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Twenty-First Century Psychotherapies. Chapter 7 – Psychoanalytic Psychotherapy. History of Psychoanalytic Psychotherapy. Sigmund Freud and his contributions The structure and process of the unconscious Key role of early childhood experiences in shaping personality
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Twenty-First Century Psychotherapies Chapter 7 – Psychoanalytic Psychotherapy
History of Psychoanalytic Psychotherapy • Sigmund Freud and his contributions • The structure and process of the unconscious • Key role of early childhood experiences in shaping personality • Creation of a distinctive methodology for psychological treatment of mental disorders • The recognition that the patient’s character is central to understanding psychic symptomatology
Variations of Psychoanalysis • Harry Stack Sullivan – Interpersonal Theory of Psychiatry • Heinz Kohut – Self Psychology • Habib Davanloo and David Malian – Short-Term Psychodynamics • Otto Kernberg – Transference-Focused Therapy • Anna Freud and Melanie Klein – Child Therapists
Key Aspects of Personality Development • Free association • Topographical contours • Unconscious, preconscious, conscious • Tripartite model of the human psyche • Id, ego, superego
Therapeutic Elements • Transference: tendency to utilize internal relational schematic representations to orient our interactions with others • Interpretations are made regarding the unconscious based on free associations • Countertransference: feelings aroused in the analyst as his or her unconscious takes in and responds to the patient’s transference
Theory of Psychotherapy • Main goal: to overcome developmental obstacles and personality patterns that interfere with a person’s ability to function at their highest level • Assessment of ego-functions • Process • Psychoanalysis: 4 to 5 weekly sessions over 3 to 5 years • Short-term psychodynamic psychotherapy: 4 to 80 weekly session
Most Popular Currently Practiced Psychoanalytic Variants • Structural-Drive Theory • Unconscious drives • Defense mechanisms • Relational Psychoanalysis • Object relations • Interpersonal theory • Attachment theory • Self-Psychological Theory • Multiperspective Approach
Strategies and Interventions • Restructuring methods • Focus attention on the interpersonal therapy process • Engage in activities that directly disrupt what has been procedurally learned