Psychotherapy & Social factors Flashcards

1
Q

What is the difference between primary and secondary defenses?

A

Primary = involve the boundary between the self and the outer world.

Secondary = deal with internal boundaries (i.e., between the id and the superego)

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2
Q

Explain the 5 phases of Freud’s Developmental Model

A
  1. Oral phase (birth-18 months)
  2. Anal phase (1-3 years)
  3. Phallic/Oedipal/Electra phase (3-6 years)
  4. Latency phase (6-puberty)
  5. Genital phase (puberty-young adulthood)

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3
Q

List the 8 poles of Erikson’s Developmental Model

A
  1. Trust vs. Mistrust (birth-18 months)
  2. Autonomy vs. Shame/Doubt (18m-3yrs)
  3. Initiative vs. Guilt (3-5 yrs)
  4. Industry vs. Inferiority (5-13 yrs)
  5. Identity vs. role confusion (13-21 yrs)
  6. Intimacy vs. Isolation (21-40 yrs)
  7. Generativity vs. Stagnation (40-60 yrs)
  8. Integrity vs. Despair (60-death)

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4
Q

What are the 4 phases of Mahler’s Developmental Model?

A
  1. Autistic (birth-2 months): self-focused
  2. Symbiosis (2-6 months): with mother
  3. Seperation-Individuation (differentiation/hatching - practicing - rapprochment) from 6 months to 24 months
  4. Consolidation of Individuality & Object Constancy (~ 3rd year)

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5
Q

List the 4 areas of focus in IPT

A

Grief
Interpersonal Disputes
Role transition
Interpersonal deficits

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6
Q

Freud used the term id to refer to:

A

“a reservoir of unorganized instinctual drives. Operating under the domination of the primary process, the id lacks the capacity to delay or modify the instinctual drives with which an infant is born. The id, however, should not be viewed as synonymous with the unconscious, because both the ego and the superego have unconscious components.”

K&S, p 199

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7
Q

Freud used the term ego to refer to:

A

“the executive organ of the psyche, controls motility, perception, contact with reality, and, through the defense mechanisms available to it, the delay and modulation of the drive expression.”

K&S, p 199

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8
Q

Name 3 narcissistic defenses

A
  • Denial
  • Distortion
  • Projection

These mechanisms allow you to rearrange external experiences to eliminate the need to cope with reality - wikipedia

K&S, p 202

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9
Q

List as many of the 8 immature defences as possible

A
  • Acting out
  • Blocking (similar to repression but with tension)
  • Hypochondriasis
  • Introjection (ex. identification with the agressor)
  • Passive-aggressive behaviour
  • Regression
  • Schizoid fantasy
  • Somatization

“These mechanisms lessen distress and anxiety produced by threatening people or by an uncomfortable reality” - wikipedia

K&S, p 202

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10
Q

List as many of the 11 neurotic defenses as possible

A
  • Controlling - Dissociation
  • Displacement - Reaction formation
  • Externalization - Repression
  • Inhibition - Sexualization
  • Intellectualization
  • Isolation
  • Rationalization

Such defences have short-term advantages in coping, but can often cause long-term problems- wikipedia

K&S, p 203

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11
Q

Explain the term Reaction Formation

A

Transforming an unacceptable impulse into its opposite. Reaction formation is characteristic of obsessional neurosis, but it may occur in other forms of neuroses as well. if this mechanism is frequently used at any early stage of ego development, it can become a permanent character trait, as in an obsessional character.

K&S, p 203

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12
Q

List as many of the 6 mature defences as possible

A
  • Altruism
  • Anticipation
  • Asceticism
  • Humor
  • Sublimation
  • Suppression

K&S, p 203

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13
Q

What is the virtue, and related forms of psychopathology associated with Erikson’s Trust vs. Mistrust stage?

A

Hope; Psychosis, addiction, depression.

K&S, p 209

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14
Q

What is the virtue, and related forms of psychopathology associated with Erikson’s Autonomy vs. shame and doubt stage?

A

Will; Paranoia, obsessions, compulsions, impulsivity

K&S, p 209

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15
Q

What is the virtue, and related forms of psychopathology associated with Erikson’s Initiative vs. guilt stage?

A

Purpose; conversion disorder, phobia, psychosomatic disorder, inhibition

K&S, p 209

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16
Q

What is the virtue, and related forms of psychopathology associated with Erikson’s Industry vs. Inferiority stage?

A

Competence; Creative inhibition, inertia.

K&S, p 209

17
Q

What is the virtue, and related forms of psychopathology associated with Erikson’s Identity vs. Role Confusion stage?

A

Fidelity; delinquent behavior, gender-related identity disorders, borderline psychotic episodes.

K&S, p 209

18
Q

What is the virtue, and related forms of psychopathology associated with Erikson’s Intimacy vs. Isolation stage?

A

Love; schizoid personality disorder, distantiation.

K&S, p 209

19
Q

What is the virtue, and related forms of psychopathology associated with Erikson’s Generativity vs. Stagnation stage?

A

Care; mid-life crisis, premature invalidation.

K&S, p 209

20
Q

What does PICOT stand for when doing critical appraisal?

A
Population 
Intervention
Control/comparison/confounders
Outcome 
Timeline/timing

Dr. S. Vigod lecture 2014 - “use this in your PDM if you get a critical appraisal station”.

21
Q

What are the common factors of psychotherapy?

A
  • confiding RELATIONSHIP with a helping person
  • HEALING SETTING which reinforces the relationship
  • RATIONALE or conceptual scheme that explains the cause of the patient’s symptoms
  • PROCEDURE…that requires active participation of both the patient and therapist
  • awareness of the roles of TRANSFERENCE and COUNTERTRANSFERENCE

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22
Q

The psychotherapy share 6 common therapeutic functions. What are they?

A
  • STRENGTHEN THE THERAPEUTIC RELATIONSHIP
  • inspire & maintain the patient’s HOPE for help
  • offer ALTERNATIVE WAYS of dealing with problems
  • experiential learning is used to prompt “EMOTIONAL AROUSAL” which supplies the motive power for changes.
  • enhancement of the pt’s SENSE OF MASTERY, self-control, competence, or effectiveness
  • encourage the patient to ‘WORK THROUGH’ and practise what he has learned in his daily living

uOttawa 2014