Psychoanalysis - Osher Flashcards
What are the differences in logistics between psychoanalysis, expressive dynamic therapy, and supportive dynamic therapy?
Psychodynamics:
4-5 sessions/week of 50 mninutes for 3-5 years (or more) with a couch
Patients are functional, healthy but conflicted and unhappy
Utilizes confrontation, clarification and interpretation, don’t interact with people outside therapy
Expressive Dynamic therapy:
1-3 session/week of about one hour, face to face
Utilizes confrontation and clarification
Supportive Dynamic therapy:
Not intense sessions, varying in length, once a month or longer, as needed
Usually patients with severe character disorder, latent psychotic/stabilized schizoaffective or others in acute crisis or physical illness
Therapist acts as auxillary ego
Utilizes abreaction
How does a relationship between patient and therapist progress in psychoanalysis?
Patient goes through transference: projecting the relationship with another person onto the therapist to work out
Regression in the service of the ego, AKA transverse neurosis: when the patient becomes attached and annoying in the service of progress in therapy
The above is expected, but countertransference of the therapist projecting onto the patient is not good.
Resistance to uncovering conconscious thoughts-also not so good.
What are defense mechanisms and what are different types?
Ego tries to resolve conflict between id and superego
Projecting: want to hurt someone but superego doesn’t like it so you make it about them. Ex: I’m not in love with him, he’s in love with me (but not really).
Denial: firefighters and risk (sometimes useful).
Rationalization: Explain away. Great for procrastination.
Reaction formation: Going to opposite extreme because really want the other extreme (if you really want to sleep around you become a nun pull a girl’s hair if you have a crush on her).
