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Psychoanalytic Diagnosis
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Classical Psychoanalytic Conceptualization
Centrality of the Unconscious: Dreams, Parapraxes Repression Centrality of Past Experiences Psychic Determinism: Behavior has Meaning
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Classical Psychoanalytic Conceptualization
Drive Theory Ego Psychology Object Relation theory Self psychology
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Different Models and Theories
Contradictory? Mutually exclusive? Enriching? What factors influence your choice?
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Classical Freudian Drive Theory
Centrality of instinctual processes: Libido & Aggression Psycho-sexual phases: oral-anal-phallic-genital Fixation due to - excessive deprivation or - overindulging Ex. Oral, anal character
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Erik Erickson's reformulation of Psychosexual stages
Oral stage: basic trust Anal stage: autonomy vs shame or doubt Oedipal phase: Initiative vs Guilt
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Margaret Mahler’s Separation Individuation
From Autistic Phase (6weeks) through Symbiotic Relatedness (2 years) through Object Constancy (3 years) Hatching ((בקיעה Practicing Rapprochement Object constancy
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Ego Psychology: The Structural Model
Id: primitive drives, impulses & fantasies. Pleasure Principle. Unconscious Ego: adaptive/ maladaptive functions Reality principle Both conscious and unconscious Ego strengths? Defense mechanisms:mature vs immature. Superego: harsh vs lacunae
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The Object Relations Tradition
Internalized self and object images Ego states Activation of introjects Centrality of transference/countertransference; re-enactment as diagnostic tools Relational Approach
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Self Psychology Self structure, self images, self esteem
Self experience: subjectivity Defects in self structures vs Conflicts Normal need for selfobject functions: Idealization, Mirroring, Twinship
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Psychoanalytic Treatment Principles of Technique
Free Associations Resistance Transference Countertransference Interpretations Neutrality
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