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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— 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) • What a person wants and wishes in relationships • RO: the Response of the Other • how a person anticipates others will respond or how the others actually respond • RS: the Response of Self • client’s affective. Cognitive, and behavioral responses in relationship situations • What’s your feelings? (affective) • What’s your thoughts? (cognitive) • What do you do? (behavioral)
The goal of CCRT • Goal is to help clients actualizing the wish • This actualization is accomplished by working through and understand the client’s RO as either a transference distortion or a repetition disorder • RO as a transference distortion • Why we expects 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
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 CCRT pattern is everywhere • A person increases a conscious awareness of CCRT • A person has more control over previously unconscious behavior
Three Phases of CCRT Treatment • Work through the RO (5-12 sessions) • Be aware that current expectations of RO is affected by the 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
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 that gains from treatment will not continue