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    Ch-5 Therapeutic Approaches - PPT 2

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    Psychodynamic therapy involves eliciting unconscious conflicts through free association and dream interpretation. The client transfers feelings onto the therapist, representing childhood authority figures, which allows past conflicts to be explored. Through repeated interpretation and working through resistance, the client gains insight into their problems, integrating unconscious material into consciousness. Treatment typically lasts for several years involving multiple sessions per week.

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    Ch-5 Therapeutic Approaches - PPT 2

    Uploaded by

    sayooj tv
    1K views22 pages
    Psychodynamic therapy involves eliciting unconscious conflicts through free association and dream interpretation. The client transfers feelings onto the therapist, representing childhood authority figures, which allows past conflicts to be explored. Through repeated interpretation and working through resistance, the client gains insight into their problems, integrating unconscious material into consciousness. Treatment typically lasts for several years involving multiple sessions per week.

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    Psychodynamic therapy involves eliciting unconscious conflicts through free association and dream interpretation. The client transfers feelings onto the therapist, representing childhood authority figures, which allows past conflicts to be explored. Through repeated interpretation and working through resistance, the client gains insight into their problems, integrating unconscious material into consciousness. Treatment typically lasts for several years involving multiple sessions per week.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    1K views22 pages

    Ch-5 Therapeutic Approaches - PPT 2

    Uploaded by

    sayooj tv
    Psychodynamic therapy involves eliciting unconscious conflicts through free association and dream interpretation. The client transfers feelings onto the therapist, representing childhood authority figures, which allows past conflicts to be explored. Through repeated interpretation and working through resistance, the client gains insight into their problems, integrating unconscious material into consciousness. Treatment typically lasts for several years involving multiple sessions per week.

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    PSYCHODYNAMIC THERAPY

    •Method of treatment
    •Modality of treatment
    •Duration of treatment
    I N TR O D U C T I O N

    • Oldest form of psychotherapy given by sigmund freud


    • Carl Jung modified as analytical psychotherapy
    • Subsequently Freud’s successors- Neo freudian
    establish their own versions….
    • Conceptualized the structure of psyche
    • Dynamic between the different components of psychic
    and the source of psychological distress.
    • Conscious, pre conscious and unconscious..
    • Id, Ego and superego..
    M E T H O D S O F E L IC I T IN G - I N T R A P S Y C H I C C O N F L I C T

    • Main cause is intrapsychic conflicts


    • Elicit by free association and dream interpretation
    • FREE ASSOCIATION
    • Main method of eliciting the client’s problem
    • Therapeutic relationship established between T-C
    • Base is trust and confidence;
    C feels comfortable
    C was asked to lie on the couch; Close the eyes
    Relaxed and trusting…
    Speak out whatever comes to the mind.
    M E T H O D S O F E L I C I T IN G - I N T R A P S Y C H I C C O N F L I C T

    • No Censoring superego and No watchful ego, while C- speaks


    • Free flow of ideas/ feelings/desires and conflicts of unconscious, which was suppressed by ego,
    emerge into conscious state;
    • The free uncensored narration of C- helps the T gain access and note down the valid points of
    information;
    • C- was asked to write/ about his/her dream upon waking
    • images and symbols of dreams represent unfulfilled desires and
    signify intrapsychic forces
    • unfulfilled desires are not expressed directly due to ego, if it is
    sos, leads to anxiety
    • Hence through symbols it expressed , and we convert the symbols
    as translation
    • Meaningful sentence
    • Indicators of unfulfilled desires is of conflicts
    M O D A LI T Y O F T RE AT M E NT

    • Transference and interpretation


    • TRANSFERENCE:
    • Unconscious desire brought into conscious through free association and dream interpretation.
    • C view the T as authority of figure of past (childhood)
    • (punitive father of negligent mother)
    • T maintain non-judgmental yet permissive attitude
    • Allow the C with emotional identification
    • T encourage this process to understand unconscious conflict of C
    MODALITY

    • TRANSFERENCE NEUROSIS stage:


    • C give out his/her frustration, anger, fear and depression towards the person at past, but could not
    express at that time.
    • C consider T as substitute for “father or Mother”
    • Full blown neurosis helps the T to study/ understand the intrapsychic conflict of the client
    completely.
    • POSITIVE TRANSFERENCE NEUROSIS:
    • C treat/ consider the T as God, falls love with T / seek T approval
    • NEGATIVE TRANSFERENCE NEUROSIS : Villian, enemy, express anger, fear towards T
    MODALITY

    • RESISTANCE:
    • During transference the C gives out/expose his/her feelings, desires, wishes and conflicts from
    unconscious level
    • Which leads to great distress /worry/ painful
    • Hence C is unable to bear the great distress /worry/ painful,
    • So the C tend to stop/ oppose the transference process in order to protect him/her – RESISTANCE
    • R- blocks the progress of Transference process
    • R- may be conscious or unconscious
    • Conscious R:
    • C willingly wants to hides information
    • unconscious R:
    • silent, skip the appointment, late attendance, not recall the
    emotional side of the information..
    MODALITY

    • T- overcome the resistance by repeated confront the C, and uncover the fear, anxiety or shame..
    • INTERPRETATION
    • Fundamental mechanism for effective change
    • Confrontation and clarification is the techniques under interpretation
    • CONFORNTATION
    • T point out the psychic conflict (nature, reason, and its consequence) to C, that he/she was facing..
    MODALITY

    • CLARIFICATION
    • T collect all aspects/information revealed by C,
    • segregated the unimportant and important points related to intrapsychic conflict.
    • Thereby the vague or confusing is sharpen to get conclude/ decided
    • Interpretation is pinnacle of psychoanalysis,
    • T use unconscious materials that was uncovered in the process of
    free association, dream interpretation, transference and
    resistance
    • to make the C aware of conflict
    MODALITY

    • WORKING THROUGH
    • T repeat the process of using confrontation, clarification and interpretation.
    • WT- helps C in understanding him/her; source of problem; integrate uncovered materials in ego
    • INSIGHT
    • Outcome of working through. Gradual process
    • Unconscious memories (events, feelings, desire, conflict) repeatedly integrate/ re-experienced into
    conscious
    • C- gain insight about the conflict and problem
    • Intellectual insight occurs
    MODALITY

    • Emotional understanding; accept the unpleasant past


    • Willingness to change emotionally and make the change
    • INSIGHT is the end point of therapy
    • Insight instill clear understanding in C,
    • Past conflict, defence mechanism, physical symptoms got decreased or no longer present
    • hence he/she become psychologically healthy person
    • Psychoanalysis is terminated
    D U R AT I O N O F T R E AT M E N T

    • Last for Several years; 1 Hr for 4-5 days/week


    • 3- stages
    • INITIAL PHASE: C familiar with routine, establish relationship; have some relief with process of
    recollect the superficial materials from the consciousness of past and present troublesome event
    • MIDDLE PHASE: long process; lead to insight
    • C- transference and resistance
    • T- confrontation and clarification, working through
    • TERMINATION PHASE :relationship dissolve and prepare to leave the therapy
    ETHICS IN PSYCHOTHERAPY

    • Informed consent needs to be undertaken


    • Confidentiality is maintained
    • Alleviating personal distress and suffering should be the goal of all attempts of the therapist
    • Integrity of T-C relationship is important
    • Respect Human rights and dignity
    • Professional competency and skills are essential.

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