Psychoanalytic Therapy (Chapter 15)
What is IPT based on?
The assumption that psychological symptoms are caused and maintained by interpersonal problems.
What is the most important relationship between patient and psychoanalyst?
Transference
What is short term dynamic therapies?
Type of psychotherapy that is based on psychoanalytic theory but differs in that it is typically time limited, had specific goals, and involves and active rather than neutral role for the therapist.
What are the 4 categories of personal problems in the IPT?
1) Unresolved grief 2) Role disputes 3) Role transitions 4) Interpersonal deficits
What is interpersonal therapy (IPT)?
A brief psychodynamic psychotherapy that focuses on current relationships and is based on the assumption that symptoms are cause and maintained by interpersonal problems.
What is free association?
A psychoanalytic technique in which the patient spontaneously reports all thoughts, feelings and mental images that arise, revealing unconscious thoughts and emotions, psychoanalyst usually sits out of view asking questions to encourage flow of associations.
What is interpretation?
A technique use din psychoanalysis in which the psychoanalyst offers a carefully timed explanation of the patient's dreams, free association or behaviors to facilitate the recognition of unconscious conflicts or motivations.
What is dream interpretation?
A technique used in psychoanalysis in which the content of dreams is analyzed for disguised or symbolic wishes, meanings and motivations
What is psychoanalysis?
A type of psychotherapy originated by Sigmund Freud in which free association, dream interpretation and analysis of resistance and transference are used to explore repressed or unconscious impulses, anxieties and internal conflicts.
What is interpersonal deficits?
Absent or faulty social skills that limit the ability to start or maintain healthy relationships with others.
What is IPT used to treat?
Eating disorders and substance use disorders as well as major depressive disorder. Also inter personal problems (marital conflicts, work conflicts, parenting issues).
In the first phase of IPT what does the therapist do?
Identifies the interpersonal problem that is causing the difficulties.
What is resistance?
In psychoanalysis, the patients unconscious attempts to block the revelation of repressed memories and conflicts, is a sign that the patient is uncomfortably close to uncovering psychologically threatening material.
What is transference?
In psychoanalysis, the process by which emotions and desires originally associated with a significant person in the patient's life, such as a parent, are unconsciously transferred onto the psychoanalyst.
Just like traditional psychoanalysis therapists that use short term dynamic therapies still use what?
Interpretations to help the patient recognize hidden feelings and transference's that may be occurring in relationships in there lives.
What happens if the interpretation is offered before the patient is psychologically ready to confront the issue?
It will be rejected and resistance will increase.
What is role transitions?
Problems involving major life changes (going to college, becoming a parent, retiring).
What is role disputes?
Repetitive conflicts with significant others (partner, family member, friends or co workers)
What was IPT originally developed for?
The brief treatment for major depressive disorder.
What is the therapists neutrality designed to produce?
The optimal frustration so that the patient transfers and projects unresolved conflicts onto the psychoanalyst.
What is unresolved grief?
The problems dealing with the death of a significant other.
What is psychoanalysis designed to help unearth?
The unconscious conflicts so the patient attains insight as to the real source of their problems.
What does Freud believe about that unconscious conflicts and repressed impulses are ________________.
expressed symbolically in dream images
The therapist encourages transference by purposely remaining as _____________.
neutral as possible