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This Concept Map, created with IHMC CmapTools, has information related to: Psychoanalysis, Psychoanalytic Underpinnings DEFICIENCY-BASED D/Os PSYCHOPATHIC (Antisocial PD) -SUPEREGO DEFICIENCIES Hidden Agendas w/ defs -drug-seeking -lawsuit manipulations -work-release MALINGERING -1st degree felonious criminals UNTREATABLE BY ANY MEANS, Psychoanalytic Underpinnings DEFICIENCY-BASED D/Os Autonomous Ego Fcn: Sleep-wake Perception Memory Motor control Contain Primary process-abstraction 2ndary-Logical, time-oriented Reality Testing Integration Intellect Judgment about danger EXECUTIVE FUNCTION, Psychoanalytic Underpinnings CONFLICT-BASED D/Os -neuroses Anxiety -something bad WILL happen -unpleasant sensation from C- amines and muscarinic Rs Tx-muscarinic brain receptors -ACh content in brain, Psychoanalytic Underpinnings DEFICIENCY-BASED D/Os Ego Strengths Impulse Control Affect, frustration, Psychoanalytic Underpinnings DEFICIENCY-BASED D/Os Superego -conscience Right/Wrong-> Fairness/Rules-> Responsibility/Integrity, Psychoanalytic Underpinnings CONFLICT-BASED D/Os -neuroses Depression-guilt vs. homicidal rage -something bad HAS happened Tx-SSRIs, Psychoanalytic Underpinnings CONFLICT-BASED D/Os -neuroses Phobias Guilt vs wishes to separate, adulter ->anxiety ->projection ->symbolization ->displacement ->externalization, Psychoanalytic Underpinnings DEFICIENCY-BASED D/Os Tx: Support Medication, Object Relations: Warm->coldnes E-Empathy->narcissism T-trust->mistrust H I-Identity->confusion C-closeness->distancing S-stability->instability Deficiencies Borderline, Psychoses -fuse images of self, others ->imagined death Tx: confront defs, encourage change, Psychoanalytic Underpinnings CONFLICT-BASED D/Os -neuroses OCD Guilt over angry wishes at loved one -or sadistic sexual fantasies ->guilt, anxiety ->reaction-formation -perfectionism -hyperpunctuality -hyperneatness ->rumination ->RITUALS ->undoing ->isolation ->symbolization, Psychoanalytic Underpinnings CONFLICT-BASED D/Os -neuroses PANIC, PHOBIAS OBSESSIONS, COMPULSIONS CONVERSIONS CHARACTER PATHOLOGY, Psychoanalytic Underpinnings Stress Internal Facets (character) -perfectionist -provoke attack/punishment -introject attack -inability to delegate -not leave irrational situation Tx-psychoanalysis -interpret unconscious defense, affect, Superego -conscience Right/Wrong-> Fairness/Rules-> Responsibility/Integrity Tx Can Tx if minor defs in: F-Fairness I-integrity R-reliability E-ethics S-shame I-ideals G-guilt H-honesty T-trustworthiness, Psychoanalytic Underpinnings DEFICIENCY-BASED D/Os DELAY SYNDROMES PSYCHOSES (schizo, bipolar, mania) NEAR PSYCHOSES "ORGANIC PATHOLOGY", Psychoanalytic Underpinnings Stress External Facets -attacked -unmeetable deadlines -psychotic superior, partner Tx-advice for managing, Psychoanalytic Underpinnings DEFICIENCY-BASED D/Os Psychoses A-abstraction (concreteness) O-observing ego R-reality T-testing-halls, delusions I-integration-loose assn, flight C-concentration->disorganized S-self-preservation->suicide, Psychoanalytic Underpinnings DEFICIENCY-BASED D/Os Object Relations: Warm->coldnes E-Empathy->narcissism T-trust->mistrust H I-Identity->confusion C-closeness->distancing S-stability->instability, Psychoanalytic Underpinnings CONFLICT-BASED D/Os -neuroses Tx: Insight via confrontation Interpretation, Psychoanalytic Underpinnings DEFICIENCY-BASED D/Os Ego Weakness-Near Psychotic (borderline, impulsive) Impulse control (food, drugs) Tx: intersubjective, structured programs Tolerances for affect, pain, frustration Tx: anxiolytics, SSRIs, Borderline, Psychoses -fuse images of self, others ->imagined death Tx: confront defs, encourage change Escape Mechanisms from fusion-death Variable Distancing -never get too close Runaway bunnies -alcoholics, escape artists