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Psychotherapy: 113b - Psychotherapies

Psychology16 CardsCreated about 2 months ago

This flashcard set introduces dialectical behavior therapy (DBT)—a mindfulness-based cognitive behavioral therapy—used effectively in patients with borderline personality disorder, PTSD, substance abuse, and chronic suicidality. It also summarizes Freud’s structural model of the psyche, distinguishing the Id (instincts), Superego (morality), and Ego (reality mediator).

Which kind of therapy focuses on mindfulness practices?

Which patients are most likely to benefit from this kind of therapy?

Dialectical behavior therapy

(A type of cognitive behavior therapy)

  • Borderline personality

  • PTSD

  • Substance abuse

  • Chronic suicidality

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Key Terms

Term
Definition

Which kind of therapy focuses on mindfulness practices?

Which patients are most likely to benefit from this kind of therapy?

Dialectical behavior therapy

(A type of cognitive behavior therapy)

According to Freud, what is the difference between the Id, the Superego, and the Ego?

  • Id

    • Personal drives; what we WANT to do

    • Hides in the unconscious

  • Superego

    <...

Patients with deep, complex cases who want to understand the connections between past and present would most likely benefit from which kind of psychotherapy?

Psychodynamic psychotherapy

Believing a person or situation is “all good” or “all bad” describes which primitive defense mechanism?

Splitting

What kind of psychotherapy does this describe?

  • Based on ideas of classical and operant conditioning, behaviors

  • Focuses on the “here and now”

  • Identifies thoughts/triggers in order to extinguish maladaptive behaviors and generate adaptive behaviors

Cognitive behavioral therapy

How does the role of the therapist differ in psychodynamic vs. cognitive behavioral therapy?

  • Psychodynamic therapist is:

    • Non-directive, leads unstructured sessions

    • Facilitates exploration, personal g...

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TermDefinition

Which kind of therapy focuses on mindfulness practices?

Which patients are most likely to benefit from this kind of therapy?

Dialectical behavior therapy

(A type of cognitive behavior therapy)

  • Borderline personality

  • PTSD

  • Substance abuse

  • Chronic suicidality

According to Freud, what is the difference between the Id, the Superego, and the Ego?

  • Id

    • Personal drives; what we WANT to do

    • Hides in the unconscious

  • Superego

    • Values, beliefs learned from society: what we SHOULD do

  • Ego

    • Deals with the demands of reality: what we DO

    • Balance between Id impulses and superego demands

Patients with deep, complex cases who want to understand the connections between past and present would most likely benefit from which kind of psychotherapy?

Psychodynamic psychotherapy

Believing a person or situation is “all good” or “all bad” describes which primitive defense mechanism?

Splitting

What kind of psychotherapy does this describe?

  • Based on ideas of classical and operant conditioning, behaviors

  • Focuses on the “here and now”

  • Identifies thoughts/triggers in order to extinguish maladaptive behaviors and generate adaptive behaviors

Cognitive behavioral therapy

How does the role of the therapist differ in psychodynamic vs. cognitive behavioral therapy?

  • Psychodynamic therapist is:

    • Non-directive, leads unstructured sessions

    • Facilitates exploration, personal growth/insight of the patient

  • Cognitive behavioral therapist is:

    • Active, educational, leads structured sessions

      • There may be a “curriculum” to follow

    • Facilitates training, techniques to extinguish maladaptive behaviors, generate adaptive behaviors

What kind of psychotherapy does this describe?

  • Based on the idea that unresolved childhood conflicts lead to transference, defense mechanism, symptoms

  • Focus on the emotional world of the patinet - past and present

  • Explore the origins of defenses, resistance

Psychodynamic therapy

Freuidian! Goal to “make the unconscious conscious”

Patinets who are struggling with grief after losing a loved one or having difficulty adapting after a life-changing event would most likely benefit from which kind of therapy?

Interpersonal therapy

Which patients would benefit most from desinsitization therapy

Patients with specific phobias

Jane has a big argument with her manager at work and yells at her children when she comes home

Which defense mechanism is this?

Displacement

Are all defense mechanisms maladaptive?

No

  • Primitive defense mechanisms can be maladaptive because they may prevent growth
    Denial

    • Splitting

    • Compartmentalization

    • Projection

  • More mature defense mechanisms protect the ego from stress and allow us to behave in civilization
    Rationalizing

    • Intellectualization

    • Sublimation

    • Humor

Patients who are struggling with a specific problem, such as insomnia or somatic symptom disorder, would most likely benefit from which kind of psychotherapy?

Cognitive behaviroal therapy

Focus is on changing behavior

What is transference (as it relates to psychotherapy)

How the patient reacts to the therapist based on pts previous experience

Which kind of therapy is best for patients in crisis when it isn’t warranted or practical to identify or resolve other symptoms or the root of the problem?

Supportive therapy or crisis therapy

A department employee who is threatened by their new boss decares that the boss is actually threatened by them

What kind of defense mechanism is this?

Projection

Attributing one’s own feelings onto someone else

How does dialectical behavior therapy differ from cognitive behavioral therapy?

  • CBT
    Helps patients solve a specific problem

    • Requires that the patient engage with the curriculum, learn new skills, tasks

    • More “cognitive load”

  • Dialectical behavior therapy
    Less “cognitive load”

    • Emphasis on midfulness practices, emotional regulation, distress tolerance

    • Better for patients who are severely distrubed and managing powerful, opposing emotions