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108 Cards in this Set

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psychoanalytic ego psychology
- includes the ego's capacity to cope proactively with the physical and interpersonal environment
- significant maladjustment in persons who have not met the developmental challenges of dealing with the world outside of the self
- took people off the couch & faced the therapist
metapsychological
a descriptive term indicating the integration of findings into a coherent picture of the person's structural, adaptive, genetic, economic, & dynamic functioning
- SAGED
dynamic meaning of a psychological event
refers to the conflictual nature of the competing drive energies as the ego attempts to provide satisfaction for the id
genetic viewpoint
refers to the multiple developmental experiences in the course of a person's life history that converge to produce a particular symptom, meaning, or defense
economic
meant to indicate the degree of drive intensity and changes in quantity of instinctual energy over time
structural (or topographical) viewpoint
seeks to understand the interactions among the various structures or agencies of the mind as the ego, id and superego perform their tasks
Bulldogs Bank children
the collective name given to 6 children who were surviviors of a Nazi concentration camp; Anna Freud cared for them in a house called Bulldogs Bank; she learned much about the resiliency of the personality from them
developmental lines
reliable sequences of development during which children outgrow dependence on external controls and gain in ego mastery of internal and external reality; Anna Freud listed 6 separate developmental lines
Six Developmental Lines
1. From dependency to emotional self-reliance
2. From suckling to rational eating
3. From wetting and soiling to bowel and bladder control
4. Irresponsibility to responsibility in body management
5. From body to toy and play to work
6. From egocentricity to companionship
ego mastery
the ego's ability effectively to deal with both internal drives and external reality; ego mastery involves the individual's growing awareness of inner and outer demands
Narcissistic Defenses
- used by children & psychotics
- Projection
- Denial
- Distortion
Immature Defenses
- used by adolescents (also seen in depression & OCD)
- Acting Out
- Blocking
- Hypochondriasis
- Introjection (defensive & developmental)
- Passive-Aggressive Behavior
- Projection
- Regression
- Schizoid Fantasy
- Somatization
- Turning Against the Self
Neurotic Defenses
seen in adults under stress (also OCD and hysterics)
- Controlling
- Displacement
- Dissociation
- Inhibition
- Intellectualization
- Isolation
- Rationalization
- Reaction Formation
- Repression
- Sexualization
- Undoing
Mature Defenses
normal adult adaptive mechanism
- Altruism
- Anticipation
- Aesceticism
- Humor
- Sublimination
- Suppression
Projection
(Narcissistic Defense)
[Displacement Outward]
- perceiving and reacting to unacceptable inner impulses as though they were outside of the self (e.g. paranoia: delusions about external reality) * there is also an Immature type which less severe
Denial
(Narcissistic Defense)
[Motivated Negation]
- seeing but refusing to acknowledge what one sees or hears; negating what is actually heard (closely related to sensory experience); not all denial is ‘psychotic’ (e.g. adaptive in trauma survivors - denying they were abused); the neurotic avoids becoming aware of some painful aspect of reality whereas the psychotic denies reality and replaces it with a fantasy or delusion
Distortion
(Narcissistic Defense)
- grossly reshaping external reality to suit inner needs, beliefs, wish-fulfilling delusions, hallucinations; namely employing sustained feelings of delusional superiority/entitlement
Acting Out
(Immature Defense)
- gratify an impulse; namely impulsive behavior more than the prohibition against it
- on a chronic level, acting out involves giving in to impulses to avoid the tension that would result from postponement of expression (e.g. sexual acting out in sexual abuse victim, gives some sense of mastery yet also has a negative downside - may temporarily feel good but long-term, can increase regret/negative feelings)
Blocking
(Immature Defense)
- inhibition, usually temporary in nature (of feelings)
- also could be thinking and impulses (similar to repression but there is tension arising from inhibition - e.g. “why can’t I remember that?” with agitation as an accompanying affect)
Hypochondriasis
(Immature Defense)
- transformation of anger/hatred (reproach) towards others (arising from loss, loneliness, or unacceptable aggressive impulses) into self- reproach and complaints of pain, somatic illness without physical origin (I.e. if physical problems exist, reported symptoms are exacerbated)
- purpose: responsibility may be avoided, guilt may be circumvented, instinctual impulses may be warded off
Introjection - Developmental Function
(Immature Defense)
[Taking Within]
taking in objects (psychologically and
physically - e.g. oral stage)
Passive-Aggressive Behavior
(Immature Defense)
- aggression toward an object expressed indirectly and ineffectively through passivity, masochism, and turning against the self (I.e. if someone is mad, passive-aggressive behavior makes them madder at you)
Projection
(Immature Defense)
[Displacement Outward]
- attributing one’s own unacknowledged feelings onto others (e.g. cheating spouse is suspicious of their partner who is not cheating) & (e.g. rejection of intimacy through suspiciousness, hyper vigilance to external danger, injustice collecting); projection operates in relation to one’s introjects (material of projection is derived from internalized configuration of the introjects); at higher levels of functioning, projection may take the form of misinterpreting motives, attitudes, feelings, or intentions of others
*recall that there is a more severe form & that there is another primitive form known as “projective identification”
Regression
(Immature Defense)
[Developmental Retreat]
- return to previous stage of development or functioning to avoid the anxieties involved in later stages (reflects basic tendency to achieve some gratification, namely regressed behavior when later, more differentiated modes fail)
Schizoid Fantasy
(Immature Defense)
- tendency to use fantasy and to indulge in autistic retreat for purposes of conflict resolution and gratification (I.e if someone significant is mad so you withdraw and pretend not to hear and think negative thoughts in your head about the other person)
Somatization
(Immature Defense)
- conversion of psychic conflict into bodily symptoms (e.g. getting ‘sick’ to avoid something that is psychologically difficult to handle)
Turning Against the Self
(Immature Defense)
[Self-as-Object or Target]
- changing an unacceptable impulse that is aimed at others by redirecting it against oneself (e.g. teenagers in conflict esp. boys who may hit themselves instead of acting out)
Controlling
(Neurotic Defense)
- excessive attempt to manage or regulate events/objects in the environment in the interest of minimizing anxiety and solving internal conflicts
Displacement
(Neurotic Defense)
[Redirection of Impulse]
- purposeful, unconscious shifting from one object to another in the interest of solving a conflict (e.g. yell at your spouse when you are really angry at your boss)
Dissociation
(Neurotic Defense)
- temporary but drastic modification of character or sense of personal identity to avoid emotional distress (e.g. fugue states; dissociative states in trauma)
Inhibition
(Neurotic Defense)
- unconsciously determined limitation to avoid anxiety arising out of conflict with instinctual impulses, superego, or environmental forces
Intellectualization
(Neurotic Defense)
- control of affects and impulses by way of thinking about them instead of experiencing them (systematic excess of thinking, deprived of its affect, to defend against anxiety caused by unacceptable impulses)
Isolation
(Neurotic Defense)
[Stripping of Emotion, Meaning]
- intrapsychic splitting or separation of affect from content resulting in repression of either idea or affect or displacement of affect to different/substitute content
Rationalization
(Neurotic Defense)
- justification of attitudes, beliefs, or behaviors that might otherwise be unacceptable
Reaction Formation
(Neurotic Defense)
[Believing the Opposite]
- (anticathexis) - management of unacceptable impulses by permitting expression of the impulse in its opposite form; expression of the impulse in the ‘photographic negative’ (e.g. someone who is super nice to someone they dislike intensely)
Repression
(Neurotic Defense)
[Motivated Forgetting]
- expelling and withholding from conscious, awareness of an idea or feeling:
- (a) primary repression - curb ideas and feelings before they reach conscious
- (b) secondary conscious - exclude from awareness what was once experienced on a conscious level
Sexualization
(Neurotic Defense)
- endowing of an object or a function with sexual significance - to ward off anxieties connected with prohibitive impulses (of engaging in real sexual behavior); (e.g. paraphilias such as fetishism, masochism/sadism, etc)
Undoing
(Neurotic Defense)
[Magical Cancellations]
- symbolically acting out in reverse, something unacceptable that has already been done (see this in ritualized behaviors); a form of ‘magical’ expiatory /ending action
Altruism
(Mature Defense)
- vicarious but constructive and instinctually gratifying service to others
Anticipation
(Mature Defense)
- realistic anticipation of or planning for future inner discomfort; implies overly concerned planning. Worrying, and anticipation of dire and dreadful possible outcomes
Aesceticism
(Mature Defense)
[Renunciation of Needs]
- elimination of directly pleasurable affect(s) attributable to an experience; gratification is derived from the renunciation or ‘giving up’ of the desired object (e.g. ‘good clergy’); ‘moral’ element is implicit in setting values on specific pleasures (which are perceived consciously)
Humor
(Mature Defense)
- overt expression of feelings without personal discomfort or immobilization and without unpleasant effect on others; humor allows one to bear, and yet focus on, what is too terrible to be borne; in contrast to wit - which always involves distraction or displacement away from the affective issue
Sublimination
(Mature Defense)
[Acceptable Substitutes]
- gratification of an impulse whose goal is retained but whose aim or object is changed from a socially objectionable one to a socially valued one (e.g. sublimation of aggressive impulse through pleasurable games or sports) - allows re-channeling; feelings are acknowledged, modified, and directed toward a relatively significant person or goal so that modest instinctual satisfaction results
Suppression
(Mature Defense)
- conscious or semi-conscious decision to postpone attention to a conscious impulse or conflict
Altruistic Surrender
[Sacrifice Self]
fulfill others’ needs to the detriment of the self- extreme example would be a soldier throwing him/herself on a grenade to save others
Reversal
[Active into Passive]
- reversal transforms an impulse from an active to a passive mode; similar to reaction-formation & turning-against-self; ex: sadistic impulses may become masochistic, with the self as passive target of aggression and sexual impulses
Identification-with-the-Aggressor
[Adopting Feared Traits]
- adopting the traits or mannerisms of a feared person or object; ex: a little girls who was afraid to walk down the dark hallway of her house for fear of meeting a ghost solved the problem by "booing" her way down the hall: "You just have to pretend that you're the ghost who might meet you."
object relations
- in Freud's theories objects were considered aims of id drives; later theorists defined object relations as the person's actual relationships with and subjective views of "objects" (mostly people) beyond the subjective world of the self
theory / theories
Normal Autism
(S-I Forerunner 1)
a. strong stimulus barrier
b. absolute primary narcissism
c. conditional hallucinatory omnipotence
* achievement: homeostatic balance of physiological mechanisms
(first month)
Normal Symbiosis
(S-I Forerunner 2)
a. dim recognition of mother as object
b. good (pleasure) and bad (pain) distinguished
c. no real separation of self from mother
* achievement: formation of inner core of self established through mother's handling of infant's needs
(2 to 4 months)
Differentiation and Development of Body Image
(1. S-I Subphase)
a. hatching process of tentative differentiation of self from mother
b. checking back to mother pattern
c. stranger anxiety
* achievement: movement toward active and separate functioning
(5 to 9 months)
Practicing
(2. S-I Subphase)
a. interest in early phase in inanimate objects supplied by mother
b. expanded locomotor capacity
c. low-keyed behavior when mother is absent; imaging mother
* achievement: building fear resistance to separation from mother and increased exploration of world
(10 to 14 months)
Rapprochement
(3. S-I Subphase)
a. increased awareness of separateness from mother
b. shadowing of mother
c. darting-away games
d. rapprochement crisis, "losing" mother, and conflict between urge to separate ad fear of loss
e. splitting mechanism of defense
* achievement: ego eventually integrates good and bad images; beginning of gender identity
(14 to 24 months)
Consolidation of Individuality
(4. S-I Subphase)
a. verbal form of communication dominant
b. time concepts
c. emotional-object constancy
* achievement: formation of a stable self-concept, a notion of "me" separate from love object
(2 to 3 years)
Separation-Individuation
- process required for normal ego functioning; begins optimally around the fourth month and climaxes at or near the end of the third year of life
process
object
- a technical word that refers simply to that which will satisfy a need
first coined by Sigmund Freud
representation
- refers to how the person has or possesses and object; how the person physically represents the object
Heinz Hartman
- ido-ego matrix
- for humans to fully attain potential, you must look at maturation
- emphasized importance of social factors in development; children are not just creatures of drives → we are born with inborn-apparatus (apparati)
Ego Psychology vs. Psychoanalysis
- Freud: intra-psychic conflict is essential
- id is innate → 6 mos. later ego develops from id; metaphor: ego is rider, id is horse → ego steals energy from the id & uses to conflict against it
- Hartman: states that ego cannot steal energy from the id → metaphor: would be like buying father’s day gift with dad’s own money; ego MUST have its own energy
phylogenic/inborn-apparatus
- inborn; innate
- ex: blinking, sneezing
ego apparatuses of primary autonomy
- inborn tools for primary happiness
eudaimonia
- happiness at home; entitled sense of having a good life
mental health
- we’re well-adaptive b/c our productivity is undisturbed
- when this happens the ego is in charge
goodness-of-fit
- eventually you’ll realize child has his own temperament
average expectable environment
- mothers’ needs reflect child’s needs, behind the mother is the father, infant affects others and is affected back
- parents and kids reflect each other well
- needed for a child to develop primary happiness;
four regulatory processes
1. equilibrium b/t environment and individual
2. equilibrium of the instinctual drive
3. structural equilibrium
4. secondary happiness
emotional object permanence
– parent is leaving, you know that they will be back; can maintain good feelings toward caregiver even if they are treating you badly (precursor to superego formation)
Heinz Kohut
- took people off the couch & sat across from them
guilty man vs. tragic man
- metaphor that distinguished Freud from Kohut
- Freud: guilt - based on conflict theory
- Kohut: tragedy - based on deficits, losses, trauma
self as a structure
- id, ego, superego are within the self
- (idealized) parental imago
- idealized self (grandiose self)
children need 3 valuable things from their parents:
- empathy
- mirroring needs
- idealizing needs
empathy
- being able to see from another’s perspective
mirroring needs
- validate what another experiences; at least acknowledge that their experiences/perspectives are true/valid
idealizing needs
having someone to admire
introjects
- we internalize these experiences
transmuting internalization
- self-soothing: “that which doesn’t kill you, makes you stronger”
- when there are more positive than negative introjects
autonomy
self-suffiency existing within the context of an ongoing affiliative interaction
mirroring transference
- indicates that no one validated them as children
- ex: someone who does not think that a major step in their development is important to the therapist ("I didn't think that it would be important to you")
idealizing transference
- indicates that the person had no one to look up to in their childhood
- when they project this onto their therapist, it usually sounds something like, "I know that you're perfect and your life is perfect, but I live on this planet."
the ordinary devoted mother
- mother can emphatically put herself in the baby's place
annihilation anxiety
- parent fails to soothe them
- "This is the one that's going to kill me"
5 Levels of False Self
(maladaptive --> adaptive)
1. Mask
2. Caretaker
3. Defender
4. Imitator
5. Facilitator
The Mask
- Extreme Maladaptive Self
- true self covered; false self takes over everything
The Caretaker
- Moderately Maladaptive
- true self is dimly acknowledged
- minimal spontaneity
- false self protects and caretakes true self & regards true self as a potential
- may include serial killing
The Defender
- Minimally Adaptive
- false self protects true self against exploitation
- buying time till proper conditions for emergence of true self can be found
- if safe conditions can't be found, false self can follow true to death (suicidality/suicidal dilemma)
The Imitator
- Moderately Adaptive
- false self modeled on caring, productive, protecting people
- no real liveliness
- act as pieces of their favorite people
The Facilitator
- Healthy Adaptive
- false self is normally organized
- when you have to 'act right' (polite, etc), you can
- true self grows more complex over time
- can take difficulties in stride
- a sublimation rather than its defender
false self
socialized self
transitional objects
- things people use to establish a relationship with in order to remind them of good times
- child has the right over the object
- does NOT include imaginary friends (must be an object, not a hallucination)
the holding environment
- a mental and physical space within which the infant is protected without knowing he is protected
personality integration
- marked by several characteristics
- elevates cuddling to a primary means of communication b/t infant & mother
Winnicott Stage I
personalization
- process of taking ownership over one’s own body
- evolving person has a place to reside
- mother’s attention to physical care & cleanliness of child is important
Winnicott Stage II
realization (pre-rapprochement)
[Winnicott Stage III]
- external reality interferes with one’s needs
Kohut's rejection of Freudian Conflict Theory
- Kohut then developed his ideas around what he called the tripartite (three-part) self
self psychology
- placed a great deal of emphasis on the vicissitudes of relationships
tripartite (three-part) self
- can only develop when the needs of one's "self states," including one's sense of worth and well-being, are met in relationships with others
narcissism
- if a person is narcissistic, it will allow him to suppress feelings of low self-esteem by talking highly of himself, the person can eliminate his sense of worthlessness
emphatic failure
- the failure of one part of the system to understand the meaning and experience of another
self objects
refers to any narcissistic experience in which the other is in the service of the self
self
- the cognitive representation of one's identity
2 poles of the self
- two systems of narcissistic perfection:
- 1) a system of ambitions
- 2) a system of ideals
- represented natural progressions in the psychic life of infants and toddlers
the grandiose self
- the narcissistic self
- the pole of ambitions
- arrests in the grandiose self led to the preservation of a false, expansive sense of self that could manifest outwardly or remain hidden from view
the idealized parental imago
- the pole of ideals
- arrests in the pole of ideals occurred when the child suffered chronic and excessive disappointment over the failings of early idealized figures
object constancy
- phase when the child understands that the mother has a separate identity and is truly a separate individual
hatching
- gradual evolution of the sensorium, characterized by a new look of alertness, persistence, and goal directedness
- the child is observed pulling at his mother's hair and ears, feeding her, straining back for a better look at her, all in contrast to the earlier molding into mother when held
three levels of happiness
1 - never expected it & it happens
2 - pros/cons
3 - eudaimonia; living a good life
Introjection
(defensive function)
(Immature Defense)
(1) introjection of loved ones - internalization of characteristics of objects with goal of establishing closeness to and constant presence of the object; anxiety consequent to separation/tension from ambivalence is diminished (I.e. self-soothing function); internalize parents, friends, etc.
- (2) introjection of feared objects - avoid anxiety by internalizing aggressive characteristics of an object and thereby putting aggression under one’s control (e.g. identifying with the aggressor - thus subject’s weak and passive position is transformed into an active, strong one – “if you can’t beat em, join em”)
external impingement
- delay in getting what one wants → kid realizes somebody is giving him food