Psycotherapy

Question 1

Psychological basis of CBT

Answer 1

-> cognitions determine how a person feels and behaves
-> physical or psychological feelings determine thoughts and behaviours
Set of core beliefs-> dysfunctional assumptions-> critical incident-> negative autonomic thoughts
Cycle of negative autonomic thoughts -> emotion-> bodily responses-> behaviour

Question 2

Principles of CBT

Answer 2

12-24 structured sessions 
Goal orientated
Focus on present problem
Collaborative relationship
Homework-> diary of autonomic thoughts, practicing challenging thoughts
Measure outcomes

Question 3

Structure of therapy

Answer 3

1-3 case formulation
1-4 socialisation to model
2-11 symptom focused cognition and behaviour re attribution
8-11 schema focused intervention
10-12 relapse prevention

Question 4

CBT techniques

Answer 4

Thought monitoring/thought records
Autonomic thoughts and dysfunctional assumptions are challenged and changed by experiments
Socratic questioning-> disciplined questioning to explore thoughts
Hypothesis testing
Imagery/poetry/stories/metaphors

Question 5

CBT indications

Answer 5

Anxiety
Depression
BN

Adjunct:
psychosis
Addictions
AN 
PD

Question 6

Psychological understanding of psychoanalytic psychotherapy

Answer 6

Unconscious thoughts, feelings and fantasies give rise to distressing symptoms
Kept unconscious by defence mechanisms
Employed when anxiety producing aspects of self threatening to break through the to conscious mind

Question 7

Types of defence mechanisms

Answer 7

Neurotic 
-repression
-reaction formation-> switching impulses to opposites 
-intelectualisation
Pathological
-denial
-projection
-splitting-> extremes 
Immature
-fantasy
-somatasisation 
Mature
-humour
-sublimination
-suppression

Question 8

Principles of psychoanalytic psychotherapy

Answer 8

Facilitate conscious recognition of symptom causing unconscious processes
Therapist must identify, interpret and facilitate
-> recurring themes

Question 9

Transference definition

Answer 9

Inappropriate and unconscious transferred feelings or attitudes in and earlier significant relationship on to therapist

Question 10

Counter transference definition

Answer 10

Feelings that are evoked in the therapist

May represent what the patient is feeling

Question 11

Psychoanalytic therapy structure

Answer 11

Regular sessions at the same time with the same therapist 50 mins
Can be individual or group
Brief or long term
Linking past to present experience
Interpret and confront transference 
Boundaries
Corrective emotional experience

Question 12

Goals of psychoanalytic therapy

Answer 12

Increase conscious awareness
In erase patient understanding of maladaptive defence mechanisms
Reduce unhelpful repetitions
Help patient live in their own skin

Question 13

Psychoanalytic therapy indications

Answer 13

Depression
Anxiety
PD
Childhood trauma or abuse

Question 14

Definition of psychotherapy

Answer 14

A form of treatment based on systematic use of a relationship between therapist and patient to produce changes in cognition, feelings and behaviour