7. contemporary psychodynamic + humanistic therapies Flashcards
what are these therapies, how are they diff to CBT? STPT, EFT, ITP
name the 3 psychodynamic therapies
- short-term psychodynamic therapy
- emotion focused therapy
- interpersonal psychotherapy
what are the origins of psychodynamic therapies?
what do they focus on?
psychoanalysis
they focus on unconscious processes that impact px behaviour
name a few examples of psychodynamic therapies?
i can think of 3
- short term psychodynamic therapy
- mentalization based therapy
- transferance focused psychotherapy
give some examples of humanistic/experiential therapies
i can think of 3!
- gestalt therapy
- existential therapy
- emotion focused therapy
what kind of category does interpersonal psychotherapy fall into? why?
an external kind of humanistic/experiential therapy
was intially created as a controlled tx, focused on emotions
what are the origins of humanistic/experiential therapies?
what premise does it follow?
person centered therapy (rogers)
premise: people are “self-actualizing”, can reach full potential
what distinguishes psychodynamic therapies from one another?
conclusion from the Blagys & Hilsenroth article – there are 7 reasons
- focus on affect and the expression of patient emotion
- exploration of patient’s attempts to avoid topics or engage in activities that hinder therapy process
- identify patterns in patient’s actions, thoughts, feelings, experiences, relationships
- emphasis on past experiences
- focus on patients’ interpersonal experiences
- emphasis on therapeutic relationship
- exploration of patient’s wishes, dreams, fantasies
what is a core belief?
a deeply rooted difficulty in the patient’s life that affected their past and affects their present
short-term psychodynamic therapy
- goal
- structure
- the ideal candidate for this therapy
- sx relief, character change (limited but significant), work on specific areas of focus
- 1/week for less than a year, keeping focus on the focus of the client
- px has to be psychologically minded, insightful, motivated, can engage readily and disengage easily
short-term psychodynamic therapy
what are the 3 main techniques of this kind of therapy?
- being supportive
- being expressive
- monitoring countertransference
emotion focused therapy
- who developed it and at which uni?
- what was its original name?
- how many sessions does it usually last?
- what is the key determinant/premise of this therapy?
- Leslie Greenberg, york u
- process experiential therapy
- 16-20 sessions
- emotions are at the forefront - they are evolutionarily useful, but how we make sense of the is influenced by culture
name the 4 types of emotions
- primary
- secondary
- adaptive
- maladaptive
what is a primary emotion?
what is its function?
direct, initial reaction to an event
good for mobilization
what is a secondary emotion?
emotions that we have in relation to primary emotions
what is an adaptive emotion?
primary emotions that communicate information relating to what we need
what are maladaptive emotions?
“old familiar feelings” that don’t change with situation
they do not communicate our needs
what are the 3 principles targeted in tx of EFT?
- emotion awareness
- emotion regulation
- emotion transformation
EFT
what is emotion transformation?
what’s its purpose?
process of changing emotion with another emotion
purpose is to undo a maladaptive emotional response with a more adaptive emotion
replacing a secondary emotion into a primary emotion
EFT
what are techniques used in emotion transformation?
there are 2
- 2 chair dialogue
- empty chair work
EFT
what is the 2 chair dialogue?
have the person have a dialogue with themselves; one chair has the negative discourse repeated by the client, the other chair is the person saying kind things
in watson 2004, what were the findings in treating depression with EFT compared to CBT?
outcomes were similar but there was a greater decrease in interpersonal problems in EFT compared to CBT
what is the main premise of interpersonal psychotherapy?
the 3 Ps
the interpersonal context of a person is a mix of elements that
* predispose (attachment + biopsychosocial vulnerability)
* precipitate (acute interpersonal crisis)
* perpetuate (inadequate social support)
their distress
interpersonal context, interpersonal psychotherapy
what is a predisposition?
the etiology of the person
interpersonal context, interpersonal psychotherapy
what is the precipitation of the interpersonal context?
the acute event that leads to the distress
interpersonal context, interpersonal psychotherapy
who would best suit interpersonal psychotherapy?
3 elements
- secure attachment
- specific interpersonal focus of distress
- good support system
what are the 4 problem areas that are targeted by IPT?
- role transitions
- role disputes
- grief
- interpersonal sensitivity
examples of role transitions?
moving, new job, divorce
what are role disputes?
disagreement in a relationship
in what context would IPT address grief, if grief is a primary emotion?
grieving period is longer than “normal”
what is interpersonal sensitivity?
difficulty forming and maintaining relationships
what are some IPT techniques?
there are 4
- interpersonal incidents
- communication analysis
- problem solving + role-playing
- encouragement of affect
IPT techniques - encouragement of affect
what’s the difference between content and process?
content: how the patient feels, the content of their emotions
process: using our non-verbal to express ourselves, how to patient expresses themselves non-verbally
IPT was found to have a sleeper effect on 2 diagnoses. which ones?
bulimia nervosa + binge eating disorder
