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Psychiatry > SM_113b: Psychotherapies > Flashcards

SM_113b: Psychotherapies Flashcards

1
Q

Describe psychodynamic therapy theory

A

Psychodynamic therapy theory

  • Unresolved childhood conflicts (developmental model)
  • Symptom formation (repetition compulsion)
  • Therapy (transference) relationship is examined
  • Focus on patient’s emotions including dreams / fantasies
  • Symptom resolution (working through), insight, improved well-being
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2
Q

Goal of psychodynamic therapies are ____, ,____, ____, and ____

A

Goal of psychodynamic therapies are making the unconscious conscious, symptom remission, personal insight, and improved well-being

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3
Q

Describe psychodynamic therapy treatment techniques

A

Psychodynamic therapy treatment techniques

  • Therapeutic relationship: analysis of trandference
  • Non-directive therapist
  • Not time-limited ideally
  • Emotional world of patient
  • Past and present
  • Explore defenses and resistance
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4
Q

Name primitive defense mechanisms

A

Primitive defense mechanisms

  • Denial
  • Regression
  • Acting out
  • Dissociation
  • Compartmentalization
  • Projection
  • Reaction formation
  • Identification with aggressor
  • Somatization
  • Splitting
  • Idealization
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5
Q

____ is a primitive defense mechanism involving a refusal to accept as if the painful thought or action does not exist

A

Denial is a primitive defense mechanism involving a refusal to accept as if the painful thought or action does not exist

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6
Q

____ is a primitive defense mechanism involving reversion to an earlier safer environment

A

Regression is a primitive defense mechanism involving reversion to an earlier safer environment

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7
Q

____ is a primitive defense mechanism consisting of using extreme behavior to express otherwise unacceptable feelings

A

Acting out is a primitive defense mechanism consisting of using extreme behavior to express otherwise unacceptable feelings

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8
Q

____ is a primitive defense mechanism occurring when a person who loses track of self in terms of reality instead develops an alternative representation of self

A

Dissocation is a primitive defense mechanism occurring when a person who loses track of self in terms of reality instead develops an alternative representation of self

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9
Q

____ is a primitive mechanism described as a lesser form of dissociation in which part of the self is separated from the other parts without conflict

A

Compartmentalization is a primitive mechanism described as a lesser form of dissociation in which part of the self is separated from the other parts without conflict

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10
Q

____ is a primitive defense mechanism involving attribution of one’s own feelings onto someone else because the feeling is too difficult to contain

A

Projection is a primitive defense mechanism involving attribution of one’s own feelings onto someone else because the feeling is too difficult to contain

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11
Q

____ is a primitive defense mechanism that involves converting unwanted or dangerous thoughts into their opposites

A

Reaction formation is a primitive defense mechanism that involves converting unwanted or dangerous thoughts into their opposites

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12
Q

____ is a primitive defense mechanism consisting of unconsciously modeling one’s behavior after someone who is more powerful

A

Identification with aggressor is a primitive defense mechanism consisting of unconsciously modeling one’s behavior after someone who is more powerful

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13
Q

____ is a primitive defense mechanism that involves turning an unacceptable feeling into a physical symptom

A

Somatization is a primitive defense mechanism that involves turning an unacceptable feeling into a physical symptom

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14
Q

____ is a primitive defense mechanism believing one person or situation is all good or all bad and holding the opposite view about someone/something else

A

Splitting is a primitive defense mechanism believing one person or situation is all good or all bad and holding the opposite view about someone/something else

(black and white thinking)

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15
Q

____ is a primitive defense mechanism that involves denying negative aspects of a situation because holding complex (both good and bad) feelings is threatening

A

Idealization is a primitive defense mechanism that involves denying negative aspects of a situation because holding complex (both good and bad) feelings is threatening

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16
Q

Name somewhat mature defense mechanisms

A

Somewhat mature defense mechanisms

  • Repression
  • Displacement
  • Intellectualization
  • Rationalization
  • Undoing
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17
Q

____ is a defense mechanism that involves unconscious blocking of unacceptable thoughts

A

Repression is a defense mechanism that involves unconscious blocking of unacceptable thoughts

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18
Q

____ is a defense mechanism that involves redirection of upsetting feelings about one person or situation onto another safer person or situation

A

Displacement is a defense mechanism that involves redirection of upsetting feelings about one person or situation onto another safer person or situation

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19
Q

____ is a defense mechanism involving an overemphasis on intellectual understanding rather than acknowledging emotional reactions

A

Intellectualization is a defense mechanism involving an overemphasis on intellectual understanding rather than acknowledging emotional reactions

20
Q

____ is a defense mechanism that invovles providing a different explanation for an event because the actual reason is threatening

A

Rationalization is a defense mechanism that invovles providing a different explanation for an event because the actual reason is threatening

21
Q

_____ is a defense mechanism that involves an attempt to take back / undo behavior that is unacceptable

A

Undoing is a defense mechanism that involves an attempt to take back / undo behavior that is unacceptable

22
Q

Name mature (adaptive) defense mechanisms

A

Mature (adaptive) defense mechanisms

  • Suppression
  • Sublimation
  • Humor
  • Altruism
23
Q

____ is a mature defense mechanism consisting of consciously putting aside unpleasant feelings

A

Suppression is a mature defense mechanism consisting of consciously putting aside unpleasant feelings

24
Q

____ is a mature defense mechanism that involves channeling unacceptable impulses, thoughts, and emotions into acceptable ones

A

Sublimation is a mature defense mechanism that involves channeling unacceptable impulses, thoughts, and emotions into acceptable ones

25
Q

____ is a mature defense mechanism involving expression of otherwise feelings or ideas into acceptable ones

A

Humor is a mature defense mechanism involving expression of otherwise feelings or ideas into acceptable ones

26
Q

____ is a mature defense mechanism that involves unselfishly helping others in order to avoid negative personal feelings

A

Altruism is a mature defense mechanism that involves unselfishly helping others in order to avoid negative personal feelings

27
Q

Describe CBT theory

A

CBT theory

  • Classical conditioning (association), operant conditioning (reinforcement), social learning theory (modeling)
  • Cognition (thinking)
  • Here-and-now
  • Dysfunctional thinking leading to dysfunctional behaviors and emotions
28
Q

Describe CBT goals

A

CBT goals

  • Symptom reduction
  • Short term
  • Measurable symptom reduction: identify thoughts / triggers / cues, extinguish maladaptive behaviors, generate adaptive behaviors
29
Q

Describe CBT techniques

A

CBT techniques

  • Active educational therapist
  • Structured sessions
  • Here-and-now
  • Homework and record-keeping
  • Teach cognitive and behavioral interventions
30
Q

Name cognitive distortions

A

Cognitive distortions

  • All-or-nothing thinking
  • Overgeneralization
  • Mental filters
  • Labeling
  • Should statements
  • Fortune telling
  • Catastrophizing / minimizing
  • Personalizing
  • Emotional reasoning
  • Comparison game
31
Q

____ is a cognitive distortion involving seeing things as black / white or in absolutes

A

All-or-none thinking is a cognitive distortion involving seeing things as black / white or in absolutes

32
Q

____ is a cognitive distortion drawing conclusions from one experience to encompass all experiences

A

Overgeneralization is a cognitive distortion drawing conclusions from one experience to encompass all experiences

33
Q

____ is a cognitive distortion that involves picking a single event and dwelling on it, often with inaccurate perceptions

A

Mental filters is a cognitive distortion that involves picking a single event and dwelling on it, often with inaccurate perceptions

34
Q

____ is a cognitive distortion that involves putting a label on yourself as if it is a fact, decreasing self-worth

A

Labeling is a cognitive distortion that involves putting a label on yourself as if it is a fact, decreasing self-worth

35
Q

____ is a cognitive distortion consisting of focusing on how things “should” be, creating anxiety due to judgmental expectations

A

Should statements is a cognitive distortion consisting of focusing on how things “should” be, creating anxiety due to judgmental expectations

36
Q

____ is a cognitive distortion that involves thinking that you can predict the future

A

Fortune telling is a cognitive distortion that involves thinking that you can predict the future

37
Q

____ is a cognitive distortion that involves blowing things out of proportion or denying there is an issue when there is

A

Catastrophizing / minimizing is a cognitive distortion that involves blowing things out of proportion or denying there is an issue when there is

38
Q

____ is a cognitive distortion that involves thinking things about you when they are just observations or interpretations

A

Personalizing is a cognitive distortion that involves thinking things about you when they are just observations or interpretations

39
Q

____ is a cognitive distortion that involves jumping to conclusions using emotions to guide interpretations

A

Emotional reasoning is a cognitive distortion that involves jumping to conclusions using emotions to guide interpretations

40
Q

____ is a cognitive distortion that involves comparing your circumstances to others and feeling a need to “keep up” with others

A

Comparison game is a cognitive distortion that involves comparing your circumstances to others and feeling a need to “keep up” with others

41
Q

Describe CBT cognitive methods

A

CBT cognitive methods

  • Socratic questioning / guided discovery
  • Examining evidence
  • Examining advantages and disadvantages
  • Identifying cognitive errors
  • Thought change records
  • Generating rational alternatives
  • Imagery
42
Q

Describe CBT behavioral methods

A

CBT behavioral methods

  • Relaxation and breathing training
  • Progressive tasks and rehearsal
  • Stress management
  • Social skills training and role play
  • Systematic desensitization
  • Exposure and response prevention (free solo)
43
Q

Dialectical behavioral therapy is ____ + ____

A

Dialectical behavioral therapy is CBT + mindfulness

  • Mindfulness
  • Distress tolerance
  • Emotional regulation
  • Interpersonal effectiveness
44
Q

____ is a psychotherapy useful for severe personality disorders

A

Dialectical behavioral therapy is a psychotherapy useful for severe personality disorders

45
Q

_____ is a psychotherapy used for role transitions, grief, interpersonal disputes, and developmental deficits

A

Interpersonal psychotherapy is a psychotherapy used for role transitions, grief, interpersonal disputes, and developmental deficits

46
Q

____ consists of here-and-now, manualized, time limited interventions focused on skill development and behavior change

A

Interpersonal psychotherapy consists of here-and-now, manualized, time limited interventions focused on skill development and behavior change

47
Q

____ is a psychotherapy involving a here-and-now approach focused on coping, self-esteem, and resilience

A

Supportive / crisis therapy is a psychotherapy involving a here-and-now approach focused on coping, self-esteem, and resilience

Psychiatry (37 decks)

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