THERAPEUTIC TREATMENT - Psychodynamic Psychotherapy

Question 1

Psychiatrist asks child receiving
psychodynamic play therapy about
mother who abandoned the family last
year. Child throws toy at psychiatrist.
Best response? (2x)

Answer 1

Explain that it’s not OK to throw things,
but ask about other times when they feel
like throwing or hitting things

Question 2

Which treatment would be appropriate
for a patient after a stressor has
resolved but the child’s defenses are
now fixed and maladaptive? (2x)

Answer 2

Individual psychodynamic

psychotherapy

Question 3

Youth in therapy lasting 10 weeks for
test taking anxiety, interpersonal issues
with father, and body image issues. What
type of therapy used? (2x)

Answer 3

Short-term psychodynamic

Question 4

What could be a treatment goal in child-parent psychodynamic theory?

Answer 4

Develop parental insight into their use of

child as negative transference object

Question 5

Psychodynamic psychotherapy primarily

uses play to represent?

Answer 5

An expression of the child’s inner life

Question 6

Therapy modality for motivated patient to

develop understanding of self?

Answer 6

Psychoanalytic psychotherapy

Question 7

Therapist notices that their long term
therapy patient anticipates criticism about
drug use, similar to criticism received from
parents. What describes this psychoanalytic
theory?

Answer 7

Object Relations

Question 8

Describe the following psychodynamic
technique: “You seem to want to get better
but get in your own way. Maybe you worry
that your father would not approve?”

Answer 8

Interpretation

Question 9

3 yo pulls hair when parents discipline him
for misbehavior. The patient has a growing
bald spot, yet denies pulling hair. What
does this example suggest
psychodynamically?

Answer 9

Shame of being unable to meet internalized

standards

Question 10

Compared to psychodynamic
psychotherapy with adults, more likely to
use what intervention with children?

Answer 10

Education

Question 11

What is a relative contraindication for
individual expressive psychodynamic
psychotherapy?

Answer 11

Conduct disorder without guilt

Question 12

Defense mechanism supported by
psychiatrists in psychodynamic therapy
with children?

Answer 12

Displacement

Question 13

Criteria of patient that is a best fit for

psychoanalytic treatment?

Answer 13

Ability to form and maintain relationships

Question 14

What is “working through” a problem in

psychodynamic psychotherapy

Answer 14

Help patient overcome resistance to change

through elaboration and repetition.

Question 15

Why is it important to include parents in

psychodynamic therapy?

Answer 15

Improve parental understanding of the

child

Question 16

Main role of therapist in play therapy,

according to psychodynamic theory?

Answer 16

Provide setting for child to develop capacity

for self-observation

Question 17

Address negative transference during

supportive psychotherapy with children to?

Answer 17

Maintain therapeutic alliance