2022年醫(yī)學(xué)專題—sychoanalyticTherapy：精神分析療法

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1、Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,*,*,Psychoanalytic Therapy,Dr.Arra,第一頁，共二十二頁。,Psychoanalytic T

2、herapy,GOALS:,Make the unconscious conscious,Strengthen ego,Analyze childhood and persons history and see how past behaviors are effecting present behaviors,第二頁，共二十二頁。,Psychoanalytic Therapy,Freud believed love,work,and play are important for people,第三頁，共二十二頁。,Psychoanalytic Therapy,THERAPIST ROLE A

3、ND FUNCTION,Become involved in unresolved conflicts of client,Little self-disclosure(fosters transference),Maintain neutrality,Help client understand historical roots of problem,Much analysis around these projections,第四頁，共二十二頁。,Psychoanalytic Therapy,Help client learn and achieve insights,Therapists

4、 interpret what client says,does,and does not do,第五頁，共二十二頁。,Psychoanalytic Therapy,CLIENTS EXPERIENCE,Meet several times a week for years,Agree to be active,talk,Commit to interventions,Terminate when problem is resolved,Gain insight into self and environment,第六頁，共二十二頁。,Psychoanalytic Therapy,TRANSF

5、ERENCE Core of psychoanalytical therapy,Unconsciously projecting old,unresolved feelings and attitudes onto the therapist,EX:stern father,old lover,mother,excellent father,第七頁，共二十二頁。,Psychoanalytic Therapy,Goal of therapy is to work through transferences,Explore unconscious,defenses,and repressed ma

6、terial,Interpret client behavior,Help client make new choices,Help client see how past experiences are effecting their current behaviors,第八頁，共二十二頁。,Psychoanalytic Therapy,Help clients see how problems are effecting client in their daily lives,Reveals childhood motivations,Counselor:all powerful,Clie

7、nt/child:please,angry,acceptance,第九頁，共二十二頁。,Psychoanalytic Therapy,COUNTERTRANSFERENCE,Therapist projects unconscious material onto client,Therapist responds irrationally and subjectively to client,Therapists own conflicts are triggered,第十頁，共二十二頁。,Psychoanalytic Therapy,EX:,Unresolved issues with fa

8、therwhen counseling an old man,Dislike of adolescents,ethnic group,JMU/client example/house,第十一頁，共二十二頁。,Psychoanalytic Therapy,Therapist loses objectivity,and becomes emotional,Serious detriment to therapeutic relationship,Refer client,get supervision,第十二頁，共二十二頁。,Psychoanalytic Therapy,MODERN PSYCHO

9、ANALYTICALLY ORIENTED THERAPISTS,No couch,Fewer sessions,More self-disclosure by therapist,More work with real issues than projected material and dreams,第十三頁，共二十二頁。,Psychoanalytic Therapy,TECHNIQUES:,1)Maintain analytical framework,-therapist neutrality,-frequent sessions,-consistency of sessions,第十

10、四頁，共二十二頁。,Psychoanalytic Therapy,2)Free Association,Say what comes to mind,Free flow of thoughts and emotions,Helps get at unconscious wishes and thoughts,Therapists job is to identify repressed material,Therapist interprets material and provides insights,Therapist listen for hidden meanings,EX:slip

11、 of tongue(can express conflicting affect),第十五頁，共二十二頁。,Psychoanalytic Therapy,INTERPRETATION,Analyst explains behaviors in dreams,free association,Translate clients material,Interpret material client is unaware of and can tolerate,Point out resistant behavior,and then interpret emotion or underlying

12、 conflict,第十六頁，共二十二頁。,Psychoanalytic Therapy,EX:young female client projects very negatively onto an older male therapist;does not trust or like therapist and is afraid of becoming attached to therapist,INTERPRETATION:young female has repressed negative events in childhood;father left at an early ag

13、e,so female,while wanting acceptance and love from father,is also afraid of being hurt,第十七頁，共二十二頁。,Psychoanalytic Therapy,DREAM ANALYSIS,Repressed feelings/thoughts surface during sleep,Content of dreams can symbolic(snakes,decaying teeth)or apparent(dream as it appears to you),Analyst studies conte

14、nt of dreams and interprets symbols,Dream work is a process of transforming symbols into meaningful material with which to work with,第十八頁，共二十二頁。,Psychoanalytic Therapy,ANALYSIS AND INTERPRETATION OF TRANSFERENCE,Clients react to therapist as though they were a significant other,Clients re-experience

15、 a variety of feelings they had with that person,Clients see how past effects present functioning,Effects of past relationships are counteracted by working through a similar emotional conflict with the therapist,第十九頁，共二十二頁。,Psychoanalytic Therapy,STRENGTHS,Transference,Counter transference,Repressio

16、n/defense mechanisms,Client gains insight,Learn from personal past,Comprehensive personality theory,第二十頁，共二十二頁。,Psychoanalytic Therapy,LIMITATIONS,Takes too long,Expensive,No therapist self-disclosure,Requires much therapist training,Therapist in control/charge of session,Not much focus on behavior/cognition,第二十一頁，共二十二頁。,內(nèi)容,(nirng),總結(jié),Psychoanalytic Therapy。Counselor:all powerful。JMU/client example/house。2)Free Association。Expensive。No therapist self-disclosure,第二十二頁，共二十二頁。,