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Psychoanalytic Therapy

Psychoanalytic Therapy. Dr. Arra. Psychoanalytic Therapy. GOALS: Make the unconscious conscious Strengthen ego Analyze childhood and person’s history and see how past behaviors are effecting present behaviors. Psychoanalytic Therapy.

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Psychoanalytic Therapy

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  1. Psychoanalytic Therapy Dr. Arra

  2. Psychoanalytic Therapy GOALS: • Make the unconscious conscious • Strengthen ego • Analyze childhood and person’s history and see how past behaviors are effecting present behaviors

  3. Psychoanalytic Therapy • Freud believed love, work, and play are important for people

  4. Psychoanalytic Therapy THERAPIST ROLE AND FUNCTION • Become involved in unresolved conflicts of client • Little self-disclosure (fosters transference) • Maintain neutrality • Help client understand historical roots of problem • Much analysis around these projections

  5. Psychoanalytic Therapy • Help client learn and achieve insights • Therapists interpret what client says, does, and does not do

  6. Psychoanalytic Therapy CLIENTS EXPERIENCE • Meet several times a week for years • Agree to be active, talk • Commit to interventions • Terminate when problem is resolved • Gain insight into self and environment

  7. Psychoanalytic Therapy • TRANSFERENCE – Core of psychoanalytical therapy • Unconsciously projecting old, unresolved feelings and attitudes onto the therapist • EX: stern father old lover mother excellent father

  8. Psychoanalytic Therapy Goal of therapy is to work through transferences • Explore unconscious, defenses, and repressed material • Interpret client behavior • Help client make new choices • Help client see how past experiences are effecting their current behaviors

  9. Psychoanalytic Therapy • Help clients see how problems are effecting client in their daily lives • Reveals childhood motivations Counselor: all powerful Client/child: please, angry, acceptance

  10. Psychoanalytic Therapy COUNTERTRANSFERENCE • Therapist projects unconscious material onto client • Therapist responds irrationally and subjectively to client • Therapists own conflicts are triggered

  11. Psychoanalytic Therapy EX: • Unresolved issues with father>when counseling an old man • Dislike of adolescents, ethnic group • JMU/client example/house

  12. Psychoanalytic Therapy • Therapist loses objectivity, and becomes emotional • Serious detriment to therapeutic relationship • Refer client, get supervision

  13. Psychoanalytic Therapy MODERN PSYCHOANALYTICALLY ORIENTED THERAPISTS • No couch • Fewer sessions • More self-disclosure by therapist • More work with ‘real’ issues than projected material and dreams

  14. Psychoanalytic Therapy • TECHNIQUES: 1) Maintain analytical framework - therapist neutrality - frequent sessions - consistency of sessions

  15. Psychoanalytic Therapy 2) Free Association • Say what comes to mind • Free flow of thoughts and emotions • Helps get at unconscious wishes and thoughts • Therapists job is to identify repressed material • Therapist interprets material and provides insights • Therapist listen for hidden meanings EX: slip of tongue (can express conflicting affect)

  16. Psychoanalytic Therapy INTERPRETATION • Analyst explains behaviors in dreams, free association • Translate clients material • Interpret material client is unaware of and can tolerate • Point out resistant behavior, and then interpret emotion or underlying conflict

  17. Psychoanalytic Therapy • EX: young female client projects very negatively onto an older male therapist; does not trust or like therapist and is afraid of becoming attached to therapist • INTERPRETATION: young female has repressed negative events in childhood; father left at an early age, so female, while wanting acceptance and love from father, is also afraid of being hurt

  18. Psychoanalytic Therapy DREAM ANALYSIS • Repressed feelings/thoughts surface during sleep • Content of dreams can symbolic (snakes, decaying teeth) or apparent (dream as it appears to you) • Analyst studies content of dreams and interprets symbols • Dream work is a process of transforming symbols into meaningful material with which to work with

  19. Psychoanalytic Therapy ANALYSIS AND INTERPRETATION OF TRANSFERENCE • Clients react to therapist as though they were a significant other • Clients re-experience a variety of feelings they had with that person • Clients see how past effects present functioning • Effects of past relationships are counteracted by working through a similar emotional conflict with the therapist

  20. Psychoanalytic Therapy STRENGTHS • Transference • Counter transference • Repression/defense mechanisms • Client gains insight • Learn from personal past • Comprehensive personality theory

  21. Psychoanalytic Therapy LIMITATIONS • Takes too long • Expensive • No therapist self-disclosure • Requires much therapist training • Therapist in control/charge of session • Not much focus on behavior/cognition

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