Post on 24-Dec-2015
Brief Psychodynamic Therapy—
Core Conflictural Relationship Themes Method (CCRT)
Adapted from Book, H. E. (1998). How to practice brief psychodynamic psychotherapy. Washington, DC: APA.
What is CCRT
Wish (see handout)
What a person wants and wishes in relationships RO: the Response of the Other
how a person anticipates others will respond to him or her or how the others actually respond
RS: the Response of Self client’s affective, cognitive, and behavioral responses
in relationship situations What are your feelings? (affective) What are your thoughts? (cognitive) What do you do? (behavioral)
The goal of CCRT
Goal is to help clients actualize the wish This actualization is accomplished by working
through and understanding the client’s RO as either a transference distortion or a repetition disorder
RO as a transference distortion Why we expect others to respond to us in a certain way
RO as a repetition disorder Why others tend to respond to us in a certain way
Three Phases of CCRT Treatment
Identify CCRT patterns over and over again (1-4 sessions) Therapists listen to stories of Relationship
Episodes (listen to Wish, RO and RS) Identifying that CCRT pattern is everywhere A person’s conscious awareness of CCRT is
increased A person has more control over previously
unconscious behavior
Three Phases of CCRT Treatment Work through the RO (5-12 sessions)
Be aware that current expectations of RO are affected by past experiences with others
Enactment: the client’s acting out of his or her CCRT toward the therapist
Recognize here-and-now examples of CCRT in session
Three Phases of CCRT Treatment
Termination (13-16 sessions) Offer a second chance to work through the
CCRT Discuss themes of fear of abandonment,
separation, and loss. Discuss worries regarding gains from
treatment will not continue