Psychotherapy

1
Psychotherapy

• Treatment offered within the boundaries of a
  professional relationship to help
  patients/clients experiencing distress
• Individual
• Couples
• Group

2
Psychotherapy

• Therapists
• Be able to understand pts problems
• Be able to help pts reduce distress

Empathy
Nonjudgmental
Genuineness
3
Psychotherapy

• Clinical Psychologists
• Masters level
• Counseling Psychologists
• Social Workers
• Psychiatry
• Paraprofessionals

4
Skills

• Macro
• Communication
• Relationship building
• Self-monitoring
• Micro
• Specialized therapy techniques

5
Therapeutic Relationship

• Ethical Guidelines

6
Therapeutic Alliance

• Two main components
• Emotional bond
• Understanding of goals
• Differences across theoretical orientation

7
Goals of Psychotherapy

• Processes differ along theoretical orientation
• General goals
• Enhancing insight
• Enhancing psychological well-being
• Prevent future problems

8
Psychodynamic Techniques

• Transference
• Displacement of feelings attitudes impulses
  experienced toward people from the past onto
  current people to whom they do not realistically
  apply
• Generalized transference reactions
• Specific transference reactions
• Is it a good thing?
• Is it something that you would want to maintain
  and how?
• Transference neurosis
• Transference psychosis

9
Psychodynamic Techniques

• Indirect expressions of transference
• Display some change in behavior/appearance
• Make comment about therapist profession
• Direct expressions of transference
• Comments about therapist as a person
• Explicit expression about feelings for therapist

10
Psychodynamic Techniques

• Resistance
• Pts unwillingness to participate in treatment
• Interpretations
• When to make one?
• When transference is producing greater resistance
• When resistance is of moderate intensity
• When interpretation would be helpful

11
Psychodynamic Techniques

• Working through
• Making patient see herself relationship with the
  world from a different perspective
• This is done by therapist repeating points that
  the therapist and pt agree on only through
  repetition will pt be able to incorporate new
  information
• Test new interpretations
• Pt should watch evaluate new consequences
• Pt should apply new interpretations to future
• Pt has the ability to choose what appropriate
  action is necessary when confronting a conflict

12
Psychodynamic Techniques

• Counter transference
• Use of dreams
• Hypnosis
• Terminating therapy
• Progress has been made towards treatment goals
• Pt is capable of working independently
• Transference relationship has been resolved