sychoanalyticTherapy：精神分析疗法.ppt

Psychoanalytic TherapyDr.Arra第一页，共二十二页。Psychoanalytic TherapyGOALS: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 TherapyFreud believed love,work,and play are important for people第三页，共二十二页。Psychoanalytic TherapyTHERAPIST 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 TherapyHelp client learn and achieve insightsTherapists interpret what client says,does,and does not do第五页，共二十二页。Psychoanalytic TherapyCLIENTS 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 TherapyTRANSFERENCE 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 TherapyGoal 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 TherapyHelp 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 TherapyCOUNTERTRANSFERENCETherapist projects unconscious material onto clientTherapist responds irrationally and subjectively to clientTherapists own conflicts are triggered第十页，共二十二页。Psychoanalytic TherapyEX: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 TherapyTherapist loses objectivity,and becomes emotionalSerious detriment to therapeutic relationshipRefer client,get supervision第十二页，共二十二页。Psychoanalytic TherapyMODERN 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 TherapyTECHNIQUES:1)Maintain analytical framework -therapist neutrality -frequent sessions -consistency of sessions第十四页，共二十二页。Psychoanalytic Therapy2)Free AssociationSay what comes to mindSay what comes to mindFree flow of thoughts and emotionsHelps get at unconscious wishes and thoughtsHelps get at unconscious wishes and thoughtsTherapists job is to identify repressed materialTherapist interprets material and provides insightsTherapist interprets material and provides insightsTherapist listen for hidden meaningsTherapist listen for hidden meaningsEX:slip of tongue(can express conflicting affect)第十五页，共二十二页。Psychoanalytic TherapyINTERPRETATIONAnalyst 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 TherapyEX: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 TherapyDREAM ANALYSISDREAM 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 Analyst studies content of dreams and interprets symbolssymbolsDream work is a process of transforming symbols into Dream work is a process of transforming symbols into meaningful material with which to work withmeaningful material with which to work with第十八页，共二十二页。Psychoanalytic TherapyANALYSIS AND INTERPRETATION OF ANALYSIS AND INTERPRETATION OF TRANSFERENCETRANSFERENCEClients react to therapist as though they were a significant otherClients re-experience a variety of feelings they had Clients re-experience a variety of feelings they had with that personwith that personClients see how past effects present functioningEffects of past relationships are counteracted by Effects of past relationships are counteracted by working through a similar emotional conflict with the working through a similar emotional conflict with the therapisttherapist第十九页，共二十二页。Psychoanalytic TherapySTRENGTHSTransferenceCounter transferenceRepression/defense mechanismsClient gains insightLearn from personal pastComprehensive personality theory第二十页，共二十二页。Psychoanalytic TherapyLIMITATIONSTakes 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。