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Brief Psychodynamic Therapy—

Brief Psychodynamic Therapy—. Core Conflictural Relationship Themes Method (CCRT) Adapted from Book, H. E. (1998). How to practice brief psychodynamic psychotherapy . Washington, DC: APA. What is CCRT. Wish (see handout)

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Brief Psychodynamic Therapy—

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  1. Brief Psychodynamic Therapy— Core Conflictural Relationship Themes Method (CCRT) Adapted from Book, H. E. (1998). How to practice brief psychodynamic psychotherapy. Washington, DC: APA.

  2. What is CCRT • Wish (see handout) • What a person wants and wishes in relationships • RO: the Response of the Other • how a person anticipates others will respond to him or her or how the others actually respond • RS: the Response of Self • client’s affective, cognitive, and behavioral responses in relationship situations • What are your feelings? (affective) • What are your thoughts? (cognitive) • What do you do? (behavioral)

  3. The goal of CCRT • Goal is to help clients actualize the wish • This actualization is accomplished by working through and understanding the client’s RO as either a transference distortion or a repetition disorder • RO as a transference distortion • Why we expect others to respond to us in a certain way • RO as a repetition disorder • Why others tend to respond to us in a certain way

  4. Three Phases of CCRT Treatment • Identify CCRT patterns over and over again (1-4 sessions) • Therapists listen to stories of Relationship Episodes (listen to Wish, RO and RS) • Identifying that CCRT pattern is everywhere • A person’s conscious awareness of CCRT is increased • A person has more control over previously unconscious behavior

  5. Three Phases of CCRT Treatment • Work through the RO (5-12 sessions) • Be aware that current expectations of RO are affected by past experiences with others • Enactment: the client’s acting out of his or her CCRT toward the therapist • Recognize here-and-now examples of CCRT in session

  6. Three Phases of CCRT Treatment • Termination (13-16 sessions) • Offer a second chance to work through the CCRT • Discuss themes of fear of abandonment, separation, and loss. • Discuss worries regarding gains from treatment will not continue

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