Tx Intervention Sup Flashcards
Reality principle
what the ego operates on
try to satisfy id within restraints of superego
Freud’s psychosexual stages
Oral: 0-1
Anal: 1-3
Phallic: 3-6
Latency: 6-puberty
Genital: puberty-death
oedipus complex
crucial experience during phallic stage (age 3-6). boy competes with father for mother’s attention
develop castration anxiety
girls develop penis envy
ID: jealousy, desire to eliminate father
ego: accept father will stay, direct anger elsewhere
defense mechanisms
developed by ego (unconsciously) to satisfy id within superego’s rules
list some defense mechanisms
repression: rejection of id
projection: attribute own unconscious desires to someone else
reaction formation: replacement of one unacceptable desire with its opposite
displacement: shift energy elsewhere
sublimation: mature convert libidinal drives into healthy and socially acceptable outlets
psychoanalysis strategies
id can’t be examined directly
free association
dream analysis
transference (pt projects own thoughts, emotions, drives onto therapist)
resistance
catharsis: emotional release
Jung
colleague of Freud
developed analytical psychology
unconscious has two levels: 1) individual/personal, 2) collective
collective consists of archetypes (the hero, Electra complex)
developed concept of introversion and extroversion (seeking pleasure within or outside of self)
Adler
people strive to create own style of life
split from Freud over his proposal of Aggressive Drive.
Greater focus on social context, healthy = more socially interested. inferiority/superiority. Birth order.
techniques:
Magic Wand
Prescribe symptom
Act “as if” (you are confident)
neo-Freudians
greater focus on social-cultural factors in development of personality (vs. personality as a result of instinctual drives)
Karen Horney
1939
feminist psychology
womb envy
maladaptie personality development happens due to basic anxiety resulting from poor relationships between child and parent.
to address, child moves toward, against, or away from others
Harry Stack Sullivan
1953
cognitive development important for forming personality. 3 stages:
1) protaxic: thoughts are independent from one another (infancy, schizophrenia)
2) parataxic: infer causal relationships when these don’t exist (causes neuroses)
3) syntaxic: logical, rational, symbolic cognition = healthy
Erich Fromm
5 character orientations
1 good: productive
4 bad:
receptive
exploitative
boarding
marketing
object-relations theory
focuses on individual’ s mental representations of themselves or others. can be good or bad objects
mental representations originate in childhood
Melanie Klein
Heinz Kohut
Donald Winnicott
ROnald Fairbarin
Margaret Mahler
life and death pulsations
eros
thanatos
psychoanalysis
rational emotive behavior therapy vs cognitive therapy
REBT more didactic and straightforward. Strong focus on rational vs irrational beliefs.
REBT: musterbatory (“must” “should”) thinking
ACT
psychological flexibility
mindfulness
6 modules:
1. cognitive defusion
2. acceptance
3. contacting the present moment
4. observing the self
5. client values
6. committed action
goal is NOT symptom reduction but rather to live a rich, meaningful life
biosocial theory of BPD
consistent pattern of invalidation
+
biological predisposition toward emotional dysregulation
dialectic behavior thearpy
teaches dialectics as a worldview: can experience BOTH
incl indiv, group therapy and phone coaching
TFCBT PRACTICE acronym
P: psychoeducation & parenting skills
R: relaxatoin
A: affective expression and regulation
C: cognitive coping
T: trauma narrative development
I: in vivo exposure
C: conjoint parent-child session
E: enhancing future safety
Rogers’ person centered therapy
psychopathology occurs when clients are accepted only in certain, specific circumstances (conditions of worth)
unconditional positive regard
therapist provides accurate empathy: recognition and understanding of the client’s lived experience
goal is to provide a corrective emotional experience
existential therapy
emphasizes philosophical rather than technical approach
goal is to increase clients’ awareness by moving toward authenticity, confronting normal “existential anxiety” and increase understanding of own freedom and responsibility to live their lives
Frankl (man’s search for meaning)
Yalom
Rollo May
James Bugental
Gestalt therapy
Fritz Perls
person cannot be understood out of their context
goal is for clients to become aware of who they are - only then can they effect change (paradoxical theory of change)
empty chair technique
feminist therapy
the person is political
view problems in sociopolitical and cultural context
client identities seen thru lens of privilege and oppression
Reality therapy
emphasizes client’s own role and responsibility in shaping their lives
all symptoms are misguided attempts at meeting own needs.
Glasser’s 5 basic needs:
survival
love/belonging
power/achievement
freedom/independence
fun
Motivational interviewing
reinforce client’s change talk
like Rogers’ person-centered therapy but more directive
stages of change in MI
precontemplation
contemplation
preparation
action
maintenance
4 principles of MI
- compassion
- collaboration
- evocation
- acceptance (acknowledge clients’ absolute worth, respect autonomy, affirm clients strengths/efforts, accurate empathy)
systems theory
views the family as a dynamic pattern of interpersonal relationships and interrelated interactions.
family tends towards homeostasis - especially families who emphasize negative feedback
closed vs. open systems: open more flexible, closed more rigid (and maladaptive).
communication theory
examines how information is transmitted and processed through humanc ommunicaiton.
in family, all behaviors are some sort of communication, no matter how subtle.
emphasizes importance of understanding power imbalances.
double-bind communication: aspects of a message contradict
metacommunication: messages contain both explicit and implicit content
double-bind communication
aspects of a message contradict
idea within communication theory
metacommunication
messages contain both explicit and implicit content
idea within communication theory
Murray Bowen
extended family systems therapy
Extended family systems therapy
Bowen
important to assess relationships between members of the extended family
genogram
multigenerational transmission process of familial dynamics