PsychoanalyticTherapyDr.Arra第一页,共二十二页。PsychoanalyticTherapyGOALS:MaketheunconsciousconsciousStrengthenegoAnalyzechildhoodandperson’shistoryandseehowpastbehaviorsareeffectingpresentbehaviors第二页,共二十二页。PsychoanalyticTherapyFreudbelievedlove,work,andplayareimportantforpeople第三页,共二十二页。PsychoanalyticTherapyTHERAPISTROLEANDFUNCTIONBecomeinvolvedinunresolvedconflictsofclientLittleself-disclosure(fosterstransference)MaintainneutralityHelpclientunderstandhistoricalrootsofproblemMuchanalysisaroundtheseprojections第四页,共二十二页。PsychoanalyticTherapyHelpclientlearnandachieveinsightsTherapistsinterpretwhatclientsays,does,anddoesnotdo第五页,共二十二页。PsychoanalyticTherapyCLIENTSEXPERIENCEMeetseveraltimesaweekforyearsAgreetobeactive,talkCommittointerventionsTerminatewhenproblemisresolvedGaininsightintoselfandenvironment第六页,共二十二页。PsychoanalyticTherapyTRANSFERENCE–CoreofpsychoanalyticaltherapyUnconsciouslyprojectingold,unresolvedfeelingsandattitudesontothetherapistEX:sternfatheroldlovermotherexcellentfather第七页,共二十二页。PsychoanalyticTherapyGoaloftherapyistoworkthroughtransferencesExploreunconscious,defenses,andrepressedmaterialInterpretclientbehaviorHelpclientmakenewchoicesHelpclientseehowpastexperiencesareeffectingtheircurrentbehaviors第八页,共二十二页。PsychoanalyticTherapyHelpclientsseehowproblemsareeffectingclientintheirdailylivesRevealschildhoodmotivationsCounselor:allpowerfulClient/child:please,angry,acceptance第九页,共二十二页。PsychoanalyticTherapyCOUNTERTRANSFERENCETherapistprojectsunconsciousmaterialontoclientTherapistrespondsirrationallyandsubjectivelytoclientTherapistsownconflictsaretriggered第十页,共二十二页。PsychoanalyticTherapyEX:Unresolvedissueswithfather>whencounselinganoldmanDislikeofadolescents,ethnicgroupJMU/clientexample/house第十一页,共二十二页。PsychoanalyticTherapyTherapistlosesobjectivity,andbecomesemotionalSeriousdetrimenttotherapeuticrelationshipReferclient,getsupervision第十二页,共二十二页。PsychoanalyticTherapyMODERNPSYCHOANALYTICALLYORIENTEDTHERAPISTSNocouchFewersessionsMoreself-disclosurebytherapistMoreworkwith‘real’issuesthanprojectedmaterialanddreams第十三页,共二十二页。PsychoanalyticTherapyTECHNIQUES:1)Maintainanalyticalframework-therapistneutrality-frequentsessions-consistencyofsessions第十四页,共二十二页。PsychoanalyticTherapy2)FreeAssociationSaywhatcomestomindFreeflowofthoughtsandemotionsHelpsgetatunconsciouswishesandthoughtsTherapistsjobistoidentifyrepressedmaterialTherapistinterpretsmaterialandprovidesinsightsTherapistlistenforhiddenmeaningsEX:slipoftongue(canexpressconflictingaffect)第十五页,共二十二页。PsychoanalyticTherapyINTERPRETATIONAnalystexplainsbehaviorsindreams,freeassociationTranslateclientsmaterialInterpretmaterialclientisunawareofandcantoleratePointoutresistantbehavior,andtheninterpretemotionorunderlyingconflict第十六页,共二十二页。PsychoanalyticTherapyEX:youngfemaleclientprojectsverynegativelyontoanoldermaletherapist;doesnottrustorliketherapistandisafraidofbecomingattachedtotherapistINTERPRETATION:youngfemalehasrepressednegativeeventsinchildhood;fatherleftatanearlyage,sofemale,whilewantingacceptanceandlovefromfather,isalsoafraidofbeinghurt第十七页,共二十二页。PsychoanalyticTherapyDREAMANALYSISRepressedfeelings/thoughtssurfaceduringsleepContentofdreamscansymbolic(snakes,decayingteeth)orapparent(dreamasitappearstoyou)AnalyststudiescontentofdreamsandinterpretssymbolsDreamworkisaprocessoftransformingsymbolsintomeaningfulmaterialwithwhichtoworkwith第十八页,共二十二页。PsychoanalyticTherapyANALYSISANDINTERPRETATIONOFTRANSFERENCEClientsreacttotherapistasthoughtheywereasignificantotherClientsre-experienceavarietyoffeelingstheyhadwiththatpersonClientsseehowpasteffectspresentfunctioningEffectsofpastrelationshipsarecounteractedbyworkingthroughasimilaremotionalconflictwiththetherapist第十九页,共二十二页。PsychoanalyticTherapySTRENGTHSTransferenceCountertransferenceRepression/defensemechanismsClientgainsinsightLearnfrompersonalpastComprehensivepersonalitytheory第二十页,共二十二页。PsychoanalyticTherapyLIMITATIONSTakestoolongExpensiveNotherapistself-disclosureRequiresmuchtherapisttrainingTherapistincontrol/chargeofsessionNotmuchfocusonbehavior/cognition第二十一页,共二十二页。内容总结PsychoanalyticTherapy。Counselor:allpowerful。JMU/clientexample/house。2)FreeAssociation。Expensive。Notherapistself-disclosure第二十二页,共二十二页。