2. Psychoanalysis

2. Psychoanalysis

1. Freud

   • early career
     • visit to Charcot (1885)
       • conversion hysteria
         • not mesmerism but psychogenic cause
       • Breur & repression
         • Anna O & catharsis
           • Freud & Luct R (1892)
             • dominant mass
               • Elisabeth von R
         • Clark university
           • traumas repressed
             • anxiety as strangulated affect
           • hypnosis & dissociation
             • amnesic barrier
               • DID/MPD
                 • Jonah
             • dominant mass/ strangulated affect/ resistance/ catharsis/ sexuality
   • Why women?
     • situation in Vienna
     • Sexual etiology hypothesis

2. Models of the psyche

   • topographical
     • conscious/ preconcious/ unconcious / continuum/ sybolisation & association
     • Problems
       • "knowing"
       • key ideas often unconscious
     • 1
   • Economical
     • more flexible
     • psychic energy/ energy distribution/ cathexis/ displaceability of cathexis/ max pleasure/ telic nature (goal orientated
     • 2
   • Dynamic
     • focus on appropriate energies
     • Conflicting forces/ wish & resistance/ Wegners "white bear"
     • Structural model
       • supported by...
       • ID
         • Eros and Thanatos energy drives nestled in the ID
       • EGO
         • reality principle/ executive function/ ego strength/ serant to three masters/ dynamic equilibrium
       • SUPEREGO
         • restrains the ID/ critical to function/ conscience guilt/ ego-ideals/ developmental progression
     • 3

3. defence mechanisms

   • act out/ re-channel/ defence
   • anxiety is a signal
   • allot resoures to maintain equilibrium
   • Anna Freud
     • Rationalisation
       • Regression
         • Repression
           • Reaction formation
         • Projection
     • ego-syntonic vs ego-alien

4. Dreams

   • Manifest & Latent
     • Condensation & Displacement
   • WENGER (2004)
   • therapist interprets unconscious material, catharsis at how the latent relates to the manifest content

5. Talk therapy

   • symptom relief
     • not direct focus on root cause, focus on getting there
       • patient needs to explore
         • free association
           • induced confession (PENNEBAKERS EXPERIMENTAL PARIDIGM)
           • FRATTAROLI (2006)

6. Projective Tests

   • Thematic Apperception
     • Rorschach

7. PA today

   • goals (4)
   • application (5)