Deck 3: Psychoanalytic and Psychodynamic Counseling and Psychotherapy

Question 1

In Freudian and ego psychology,analysts typically maintain a neutral relationship to clients to provide a "blank slate" upon which clients can project unconscious material.This neutral stance also provides which of the following?

A) The analyst to allow for transference, by carefully observing the client's process.
B) The client connection to their frustration, in order to get at deeper feelings.
C) The analyst the opportunity to examine their countertransference on the client.
D) The client the opportunity to discuss topics not related to the presenting problem.

Answer 1

A

Question 2

Freudian analysts conceptualize client problems by examining how the __________ manages on-going conflicts between the ______________ and the _________________.

A) ego; id's drives; superego's prohibitions
B) superego; id's drives; ego's prohibitions
C) id; ego's drives; superego's prohibitions
D) ego; superego's drives; id's prohibitions

Answer 2

A

Question 3

Countertransference takes place when a counselor _________________________________.

A) keeps their emotional reactions toward the client out of counseling
B) projects back onto a client in a way that affects therapeutic neutrality
C) has insight into their unconscious reactions to their clients
D) shares an undesirable feeling about a client with the client

Answer 3

B

Question 4

Newer forms of psychodynamic practice emphasize __________,while more traditionally oriented and analytical forms of practice emphasize __________.

A) drive theory; ego psychology
B) two-person psychology; one-person psychology
C) the client; the counselor
D) fewer sessions; more sessions

Question 5

The ability to spontaneously express need and desire while maintaining a clear distinction between self and other is believed to be a result of _____________________________.

A) good enough mothering
B) distant mothering
C) chaotic mothering
D) perfectionist mothering

Question 6

Which of the following best describes transference?

A) The counselor ascribes a personal thought, feeling, or impulse to the client.
B) The counselor identifies with the experiences and feelings of the client.
C) The client confuses past experiences with the present reality.
D) The client projects attributes from unresolved issues with primary caregivers to the counselor.

Question 7

Object relations theorists are most concerned with how an infant internalizes relationships in the first three years of life,the impact on adult personality,and how __________ relationships become the template for all future relationships.

A) sibling
B) neighbor
C) caregiver
D) playmate

Question 8

Susie reports that she perceives her brothers as being "all-good" and her sister as "all-bad" because her brothers took care of her and stuck up for her growing up while her sister often got all the attention at school and stole friends and boyfriends.This type of defense mechanism is called?

A) repression
B) projection
C) denial
D) splitting

Question 9

Psychoanalytic and psychodynamic approaches share the basic practice of _____________.

A) modifying client behavior
B) conceptualizing negative problem talk
C) working through client-therapist dynamics toward action
D) fostering client insight into their personality dynamics

Question 10

__________ is the most basic technique of all psychoanalytic approaches,and uses unconscious material to facilitate client insight.

A) mirroring
B) empathy
C) interpretation
D) consultation

Question 11

Empathy is the _____________________________________.

A) feeling of pity or sorrow for someone else
B) willingness to forgive somebody
C) ability to feel regret
D) ability to grasp another's internal reality

Question 12

All of the following general goals related to "mental health" fit with psychodynamic approaches EXCEPT:

A) decreased use of defense mechanisms.
B) decreased irrational impulses.
C) increased differentiation .
D) increased ability to experience mature dependency.

Question 13

Freud focused his work in which area of the consciousness?

A) unconscious
B) conscious
C) preconscious
D) postconscious

Question 14

The concept of a holding environment as it relates to the counselor-client relationship incorporates which of the following?

A) The counselor incorporates touch into the counseling relationship.
B) The counselor allows the client to work with overwhelming stimuli.
C) The counselor provides a supportive, nurturing environment.
D) The counselor offers personal information and opinions.

Question 15

Psychoanalytic and psychodynamic approaches in counseling are considered depth psychologies because they explore __________________________________.

A) interpersonal relationships
B) the unconscious mind
C) the blank slate
D) the here and now

Question 16

The vast majority of psychodynamic theorists share all of the following same basic assumptions EXCEPT: _________________________________________.

A) counselors project onto the client interrelational patterns from earlier unresolved issues
B) the personality is structured in various sub structures such as ego, id, and superego
C) a person's personality is significantly affected by one's relationship with one's mother
D) insight into one's personality and internal dynamics can help resolve psychopathologies

Question 17

Freudian psychoanalysis is considered the root of all psychodynamic approaches.This type of treatment approach is characterized by all of the following concepts EXCEPT: _________________________.

A) a blank-slate approach
B) long-term treatment
C) a therapist who displays warmth
D) multiple weekly sessions

Question 18

The current psychodynamic counseling involves three generic phases: ___________,_______________,and __________________.

A) Listening; facilitation; advising
B) Assessment; facilitation; working through
C) Assessment; interpretation; understanding
D) Listening; interpretation; working through

Question 19

An analyst views symptoms presented by the client as expressions of_________________.

A) intrapsychic conflict
B) psychotic conflict
C) interpersonal gains
D) natural consequences

Question 20

Freud's drive theory is comprised of the idea that the human psyche is fueled by the energy of instinctual drive.The energy of the system is known as ________________________.

A) sexuality
B) object Relations
C) libido
D) superego

Question 21

Ronald is a 37-year-old man,presenting in counseling for what he labels as stress.He is a first-year graduate student in a counseling program who left his previous career because of a downfall in the economy resulting in the loss of his job.Ronald reports that he gets very sweaty,nauseous,and tense when going to school.Ronald has missed 1 class this semester due to his symptoms,and cannot afford to miss anymore.Choose the best example of an initial phase psychodynamic goal for this client.

A) Decrease client's attempts to avoid existential angst and responsibility to reduce anxiety.
B) Increase empowerment and feelings of "mattering" to reduce anxiety.
C) Decrease emotional reactivity to perceived threats to self to reduce anxiety.
D) Increase coping skills necessary to reduce symptoms of anxiety.

Question 22

What are the assumptions made by object relations theory?

Question 23

Briefly describe transference and countertransference.

Question 24

A brief psychodynamic counselor uses _______________ when taking an opportunity in session to clarify with clients and work through old childhood traumas and relational patterns that may show up in the counseling relationship.

A) cultural assessment
B) corrective emotional experience
C) client-counseling encounter
D) countertransference

Question 25

Psychoanalytic counselors work with clients to bring unconscious material to the conscious awareness.Analysts often accomplish this using ____________.

A) understanding-confusing sequence
B) subjective responding
C) dream analysis
D) free association

Question 26

Interpersonal psychotherapy is a brief psychodynamic approach with a strong and well-respected __________.

A) following
B) empirical validation
C) time limit
D) evidence base

Question 27

Janice is a counselor who utilizes a psychodynamic approach with her clients.When working with Ronald,the client in the previous clinical scenario,Janice will focus on what therapeutic tasks during the working phase of treatment?

A) Janice will be developing a working counseling relationship with Richard.
B) Janice will be monitoring the quality of the working alliance with Richard.
C) Janice will be developing an aftercare plan with Richard to help him maintain his gains.
D) Janice will be assessing Richard's individual, systemic, and broader cultural dynamics.

Question 28

What is the relationship between the id,the ego,and the superego?

Question 29

What is the overarching goal of depth psychology approaches?

Question 30

What are the strengths and weaknesses of these approaches with diverse populations?