Psychoanalysis:Yesterday and TodayText: Chapter 6Freudian AnalysisPsychoanalytic Psychotherapy – Blau, CoreyTime-Limited Dynamic Therapy – StruppImago TherapyTransactional Analysis
Upstate Yesterday • Sigmund Freud • View of human nature • The unconscious • Structure of personality - The Id: innate, pleasure principle - The Ego: learning, reality, defense mechanisms - The Superego: learning, conscience/guilt, ego ideal.
Upstate • Development of personality (Psychosexual Stages) - Psychic energy - Fixation - The oral stage - The anal stage - The phallic stage.
Upstate • Development of maladaptive behavior. - Conflicts and fixations in our early years - Symptoms depend on the psychosexual stage and how defense mechanisms are used - Anxiety is the core of psychopathology - Operates largely at unconscious level.
Upstate Goals of Therapy –Yesterday and Today • Reconstruct personality – id, ego, superego • Strengthening ego • Attempts to make the unconscious conscious • Goal – gain insight • Newer analytic approaches • Understand influence of the past • Role of unconscious • Understand how past influences present/interpretation • Learn new ways of responding
Upstate Methods and Techniques – Yesterday and Today • Free association • Interpretation of transference • Interpretation of resistance • Dream analysis • Insight - emotional reeducation • Lengthy, costly process • Questions concerning effectiveness.
Upstate Psychoanalysis Today • Ego psychology – Erikson/Corey & Ruth • Psychoanalytic Therapy - Blau & Ruth • Time-Limited Dyanamic Therapy - Strupp • Object relations theory – ex. Imago Therapy - We develop patterns of behavior from early relationships, particularly parents - Parents/others become internalized objects: “unconscious mental representations” - Relationships in early years leave impressions (psychological wounds) which influence behavior later in life, esp. in close relationships - Goal: understand how childhood relationships cause maladaptive patterns in adulthood.
Upstate Time-Limited Dynamic Psychotherapy • Developed by Hans Strupp • Assumptions . . . - Neurotics suffer from negative parent-child relationships and they reproduce those relationships in present life (transference) - Focus: how past relationships are manifested in present relationships - Presenting problem: evidence of immaturity caused by childhood experience.
Upstate - Therapist focuses on client’s description of present interpersonal problems - These problems will be expressed in “cyclical maladaptive patterns” in current life - The therapist points out (interprets) these patterns - Through interpretation the patient . . . becomes aware of cyclical maladaptive pattern understands how this pattern developed tries out alternative ways of behaving • The therapeutic relationship serves as a corrective emotional experience.
Upstate Imago Theory and Therapy • Yearning for completion • Psychological wounding • Understanding this wounding • How childhood effects marital choice – Imago match • Partner wounds you the way parents did • Stages of the power struggle • Imago Therapy - the couples dialogue – mirroring, validation, empathy: used to create safe environment where deeper issues can be explored - seeing wounded child using parent-child dialogue • De-roling and the Behavior Change Request