2022年医学专题—sychoanalyticTherapy：精神分析疗法(1).ppt

Psychoanalytic Therapy,Dr.Arra,第一页，共二十二页。,Psychoanalytic Therapy,GOALS:Make the unconscious consciousStrengthen egoAnalyze childhood and persons history and see how past behaviors are effecting present behaviors,第二页，共二十二页。,Psychoanalytic Therapy,Freud believed love,work,and play are important for people,第三页，共二十二页。,Psychoanalytic Therapy,THERAPIST ROLE AND FUNCTIONBecome involved in unresolved conflicts of clientLittle self-disclosure(fosters transference)Maintain neutralityHelp client understand historical roots of problemMuch analysis around these projections,第四页，共二十二页。,Psychoanalytic Therapy,Help client learn and achieve insightsTherapists interpret what client says,does,and does not do,第五页，共二十二页。,Psychoanalytic Therapy,CLIENTS EXPERIENCEMeet several times a week for yearsAgree to be active,talkCommit to interventionsTerminate when problem is resolvedGain insight into self and environment,第六页，共二十二页。,Psychoanalytic Therapy,TRANSFERENCE Core of psychoanalytical therapyUnconsciously projecting old,unresolved feelings and attitudes onto the therapistEX:stern father old lover mother excellent father,第七页，共二十二页。,Psychoanalytic Therapy,Goal of therapy is to work through transferencesExplore unconscious,defenses,and repressed materialInterpret client behaviorHelp client make new choicesHelp client see how past experiences are effecting their current behaviors,第八页，共二十二页。,Psychoanalytic Therapy,Help clients see how problems are effecting client in their daily livesReveals childhood motivations Counselor:all powerful Client/child:please,angry,acceptance,第九页，共二十二页。,Psychoanalytic Therapy,COUNTERTRANSFERENCETherapist projects unconscious material onto clientTherapist responds irrationally and subjectively to clientTherapists own conflicts are triggered,第十页，共二十二页。,Psychoanalytic Therapy,EX:Unresolved issues with fatherwhen counseling an old manDislike of adolescents,ethnic groupJMU/client example/house,第十一页，共二十二页。,Psychoanalytic Therapy,Therapist loses objectivity,and becomes emotionalSerious detriment to therapeutic relationshipRefer client,get supervision,第十二页，共二十二页。,Psychoanalytic Therapy,MODERN PSYCHOANALYTICALLY ORIENTED THERAPISTSNo couchFewer sessionsMore self-disclosure by therapistMore work with real issues than projected material and dreams,第十三页，共二十二页。,Psychoanalytic Therapy,TECHNIQUES:1)Maintain analytical framework-therapist neutrality-frequent sessions-consistency of sessions,第十四页，共二十二页。,Psychoanalytic Therapy,2)Free AssociationSay what comes to mindFree flow of thoughts and emotionsHelps get at unconscious wishes and thoughtsTherapists job is to identify repressed materialTherapist interprets material and provides insightsTherapist listen for hidden meaningsEX:slip of tongue(can express conflicting affect),第十五页，共二十二页。,Psychoanalytic Therapy,INTERPRETATIONAnalyst explains behaviors in dreams,free associationTranslate clients materialInterpret material client is unaware of and can toleratePoint out resistant behavior,and then interpret emotion or underlying conflict,第十六页，共二十二页。,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 therapistINTERPRETATION:young female has repressed negative events in childhood;father left at an early age,so female,while wanting acceptance and love from father,is also afraid of being hurt,第十七页，共二十二页。,Psychoanalytic Therapy,DREAM ANALYSISRepressed feelings/thoughts surface during sleepContent of dreams can symbolic(snakes,decaying teeth)or apparent(dream as it appears to you)Analyst studies content of dreams and interprets symbolsDream work is a process of transforming symbols into meaningful material with which to work with,第十八页，共二十二页。,Psychoanalytic Therapy,ANALYSIS AND INTERPRETATION OF TRANSFERENCEClients react to therapist as though they were a significant otherClients re-experience a variety of feelings they had with that personClients see how past effects present functioningEffects of past relationships are counteracted by working through a similar emotional conflict with the therapist,第十九页，共二十二页。,Psychoanalytic Therapy,STRENGTHSTransferenceCounter transferenceRepression/defense mechanismsClient gains insightLearn from personal pastComprehensive personality theory,第二十页，共二十二页。,Psychoanalytic Therapy,LIMITATIONSTakes too longExpensiveNo therapist self-disclosureRequires much therapist trainingTherapist in control/charge of sessionNot much focus on behavior/cognition,第二十一页，共二十二页。,内容(nirng)总结,Psychoanalytic Therapy。Counselor:all powerful。JMU/client example/house。2)Free Association。Expensive。No therapist self-disclosure,第二十二页，共二十二页。,