Psychodynamic Therapies Flashcards
5 Types of Psychodynamic Therapies
DEVELOPING INSIGHT
1) Object Relations
2) Self Psychology
3) Adler
4) Attachment
5) Depth Psychology
Object Relations Psychodynamic Therapy
Theory of Change
- Change occurs through both REPARATIVE experiences within the treatment relationship and from new insight into the modification on entrenched object relations pathology
- What is happening between CLIENT AND THERAPIST
Object Relations Psychodynamic Therapy
Therapist’s Role
- Neutral
- Emphasis on TRANSFERENCE and COUNTERTRANFERENCE
- Therapist as a new and GOOD OBJECT
Object Relations Psychodynamic Therapy
Treatment Goals
- Providing REPARATIVE experiences and building new internal structures (SELF SOOTHING, POSITIVE TALK)
- Gaining INSIGHT to how past relationships impact client’s functioning
- Improving relationships with self and others
Object Relations Psychodynamic Therapy
Phases of Treatment
Beginning
- Establish a holding environment
- Build RAPPORT and THERAPEUTIC ALLIANCE through listening, EMPATHYand remaining neutral
- Explore client’s experience
Object Relations Psychodynamic Therapy
Phases of Treatment
Middle
- Promote insight and growth through INTERPRETATION
- CONFRONT resistance and primitive DEFENSE MECHANISMS
- Focus on TRANSFERENCE/COUNTERTRANSFERENCE dynamic
- Identify and process PROJECTIVE IDENTIFICATION
Object Relations Psychodynamic Therapy
Phases of Treatment
End
- Work through termination and abandonment issues
- CONSOLIDATE interpretations
- REVIEW insights gained in therapy
Object Relations Psychodynamic Therapy
Key Concept: PROJECTIVE IDENTIFICATION
- Person will project a thought or belief that they have onto a second person
- The second person is changed by the projection and begins to behave as though they are characterized by those thoughts or beliefs that have been projected
Object Relations Psychodynamic Therapy
Key Concept: Splitting
When two contradictory states, such as love and hate, are COMPARTMENTALIZED and NOT INTEGRATED
Object Relations Psychodynamic Therapy
Key Concept: Internalization
Early infant-caretaker interactions lead to the person internalizing basic attitudes toward self and other, characteristic relational patterns and a repertoire of defenses and internal capacities
Self Psychology Psychodynamic Therapy
Theory of Change
EMPATHY
Change occurs through EMPATHETIC ATTUNEMENT and strengthening the self-structures through optimal responsiveness - understanding experience
Self Psychology Psychodynamic Therapy
Therapist’s Role
- Emphasis on EMPATHETIC understanding and optimal responsiveness
- Allow emergence of self-object transferences and the repair of disruptions
- REPARENTING the client
Self Psychology Psychodynamic Therapy
Treatment Goals
- Develop self-cohesion and self-esteem
- Locating better self objects
Self Psychology Psychodynamic Therapy
Phases of Treatment
Beginning
- Establish a therapeutic holding environment
- Demonstrate that the therapist is able to provide CONTAINMENT
- Provide “experience-near” empathy
- Explore client’s problem and history
Self Psychology Psychodynamic Therapy
Phases of Treatment
Middle
- REPAIR disruptions of the self-object transference
- Addressing enactments
- Empathizing with losses and blows to self
- Mourning loss of self-objects
- Identify alternative self-objects
Self Psychology Psychodynamic Therapy
Phases of Treatment
End
- Reflect on treatment process
- Acknowledge and process issues related to termination
Self Psychology Psychodynamic Therapy
Key Concept: Mirroring
Approving and confirming responses
Self Psychology Psychodynamic Therapy
Key Concept: Twinship Transference
Client experiences the therapist as someone like themself
Self Psychology Psychodynamic Therapy
Key Concept: Experience-Near Empathy
- Therapist steps into client’s shoes and imagines what it is like to be the client
- Flush out and clarify experience
Adlerian Therapy
Theory of Change
Change occurs by increasing client’s SELF-AWARENESS and challenging and modifying their fundamental premises, life goals, and basic concepts