Psychotherapy, psychopharmacology Flashcards
∆ btwn 1˚and 2˚ process thinking
1˚= primitive, pleasure seeking urges with no regard to logic or time, prominent in children and psychotics
2˚ = logical, organized, mature, can delay gratification
RA: unconscious
repressed thoughts + 1˚ process thinking
RA: preconscious
memories that can be consciously retrieved
RA: conscious
current thoughts + 2˚ process thinking
RA: id
unconscious; 1˚ process thinking
RA: ego
mediator between the id and external environment; uses defense mechanisms + reality testing
RA: super ego
moral conscious
What is reality testing? What part of our mind uses it?
used by the ego to distinguishes fantasy from reality
What are the mature defenses?
Altruism
Humor
Sublimation
Suppression
M-ASSH
What are the neurotic defenses?
Controlling Displacement Intellectualization Isolation of affect Rationalization Reaction formation Repression Idealization
Neurotic DIIICeRRR
What are the immature defenses?
Acting out
Denial
Regression
Projection
PARDon…those are immature
What type of defense is this and is it a mature, neurotic, or immature defense?
Regulating situations and events of external environment to relieve anxiety
controlling - neurotic
What type of defense is this and is it a mature, neurotic, or immature defense?
performing acts that benefit others in order to vicariously experience pleasure
altruism - mature
What type of defense is this and is it a mature, neurotic, or immature defense?
giving into an impulse, even if it is socially inappropriate in order to avoid the anxiety of suppressing that impulse
acting out - immature
What type of defense is this and is it a mature, neurotic, or immature defense?
shifting emotions from an undesirable situation to one that is personally tolerable
displacement - neurotic
What type of defense is this and is it a mature, neurotic, or immature defense?
expressing unpleasant or uncomfortable feelings without causing discomfort to self or others
humor - mature
What type of defense is this and is it a mature, neurotic, or immature defense?
not accepting reality that is too painful
denial - immature
What type of defense is this and is it a mature, neurotic, or immature defense?
avoiding negative feelings by excessive use of intellectual functions and by focusing on irrelevant details or inanmiate objects
intellectualization - neurotic
What type of defense is this and is it a mature, neurotic, or immature defense?
preventing a thought or feeling from entering consciousness
repression - neurotic
What type of defense is this and is it a mature, neurotic, or immature defense?
performing behaviors from an earlier stage of development in order to avoid tension associated with current phase of development
regression - immature
note: somatization is a form of regression because it expresses psychological difficulties as a physical complaint
What type of defense is this and is it a mature, neurotic, or immature defense?
unconsciously limiting the experience of feelings or emotions associated with life event in order to avoid anxiety
isolation of affect - neurotic
What type of defense is this and is it a mature, neurotic, or immature defense?
doing the opposite of an unacceptable impulse/behavior
reaction formation - neurotic
What type of defense is this and is it a mature, neurotic, or immature defense?
satisfying socially objectionable or destructive impulses into an acceptable manner or something constructive
sublimation - mature
What type of defense is this and is it a mature, neurotic, or immature defense?
consciously ignoring an unacceptable impulse or emotion in order to diminish comfort and accomplish a task
suppression - mature
What type of defense is this and is it a mature, neurotic, or immature defense?
attributing objectionable thoughts or emotions to others
projection - immature
What type of defense is this and is it a mature, neurotic, or immature defense?
creating explanations of an event in order to justify outcomes or behaviors to make them acceptable
isolation of affect - neurotic
What type of defense is this and is it a mature, neurotic, or immature defense?
attributing exaggerated positive qualities to others
idealization - neurotic
What type of defense is this?
labeling people as all good or all bad
splitting
What type of defense is this?
attempting to reverse a situation by adopting a new behavior (ie man who has a brief fantasy of killing his wife by sabotaging her car takes her car in for a complete checkup)
undoing
What is the goal of psychoanalysis?
resolve unconscious conflicts by bringing up repressed experiences and feelings into awareness and integrating them into the patient’s conscious experience
What disorders is psychoanalysis best suited for?
Cluster C personality disorders Anxiety disorders OCD Anorexia nervosa Sexual disorders Dysthymic disorder problems coping with life events
What is flooding and implosion therapy?
de-conditioning therapy that is used to treat phobic disorders - patient is confronted with a REAL (flooding) or IMAGINED (implosion) anxiety-provoking stimulus and not allowed to withdraw from it until he/she feels calm and control
What disorders is aversion therapy best suited for?
addictions and paraphilias
What is token economy therapy and who is it best suited for?
rewards given after specific behaviors are performed; used to encourage behaviors in the disorganized or mentally-retarded patients
What is biofeedback therapy and what is it commonly used to treat?
therapy where physiological data (HR, BP) are given to patients as they try to mentally control physiological states
common for: migraines, HTN, chronic pain, asthma, incontinence
What is the utility of cognitive therapy?
It is commonly used to treat these 5 disorders
therapy where patients are taught to identify maladaptive thoughts and replace them with positive ones
depression, anxiety paranoid personality d/o OCD somatoform d/o eating d/o
What is the goal of CBT?
It is commonly used to treat these 3 disorders
teach patients how his behavior is influenced by his thoughts
depression
anxiety
substance abuse
What is the goal of DBT?
It is commonly used to treat these 2 disorders
patient learns skills to confront and manage the volatile emotions and impulses they are feeling without delving into the patient’s childhood, which tends to be regressive for those patients (therefore resulting in increased suicidal behavior or acting out)
