Question 1

Insight in analytic therapy typically requires the client to experience therapeutic regression and the &#34;working through&#34; of distortions in the context of the therapeutic relationship.These processes:&#10;A)require an immense amount of commitment from the client and are only for the strong willed.&#10;B)cannot be terminated prematurely without danger of psychological harm to the client.&#10;C)suggest the client has to be psychologically &#34;reborn&#34;.&#10;D)are well-understood by managed care institutions and are usually financially supported.&#10;E)are resigned to the unconscious and will happen no matter what the client or therapist does.

Accepted Answer

Analytic therapy involves exploring the unconscious mind and working through past experiences and distortions. This process can be intense and requires the commitment of both the client and therapist. Premature termination of therapy can be harmful to the client, as it may leave unresolved issues and distortions. However, it is not necessary for the client to be psychologically "reborn," and the unconscious processes can be brought to the surface and worked through within the therapeutic relationship. Managed care institutions may not fully understand or support analytic therapy, as it can be a longer-term and more intensive form of therapy.

Question 2

Treatment techniques of psychoanalytic psychotherapy include all except:&#10;A)dreams, jokes, slips and symptoms.&#10;B)interpretations of resistance and content.&#10;C)transference and countertransference.&#10;D)paradoxical intention.&#10;E)the therapeutic contract.

Accepted Answer

Paradoxical intention is not a technique used in psychoanalytic psychotherapy. It is a technique used in other forms of psychotherapy, particularly in cognitive-behavioral therapy. The other choices are all commonly used techniques in psychoanalytic psychotherapy.

Question 3

Assessment of an individual client's need for analytic therapy would include:&#10;A)development of behaviors that express an unconscious desire.&#10;B)determining whether he/she wants and needs to understand the unconscious roots of his/her neurosis.&#10;C)identifying an early childhood trauma that resulted in becoming fixated at an early developmental stage.&#10;D)the client's ability to recall his/her dreams so that they may be analyzed.

Accepted Answer

Analytic therapy is a form of psychodynamic therapy that focuses on helping clients understand their unconscious conflicts and the impact these conflicts have on their current functioning. Therefore, an assessment of a client's need for analytic therapy would involve determining whether the client is interested in exploring and understanding the unconscious roots of their neurosis. This would require their willingness to engage in a longer-term therapy process that involves exploring childhood experiences and unconscious patterns. While the other options are potentially relevant to analytic therapy, they are not necessary for an initial assessment of a client's need for this approach to treatment.

Question 4

Which of the following statements about the psychodynamic approaches is not true?&#10;A)Practitioners can learn to think psychoanalytically even if they do not practice psychoanalytically.&#10;B)The goal of brief psychodynamic therapy is to cure clients.&#10;C)Brief dynamic therapy focuses more on the here and now of the client's life than on the there and then of childhood experiences.&#10;D)Contemporary psychoanalytic practice emphasizes the origins and transformations of the self.&#10;E)Psychodynamic therapy is aimed at promoting integration and ego development.

Accepted Answer

The goal of psychodynamic approaches, including brief psychodynamic therapy, is not necessarily to cure clients but to help them gain insight and improve their functioning. Freud believed that a person's psychological problems are deeply ingrained and cannot be cured, only understood and managed.

Question 5

Repeating interpretations of a client's behavior and overcoming his/her resistance, allowing the client to resolve his/her neurotic patterns is called:&#10;A)redundant interpretation.&#10;B)wearing down.&#10;C)working through.&#10;D)transference absorption.&#10;E)projective identification.

Accepted Answer

Working through is the process where the therapist repeats interpretations of the client's behavior and attitudes, despite their initial resistance, to allow them to gain insight and resolve their neurotic patterns. The therapist would continue to do this until the client can accept the feedback and emotional responses associated with the interpretation. This process involves a great deal of patience and perseverance from the therapist.

Question 6

What fundamental interest is a critical distinction between analytic therapy and other approaches?&#10;A)the individual client's thinking&#10;B)an interest in the client's childhood and family experiences&#10;C)the &#34;whys&#34; of an individual client's experience and behavior&#10;D)how the client's behavior is helping or preventing them from getting what they want

Accepted Answer

Analytic therapy focuses on understanding the underlying psychological reasons for a client's experience and behavior, which involves exploring the "whys" of their thoughts and emotions. This is a critical distinction from other approaches that may focus more on the client's current behavior and how it impacts their goals or functioning. Analytic therapy also places a strong emphasis on the unconscious and childhood experiences, but these do not necessarily distinguish it from all other approaches.

Question 7

A headache might serve to keep a client sexually distant from her husband while also providing a pretext for avoiding social contacts that might threaten her marriage.This is an example of:&#10;A)double bind.&#10;B)multifaceted distinction.&#10;C)overt and covert behavior.&#10;D)secondary gain.&#10;E)an outcome of a triangulation.

Accepted Answer

This situation describes the concept of secondary gain, where a symptoms or behavior serves a purpose other than its apparent cause. In this case, the client's headache is providing a secondary gain by allowing her to avoid sexual and social situations that could threaten her marriage.

Question 8

From a psychoanalytic perspective, if the focus of treatment is limited to individual symptoms, it is likely that:&#10;A)therapy will be successful.&#10;B)symptom substitution may occur.&#10;C)the analyst will feel less overwhelmed and will be more effective in his or her role.&#10;D)the client will be extremely grateful.&#10;E)an analysis of transference can be avoided.

Accepted Answer

According to psychoanalytic theory, symptoms are seen as expressions of underlying conflicts and unresolved psychological issues. Therefore, if treatment only addresses the symptom without exploring the underlying causes, there is a risk of symptom substitution, where the individual's psychological issues manifest themselves in a different way.

Deck 2: Case Approach to Psychoanalytic Therapy