Psychodynamics: Class 1 & 2

Transference

the patient's transfer to the analyst of emotions linked with other relationships

Countertransference (Freud)

Unconscious or consciuos feelings the health care worker has toward the patient. EX: reminds them of family, can be good or bad

Anna O (Bertha Pappenheim)

Often cited as first psychoanalytic patient; suffered from hysteria; hypnosis brought about catharsis; treated by Breuer. It didn't end well due to a lack of understanding of the impact of transference.

Psychodynamic therapy

a newer and more broad term for therapies based on analyzing deeper structures of the patient

Classical Psychoanalysis

Perspective developed by Freud, which assumes that psychological problems are the result of anxiety resulting from unresolved conflicts and forces of which a person is unconscious. Most restricted, traditional form of psychoanalysis, following the theory and technique and outlined by Freud originally. Less open to the theories and ideas of Freud's subsequent followers.

Psychoanalysis

Refers to both the theory of psychoanalysis and the treatment derived from it. The treatment is generally 2-5 days per week following the more traditional format and technique of psychoanalysis as set out by Freud and his followers since then (including ego psychology, object relations and self psychology).

Psychoanalytic psychotherapy

Referring to psychotherapy that is informed by psychoanalytic theory and principles of technique but does not conform to the parameters of true psychoanalysis (I.e reduced frequency or scope, alterations in frame, etc.)

Five concepts in all psychoanalytic thought (classical through more modern psychodynamic)

Unconscious; Developmental; Conflicts/Defenses; Psychic determinism; Resistance

Unconscious

According to Freud, a reservoir of mostly unacceptable thoughts, wishes, feelings, and memories. According to contemporary psychologists, information processing of which we are unaware.

Conflict

A struggle between opposing forces

Defense

protection from harm

Defense mechanisms

in psychoanalytic theory, the ego's protective methods of reducing anxiety by unconsciously distorting reality

Psychic determinism

Freud's assumption that all our mental and behavioral responses are caused by unconscious traumas, desires, or conflicts. There are no "accidents"

Three cultural influences on Freud's theory

1. VIctorian era with highly sexualized behavior but spoken values are of purity. 2. His history of moving in to a highly prejudicial, antisemitic country at a young age where he experienced the negative side of humanity 3. 1800's emphasis on science

How did Freud get interested in clinical work versus scientific work?

To pay the bills

Charcot

Freud studied with him in Paris. Neurologist who first starts using talk therapy and hypnosis as treatment for hysteria.

Breuer

Colleague of Freud's who was using hypnosis and talking to help his patient recover from hysteria