Lecture 8 Flashcards
What are two distinctive features of psychodynamic technique as per Shedler’s (2010) research?
Essence: exploring aspects of self not fully known as manifested through therapy relationship
Process of self-reflection, self exploration and self discovery in context of safe and authentic telationship
What are the 7 aspects of psychodynamic therapy? + goals
FAT PITE
1) Focus on AFFECT (feelings) and expression of emotion
2) Explore attempts to AVOID distressing thoughts and feelings (Defence)
3) Identify recurring themes and patterns
4) Past experience (of developmental focus)
5) Interpersonal Relations
6) Focus on therapy Relationship
7) Exploration of fantasy life
Explain 1) what is focus on affect and expression of emotions?
Exploration of the full range of emotions
Describe and put words to feelings, inc. contradictory, threatening, not acknowledged
Emotional insight (only understanding intellectually does not help) which is more than Cog therapies
Describe Avoid
Defence and resistance + avoidances
DEFENCE MECHANISMS are behaviors feelings and ideas to avoid things threatening and bringing anxiety
mental pain/conflict
Maintain self-esteem
Protect against disintegration
Modify unwanted impulses
End product = maladaptive behavior or neurosis
What are the defence mechanisms?
DR RR RIP SIDD
4rs 3ds
Denial
Repression
Reaction formation
Regression
Rationalization
Introjection
Projection/Projective Identification
Sublimation
Intellectualization
Disassociation
Displacement
Personality problems and change
What might happen in therapy from the client to protect themself?
Resistance - fighting against awareness of repressed conflicts and impulses
Transference - displacement onto therapist
Goal of therapy regarding defense mechanisms in psychodynamic?
Free up energy by releasing the need to repress and defend
What patterns / themes might be looked at for recurring?
Relationships
Thoughts
Feelings
Self-concept
Life experience
These can be unconscious or may be well aware of them but ‘stuck’
Why look at past experiences, part. devleopmental focus?
They (particularly with attachment figures) influence rel’n and experiences in present.
How the past lives on in the present and sheds light on current issues.
Free one self from the bonds of the past to live more fully in the present
Why focus on interpersonal relations?
Object relations and attachment
Personality and self-concept are forged in the context of attachment relationships
Psychological difficulties arise when problematic interpersonal patterns interfere with ability to meet emotional needs
What are goals in psychodynamic therapy?
Goes beyond symptom remission
More fulfilling relationships
Effective use of skills/talents
Realistic self-esteem
tolerate feelings
Understand others better
Face life’s challenges with freedom and flexibility
What is some evidence for psychodynamic?
Unlike other approaches, Benefits not only endure but increase with time! Therefore changes in underlying psychological mechanisms (is the theory)
Abbass (2005) - 0.97 for general symptom improvement then to 1.51 at follow up.
Somatic symptoms = 0.81 then to 2.21
Anxiety 1.08 to 1.35 (9 months long follow up)
What is Maori word for hospitality?
Manaakitnaga
What is Maori word for proverbs?
whakatauki
