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41 Cards in this Set

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  • Back
What is psychotherapy?
interpersonal, relational intervention by trained therapists to aid in life problems
What is the goal of psychotherapy?
increase sense of well-being, reduce discomfort
What can psychotherapy accomplish?
learn to identify and change behaviors or thoughts that adversly affect life
explore and improve relationships
find better ways to cope and solve problems
learn to set realisitc goals
What is the main determinant of outcome with regard to psychotherapy?
therapist/client relationship
Lambert (1992) extimates that __% client changes in psycotherapy are due to motivation or severity of problem; __% to the qualtiy of the therapeutic relationship; __% to expectancy (placebo) effects, and __% to specific techniques.
40
30
15
15
What does psychoanalysis focus on?
unconscious as it emerges in treatment relationship
insight by interpretation of unconscious conflict
What is the major con for psychoanalysis?
expensive
What are the requirements for psychonanalysis?
stable
highly motivated verbal
psychologically minded
must beable to tolerate stress without becoming overly regressed, distraught, impulsive
Name two prominent early psychoanalysts?
Freud
Jung
What is transference?
uncounscious redirection of feelings for one person to another (including therapist)
What is countertransference?
redirection of therapist's feelings for the patient
What is therapeutic alliance?
therapist and patient trust
What is resistence?
ideas unaccpetable to consious
prevents therapy from proceeding
What is free association?
patient says what comes to mind uncensored
clues to unconscious
Name the mature defense mechanism:
altrusim
anticipation
humor
sublimation
suprression
affiliation
Name the neurotic defense mechanisms:
displacement
externalization
intellectualization
repression
reaction formation
Name the primitive defense mechanisms:
denial
autistic fantasy
passive-aggressive
acting out
splitting
projection
projective identification
What is altrusim?
deal with stress or conflict through dedicaiton to meeting other's needs
What is anticipation?
anticipate possible adverse events and prepare for them
What is humor (as a mature defense mechanism)?
deal with stress by seeing irony
What is sublimation?
channel potentially maladaptive impulse into socially acceptable behavior
What is suppression?
avoid thinking about stressor
What is affiliation?
turn to others for support
What is displacement?
transfer of negative feelings about one object to another
What is externalization?
blame problems on another
What is intellecualization?
rely excessively on details to maintain distance from painful emotions
What is repression?
expel disturbing thoughts from consciousness
What is reaction formation?
do opposite of what you feel
What is denial?
refuse to acknowledge aspect of reality
What is autistic fantasy?
excessive day-dreaming
What is acting out (as a defense mechanism)?
engage in inappropriate behavior without consideration of consequences
What is splitting?
compartmentalize opposite affective states
What is projection?
falsely attribute unacceptable feelings to another
What is projective identification?
falsely attribute to a second individual who in turn projects back to patient
what is psychodynamic psychotherapy based on?
modified psychoanalytic formations
What is the difference between psychodynamic psychotherapy and classical psychotherapy?
psychodynamic: couch not used, less focus on transference and dynamics
interpretation, encouragement to elaborate, affircmation and empathy important
What is the difference between couseling and analytic psychotherapy's aims?
counseling: restore status quo, restore coping skills
psychotherapy: structural change, personality maturation, integration
Cognitive behavior therapy and interpersonal psychotherapy: __ to __ sessions are as effective as _____ treatment for less severly depressed patients.
16 to 20
imipramine
Dialectical behavioral therapy was used to treat ______.
borderline personality disorder
What skills can you lear from dialectical behavioral therapy?
core mindfulness
emotion regulation
interpersonal effectiveness and distress tolerance
What is dialectical behavior therapy superior to 'treatment as usual'?
reducing parasuicide
medical severity of parasuicide
treatment drop-out
number of inpatient hospitalization days