Professional Documents
Culture Documents
Approaches
Loren P. Tubongbanua
Rochen Roan
What is
Psychoanalytic
Psychotherapy?
Psychoanalysis Psychodynamic Psychotherapy
the term to describe Freud’s refers to approaches that emphasize
approach and classical Freudian unconscious behavior patterns and
psychoanalytic theory is his use insight as a primary therapeutic
theoretical model. tool for psychological change.
Hysteria
various unexplained symptoms, including, but not limited to, numbness, paralysis, and tremors.
Catharsis
expression of emotions that is expected to lead to the reduction of disturbing symptoms
Seduction Hypothesis
•Repression of early childhood sexual abuse caused hysteria
•Presented a paper titled “ The Aetiology of Hysteria”.
•18 cases ( 12 women, 6 men), all of which included childhood sexual abuse.
•2 year self analysis lead to the idea of Oedipus Complex
Oedipus Complex
Wherein a boy holds unconscious wishes to have sexual relations with his mother
Theoretical
Approaches
Dynamic Approach Topographic
Approach
Often, she had to wail and cry very loudly and forcefully to have her oral
needs for sustenance fulfilled. This pattern involved her (a) physical need for
food, (b) impulse (and strategy) to obtain impulse gratification, and
(c) eventual gratification. This pattern was repeated so many times that it
became internalized. For Katie, it became an internal working model for
how relationships and gratification patterns work around hunger and food.
Dynamic Approach
When, at age 22, Katie arrives for psychotherapy, she’s experiencing distress
over the repetition compulsion of the pathological impulse–relationship cycle
that’s continuing to manifest itself in her life.
Genital
Latency puberty to
adulthood
Phallic 5 or 6 to puberty
(12)
Anal
3 to 5 or 6 years
Oral old
1 to 3 years old
Fixation or complex
an unresolved unconscious conflict (aka dysfunctional internal working model).
Structural Approach
Id
•seat of biological desire
•functions on the pleasure principle
•immediate gratification
•primarily unconscious
•view id impulses via dreams, fantasies, and powerful pleasure
seeking urges
•Primary process thought- another facet of id functioning,
characterized by hallucination-like images of fulfilled sexual or
aggressive desires (Childlike thinking by which the id
attempts to satisfy the instinctual drives)
Structural Approach
Ego
•individual's conscious decision making processes;
•steers behavior in more safe and adaptive directions (reality princi
ple)
•ego functions include memory, problem-solving abilities and logical
thought these are also labeled as the secondary thought processes
(Mature thought processes needed to deal rationally with the extern
al world).
Structural Approach
Superego
•the moral aspect of personality; the internalization of parental and
societal values and standards
•develops when children resolve their Oedipus or Electra issues.
•2 parts of the superego
•conscience- behaviors for which the child has been punished.
Develops from parental prohibitions. Inner source of
punishment.
•ego-ideal- the moral or ideal behaviors for which a person
should strive.
Repression Involves unconscious denial of the existence of something that causes anxiety
Reaction Involves expressing an id impulse that is the opposite of the one truly driving the person
Formation
Projection Involves attributing a disturbing impulse to someone else
Regression Involves retreating to an earlier, less frustrating period of life and displaying the childish and
dependent behaviors characteristic of that more secure time
Rationalization Involves reinterpreting behavior to make it more acceptable and less threatening
Displacement Involves shifting id impulses from a threatening or unavailable object to a substitute object that
is available
Sublimation Involves altering or displacing id impulses by diverting instinctual energy into socially
acceptable behaviors
Defense Mechanisms
are designed to ward off unpleasant anxiety feelings associated with internal conflicts among id, ego, and superego.
Case Presentation
Andrew
The problem list for Andrew’s treatment plan might look like this:
• Difficulty speaking up (aka sub assertiveness).
• Anxiety (associated with speaking up and associated with feeling
trapped).
• Depression (and related feelings of hopelessness linked to his
perception of being trapped in an unhappy relationship).
The Problem List
But the babies of mothers who overtrack, who are too in sync,
seem to have difficulties too; they tend to be insecure in the
fashion that is described as avoidant. They withdraw from
contact in order to have any room for autonomy at all.
The Problem Formulation
In his work with Andrew, Wachtel could use the CALPAS and/or the
BDI-II to track process and symptom change every session or less
often, depending upon what they collaboratively agree on as a
means of monitoring progress.