Therapy

Question 1

countertransference

Answer 1

refers to the conscious and unconscious feelings the therapist has toward the patient.

Question 2

Transference

Answer 2

refers to the feelings the patient has toward the therapist.

Question 3

Resistance

Answer 3

when ideas that are unacceptable to the patient are prevented from reaching awareness; the patient withholds relevant information, remains silent, is late, or misses appointments.

Question 4

Confrontation

Answer 4

is addressing an issue that the patient does not want to accept.

Question 5

Projection

Answer 5

is reacting to unacceptable inner impulses as if they were outside the self. Eg, feeling of persecution in psychotic patient.

Question 6

Operant Conditioning

Answer 6

the animal is active and behaves in a way that produces a reward. Learning occurs as a consequence of action. The desired behavior reaps a positive reward. An undesired behavior gets a negative reward. SKINNER

Question 7

Classical Conditioning

Answer 7

PAVLOV, a neutral stimulus is paired with one that evokes a response so that eventually the neutral stimulus comes to evoke the same response.

Question 8

Sensitization theory

Answer 8

says that an organism can be taught to respond more easily to a stimulus or be made more sensitive to that stimulus.

Question 9

Habituation theory

Answer 9

says that an animal can learn to stop responding to a repeated stimulus.

Question 10

Extinction

Answer 10

occurs when the conditioned stimulus is constantly repeated without the unconditioned stimulus until the response evoked by the unconditioned stimulus eventually disappears.

Question 11

Intermittent positive reinforcement

Answer 11

Varied schedule prevents extinction

Question 12

therapeutic focus of motivational enhancement therapy

Answer 12

ambivalence

Question 13

Drive Theory

Answer 13

FREUD, 1.”source” is the part of the body from which the drive comes, 2. “impetus” is the amount of intensity of the drive, 3. “aim” is any action that discharges the tension, 4. “object” is the target of the action.

Question 14

ideal patient for psychodynamic psychotherapy

Answer 14

should have the capacity for psychological mindedness, have at least one meaningful relationship, be able to tolerate affect, respond well to transference interpretation, be highly motivated, have flexible defenses, and lack tendencies toward splitting, projection, or denial.

Question 15

Mature defenses

Answer 15

1. sublimation (channel unacceptable impulse)
2. humor (express feelings w/o discomfort)
3. Suppression (conscious forgetting)
4. Altruism (do the thing for others)
5. Anticipation (Rocky?)

Question 16

Narcissistic defenses

Answer 16

Projection
Denial
Splitting

Question 17

Immature defenses

Answer 17

Blocking
Regression
Somatization
Introjection

Question 18

Anxiety Defenses

Answer 18

Displacement
Repression
Isolation of Affect
Intellectualization
Acting out
Rationalization – had to beat brother w/ bat!
Reaction formation
Undoing
Passive-Aggressive
Dissociation

Question 19

Interpersonal psychotherapy

Answer 19

was originally developed as a treatment for depression. Focus on grief/loss, role transitions, relational role disputes, social deficits – NOT cognitive distortions

Question 20

Flooding

Answer 20

(implosion) involves exposing the patient to the feared stimulus in vivo immediately, without a gradual buildup, as would be expected in therapeutic graded exposure or desensitization

Question 21

Aversion therapy

Answer 21

use of a noxious stimulus or punishment to suppress an undesired behavior, eg disulfiram

Question 22

psychoanalytic psychotherapy

Answer 22

Disclaimers such as “I know you don’t agree with this, but…” or “I don’t know why I think this, but…” often precede emotionally charged material. They serve to soften the delivery of such material and relieve anxiety on the part of the person making them.

Question 23

cognitive behavioral therapy

Answer 23

CBT utilizes reattribution, role playing, thought recording, and developing alternatives – NOT abreaction (emotional release after recalling a painful event in psychodynamic therapy) – finding/testing automatic thoughts

Question 24

IQ and school placement

Answer 24

IQ = mental age / actual age. 100 is average. So 8yo with 6yo mental age -> 6/8 -> IQ = 75

Question 25

Supportive Therapy

Answer 25

seeks to stabilize the self and the patient’s ability to cope via symptom relief; acknowledges how difficult things are for the patient currently, but gives her hope for the future; direction from therapist.

Question 26

psychodynamic therapy and psychoanalysis,

Answer 26

the therapist would wish to remain more neutral and not make statements that expressed opinion or boosted the patient’s mood.

Question 27

State-dependent learning

Answer 27

is the facilitated recall of information in the same internal state or environment in which the information was originally obtained.

Question 28

interpersonal therapy

Answer 28

treat depression via interpersonal behaviors and social interactions

Question 29

matched pair: Psychiatric rehabilitation and ____

Answer 29

–social skills training

Question 30

therapist’s tasks in a group therapy setting

Answer 30

determining the size and setting of the group, choosing the frequency and length of sessions, deciding on an open vs a closed group, formulating appropriate goals, selecting patients, and building a therapeutic environment

Question 31

interpersonal psychotherapy (IPT) framework for depression

Answer 31

time-limited (acutely, 12 to 16 weeks) treatment with three phases: a beginning (one to three sessions), middle, and end (three sessions). The initial phase requires the therapist to identify the target diagnosis (MDD) and the interpersonal context in which it presents. Then find new activities and relationships to offset the patient’s loss.

Question 32

dialectical behavioral therapy

Answer 32

Seeking for synthesis between seemingly contradictory ideas and emotions