Psychodynamic Therapies Flashcards

1
Q

5 Types of Psychodynamic Therapies

DEVELOPING INSIGHT

A

1) Object Relations
2) Self Psychology
3) Adler
4) Attachment
5) Depth Psychology

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2
Q

Object Relations Psychodynamic Therapy

Theory of Change

A
  • 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
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3
Q

Object Relations Psychodynamic Therapy

Therapist’s Role

A
  • Neutral
  • Emphasis on TRANSFERENCE and COUNTERTRANFERENCE
  • Therapist as a new and GOOD OBJECT
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4
Q

Object Relations Psychodynamic Therapy

Treatment Goals

A
  • 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
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5
Q

Object Relations Psychodynamic Therapy
Phases of Treatment
Beginning

A
  • Establish a holding environment
  • Build RAPPORT and THERAPEUTIC ALLIANCE through listening, EMPATHYand remaining neutral
  • Explore client’s experience
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6
Q

Object Relations Psychodynamic Therapy
Phases of Treatment
Middle

A
  • Promote insight and growth through INTERPRETATION
  • CONFRONT resistance and primitive DEFENSE MECHANISMS
  • Focus on TRANSFERENCE/COUNTERTRANSFERENCE dynamic
  • Identify and process PROJECTIVE IDENTIFICATION
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7
Q

Object Relations Psychodynamic Therapy
Phases of Treatment
End

A
  • Work through termination and abandonment issues
  • CONSOLIDATE interpretations
  • REVIEW insights gained in therapy
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8
Q

Object Relations Psychodynamic Therapy

Key Concept: PROJECTIVE IDENTIFICATION

A
  • 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
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9
Q

Object Relations Psychodynamic Therapy

Key Concept: Splitting

A

When two contradictory states, such as love and hate, are COMPARTMENTALIZED and NOT INTEGRATED

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10
Q

Object Relations Psychodynamic Therapy

Key Concept: Internalization

A

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

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11
Q

Self Psychology Psychodynamic Therapy

Theory of Change

A

EMPATHY
Change occurs through EMPATHETIC ATTUNEMENT and strengthening the self-structures through optimal responsiveness - understanding experience

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12
Q

Self Psychology Psychodynamic Therapy

Therapist’s Role

A
  • Emphasis on EMPATHETIC understanding and optimal responsiveness
  • Allow emergence of self-object transferences and the repair of disruptions
  • REPARENTING the client
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13
Q

Self Psychology Psychodynamic Therapy

Treatment Goals

A
  • Develop self-cohesion and self-esteem

- Locating better self objects

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14
Q

Self Psychology Psychodynamic Therapy
Phases of Treatment
Beginning

A
  • Establish a therapeutic holding environment
  • Demonstrate that the therapist is able to provide CONTAINMENT
  • Provide “experience-near” empathy
  • Explore client’s problem and history
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15
Q

Self Psychology Psychodynamic Therapy
Phases of Treatment
Middle

A
  • 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
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16
Q

Self Psychology Psychodynamic Therapy
Phases of Treatment
End

A
  • Reflect on treatment process

- Acknowledge and process issues related to termination

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17
Q

Self Psychology Psychodynamic Therapy

Key Concept: Mirroring

A

Approving and confirming responses

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18
Q

Self Psychology Psychodynamic Therapy

Key Concept: Twinship Transference

A

Client experiences the therapist as someone like themself

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19
Q

Self Psychology Psychodynamic Therapy

Key Concept: Experience-Near Empathy

A
  • Therapist steps into client’s shoes and imagines what it is like to be the client
  • Flush out and clarify experience
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20
Q

Adlerian Therapy

Theory of Change

A

Change occurs by increasing client’s SELF-AWARENESS and challenging and modifying their fundamental premises, life goals, and basic concepts

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21
Q

Adlerian Therapy

Therapist’s Role

A
  • Accepting, encouraging, respectful, optimistic
  • Co-thinker
  • Relationship is COLLABORATIVE and built on trust
22
Q

Adlerian Therapy

Treatment Goals

A

SOCIALLY RESPONSIBLE

  • Challenge the client’s basic premises and life goals
  • Develop SOCIALLY useful goals and increase social interests
  • Increase the client’s sense of belonging
23
Q

Adlerian Therapy
Phases of Treatment
Beginning

A
  • ESTABLISH the relationship: seek person to person contact rather than start with “the problem”
  • Help clients become AWARE of their assets and strengths
  • Completes assessment using early recollections, questionnaires, and family constellations exploration
  • Summary shared with client
  • Focus on dynamics that may have influenced the sense of self, inferiority and the world
24
Q

Adlerian Therapy
Phases of Treatment
Middle

A
  • Encourage self-understanding and INSIGHT through INTERPRETATION
  • Clients are positively encouraged to overcome insecure feeling through therapist’s optimism
  • Collaboratively explore ways in which client can feel more deeply connected to SOCIAL context
  • Support client to turn dysfunctional styles of life into more functional, socially beneficial ones
25
Q

Adlerian Therapy
Phases of Treatment
End

A
  • Putting insights into practice

- Encouraging clients to take risks with new behaviors to act as if they are the people they want to be

26
Q

Adlerian Therapy

Key Concepts: Inferiority

A
  • Inferiority feelings are always present as a motivating force in behavior
  • Source of all human striving
  • Individual growth results from compensation, from our attempts to overcome our real or imagined inferiorities
27
Q

Adlerian Therapy

Key Concepts: Early Recollection

A
  • Used as an assessment tool
  • Stories of events that occurred BEFORE AGE 10
  • Specific incidents that include what the client thought and felt at the time
28
Q

Adlerian Therapy

Key Concepts: Family Constellation

A
  • EXPLORATION of the family atmosphere and RELATIONAL dynamics that prevailed in the family when the client was a young child
29
Q

Adlerian Therapy

Key Concepts: Role Playing

A
  • MIDDLE STAGE
  • Offers clients opportunities to add missing experiences to their repertoire
  • Explore and practice new behavior in the safety of the therapist’s office
30
Q

Attachment-based Therapy

Theory of Change

A

Change occurs through exploration of past and current RELATIONAL attachments and trauma in the environment of a healing, secure and reliable relationship

31
Q

Attachment-based Therapy

Therapist’s Role

A
  • Provide a sufficiently SECURE BASE to enable a person to explore emotional experiences of the past and the present
  • Create a secure, ACCEPTING, caring, non-judgmental, and reliable environment where the client can feel comfortable sharing their most traumatic experiences and exploring the nature of the client’s attachment pattern
32
Q

Attachment-based Therapy

Treatment Goals

A
  • Raise AWARENESS of client’s problematic behavioral and emotional patterns, formed in early childhood as attempts to maintain attachment to primary caregivers
  • REPAIR the capacity to regulate affects
  • RESOLVE any emotional or social disruptions within the client’s life
  • Improve quality of attachment with others
33
Q

Attachment-based Therapy
Phases of Treatment
Beginning

A
  • ATTUNEMENT is the key intervention at this stage
  • Forging a personal relationship with client
  • Provide a secure base by reliably demonstrating EMPATHY and care
  • Collaboratively identifying client’s attachment style, problematic behavioral and emotional patterns, formed in early childhood as attempts to maintain attachment to primary caregivers
34
Q

Attachment-based Therapy
Phases of Treatment
Middle

A
  • Disruptions explored, including those in early life, as well as those in current relationships, including the therapist
  • Support client’s ability to REGULATE and EXPRESS emotions in relationally difficult situations
  • Teaching clients to have a REFLECTIVE stance toward themselves
35
Q

Attachment-based Therapy
Phases of Treatment
End

A
  • REPAIR occurs at late middle phase and end
  • Aims to alter the client’s current reactions to the events that cause them emotional distress by sharing their own interpretation
  • Therapist helps create new reality of the painful events for client in order to get rid of unwanted emotions and reactions
36
Q

Attachment-based Therapy

Key Concept: Attachment Behavior System

A
  • Process in which infants and caregivers have an organized pattern of signals and responses that lead to a development of a protecting trusting relationship
  • The EMOTIONAL BOND that develops between adult romantic partners is partly a function of the same motivational system
37
Q

Attachment-based Therapy

Key Concept: Secure Attachment

A
  • Person has easy access to wide range of feelings and memories, positive and negative
  • Has a BALANCED view of parents and has worked through hurt and anger from the past
  • Has developed a STRONG SENSE OF SELF and empathy for others
38
Q

Attachment-based Therapy

Key Concept: Preoccupied / Anxious Attachment

A
  • Person is still embroiled with ANGER and HURT at parents
  • Sometimes value intimacy to such an extent that they become OVERLY DEPENDENT on the attachment figure both past and present
  • Often recall role reversal in childhood and have a hard time seeing their own responsibility in relationships
  • Dread ABANDONMENT
39
Q

Attachment-based Therapy

Key Concept: Dismissive / Avoidant Attachment

A
  • Person DISMISSES the importance of love and connection and the value of emotions in general
  • Often IDEALIZES parents, but actual memories don’t corroborate
  • Dislike looking inward and often have a shallow, if any, self-reflection
  • Often are very independent, dismissive of their own emotionality and have difficulty tolerating the heightened emotions of others
40
Q

Attachment-based Therapy

Key Concept: Fearful / Avoidant Attachment

A
  • Person usually has a history of TRAUMA and or LOSS
  • Dismiss the importance of love and connection but usually out of fear or a belief that they are UNWORTHY of love
  • Have difficulty trusting others and may feel uncomfortable with emotional closeness
41
Q

Depth Psychology Therapy

Theory of Change

A

SOUL PSYCHOLOGY

  • Change occurs through exploring and integrating material from both unconscious and conscious levels of understanding
  • Unconscious processes include DREAMS, images, symptoms, intuitions and other non-volitional experiences
  • “SOUL speaking out”
42
Q

Depth Psychology Therapy

Therapist’s Role

A

Form a critical ALLIANCE which invites client to explore connections and meanings that are BELOW THE SURFACE of conscious awareness ad engages the transpersonal, mysterious space between therapist and client

43
Q

Depth Psychology Therapy

Treatment Goals

A
  • Increase self-awareness and INNER WISDOM
  • Integration of repressed experiences and SHADOW MATERIAL
  • INDIVIDUATION: fostering self-awareness through inner and outer exploration of the unconscious, the individual and the wider community, leading to discovery of a more potent sense of meaning and purpose in life
44
Q

Depth Psychology Therapy
Phases of Treatment
Beginning

A

Invitation and exploration of material the client brings to therapy, including relational situations, DREAMS, EXPERIENCE, IMAGES, etc.

45
Q

Depth Psychology Therapy
Phases of Treatment
Middle

A
  • Placing client experience into a mytho-poetic lens, looking at images, myth, story, imagination and archetypal patterns within the conscious and unconscious happenings in client’s life
  • Looking for MEANING by orienting one’s experience into the greater human story
46
Q

Depth Psychology Therapy
Phases of Treatment
End

A
  • Integration of unconscious material often marked by acceptance of taboo subjects and previously discarded aspects of the personality
  • Acknowledgment of self-awareness and INNER WISDOM
47
Q

Depth Psychology Therapy

Key Concept: Archetypes

A
  • Basic patterns of human behavior and situations that seem to be COMMON amongst all people
  • Hero, mother, father, orphan, etc
48
Q

Depth Psychology Therapy

Key Concept: Collective Unconscious

A
  • Passed down through generations and is shared by all people
  • UNIVERSAL library of human knowledge
49
Q

Depth Psychology Therapy

Key Concept: Mythology

A

Personal symptoms, conflicts, and stucknesses contain a mythic or transpersonal / archetypal core that when interpreted can reintroduce the client to the MEANING of their struggles

50
Q

Depth Psychology Therapy

Key Concept: Psyche & Soul

A
  • Know these terms
  • SOUL is the dimension of the person that makes meaning possible
  • Turns events into experiences and deepens the human experience
  • Attunes itself to the way the psyche reveals itself