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Integrative psychodynamic therapy
Published in Stacy K. Nakell, Treatment for Body-Focused Repetitive Behaviors, 2023
Psychodynamic treatment is continuously evolving, integrating new techniques and deepening the clinical understanding of the workings of the human psyche. In this way, it’s an ideal model that allows us to embrace clients where they are and offer them a blend of various approaches to suit their needs.
Attachment in young people
Published in Robert McAlpine, Anthony Hillin, Interpersonal Psychotherapy for Adolescents, 2020
Robert McAlpine, Anthony Hillin
A major difference between IPT-A and more psychoanalytically oriented therapies is seen clearly in the manner in which these approaches deal with the transference relationship. In psychodynamic therapies, the transference relationship is directly addressed by the therapist during treatment. Transference is an unconscious process and therefore occurs outside the awareness of the client. In the transference relationship, early patterns of interpersonal relatedness are repeated in the relationship with the therapist and the manifestations of these patterns are examined in detail. For example, the therapist would assume that many of the young person’s feelings towards him or her would be re-enactments of feelings associated with early significant relationships in the client’s life. The therapist would focus on these feelings “under the microscope of therapy” to explore the hidden forces of the client’s unconscious world that drive current affect, cognitions, and interpersonal behaviours.
Consider Past Healthcare Encounters
Published in Scott A. Simpson, Anna K. McDowell, The Clinical Interview, 2019
Scott A. Simpson, Anna K. McDowell
With clinician turnover being common,3 patients sometimes develop an emotional connection to the healthcare institution rather than the clinician. This phenomenon has been described as institutional transference.4 In psychodynamic therapy, transference describes the patient’s emotional and personal reaction to the clinician. Institutional transference refers to the same reactions not towards individuals but towards institutions. A similar reaction is how persons feel loyalty to corporate brands, social organizations, and political groups. Institutional transference can unexpectedly complicate the clinician’s efforts to build a therapeutic relationship.5
Commentary. Freud in the stroke ward: psychodynamic theory for stroke rehabilitation professionals
Published in Topics in Stroke Rehabilitation, 2023
A central tenet of psychodynamic theory is that patients have transference reactions to their therapists. What this means is that feelings that in some sense belong to an earlier period of life, are transferred into the therapeutic relationship. The patient experiences their treating therapists in the light of this transference. A patient accustomed to being neglected may be particularly attuned to signs of neglect in the therapy team. Someone accustomed to being mistreated experiences the team as a source of potential threat. Such feelings can’t fail to influence behavior toward the therapist. This is a perplexing process to encounter in a rehabilitation context. Stroke therapists are trying to help their patients and often the experience is pleasant and cooperative. The paradigm here is helpful therapist and grateful, motivated patient, but not everybody fits the hoped for paradigm. One way of thinking about transference is that people bring their own paradigms to a situation. If a patient’s formative experiences of people in authority has been that they are frightening or unhelpful, they will come into stroke rehabilitation with a different set of expectations about, and different feelings toward, their therapists.
Posttraumatic Growth in Complex PTSD
Published in Psychiatry, 2019
Psychodynamic psychotherapy has the potential to help patients integrate their diverse interpersonal experiences through by means of exploring the therapeutic relationships. These processes can facilitate growth in different aspects of self-perception (e.g. feeling worthy and not guilty or ashamed for the abuse), expressing needs and aspirations within the relationship, feeling safer and closer to people, searching for meanings to better understand family circumstances leading to or enabling the abuse, and, ultimately, translating these meanings to goals that might empower and strengthen purposeful lives. Other aspects of growth include putting personal and familial wellbeing first, gaining in spirituality, and replacing hopeless and future-less expectations for oneself with more optimistic future possibilities, altering life priorities in positive directions, up to and potentially including working to help other abuse survivors. As seen in the illustrative case material, patient-therapist alliance and trust developed within the therapeutic relationship enabled the patient to work through her insecure attachments (“attachment trauma”) and as a result to extend her social support network and gain further improvement in complex PTSD symptoms such as affective dysregulation, low self-esteem and dissociation. These processes were pivotal steps that later paved the path for PTG.
Relationships, Emotions, and Defenses Among Patients with Substance Use Disorders, Assessed with Karolinska Psychodynamic Profile: Possibilities to use Intensive Short-Term Dynamic Psychotherapy in Substance Abuse Treatment
Published in Alcoholism Treatment Quarterly, 2019
Elisabeth Punzi, Karin Lindgren
The KAPP-interviews showed that the participants had difficulties with relationships, especially separation and fear of abandonment, and with identifying and regulating emotions. The majority of them used primitive defenses. This supports the assumption within ISTDP that emotions and relationships are crucial for the origin and maintenance of psychological difficulties. Simultaneously, the results show that individuals with SUD are heterogeneous. Accordingly, treatment must be nuanced and adapted to the individual. It therefore seems relevant to carry out assessment before starting any treatment, including ISTDP. ISTDP therapists should consider that the graded approach with a preparing restructuring phase might be relevant for those who have complex SUD and BPO. It should also be noted that this study concerns psychodynamic concepts, assessment, and treatment. Psychodynamic treatment is not the solution to everyone. Other treatment methods, interventions, and perspectives should be considered in clinical practice.