Cole Ch. 5: Psychodynamic Theory, Attachment, & Ego Psychology

Psychoanalytic theory addresses a person's ability to . . .

Love and work

Psychoanalytic theory focuses on uncovering . . .

Unconscious conflicts and fixations

Largely unconscious, primitive drives/instincts, illogical

Id

"Psychological component"; logical, balances internal drives and external expectations

Ego

"Social component"; moral code, sense of good/bad, often illogical, idealism and perfection

Superego

How can OTs facilitate the expression of the aggressive drive's psychic energy?

Productive work, competition

How can OTs facilitate expression of libidinal drive's psychic energy?

Social skills, cooperation with others

Three forms of relational issues resulting from insecure attachments

Avoidant, ambivalent, disorganized

Exploratory interest sharing within an emotionally safe environment can be beneficial for patients who experienced . . .

Poor attachment as children

According to Ego Psychology, if clients see themselves as capable and worthwhile individuals, they will be . . .

Motivated to overcome disability

Ways of warding off anxiety and ensuring the safety and preservation of an intact ego

Defense mechanisms

Projection, denial, distortion

Narcissistic defenses

Acting out, blocking, hypochondriasis, introspection, passive-aggressive behavior, regression, schizoid fantasy, and somatization

Immature defenses

Controlling, displacement, dissociation, externalization, inhibition, intellectualization, isolation, rationalization, reaction formation, repression, and sexualization

Neurotic defenses

Altruism, anticipation, ascetics, humor, sublimation, and suppression

Mature defenses

Lowest level of groups, made up of clients doing individual tasks side by side

Parallel

Groups that emphasize task accomplishment; some interaction may be built in, like shared material and tools

Project

Groups requiring the members to select and implement the task

Egocentric-cooperative

Groups requiring the OT leader only as an advisor

Cooperative

Groups in which the OT is a coequal member

Mature

According to psychodynamic theory, motivation comes from _____________ and from the directing of psychic energy toward the mastery of _____________.

Drive reduction, ego skills

Freud's 5 Psychosexual Stages of Development

Oral, anal, phallic, latency, genital

Ego functions most appropriate to OT

Reality testing, sense of self, thought processes, judgment, self-control, defense mechanisms

Consensual validation and exploring outer reality

Reality testing

Self concept, body image, self-esteem

Sense of self

Attention, memory, learning and logical thought, compromise, problem solving

Thought processes

Recognizing situations and likely consequences of actions

Judgment