5 years - puberty = latent puberty - death = genital
During which psychosexual development phase is the Oedipus complex?
PHALLIC
3-5 years
Want to possess mother and replace father
Developmental stages of anxiety
- Disintegration
- Annihilation
- Separation
- Castration
- Superego
Contra-indications to psychodynamic therapy
Psychosis
OCD
SUD, active
ASPD
Defense mechanisms
George Vaillant
4-tiered hierarchy
- Primitive (psychologically fleeing reality)
- Immature
- Neurotic
- Mature
Primitive defence mechanisms?
Psychotic denial
Delusional projection
Psychotic distortion
Omnipotence
Immature defence mechanisms?
Denial Projection Splitting Regression Acting out Somatisation Projective identification Introjection Passive aggressive Schizoid fantasy Hypochondriasis
Neurotic defence mechanisms?
Displacement Intellectualisation Rationalisation Isolation of affect Reaction formation Dissociation Repression Sexualization Retroactive cancelling Control Externalizing Inhibition
Mature defence mechanisms?
Altruism Anticipation Asceticism Humor Sublimation Suppression Affirmation
Biopsychosocial model?
Georges Engel
Alfred Adler
Inferiority complex
Organ inferiority
Masculine protest
Family rank (siblings reacting to births)
Franz Alexander
Corrective emotional experience
Re-expose the patient, under more favourable circumstances, to emotional situations which could not be handled in the past.
Erikson Stages of Ego Development
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
Mahler Separation-Individuation theory
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
Piaget cognitive development
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)
Otto Kernberg
Borderline organization
Wilfred Bion
Projective identification
Donald Winnicott
GOOD ENOUGH MOTHER (mother gradually allows baby to experience some frustration so baby can build an external reality)
Melanie Klein
- Schizo-paranoid position: primary anxiety = annihilation, BAD BREAST
- Depressive position: incorporate good and bad, ambivalence
Assimilation
Integrate external elements in mind
Accommodation
Adjust internal structures based on situation
Bowlby
Secure base
Attachment behaviour is INNATE and triggers innate response in mother
4 stages of grief based on attachment?
- Acute despair
- Anger & research
- Empty and disorganized
- Re-organization
Mary Ainsworth attachment types
- Secure = 60% in kids @ 2yo
- Anxious-ambivalent = distressed at separation, angry rejection, ambivalent at reunion, exaggeration reaction for attention, inconsistent parental responses
- Avoidant = not affected by separation, avoids contact when reunited, focuses on toys, minimizes attachment
- Disorganized = contradictory behaviour when reunited, neglect, risk factor for dissociation
René Spitz
Anaclitic depression