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Integrative psychodynamic therapy
Published in Stacy K. Nakell, Treatment for Body-Focused Repetitive Behaviors, 2023
Psychodynamic theory is complex. The word itself includes a reference to psychoanalysis, which indicates the primacy of the therapeutic relationship and the exploration of the unconscious. In the modern version of psychodynamic therapy, the therapist’s role goes beyond the “blank slate” therapeutic stance of psychoanalysis and into a more mutual engagement. Therapist joins and validates the client in the development of goals and encourages conversations about feelings and projections that arise in the relationship.
Autobiographical analysis of the role of social learning in transformative action-and-inquiry
Published in John A. Bilorusky, Cases and Stories of Transformative Action Research, 2021
Circumstances can elicit strong emotional responses. Psychodynamic theory, and other such perspectives, give great attention to the subtle and powerful unconscious and complicated, partly conscious processes that affect how we experience life. For the purposes of this book, I wish mostly to emphasize that for “better” and for “worse,” the content of our social learning is strongly influenced if a situation elicits a memorable emotional response. When I was about 7 years old or so, around 1953, I went with some friends to the Saturday afternoon matinee at the neighborhood movie theater. We would usually see cartoons and perhaps a black and white western movie. On one occasion, while watching one of these “cowboy and Indian” westerns, the cowboys captured the leader of the Indians, two of them restrained him by holding his arms down on each side of his body, then the third cowboy walked up to him, and yanked the “Indian’s” necklace off his neck.
The Psychiatric Body
Published in Roger Cooter, John Pickstone, Medicine in the Twentieth Century, 2020
Between the 1890s and the First World War, Sigmund Freud constructed by far the most comprehensive psychodynamic theory, which he named ‘psychoanalysis’. Trained in neurology, Freud as a young man studied the nervous system of marine animals, wrote a monograph on aphasia, and dissected children’s brains in the laboratory. He became convinced that the neurosciences of his day were insufficiently developed to move forward psychiatrically, so he pursued a more mentalist model that could be elaborated through clinical observation and theorizing. Early psychoanalytic theory was, above all, an alternative to the brain psychiatry taught by Meynert, with whom Freud had studied in Vienna.
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.
Appreciating the Role of the Unconscious in Situations of Patient Ambivalence
Published in The American Journal of Bioethics, 2022
Michael James Redinger, Razvan Popescu
However, we also believe their efforts neglect a major facet of human psychology that also contributes to situations of patient ambivalence. Every category within the target article’s taxonomy are situations in which the primary drivers of observed ambivalence are at the conscious level. As a result, the analysis neglects unconscious drivers of patient uncertainty. Psychodynamic theory classically frames unconscious drives as significant contributors to human behavior and unconscious conflicts as major contributors to the development of psychopathology (Gabbard 2014). Crucially, patients do not enter the medical setting mentally divorced from their lived experiences and previous ways of coping with psychological stress. Instead, our experience is that unconscious conflict which manifests in psychosocial dysfunction outside of the hospital is frequently recapitulated in patient interactions with the medical staff within the hospital. As a result, a basic understanding of psychodynamic theory will benefit clinical ethicists and other medical professionals by enabling them to recognize and appreciate the role of the unconscious, especially when patients are unable to articulate the reason for their ambivalence or to add nuance to how unconscious factors may contribute to it. This is the case even when patients would otherwise fall into one of the categories of conscious ambivalence described in the taxonomy.
Becoming a self through occupation: Occupation as a source of self-continuity in identity formation
Published in Journal of Occupational Science, 2021
My theoretical lens in this paper is comprised primarily of theories rooted in psychodynamic theory, developmental/personality psychology, and narrative theory. Psychodynamic theory and personality psychology have received scarce attention in occupational science literature, which may be attributed to the ongoing debate about its applicability to non-western cultures. Nevertheless, these theories allowed for an exploration of the relationship between occupation and identity beyond the experimental level. As a consequence of my choice of theoretical lens, I have not expounded upon the impact of culture and how discourses and shared beliefs scaffold or restrain identity formation. Nevertheless, it is, of course, essential to recognize that each culture or sub-culture has its own unique repertoire of available occupational forms or categories, which can be engaged and inhabited in personal ways (Nelson, 1988).