psychodynamic therapy techniques

Posted by violette on September 10, 2010, at 11:56:18

In reply to can you tell when your therapist, posted by tetrix on September 8, 2010, at 20:02:59

Tetrix, you got me interested in this...and wondering since my T recently changed his approach....From how i understand it, the range of psychodynamic therapy goes:
supportive > neutral/expressive
Supportive
1. more interactive with *real-life* relationship with T
2. more T self-disclosure
3. limiting confrontation/interpretations
4. can be used when establishing alliance/trust
5. supporting adaptive defenses rather than challenging maladaptive defenses
6. can be used when patient has less ego strength, to build ego strength
7. overall less focus on insight
Supportive Techniques =
- praise/encouragement
- reassurance
- advice/instruction/guidance/persuasion
- directive
- clarification
- less unconscious material
- inexact interpretations**
Neutral:
- clarification + interpretation
Expressive:
1. interactive with *transference* relationship with T
2. less T self-disclosure
3. more focus on insight
4. trust/alliance has been established
5. challenging maladaptive defenses
6. used when patient has more ego strength
7. avoid supportive techniques (frustrates wishes)
8. increase transference > more exploring unconscious
Expressive Techniques =
-confrontation
-exploratory/interpretation
-challenging
Tetrix, wondering if this is more your Ts style-maybe she is not attuned to yur needs or she's not clarifying enough to be attuned:
**inexact interpretations
Might include (?):
- Working with the client's perceptions of reality rather than arguing
- Asking questions
- Sidestepping rather than confronting defenses
- Demonstrating the denial defense while interacting with the client to show her how it works
http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=hssamhsatip&part=A59852
most of this stuff is in books, so i didn't have a good link; but here's one (i didn't read it but it looks like a good explanation after scanning through):
http://levylab.psych.psu.edu/PDFs/Chapters/Levy%20-%20Psychodynamic%20and%20Psychoanalytic%20Psychotherapy%20(2009).pdf

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