Psychoanalytic Therapy Quiz
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Questions and Answers

What is one of the primary goals of psychoanalytic therapy?

  • Minimize emotional experiences
  • Encourage immediate lifestyle changes
  • Make the unconscious conscious (correct)
  • Enhance intellectual reasoning

Which of the following best describes the nature of human instincts according to the content?

  • Uncontrolled and random
  • Completely influenced by social factors
  • Deterministic and driven by life and death instincts (correct)
  • Balanced between love and hate

What distinguishes psychodynamic therapy from classical psychoanalysis?

  • Shorter duration and fewer sessions per week (correct)
  • Less emphasis on the therapist-client relationship
  • More frequent sessions and interpretations
  • Strict avoidance of therapist self-disclosure

In psychodynamic therapy, what is the approach to therapist self-disclosure?

<p>It can be used without negatively impacting transference (D)</p> Signup and view all the answers

What type of interventions are more commonly utilized in psychodynamic therapy compared to classical psychoanalysis?

<p>Supportive interventions such as empathy and reassurance (C)</p> Signup and view all the answers

Which aspect of therapy is emphasized more in psychodynamic therapy rather than classical psychoanalysis?

<p>The here and now relationship (D)</p> Signup and view all the answers

What is a significant characteristic of classical psychoanalysis sessions compared to psychodynamic therapy sessions?

<p>Higher frequency of sessions (B)</p> Signup and view all the answers

Why is it important for a client to avoid making radical lifestyle changes during classical psychoanalysis?

<p>To maintain the integrity of the therapeutic process (C)</p> Signup and view all the answers

Which of the following accurately describes 'insight' in the context of psychoanalytic therapy?

<p>Involving the experience of memories and feelings related to self-understanding (C)</p> Signup and view all the answers

What is a common misconception about the nature of psychoanalytic therapy?

<p>It is entirely deterministic and leaves no room for change. (B)</p> Signup and view all the answers

What is the primary role of the blank-screen approach in psychoanalytic therapy?

<p>To facilitate transference of feelings to the therapist (A)</p> Signup and view all the answers

Which of the following best describes countertransference?

<p>The therapist’s personal feelings affecting their reaction to the client (A)</p> Signup and view all the answers

What is significant about the working-through process in therapy?

<p>It involves repetitive exploration of unconscious material and defenses. (A)</p> Signup and view all the answers

Why is it important for therapists to undergo their own psychoanalytic therapy?

<p>To develop humility and an authentic client relationship (A)</p> Signup and view all the answers

What distinguishes classical psychoanalysis from contemporary relational psychoanalysis?

<p>The emphasis on the therapeutic relationship (C)</p> Signup and view all the answers

Which type of feelings can not be associated with transference?

<p>Genuine feelings based on the therapist's current behavior (C)</p> Signup and view all the answers

What does the term 'defenses' refer to in the context of psychoanalytic therapy?

<p>The techniques clients use to avoid painful feelings (B)</p> Signup and view all the answers

What is a key outcome of the working-through process in therapy?

<p>Prolonged engagement with unconscious material (D)</p> Signup and view all the answers

What did Anna Freud shift the focus of psychoanalytic therapy towards?

<p>Ego development (B)</p> Signup and view all the answers

In Erikson's psychosocial stages of development, what is the purpose of resolving each crisis?

<p>To facilitate psychosocial growth (D)</p> Signup and view all the answers

What is the primary goal of Object Relations Therapy?

<p>To replace bad objects with good objects (A)</p> Signup and view all the answers

What does Heinz Kohut's Self-Psychology focus on?

<p>Developing healthy narcissism (A)</p> Signup and view all the answers

Which of the following ego functions is considered autonomous from biological drives according to Anna Freud?

<p>Intelligence (A)</p> Signup and view all the answers

What role does the therapist play in Object Relations Therapy?

<p>A good object providing empathy (C)</p> Signup and view all the answers

What is meant by 'mirroring and idealizing transference' in Self-Psychology?

<p>Client's engagement in idealizing and seeking empathy (C)</p> Signup and view all the answers

What outcome does the shifting focus to pre-oedipal dynamics in Object Relations Therapy aim to achieve?

<p>Bridging interpersonal connections (C)</p> Signup and view all the answers

What is a key assumption of contemporary relational psychoanalysis?

<p>Therapist is a participant-observer in therapy. (C)</p> Signup and view all the answers

What is the primary goal of attachment-informed psychotherapy?

<p>To correct dysfunctions in the internal working model. (C)</p> Signup and view all the answers

In short-term/time limited psychoanalytic therapy, what does the role of the therapist aiming for a corrective emotional experience involve?

<p>Adopting a supportive role to counteract previous experiences. (D)</p> Signup and view all the answers

What is the focus of focal psychotherapy as described in the content?

<p>Examining one significant conflict in depth. (D)</p> Signup and view all the answers

What potential risk is associated with the role-playing technique in short-term psychoanalytic therapy?

<p>The role-playing may inadvertently traumatize the client. (B)</p> Signup and view all the answers

What is the primary goal of interpretation in therapy?

<p>To uncover hidden meanings in client's behavior (A)</p> Signup and view all the answers

What does 'free association' primarily involve?

<p>Client sharing thoughts without censorship (B)</p> Signup and view all the answers

How should therapists approach interpretations?

<p>Ensure they are timed appropriately based on the client's reactions (D)</p> Signup and view all the answers

What is the latent content of a dream?

<p>The underlying meaning of the dream (C)</p> Signup and view all the answers

What does resistance refer to in a therapeutic context?

<p>The reluctance to bring unconscious material into awareness (B)</p> Signup and view all the answers

In dream analysis, what is the process of transforming latent content to manifest content called?

<p>Dream work (A)</p> Signup and view all the answers

What is the primary focus of interpreting transference in therapy?

<p>To help clients change long-standing behavioral patterns (D)</p> Signup and view all the answers

What can be a cue for identifying anxiety-arousing repressed material during free association?

<p>Blocks or resistance in the therapy session (B)</p> Signup and view all the answers

What is one of the key components of maintaining the analytic framework?

<p>Analyst anonymity and well-defined boundaries (A)</p> Signup and view all the answers

What is emphasized in contemporary relational analysis regarding interpretations?

<p>They are best communicated as hypotheses (D)</p> Signup and view all the answers

Flashcards

Psychoanalytic Goals

To make the unconscious conscious, increasing awareness and self-insight, strengthening the ego, leading to personality change.

Psychoanalytic Human Nature

Deterministic, driven by life (pleasure, survival, sex) and death (aggression) instincts.

Classical Psychoanalysis

Intensive, long-term therapy with frequent sessions emphasizing interpretations and less supportive interventions.

Psychodynamic Therapy

Intensive but shorter therapy compared to Classical psychoanalysis. Emphasizes the here-and-now relationship with more supportive interventions.

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Interpretation (Classical)

Frequent use of interpretations by the therapist during Classical Psychoanalysis to reveal unconscious meanings

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Supportive interventions (Psychodynamic)

More focus on empathy, support, suggestions within psychodynamic therapy, compared to classical psychoanalysis' minimal support.

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Therapeutic Regression (Classical)

A more relaxed and less rigid level of adjustment in classical psychoanalysis aimed at exploring unconscious conflicts and emotions

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Here-and-Now Relationship

Focus on the present interaction between therapist and client. Relatively more important in psychodynamic therapy compared to classical psychoanalysis.

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Therapist Self-Disclosure (Classical)

Avoidance of self-disclosure by the therapist to preserve the transference of feelings within classical psychoanalysis.

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Radical Lifestyle Changes (During Analysis)

Avoid making significant life changes during therapy.

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Transference

Transferring feelings from past relationships to the therapist.

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Countertransference

Therapist's emotional reactions to the client, often influenced by the client's transference.

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Working-through

Process of repeatedly exploring unconscious material and defenses.

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Psychoanalytic Therapy (Defenses)

During therapy, defenses are loosened to uncover unconscious conflicts.

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Unconscious Conflicts

Hidden, unresolved issues from past experiences affecting present behavior.

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Unresolved Childhood Conflicts

Conflicts stemming from difficulties during childhood that haven't been resolved.

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Blank-screen Approach

Therapist's neutral stance in analysis to encourage transference.

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Classical Psychoanalysis vs. Relational Psychonalysis

Classical psychoanalysis focuses on the external relationship between client & therapist, while relational psychonalysis emphasizes the dynamic therapeutic relationship itself.

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Two-person Psychology

A perspective in psychotherapy emphasizing the importance of the therapist-client relationship in understanding and treating mental health issues. Also known as intersubjectivity.

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Participant-Observer

The therapist's role in contemporary relational psychoanalysis, where they are actively involved in the therapeutic relationship while also observing and interpreting its dynamics.

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Mutual Enactments

The interplay of transference and countertransference in the therapeutic relationship. The client's projections of past relationships onto the therapist and the therapist's emotional responses to the client.

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Attachment-Informed Psychotherapy

A therapeutic approach that addresses dysfunctional patterns in relationships by focusing on the client's early attachment experiences and how they influence their current relationships.

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Internal Working Model

A mental blueprint based on early childhood experiences with caregivers that shapes how individuals interact with others throughout life.

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Ego Psychology

A shift in focus from biological drives to the development and functioning of the ego. It emphasizes how the ego functions autonomously, influencing abilities like intelligence and motor skills, and explores the role of ego defense mechanisms in coping.

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Ego Defense Mechanisms

Unconscious strategies used by the ego to protect itself from anxiety and conflict. These mechanisms can help with immediate coping but may become maladaptive when used excessively.

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Psychosocial Stages

Erikson's theory of development, which emphasizes the social and cultural influences on personality development throughout the lifespan. Each stage presents a unique crisis requiring resolution.

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Object Relations Therapy

A type of therapy that focuses on early childhood experiences (pre-Oedipal) with caregivers. It highlights the impact of these relationships on current interpersonal relationships and seeks to replace negative object representations with more positive ones.

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Libido in Object Relations

According to Fairbairn, libido is not primarily driven by pleasure seeking, but by the desire for interpersonal connection and the need for healthy relationships.

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Self-Psychology

A theory focusing on the development of a cohesive sense of self through empathic mirroring and idealizing responses by caregivers.

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Optimal Failures

In Self-Psychology, these are intentional moments where the therapist does not perfectly mirror or idealize the client, facilitating self-reflection and the development of a more realistic and resilient self-image.

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Mirroring and Idealization Transference

The client's unconscious attempt to re-engage with the therapist seeking the mirroring and idealizing responses they lacked in childhood. These are opportunities to work through unmet needs and heal past wounds.

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Analytic Framework

A consistent pattern of procedures in psychoanalysis, including scheduled meetings, therapist anonymity, clear boundaries, and a focus on interpreting deviations from these norms.

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Free Association

The fundamental rule in psychoanalysis where the client says whatever comes to mind, uncensored, allowing unconscious material to surface.

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Interpretation (Psychoanalysis)

The therapist's role in identifying and explaining the meaning of client's behavior, thoughts, and feelings, aiming to uncover unconscious material and facilitate self-understanding.

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Dream Analysis

Examining the manifest content (what the dream appears to be) to uncover the latent content (underlying meaning) through free association, revealing unconscious material and insights.

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Resistance (Psychoanalysis)

The client's reluctance to bring unconscious material into awareness, often manifested as avoidance, forgetting, or blocking during therapy, reflecting unconscious defenses against anxiety.

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Transference (Psychoanalysis)

The client unconsciously projects feelings and attitudes from past relationships onto the therapist, providing valuable insight into their interpersonal patterns and unconscious conflicts.

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Interpretations of Transference

A key technique in psychoanalysis where the therapist points out and helps the client understand transference, allowing them to gain conscious awareness and modify long-standing behavioral patterns.

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Contemporary Relational Analysis (Dreams)

A newer perspective on dreams that recognizes they are not solely about repressed material but can also be messages or warnings about potential problems in the client's life.

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Client Reaction as a Gauge

Using the client's responses to interpretations as a guide for how deeply to delve into unconscious material during therapy, ensuring the interpretation is appropriate and beneficial.

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Goal of Interpretation

To accelerate the process of uncovering unconscious material, enhance ego strength, and enable the client to integrate new insights into their conscious awareness, leading to self-understanding and change.

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Study Notes

Psychoanalytic Therapy

  • Goals: To make the unconscious conscious, increase self-awareness, and insight. Insight is more than just intellectual understanding; memories and feelings associated with self-understanding must be experienced. Strengthening the ego allows behavior to be based on reality. This process can lead to significant personality changes.

Human Nature

  • Deterministic: Driven by life instincts (survival, pleasure, sex) and death instincts (aggression).

Concepts

  • Classical psychoanalysis and psychodynamic therapy: Classical psychoanalysis (Freudian) is a long-term intensive approach, whereas psychodynamic therapy (Corey), while still intensive, is shorter and simpler. Psychodynamic approaches use fewer interpretations and more supportive interventions.

  • Transference: Client's transference of past feelings (negative and positive) toward significant others onto the therapist is facilitated in therapy, and not all feelings toward the therapist are due to transference. Countertransference is the therapist's reaction to the client, including all aspects of the client's behaviors. Countertransference can be of value to the therapist, helping them understand the client's world, and can be a source of growth for both therapist and client.

  • Classical v. Contemporary: Classical psychoanalysis keeps the analyst separate from the relationship, but contemporary relational psychonalysis centers the therapeutic relationship and brings the past into the present.

Therapeutic Relationship

  • Blank-Screen Approach: Therapists assume an anonymous, nonjudgmental stance. Avoid self-disclosure. Function: facilitate transference, the process of transferring past emotional conflicts and feelings onto the therapist.

Theory of Change

  • Transference Relationship: For change to occur, the transference relationship must be worked through.

Techniques

  • Maintaining the Analytic Framework: Consistent procedures like schedules, environment, and boundaries are crucial for providing a consistent setting and support system.

  • Free Association: Clients say whatever comes to mind without censorship. This helps identify repressed material in the unconscious.

  • Interpretation: Uncovering the hidden meanings of client's behaviors and pointing them out, along with client reactions being used as a gauge. Use client's reactions to interpret.

  • Dream Analysis: Manifest content the dream as it is visually perceived, and latent content the hidden meanings of the dream. Latent content is identified through free association.

Developmental Steps

  • Working-through Process: Repetitive and elaborate explorations of unconscious material and defenses.

Psychoanalytic Therapies: Applications

  • Attachment-Informed Psychotherapy: Corrects dysfunctions in internal working models, focusing on early child-caretaker relationships as models for future relationships.

  • Short-Term/Time-Limited Psychoanalytic Therapy: Role-playing, seeding, and/or manipulating the transference are techniques used for a quicker treatment of deeper issues.

  • Object Relations Therapy: Shifts focus from oedipal to pre-oedipal parent-child dynamics.

  • Self-Psychology: Focuses on developing healthy narcissism, with a goal of replacing "bad" objects with "good" ones. Therapist acts as a "good object."

  • Ego Psychology: Employs ego functions and defense mechanisms to help clients gain awareness of mechanisms.

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Psychoanalytic Therapy PDF

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Test your understanding of psychoanalytic therapy concepts, including goals, human nature, and the differences between classical psychoanalysis and psychodynamic therapy. Explore the role of transference and the process of increasing self-awareness through therapy.

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