Psychosocial Therapies
What is “interpreting upward”?
A technique used to strengthen a patient’s defenses and alleviate anxiety in supportive psychotherapy.
During psychotherapy, how does one tell the accuracy of a therapist’s interpretation in regard to the patient’s information?
The patient shows deepened insight when the therapist’s interpretation is accurate.
According to object relations theory, what can conflict within a marriage generally be traced to?
Projective identification and splitting between the spouses.
How does the structural model of family therapy characterize the family?
A family is a complex system comprised of alliances and rivalries among family members.
After finishing the initial task of organizing planned meetings and selecting appropriate patients for supportive group therapy, what should the therapist do next?
Create and maintain a therapeutic environment, keeping in mind the culture of the group.
In psychotherapy, what could a psychiatrist’s fear of experiencing the patient’s rage and self-destructive behavior result in?
The psychiatrist becoming intimidated and helpless.
Give an example of “catastrophizing” in psychotherapy.
A patient who has an excellent working history fears being terminated in the next day’s meeting with his supervisor.
What is overidentification?
The therapist feels great empathy toward the patient and fails to maintain sufficient distance to observe the patient’s objective thoughts or behavior.
Give an example of confrontation.
“I think you’d rather talk about your job than face the sadness you felt in our last session.”
What is the fundamental rule for psychoanalysis?
Free association.
What is working through?
A procedure in psychodynamic psychotherapy. Through the analyst’s interpretation of transference and resistance, insight may finally become integrated into the patient’s conscious awareness.
Besides being a conjunctive biologic treatment, does medication play a role in psychotherapy?
Medication prescribed by a psychiatrist may function as a psychological connection to the psychiatrist during the periods between visits.
What is the focus in interpersonal psychotherapy?
Patterns of communication.
For which patients is brief focal psychodynamic psychotherapy appropriate, and for which patients is it contraindicated?
Patients suitable for brief focal psychodynamic psychotherapy must be highly motivated, able to deal with psychological concepts, and able to develop a therapeutic alliance.
Contraindications to such therapy are past suicide attempts, substance dependence, chronic alcohol abuse, incapacitating obsessional or phobic symptoms, and destructive behavior.
Brief focal psychodynamic psychotherapy was developed at the Tavistock Clinic in London by Daniel Malan.
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