2. Psychoanalysis

2. Psychoanalysis

Freud
1. early career
  1. visit to Charcot (1885)
    1. conversion hysteria
      1. not mesmerism but psychogenic cause
    2. Breur & repression
      1. Anna O & catharsis
        Freud & Luct R (1892)
        dominant mass
        Elisabeth von R
      2. Clark university
        traumas repressed
        anxiety as strangulated affect
        hypnosis & dissociation
        amnesic barrier
        DID/MPD
        Jonah
        dominant mass/ strangulated affect/ resistance/ catharsis/ sexuality
2. Why women?
  1. situation in Vienna
  2. Sexual etiology hypothesis
Models of the psyche
1. topographical
  1. conscious/ preconcious/ unconcious / continuum/ sybolisation & association
  2. Problems
    1. "knowing"
    2. key ideas often unconscious
  3. 1
2. Economical
  1. more flexible
  2. psychic energy/ energy distribution/ cathexis/ displaceability of cathexis/ max pleasure/ telic nature (goal orientated
  3. 2
3. Dynamic
  1. focus on appropriate energies
  2. Conflicting forces/ wish & resistance/ Wegners "white bear"
  3. Structural model
    1. supported by...
    2. ID
      1. Eros and Thanatos energy drives nestled in the ID
    3. EGO
      1. reality principle/ executive function/ ego strength/ serant to three masters/ dynamic equilibrium
    4. SUPEREGO
      1. restrains the ID/ critical to function/ conscience guilt/ ego-ideals/ developmental progression
  4. 3
defence mechanisms
1. act out/ re-channel/ defence
2. anxiety is a signal
3. allot resoures to maintain equilibrium
4. Anna Freud
  1. Rationalisation
    1. Regression
      1. Repression
        Reaction formation
      2. Projection
  2. ego-syntonic vs ego-alien
Dreams
1. Manifest & Latent
  1. Condensation & Displacement
2. WENGER (2004)
3. therapist interprets unconscious material, catharsis at how the latent relates to the manifest content
Talk therapy
1. symptom relief
  1. not direct focus on root cause, focus on getting there
    1. patient needs to explore
      1. free association
        induced confession (PENNEBAKERS EXPERIMENTAL PARIDIGM)
        FRATTAROLI (2006)
Projective Tests
1. Thematic Apperception
  1. Rorschach
PA today
1. goals (4)
2. application (5)

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