Psychotherapy, psychopharmacology

Question 1

∆ btwn 1˚and 2˚ process thinking

Answer 1

1˚= primitive, pleasure seeking urges with no regard to logic or time, prominent in children and psychotics

2˚ = logical, organized, mature, can delay gratification

Question 2

RA: unconscious

Answer 2

repressed thoughts + 1˚ process thinking

Question 3

RA: preconscious

Answer 3

memories that can be consciously retrieved

Question 4

RA: conscious

Answer 4

current thoughts + 2˚ process thinking

Question 5

RA: id

Answer 5

unconscious; 1˚ process thinking

Question 6

RA: ego

Answer 6

mediator between the id and external environment; uses defense mechanisms + reality testing

Question 7

RA: super ego

Answer 7

moral conscious

Question 8

What is reality testing? What part of our mind uses it?

Answer 8

used by the ego to distinguishes fantasy from reality

Question 9

What are the mature defenses?

Answer 9

Altruism
Humor
Sublimation
Suppression

M-ASSH

Question 10

What are the neurotic defenses?

Answer 10

Controlling
Displacement
Intellectualization
Isolation of affect
Rationalization
Reaction formation
Repression
Idealization

Neurotic DIIICeRRR

Question 11

What are the immature defenses?

Answer 11

Acting out
Denial
Regression
Projection

PARDon…those are immature

Question 12

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

Answer 12

controlling - neurotic

Question 13

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

Answer 13

altruism - mature

Question 14

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

Answer 14

acting out - immature

Question 15

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

Answer 15

displacement - neurotic

Question 16

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

Answer 16

humor - mature

Question 17

What type of defense is this and is it a mature, neurotic, or immature defense?

not accepting reality that is too painful

Answer 17

denial - immature

Question 18

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

Answer 18

intellectualization - neurotic

Question 19

What type of defense is this and is it a mature, neurotic, or immature defense?

preventing a thought or feeling from entering consciousness

Answer 19

repression - neurotic

Question 20

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

Answer 20

regression - immature

note: somatization is a form of regression because it expresses psychological difficulties as a physical complaint

Question 21

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

Answer 21

isolation of affect - neurotic

Question 22

What type of defense is this and is it a mature, neurotic, or immature defense?

doing the opposite of an unacceptable impulse/behavior

Answer 22

reaction formation - neurotic

Question 23

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

Answer 23

sublimation - mature

Question 24

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

Answer 24

suppression - mature

Question 25

What type of defense is this and is it a mature, neurotic, or immature defense?

attributing objectionable thoughts or emotions to others

Answer 25

projection - immature

Question 26

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

Answer 26

isolation of affect - neurotic

Question 27

What type of defense is this and is it a mature, neurotic, or immature defense?

attributing exaggerated positive qualities to others

Answer 27

idealization - neurotic

Question 28

What type of defense is this?

labeling people as all good or all bad

Answer 28

splitting

Question 29

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)

Answer 29

undoing

Question 30

What is the goal of psychoanalysis?

Answer 30

resolve unconscious conflicts by bringing up repressed experiences and feelings into awareness and integrating them into the patient’s conscious experience

Question 31

What disorders is psychoanalysis best suited for?

Answer 31

Cluster C personality disorders
Anxiety disorders
OCD
Anorexia nervosa
Sexual disorders
Dysthymic disorder
problems coping with life events

Question 32

What is flooding and implosion therapy?

Answer 32

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

Question 33

What disorders is aversion therapy best suited for?

Answer 33

addictions and paraphilias

Question 34

What is token economy therapy and who is it best suited for?

Answer 34

rewards given after specific behaviors are performed; used to encourage behaviors in the disorganized or mentally-retarded patients

Question 35

What is biofeedback therapy and what is it commonly used to treat?

Answer 35

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

Question 36

What is the utility of cognitive therapy?

It is commonly used to treat these 5 disorders

Answer 36

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

Question 37

What is the goal of CBT?

It is commonly used to treat these 3 disorders

Answer 37

teach patients how his behavior is influenced by his thoughts

depression
anxiety
substance abuse

Question 38

What is the goal of DBT?

It is commonly used to treat these 2 disorders

Answer 38

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)