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Strengths and limitations of psychodynamic approach
Strengths and limitations of psychodynamic approach
Strengths and limitations of psychodynamic approach
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Transference:
Transference is when a client unconsciously projects onto their therapists past feelings, desires, expectation or attitudes they had toward their caregivers or significant people in their lives (Corey & et. al, 2011). Transference can originate from early childhood experiences and memories. The client is viewing the therapist in a distorted way. Instead of seeing the therapist as a professional, the clients see the therapist as a parent, or another significant person in their lives. Clients can come off as hostile and anger towards the therapist in a therapeutic session when a client displays negative transference (Corey & et. al, 2011). Transference can help the therapist understand the relationships that clients have had
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Some theorists believe that the interaction between patient and psychotherapist is influenced by the patient’s past or current relationships and affective experiences (Johansson, 2010). These theorists believed that it is important to focus on themes and conflicts that occur in the therapeutic relationship because they will have immediate affective resonance and illuminate the true nature of problems in the patient’s relationships outside of therapy (Johansson, 2010). The goals of psychodynamic therapy are to make the client self-aware and understand the influence of the past on present behavior. Psychodynamic approach allows the client to examine unsettled issues and symptoms that occur from previous dysfunctional …show more content…
Freud thought that neurosis was largely a function of the repression of unacceptable ideas and impulses, and it would be natural for clients to resist the emergence of these ideas during the course of therapy (King & O’Brien, 2011). As repressed thoughts began to emerge, the client would seek any convenient distraction or diversion ((King & O’Brien, 2011). Who better than the person of the therapist, who is both conveniently, present in the immediate conscious experience of the client and is also the inquisitor responsible for activating these unwelcome thoughts (King & O’Brien, 2011). Furthermore, this resistance could be served almost equally well by hostility (negative transference) or love (positive transference) (King & O’Brien, 2011). Freud was of the view that a person’s internal representation of relationships was constructed using a template laid down in childhood (King & O’Brien, 2011).
According to Messer (2013), there are three mechanisms of change in psychodynamic therapy: insight, affect, and alliance. The mechanisms are the fulfillment of insight, particularly within the transference; a focus on the patient’s emotion and her resistances against its expression; and the nature of the therapeutic relationship that allows the therapy to progress and eventually succeed (Messer,
In B. L. Duncan, S. D. Miller, B.E. Wampold, & M.A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 143-166). Washington, DC: American Psychological Association.
While her therapist helps her with her father, the therapist unintentionally improves her relationship with her husband. At Southeastern Louisiana University’s common read, Smith explains, “I think I was able to meet him [her husband] because I cleared up a lot of silly stuff through therapy” (Smith). This confirmation allows the reader to receive a higher understanding of the effect therapy impacted Tracy K. Smith.
Neurosis is characterized by a retreat into ones imagination and alienation from reality. According to Freudian theory, this is also typified by believing a fantasy to be the truth. "Neurotics turn away from reality because they find it unbearable; the most extreme type of this turning away from reality is shown by certain cases of hallucinatory psychosis which seek to deny the particular event that occasioned the outbreak of their insanity" (Freud, 301). In this passage, Freud describes the psychological techniques that a neurotic mind uses in order to cope with a traumatic event. Instead of coming to terms with their trauma, the mind will alter the events and shape them around a delusion in order to produce a more pleasing conc...
Freud, S., Strachey, J., Freud, A., Rothgeb, C., & Richards, A. (1953). The standard edition of the complete psychological works of Sigmund Freud (1st ed.). London: Hogarth Press.
Fosha’s development of the affective model of change began with the observation that affect has enormous transformative power. Unlike other agents of change that are often slow and cumulative, affect can result in intense change very rapidly. The primary goal of the affective model of change is to identify, make sense of, and utilize its power in the context of a therapeutic relationship. This relational feature of the affective model of change draws heavily from literature on attachment, and the notion that our early attachment styles pervade our way of relating to the world as adults. Fosha argues that by synergistically linking emotion and attachment, the transformative power of affect can be harnessed in the relational process of psychotherapy and utilized in a manner that results in lasting therapeutic change.
In classical psychoanalysis, transference was seen as a distortion in the therapeutic relationship which occurred when the client unconsciously misperceived the therapist as having personality characteristics similar to someone in his/her past, while countertransference referred to the analyst's unconscious, neurotic reaction to the patient's transference (Freud, 1910/1959). Freud believed that countertransference impedes therapy, and that the analyst must recognize his/her countertransference in order to overcome it. In recent years, some schools of psychotherapy have expanded the definition of countertransference to include all conscious and unconscious feelings or attitudes a therapists has toward a client, holding that countertransference feelings are potentially beneficial to treatment (Singer & Luborsky, 1977). Using more specific language, Corey (1991) defines countertransference as the process of seeing oneself in the client, of overidentifying with the client or of meeting needs through the client.
Shepperd, Simon. "Basic Human Psychology 1: Neurosis, Projection and Freudian Projection." The Heretical Press Directory. 20 Apr. 2009
The therapeutic process is an opportunity for both healing and restoration, as well as discovering new ways of being. Although exposed to a variety of psychological theories, I narrowed my theoretical orientation to a relational psychodynamic approach, drawing on attachment theory and Intersubjective Systems Theory (IST). IST describes how the subjective experiences, both embodied and affective, of an individual becomes the manner of organization, or way of being, in which the person operates in the world relationally. It is through this process of transference and countertransference, the unconscious ways of being can become explicit and through the collaborative effort of therapist and client, new ways of organizing the relational world can be discovered. I pay particular attention to enactments, which expose intra-psychic dynamics between the therapist and client, as opportunities for relational remodeling.
The main contemporary forms of psychodynamic treatment are psychoanalysis, which is intensive and long term and psychodynamic psychotherapy, which relies on the same principles but is more conversational. Researchers have found that all psychotherapies are relatively effective, although some treatments are superior for some disorders. According to Renner, Morrissey, Mae, Feldman and Majors (2011), there are four major approaches to therapy for psychological disorders. Psychodynamic, behavioral, cognitive and humanistic approaches each have their own characteristics in relation to therapy. Psychodynamic therapists share the belief that a patient’s psychological disorder is the result of the person’s unconscious.
The therapist would then interpret this information, which consists of teaching, pointing out and explaining what the therapist is noticing through this free association (Corey, 2013). One of the key factors in a therapeutic process is the client-therapist relationship. Without this relationship, transference cannot be assessed.
The second stage in the psychodynamic therapy process is, the transference stage. In this stage the development of treatment is set and now it is the patient’s time to let their feelings out. The patient expresses those feelings, emotions, fears, and desires to the therapist without having to worry about censorship. The feelings and behavior of the patient become more pronounced and become a vital part of the treatment itself. During this stage the therapist could experience and better understand of the patient’s past and how it impacted their behavior in the
The term transference originates from Psychodynamic Therapy where it is defined as a client’s unconscious conflicts that can cause problems in everyday life. It is where the individual transfers feelings and attitudes from a person or situation in the past on to a person or situation in the present and where the process is likely to be, at least to some degree, inappropriate to the present. Although the concept is originally a therapeutic one, it is also used to understand what can happen in any type of relationship whether personal or professional such as that experienced in the coaching/counselling relationship. The feelings that your client experiences in relation to you as his or her coach/client, that is where the individual transfers feelings based on feelings experienced with influential people and early life experiences onto you as the coach/counsellor, or perhaps another person that the client is involved with. Depending on that relationship a client may either form a positive or negative transference.
Sigmund Freud and Albert Ellis are widely recognized as two of the most influential psychotherapists of the twentieth century. “It is argued that the striking differences in their therapeutic systems, Rational Emotive Behaviour Therapy (REBT) and psychoanalysis, respectively, are rooted in more fundamental theoretical differences concerning the essential nature of client personality” (Ziegler 75). This paper will discuss in detail, both Sigmund Freud’s Psychoanalytical Therapy and Albert Ellis’ Rational Emotive Therapy, as well as compare and contrast both theories.
This approach draws on the importance of early experience and how people internalize events that happened in their youth. It draws on the idea that there is a conflict between events that happened in the past and what a person is trying to accomplish in the present. The therapist is very engaged and develops a close relationship to the client, in which the relationship helps model normative relationships that the client can use to generalize. The goal of this kind of treatment is to make the unconscious conscious to the client. The hallmark of psychodynamic psychotherapy is insight and working through, in which the client has deep and reflective epiphanies about themselves. Psychodynamic therapy has also shown to be effective in the treatment of individuals suffering from post-traumatic stress disorder. Schottenbauer, Glass, Arnkoff, and Gray (2008) explored the contributions of psychodynamic approach to therapy in individuals suffering from PTSD and trauma. Some of the many contributions psychodynamic treatments include addressing interpersonal issues that are a by-product of PTSD, and also addressing development. Aside of bringing unconscious thoughts forward, the therapist also watches for defense mechanisms that the client might use. These defense mechanisms are important to the therapist, because they provide insight to the person’s wishes, feelings, and impulses. A benefit to using psychodynamic treatment over other approaches is that it is better suited for handling complex cases of PTSD, as well as comorbid cases. In addition to that, because it focuses heavily on interpersonal relationships, it helps create a social support system for the client. Having social support may aid the client in recovering. In the case of Frida, a psychodynamic treatment approach would be effective. A psychodynamic therapist would establish a rapport with Frida before
Najavits, L., &Strupp, H. (1994). Differences in the Effectiveness of Psychodynamic Therapists: A process-outcome study. Psychotherapy, 31, 114-123.