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Use of psychodynamic approach for treatment and intervention

  • This last item is crucial for the authors, who emphasize that unless these goals are met, cessation of gambling will be temporary or may result in other addictive and self-destructive behaviors;
  • Stella became frustrated at Christopher's lack of understanding and explained that again, she felt she was being treated like a "scumbag," this time by the group therapist;
  • Furthermore, apparently minor process parameters of care may be far more important in determining outcome than entire standardized treatment packages.

By Jim Haggerty, M. In its brief form, a psychodynamic approach enables the client to examine unresolved conflicts and symptoms that arise from past dysfunctional relationships and manifest themselves in the need and desire to abuse substances.

Several different approaches to brief psychodynamic psychotherapy have evolved from psychoanalytic theory and have been clinically applied to a wide range of psychological disorders. There is a body of research that generally supports the efficacy of these approaches.

Psychodynamic therapy is the oldest of the modern therapies. As such, it is based in a highly developed and multifaceted theory of human development and interaction.

This chapter demonstrates how rich it is for adaptation and further evolution by contemporary therapists for specific purposes. The material presented in this chapter provides a quick glance at the usefulness and the complex nature of this type of therapy.

  1. In two additional steps, process-outcome studies could then be implemented to establish key treatment components and necessary treatment length, and finally, one could look at factors that promote or undermine the effectiveness of the treatment.
  2. TLP works via two main components of the treatment.
  3. The central focus singles out the most important issues and thus creates a structure and identifies a goal for the treatment. Short-term psychodynamic psychotherapy STPP , on the other hand, is usually time-limited, consisting of 16-30 sessions, conducted on a once or twice-weekly basis.
  4. Gambling is typically used to escape one's problems. Mark and colleagues noted that two defenses frequently seen in those with substance abuse disorders are denial and grandiosity Mark and Luborsky, 1992.

History of Psychodynamic Therapy The theory supporting psychodynamic therapy originated in and is informed by psychoanalytic theory. There are four major schools of psychoanalytic theory, each of which has influenced psychodynamic therapy.

Brief Interventions and Brief Therapies for Substance Abuse.

The four schools are: Freudian psychology is based on the theories first formulated by Sigmund Freud in the early part of this century and is sometimes referred to as the drive or structural model. Defense mechanisms are constructions of the ego that operate to minimize pain and to maintain psychic equilibrium.

The superego, formed during latency between age 5 and pubertyoperates to control id drives through guilt.

  • Of the approximately two hundred compulsive gamblers referred to him, sixty stayed for treatment and more than half, according to Bergler, were cured;
  • The main techniques include the following;
  • The therapist fosters this process of integration and understanding by focusing attention, correcting distortions, making linkages, and counteracting defensive avoidance.

Ego Psychology derives from Freudian psychology. Its proponents focus their work on enhancing and maintaining ego function in accordance with the demands of reality.

Psychodynamic Therapy

Object Relations psychology was first articulated by several British analysts, among them Melanie Klein, W. Winnicott, and Harry Guntrip. According to this theory, human beings are always shaped in relation to the significant others surrounding them.

Our struggles and goals in life focus on maintaining relations with others, while at the same time differentiating ourselves from others.

The internal representations of self and others acquired in childhood are later played out in adult relations.

  1. Some gamblers believe that by winning back what they had lost, it is not only the debt that is erased, but that it is as if they had never gambled in the first place. This is particularly unfortunate as the approach practiced both by him and the more classic analysts mentioned earlier was designed to address the meaning and purpose of gambling for the individual, challenge their defenses, and bring about character changes that should have made a return to gambling less likely.
  2. By contacting her physician, Christopher replayed a common scenario in her life.
  3. It is important to consider the social and physical environmental context of substance abuse as well.
  4. Introduction to Brief Psychodynamic Therapy The healing and change process envisioned in long-term psychodynamic therapy typically requires at least 2 years of sessions. In that way, the child internalizes a part of the parent as the selfobject.

Individuals repeat old object relationships in an effort to master them and become freed from them. Self Psychology was founded by Heinz Kohut, M.

  • Self-forgiveness in the treatment of pathological gambling;
  • Blaszczynski and Nower's52 three pathways model shows some promise, but it has not been applied, much less tested, clinically;
  • For example, some gamblers will initially want to try controlled gambling; others may have committed to abstinence prior to beginning treatment;
  • In brief therapy, the central focus is developed during the initial evaluation process, occurring during the first session or two;
  • In its brief form, a psychodynamic approach enables the client to examine unresolved conflicts and symptoms that arise from past dysfunctional relationships and manifest themselves in the need and desire to abuse substances;
  • The opening session in psychodynamic therapy usually involves the assessment of transference so that it may be incorporated into the treatment strategy.

The self is perceived in relation to the establishment of boundaries and the differentiations of self from others or the lack of boundaries and differentiations. Each of the four schools of psychoanalytic theory presents discrete theories of personality formation, psychopathology formation, and change; techniques by which to conduct therapy; and indications and contraindications for therapy.

Psychodynamic therapy is distinguished from psychoanalysis in several particulars, including the fact that psychodynamic therapy need not include all analytic techniques and is not conducted by psychoanalytically trained analysts. Psychodynamic therapy is also conducted over a shorter period of time and with less frequency than psychoanalysis.

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Introduction to Brief Psychodynamic Therapy The healing and change process envisioned in long-term psychodynamic therapy typically requires at least 2 years of sessions. Practitioners of brief psychodynamic therapy believe that some changes can happen through a more rapid process or that an initial short intervention will start an ongoing process of change that does not need the constant involvement of the therapist.

A central concept in brief therapy is that there should be one major focus for the therapy rather than the more traditional psychoanalytic practice of allowing the client to associate freely and discuss unconnected issues. In brief therapy, the central focus is developed during the initial evaluation process, occurring during the first session or two.

This focus must be agreed on by the client and therapist.

The central focus singles out the most important issues and thus creates a structure and identifies a goal for the treatment. In brief therapy, the therapist is expected to be fairly active in keeping the session focused on the main issue. Having a clear focus makes it possible to do interpretive work in a relatively short time because the therapist only addresses the circumscribed problem area. The number of professionals who practice an exclusive form of psychodynamic therapy today is a small percentage of psychotherapists.