Term
| What is the basic structure of long-term psychanalysis? |
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Definition
1) Psychoanalysis relies upon the assumption that life realities are too frightening to acknowledge and are therefore unconsciously "repressed"
2) Neurosis (depression/anxiety), Psychosis and Hysteria (debilitating pseudo neurological conditions ) arise because of "inappropriate" action of ego defense mechanisms that impedes
3) Free association is used to identify inconsistencies in the actions of these defense mechanisms.
4) Relies on "transference" from interactions with therapist to big picture issues the patient struggles with. |
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Term
| What is "Transference" is it relates to Psychoanalysis? |
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Definition
| The concept that patients can work through repressed emotions with the therapist, in a "safe," controlled environment, and then extend progress to their larger issues. |
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Term
| Why is Psychoanalysis no longer heavily utilized? |
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Definition
1) General stigma about its use
2) Expense and length of training
3) lack of evidence base |
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Term
| What is "Insight-oriented Psychodynamic Psychotherapy"? |
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Definition
Psychoanalysis "light"
- 1-2 sessions per week
- covered by insurance
- similar principles but less intense and less grand in goals. |
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Term
What are the 8 major defense mechanisms?
What about the 2 "mature defenses"? |
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Definition
1) Displacement- hate of father to boss
2) Reaction Formation- express opposite to feel
3) Intellectualization- I understand death happens
4) Denial- refusal of death
5) Projection- I hate you, so you MUST hate me
6) Isolation of Affect- I feel nothing for my cancer
7) Rationalization-
8) Dissociation- outside of body during traumatic exp.
"Mature"
1) Suppression- Choosing to think about something else
2) Sublimation- Funnel energy into something atainable |
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Term
Identify the defense mechanism that matches the description.
"I want to be intimate with this girl, but she is married, so I decided to make music, and it has made me feel better." |
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Definition
| Sublimation- choosing to channel energy into something else |
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Term
Identify the defense mechanism that matches the description.
"The doctors tell me I have cancer, but I refuse to believe them. Where did they go to medical school anyways?" |
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Definition
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Term
Identify the defense mechanism that matches the description.
"I know I will die, because everyone does. Therefore I do not fear it." |
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Definition
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Term
Identify the defense mechanism that matches the description.
"The doctor says I have cancer, but I feel nothing." |
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Definition
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Term
Identify the defense mechanism that matches the description.
"I was in a car accident, and I felt like I was floating above my body, looking down!" |
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Definition
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Term
Identify the defense mechanism that matches the description.
"My laboratory advisor is a great scientist, but he doesn't think I have what it takes. He must have it out for me!" |
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Definition
| Projection- Admiration with disappointment leads to "projection" of an emotion on the other person that would explain your disappointment. |
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Term
Identify the defense mechanism that matches the description.
"I know I cheated on you, but I really felt like it was the only way to affirm our relationship. Don't you understand?" |
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Definition
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Term
Identify the defense mechanism that matches the description.
"I hate my father, but I can't hate someone in my family. My boss really has it out for me and I think he is the absolute worst!" |
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Definition
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Term
Identify the defense mechanism that matches the description.
You find a sibling sexually attractive and find your feelings repugnant, so when presented with the thought, you experience disgust |
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Definition
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Term
| Distinguish between "Projection" and "Displacement." |
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Definition
1) Projection involves feeling so uncomfortable with feelings that you have towards another person, that you convince yourself the other person feels that way towards you
2) Displacement involves having feelings toward a given person that are so uncomfortable, that you put them on someone else who is less threatening (i.e. father to boss) |
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Term
| What are the basic tenants of short-term (6-12 weeks) psychotherapies? |
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Definition
1) Combination of cognitive therapies, behavioral therapies and combinations
2) "Here and now focused" and covered by insurance
3) No interpretation of transferance and involves LEARNING SKILLS to cope
** Therapist is NOT neutral as in psychotherapy.** |
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Term
| What are the basic tenants of CBT? |
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Definition
1) In stressful situations, patients fall prey to "cognitive distortions" or "automatic negative thoughts."
- These thoughts result in negative emotional states
2) Therapy focuses on recognizing these thoughts
3) Behavioral activation to break the depressive cycle
4) Patients have daily activity schedule and homework |
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Term
| What are the basic tenants of Interpersonal Psychotherapy (IPT)? |
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Definition
IPT focuses on 4 aspects relating to how disconnection between others and society leads to depression and anxiety
1) Grief/Loss
2) Role transition
3) Role dispute
4) Interpersonal Deficits
** Much overlap with CBT** |
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Term
| What is Exposure and Response Prevention (ERP) in psychotherapy? |
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Definition
- For Phobias and OCD
- Graded exposure to stimulus, without letting patient flee or engage in obsessive behavior.
- Over time, automatic response is extinguished |
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