Deck 5: Self-Psychology Theory

Question 1

Who is the founder of self-psychology?

A) Freud
B) Kohut
C) Cooper
D) Anslinger

Answer 1

Kohut

Question 2

According to Kohut, an addict craves the drug because it provides the individual with ____________.

A) Self-esteem
B) Self-actualization
C) Relief from reality
D) Resolution from intrapsychic conflict

Answer 2

Self-esteem

Question 3

According to self-psychology, the driving force behind addictive behavior is the result of what?

A) Intrapsychic conflict
B) Imbalance of brain chemistry
C) Poor early relationships with others
D) Defect in the self-structure

Answer 3

Defect in the self-structure

Question 4

Emotional disorders are the result of failure to develop a normal and cohesive internal structure, due to:

A) Chemicals in the brain
B) Family history of emotional disorders
C) Poor parenting
D) Repeated empathic attunement failures

Question 5

Which of the following is not a selfobject need?

A) Twinship
B) Modeling
C) Idealizing
D) Mirroring

Question 6

A selfobject is:

A) A caregiver
B) An object within the self
C) A relationship between the individual and caregiver
D) A subjective aspect of a function performed by a relationship

Question 7

When mirroring needs are met, what does a child develop?

A) Self-esteem, ambition, assertiveness, and sense of wholeness
B) Ability to self-soothe, identify feelings, and awareness of own personal ideals
C) Sense of community, connection with others, and sense of belonging
D) Self-regulation and executive function skills

Question 8

When idealizing needs are met, what does a child develop?

A) Ability to self-soothe, identify feelings, awareness of own personal ideals
B) Self-regulation and executive function skills
C) Self-esteem, ambition, assertiveness, and sense of wholeness
D) Sense of community, connection with others, and sense of belonging

Question 9

When twinship needs are met, what does a child develop?

A) Self-esteem, ambition, assertiveness, and sense of wholeness
B) Ability to self-soothe, identify feelings, awareness of own personal ideals
C) Sense of community, connection with others, and sense of belonging
D) Self-regulation and executive function skills

Question 10

______________ is the process of how selfobject needs are internalizing and become part of the permanent self-structure.

A) Intrapsychic internalizing
B) Attachment internalizing
C) Transmitting internalizing
D) Transmuting internalization

Question 11

Which of the following are understood to be the underlying sources of pathological narcissism?

A) Shame, depression, anxiety, fragmentation, and emptiness
B) Grandiosity, paranoia, and anxiety
C) Depression and anger
D) Feelings of importance, shame, and anxiety

Question 12

What results in deficits in the self and lack of cohesive self-structure?

A) Failure to development an appropriate attachment
B) Failure to meet selfobject needs
C) Excessive attachment
D) Excessive meeting of selfobject needs

Question 13

Who considered addiction to be a disorder of self-regulation?

A) Anslinger
B) Kohut
C) Freud
D) Khantzian

Question 14

Addictive behavior is seen as a:

A) Escape from reality
B) Need for control
C) Surrogate selfobject
D) Poor attachment

Question 15

Stage for addiction is seen as being set in:

A) Relationships
B) The environment
C) Intrapsychic structure
D) Brain structures and chemistry

Question 16

Intervention for addiction and the healing process should take place through:

A) Brain structures and chemistry
B) Intrapsychic structure
C) The environment
D) Relationships

Question 17

The core of Kohut's understanding of addiction is a disruption of what?

A) Healthy development of the self
B) Positive relationships with caregivers
C) Brain chemistry
D) Appropriate development of intrapsychic structures

Question 18

The key to healthy development of the self is through:

A) Caretakers' ability to assist the child in developing intrapsychic structures
B) Caretakers' ability to develop a warm relationship with the child
C) Caretakers' empathic response to the child's grandiose and idealizing selfobject needs
D) Caretakers' consistent strict limit setting to misbehavior

Question 19

All of the following are suggested to occur during the early stage of treatment except:

A) Assist client with physiological and/or medical issues
B) Assist client with developing new intrapsychic structure
C) Assist client achieve abstinence
D) Assist client detach from object of addiction

Question 20

Optimal approach for treating substance dependency is:

A) Individual therapy
B) Group therapy
C) Medication
D) Combination of individual and group therapy

Question 21

What is the main purpose of individual counseling?

A) For the client to increase self-awareness and repair deficits of the self
B) For the client to engage in transmuting internalization
C) For the client to practice transmute mirroring and idealizing selfobject needs into one's own sense of self
D) For the client to use the therapist into their new selfobject

Question 22

What is the main purpose of group counseling?

A) For the client to increase self-awareness and repair deficits of the self
B) For the client to engage in transmuting internalization
C) For the client to practice transmute mirroring and idealizing selfobject needs into one's own sense of self
D) For the client to use the therapist into their new selfobject

Question 23

Group therapy is a __________-__________ group experience.

A) Psychoeducational; emotional
B) Intellectual; affective
C) Research; practice
D) Process; experiential

Question 24

What should assessment be focused on?

A) Specific manifestations of the client's narcissistic injury
B) Shame
C) Limited understanding of the self
D) Unhealthy relationship patterns

Question 25

Self-psychology is considered a model under the umbrella of Psychodynamic Theory.

Question 26

According to Kohut, the core of one's personality is the self.

Question 27

Selfobjects are important but not essential to the developing self.

Question 28

Optimal frustration represents the healthy environment by which the child experiences the rupture and repair process of empathic misalignments.

Question 29

Healthy narcissism becomes a defense against painful feelings of shame, inadequacy, and low self-worth.

Question 30

A consequence of inadequate psychic structure is due to deficits in one's ability to regulate affective states.

Question 31

A clinician must engage in relational empathy and mirroring of the client's self-experience and affective states as a way to treat addiction.

Question 32

Individual counseling provides the opportunity to transmute mirroring and idealizing selfobject needs into one's own sense of self.

Question 33

Group therapy allows the client to increase self-awareness and repair structural deficits of the self.

Question 34

In self-psychology, the therapeutic relationship becomes a corrective emotional experience for the client.

Question 35

Describe "the self" and how it is developed.

Question 36

What are the three types of selfobject needs described by Kohut? Provide a brief description of each.

Question 37

Describe the development of addictive behavior through the self-psychology lens.

Question 38

How is pathological narcissism expressed?

Question 39

As an addiction counselor, what would the early stages of treatment consist of?

Question 40

Group therapy should allow members to examine, challenge, and change their vulnerabilities in what four areas?