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NR605 Study Review Notes Latest Update
1. Psychoanalysis- Indications: anxiety disorders, obsessive-compulsive disor- der, depressive disorders,
personality disorders, sexual dysfunction and clients whose personality traits are interfering in their relationship
2. Psychoanalysis- Goal: Development of a deeper understanding of self and a desire to create change
3. Who would benefit from Psychoanalysis?: reality-oriented clients with mature defenses and a strong sense of self
and clients with neurotic to healthy personality organization
4. Psychoanalysis- Contraindications: clients who are not motivated, those who have poor impulse control, clients
who are concrete thinkers, and those amid a major physical or emotional crisis
5. Psychoanalysis- Duration of Treatment: several sessions per week over sever- al years
6. Psychoanalysis- Therapeutic Techniques: recollection: reconstructing the memory of past events
repetition: using transference to replay emotions and interactions in a safe space working through: integrating repressed memories into current consciousness free association: client talks spontaneously about anything that comes to mind which allows for thoughts and feelings to surface more easily transference: client redirects feelings for a significant person in their lives, typically a figure from childhood, onto the psychotherapist, then explores the relationship to resolve conflict interpretation: the psychotherapist interprets the client's discussions to identify unconscious feelings and learn new behavior patterns
7. Supportive Psychotherapy- Indications: clients experiencing specific stressful situations, including clients with
psychotic personality organization, those with a pre- occupied or overly emotional attachment style, and those with immature defenses
8. Supportive Psychotherapy- Goals: problem-solving, management of feelings and life stressors, and symptom
relief. Sessions are less frequent than with psycho- analysis
9. Supportive Psychotherapy- Duration of Treatment: sessions are less frequent than with psychoanalysis
10. What is Supportive Psychotherapy used for?: stabilization resource building
anxiety reduction problem-solving
11. Supportive Psychotherapy- Therapeutic Techniques: providing comfort, en- couragement and reassurance, and
empathic listening. Supportive psychotherapy provides an opportunity for the client to express themselves in an accepting envi- ronment.
12. Expressive Psychotherapy- Indications: clients with unresolved, disorga- nized attachment styles, clients with a
neurotic defense schema, borderline person- ality disorder or borderline character structure
13. Expressive Psychotherapy- Goal: processing of relational trauma and learn- ing emotional self-regulation
14. Expressive Psychotherapy- Duration of Treatment: several times per week
15. Expressive Psychotherapy- Therapeutic Techniques: transference, counter- conditioning, and desensitization to
past traumatic relationships
16. Brief Psychodynamic Therapy- Duration of Treatment: occurs fewer days per week over a shorter length of time
as opposed to psychoanalysis, typically 20-30 sessions with a termination date set at the beginning of therapy
17. Brief Psychodynamic Therapy- Goal: enhancement of self-awareness and understanding the impact of the
past on present behavior
18. Brief Psychodynamic Therapy- Indication: client has a specific issue or con- flict such as difficulty in
26. Gestalt Psychotherapy- Therapeutic Techniques: the I-Thou relationship and creative experimentation,
including dreamwork, body awareness, focusing, and empty-chair dialogues
27. Gestalt Psychotherapy: refers to the overall totality of a person with an un- derstanding that a person must be
viewed as a being who is integrated as a whole rather than divided into parts taken out of context (Knight, 2022). Gestalt involves the assumption that while an individual may come close to understanding the experience of another, one can never fully comprehend another's experience. To gain understanding, the therapist observes how the client relates to the environment and moves from one experience to the next
28. Gestalt Psychotherapy- Pillars: Field theory: An individual's experience is explored in the context of the
situation or field. Phenomenology: Understanding is based on what is obvious rather than on the therapist's interpretation. Dialogue: Dialogue involves showing the true self and experiencing the other person as they truly are.
29. Key concepts of Gestalt psychotherapy include:: figure and ground (how an individual organizes their
environment from moment to moment) organismic self-regulation (occurs when equilibrium is disturbed by a need or sensation and the organism regulates themselves to restore order) layers of the personality (disowned parts of the self that create inauthentic layers of the personality) interruptions (protective resistances or defenses used to safeguard against fully experiencing a present moment experience)
30. Interpersonal Psychotherapy: a form of time-limited, evidence-based, struc- tured psychotherapy, that posits
that social and interpersonal factors can impact symptoms of psychiatric disorders.
31. Interpersonal Psychotherapy- Goal: to help relieve problems in interpersonal relationships and social adjustment
to prevent the formation of additional psychiatric symptoms
32. Interpersonal Psychotherapy- Indications: depression, IPT has shown effica- cy in the treatment of perinatal
depression, anxiety, and eating disorders
33. Interpersonal Psychotherapy- Duration of Treatment: Time-limited: usually 12-16 weekly sessions
34. Interpersonal Psychotherapy- Characteristics: Time-limited: usually 12-16 weekly sessions
Focused Based on current relationships Interpersonal, not intrapsychic, cognitive, or behavioral Aware of personality, but not focused on it
35. Interpersonal Psychotherapy - The initial phase: First three to four sessions Therapist obtains a psychiatric
history and interpersonal inventory Selects one of the four interpersonal problem areas as focus of treatment
36. Interpersonal Psychotherapy- The middle phase: Active treatment phase Therapist uses the IPT model for the
selected problem to identify goals and address concerns Allows client to explore experiences and create new relational patterns
37. Interpersonal Psychotherapy- Termination: Involves a role transformation from acute therapy
Often overlaps with the middle phase Focuses on concluding treatment and addressing any grief about the loss of the therapy and relationship with the therapist Therapist and client work together to review gains made in treatment and assess future treatment needs
38. Interpersonal Psychotherapy- Therapeutic Techniques: clarification, com- munication analysis, interpersonal
incidents, role-playing, and problem-solving.
