Bs14-Psychodynamic

Front 1

Freud's bottom line

Back 1

People repress painful experiences-> symptom (psycho defenses). Psychoanalysis releases the feelings &bring resolution

Front 2

Explanation of hysteria

Back 2

Unresolved conflicts, sexual traumas, physical manifestations "resolve" the conflict, talk treatment releases the conflict

Front 3

Early "defense" theories of hysterics?

Back 3

Hysterics underwent "conversion" of disturbing emotions to motor or sensory symptom. Signs were symbolically chosen: blindnes, weak arm, inability to walk

Front 4

Freud's theories of the mind?

Back 4

Topographical model (conscious, unconscious, preconscious, also pleasure & reality principle) & structural model (Id, ego, superego)

Front 5

Pleasure principle

Back 5

Instinctual drive: Libido & Aggression (seek to be satisfied @ all times). Selfish, primitive, childish, pleasure oriented part of the personality w/ no ability to delay gratification

Front 6

Reality principle

Back 6

"can't alwaysget what you want"- society presses us to modify pleasure in favor of realtity-> delay in discharge of drives

Front 7

Conscious

Back 7

Perceptions from the outside world, or inside the body are brought into awareness. Not repressed & easliy accessible. Content commun through words/behavior. Motivated by reality principle

Front 8

Unconscious

Back 8

Outside of Awareness (comatose patient). Repressed, difficult to access, but available in dreams and symptoms. Image-oriented, symbolic, not time-bound, and may contain contradictions. Motivated by the Pleasure Principle

Front 9

Preconscious

Back 9

"Outside of awareness. Not Repressed, relatively easy access when attention is focused. Reality Principle/Secondary Process. Memories (eg what does the 1st person you kissed look like). Interface/barrier b/w the Conscious and the Unconscious

Front 10

Dynamic unconscious

Back 10

Psychic energy: keeps mental content unconscious, or surface content-> psychopathy of everdya life (language: freudian slips. Bahaviors)

Front 11

Id

Back 11

Reservior for unorganized instinctual drive. Goal to achieve max pleasure. Primary process. Lacks capacity to delay drives. Avoids displeasure/anxiety

Front 12

Superego

Back 12

The critical parent (voice that says no). Morality. Ego Ideal (the image of the perfect self, influenced by social envir & parents

Front 13

Ego

Back 13

"Balances & serves the needs of the Id, the Superego, and Reality. Anchored in Reality & rooted in Perception/Cognition. Reality Principle. Tries to satisfy Id, but takes into consideration conseq & morality; exercises Judgment

Front 14

Primary process of ego?

Back 14

Unconscious: thoughts not org in a coherent way, feelings can shift, contradictions not in conflict or just not perceived that way, & condensations arise. No logic & no time line. Lust/aggression important for this process.

Front 15

Secondary process of ego?

Back 15

Conscious: where strong boundaries are set and thoughts must be organized in a coherent way. Most conscious thoughts originate here.

Front 16

Competing interests of ego?

Back 16

Memories, perceptions, ext realistic needs, drives, anxieties

Front 17

Defense mech

Back 17

Aids ego in achieving balance via min anxiety, protecting ego, & maintaining repression

Front 18

Repression

Back 18

The process of pulling thoughts into the unconscious & preventing painful or dangerous thoughts from entering consciousness. Useful by preventing discomfort & leads to some economy of time and effort

Front 19

Repression theory

Back 19

Ego is diminished during sleep, and the repressed content is expressed, often symbolically, through dreams

Front 20

Psychoanalysis

Back 20

"Interpretation of Dreams, Fantasies, & Transferences important, b/c it allows us access to what we have repressed. By bringing this content into consciousness, can prevent physical symptom or behavioral complex

Front 21

Resistance

Back 21

Patients censor what they say in an unconscious attempt to oppose treatment. (eg forget meds, missing appts)

Front 22

Transferance

Back 22

Redirection of feelings & desires & esp. of those unconsciously retained from childhood toward a new person.

Front 23

Transference in relationships

Back 23

"Emotions lead people to repeat patterns of their earliest relationships (usually with parents). Goal of therapy is to make a person aware of the repetition, bringing to consciousness what had been unconscious.

Front 24

Transference in therapuetic thech

Back 24

By understanding the intense feelings that can arise in the analytic relationship, the analyst can help the patient better understand past and current relationships

Front 25

Countertransference

Back 25

Transfer of the therapist's own unconscious feelings to the patient. Clinician’s experience affect their feelings & behaviors

Front 26

Denial

Back 26

"Refusing to perceive the more unpleasant aspects of external reality. Seen in patients w/ addictions who do not acknowledge the consequences of their behavior.

Front 27

How does denial differ from repression?

Back 27

Differs from repression in that there is some consciousness, but a piece of reality is being denied

Front 28

Projection

Back 28

"Attributing to others, one’s own unacceptable or unwanted thoughts &/or emotions. (e.g. “Jealous of you? You must be joking…you’re the one who’s jealous!”

Front 29

Fantasy

Back 29

"Autistic Fantasy. Individual deals w/ emotional conflict or internal or external stressors by excessive daydreaming as a substitute for human relationships, more effective action, or problem solving

Front 30

Conversion

Back 30

"“Convert” mental tension into neurological signs. Blindness, paralysis result from emotionally over powering event. Normal neurological exam

Front 31

Splitting

Back 31

"Splitting. The self or others are perceived as “all good or all bad”, as opposed to complex, multifaceted individ. Borderlines alternate b/w Idealization (overestimation of good qualities & underestimation of limitations) & Devaluation (exaggeration of negative qualities)

Front 32

Acting out

Back 32

The individual deals with emotional conflict or internal/external stressors by actions rather than reflections or feelings.

Front 33

Displacement

Back 33

Shifting the emotional component from one object or idea to another

Front 34

Isolation

Back 34

Separating the link between affect/emotion and thought or memory.

Front 35

Intellectualization

Back 35

Individual avoids emotions by excessive use of intellectual processes.

Front 36

Undoing

Back 36

Attempting to nullify or atone for a forbidden fantasy or behavior

Front 37

Reaction formation

Back 37

Transforming affects into their opposites; overcompensating for unwanted or unacceptable impulses. Eg a closet alcoholic goes on a crusade to ban the sale of alcohol

Front 38

Mature defenses

Back 38

Suppression, Sublimation, Altruism, Humor, Anticipation

Front 39

Suppression

Back 39

The conscious process of pushing thoughts into the preconscious.

Front 40

Sublimation

Back 40

Turning our difficult drives, affects, and memories into healthy and creative outcomes

Front 41

Altruism

Back 41

"The individual deals w/ emotional conflict or other stressors by dedicating himself to the needs of others. The individual avoids his own conflicts/stressors, & receives gratification from the response of others.

Front 42

Humor

Back 42

The individual deals w/ conflicts/stressors by emphasizing the amusing or ironic aspects of the situation

Front 43

Anticipation

Back 43

Planning for future discomfort. Preparation for realistic dread

Front 44

Coping Mech

Back 44

"Emotional Coping – do something to feel better about it ( even if I get a B, I can still be a doctor). Action Coping–dealing directly (study for three hours instead of drinking)