Reconstructive Therapy - Wolberg

download Reconstructive Therapy - Wolberg

of 26

  • date post

    06-Jul-2018
  • Category

    Documents

  • view

    214
  • download

    0

Embed Size (px)

Transcript of Reconstructive Therapy - Wolberg

  • 8/17/2019 Reconstructive Therapy - Wolberg

    1/26

    FREUDIAN PSYCHOANALYSIS

    THERAPY: FREUDIAN/ CLASSICAL PSYCHOANALYSIS

    1. free association

    “ A sequential theme that gave clues t the natu!e " the !e#!esse$ mate!ial%&

    'e!(ali)ing *hateve! cmes t min$+ h*eve! "leeting+ !e#ulsive+ ! seemingl,

    incnsequential it ma, seem&

    2. Dream interpretation and analysis

    a technique " a!!iving at the meaning " the uncnscius mate!ial th!ugh

    the t!anslatin " s,m(ls& It ena(le t sh* h* $!eams *e!e e-#!essins " 

    uncnscius *ishes an$ "ea!s that eva$e$ the (a!!ie!s " !e#!essin th!ugh the

    assum#tin " s,m(lic $isguises&

    3. Transference analysis

    .his *as $ne *hen the #atients attitu$es 0$ee# lve+ "ea!+ hate+ ve!valuatin+

    e-#ectanc,+ $isa##intment+ an$ the! st!ivings1 that *e!e nt 2usti"ie$ (, the !ealit,

    situatin t*a!$s signi"icant #e!snages in thei! #ast 0e&g& #atients #a!ents1 *e!e

    (eing ve!(ali)e$ an$ t!ans"e! ve! t the the!a#ist&

    PROPONENT:

     SI34UND FREUD

    PROCEDURES AND TECHNIQUES:

    Procedures:

    5ecause F!eu$ian #s,chanal,sis is t!ans"e!ence anal,sis+ all means " 

    "acilitating t!ans"e!ence a!e em#l,e$6

    •  Assum#tin " #assive !le n the #a!t " the anal,st a!e #u!#sel, $esigne$ t

    encu!age #assive $e#en$ence an$ !eg!essin&

    • Pe!mit the #atient t lie n the cuch+ !ela- an$ t tal7 "!eel, a(ut an, i$eas ! 

    "antas, that ente!e$ his ! he! min$+ n matte! h* t!ivial ! a(su!$&

    • Passivit, n the #a!t " the the!a#ist is 2u$iciusl, maintaine$ even th!ugh lng

    #e!i$s " silence&

  • 8/17/2019 Reconstructive Therapy - Wolberg

    2/26

    • .he the!a#ist als !e"!ains "!m !eacting emtinall, ! !es#n$ing

    #sitivel, ! negativel, t an, ve!(ali)e$ ! nn8ve!(ali)e$ attitu$e ! "eeling

    e-#!esse$ (, the #atient&

    • St!ict ann,mit, is (se!ve$+ an$ n #e!snal in"!matin is su##lie$ t the

    #atient i!!es#ective " h* im#!tunate he ! she ma, (ecme&

    •  A nn2u$gmental+ nn8#unitive+ nn8cn$ning attitu$e (, the the!a#ist is

    a$he!e$ t+ $gmatic utte!ances " an, 7in$ (eing "!(i$$en&

    • .he chie" 9!ule% the #atient is as7e$ t (e, is the 9(asic !ule% ! 9"un$amental

    !ule% " ve!(ali)ing *hateve! cmes t min$+ h*eve! "leeting+ !e#ulsive+ ! 

    seemingl, incnsequential it ma, seem 0"!ee assciatin1& .his un$i!ecte$ 7in$

    " thin7ing is a mst im#!tant means " ta##ing the uncnscius an$ " !eviving

    uncnscius cn"licts an$ the mem!ies that a!e !elate$ t thei! !igin&

    4st im#!tant+ "!ee assciatin+ li7e #assivit,+ enhances the evlutin " 

    t!ans"e!ence& As lng as the #atient cntinues t assciate "!eel,&

      .he the!a#ist 7ee#s silent+ even thugh much time ma, #ass *ithut a cmment& .he the!a#ist "ights "" all tem#tatins t*a!$ 9small tal7% ! im#ulses

    t e-#un$ n the!,& .he the!a#ist inte!"e!es nl, *hen !esistances t "!ee

    assciatin $evel# an$ until the #atient #!cee$s *ith un$i!ecte$ ve!(ali)atins&

    • .he the!a#ist must als cnstantl, gua!$ against mani"estatins " $est!uctive

    cunte!t!ans"e!ence+ *hich+ $isguise$ an$ va!ie$+ a!e m(ili)e$ (,

    un!eslve$ #!(lems an$ #!essing nee$s *ithin the the!a#ist& Cmmn "!ms

    " cunte!t!ans"e!ence a!e su(tle sa$istic attac7s n the #atient+ im#ulses t (e

    #m#us an$ mni#tent+ ! $esi!es t !e2ect the #atient ! t $etach

    nesel" "!m the !elatinshi#& 5ecause " cunte!t!ans"e!ence+ a #e!snal

    anal,sis is cnsi$e!e$ essential "! anal,sts s that the, can $eal *ith thei! *n uncnscius ten$encies an$ !esistances #!eci#itate$ (, cntact *ith thei! 

    #atients&

    •   As the eg " the #atient is st!engthene$ (, an alliance *ith the the!a#ist+ it

    (ecmes m!e an$ m!e ca#a(le " tle!ating less an$ less $ist!te$

    $e!ivatives " uncnscius cn"lict& .he cntinue$ inte!#!etatin (, the

    the!a#ist " the #atients uncnscius "eelings an$ attitu$es+ as *ell as the

    $e"ensive $evices that the #atient em#l,s against them+ ena(les the #atient t

    *!7 th!ugh #!(lems (, seeing h* the, cn$itin eve!, as#ect " his ! 

    he! li"e& In the me$ium " the the!a#eutic !elatinshi# the in$ivi$ual is hel#e$

    t cme t g!i#s *ith ea!l, "ea!s an$ miscnce#tins+ !eslving these (, living

    them th!ugh in the t!ans"e!ence&

    Techniques:

  • 8/17/2019 Reconstructive Therapy - Wolberg

    3/26

    • D!eam anal,sis is use$ cnstantl, as anthe! means " #enet!ating the

    uncnscius& 5, activating !e#!esse$ mate!ial an$ *!7ing n $e"enses as the,

    a!e !eveale$ in $!eam st!uctu!e+ the the!a#ist ai$s the $evel#ment " 

    t!ans"e!ence&

    • .he "!equenc, " visits in F!eu$ian #s,chanal,sis is im#!tant+ t encu!age

    t!ans"e!ence+ n "e*e! than "u! ! "ive visits *ee7l, a!e !equi!e$& Fe*e! 

    visits than this encu!age 9acting 8ut% an$ the! !esistances t t!ans"e!ence&

    • .he use " the !ecum(ent cuch #sitin ena(les the #atient t

    cncent!ate n the tas7 " "!ee assciatin *ith as "e* encum(!ances " 

    !ealit, as #ssi(le& It hel#s the the!a#ist+ als+ t "cus n the uncnscius

    cntent un$e!l,ing the #atients ve!(ali)atins *ithut having t a$2ust t the

    $eman$s such as *ul$ e-ist in a "ace8t8"ace #sitin& Cncent!ating n the

    #atients inne! li"e+ !athe! than n e-te!nal !ealit,+ hel#s t (!ing n the

    #henmenn " t!ans"e!ence&

    Du!ing the ea!l, stages " anal,sis the main tas7 is t (se!ve:"!m "!ee assciatins an$ $!eams:mani"estatins " cn"licts an$ the t,#es " $e"enses

    em#l,e$+ *hich "!m a 7in$ " (lue#!int " the uncnscius #!(lems " the

    #atient& .his (lue#!int is use$ late! at the stage " t!ans"e!ence& Since !e#!essin

    is th!eatene$ (, the #e!atin " e-#l!ing the uncnscius+ an-iet, is a#t

    t a##ea!+ stimulating $e"ensive mechanisms& .hese "unctin as !esistances

    t #!$uctivit,+ an$ even t ve!(ali)atin& F!ee assciatin ma, cnsequentl,

    cease+ an$ the #atient ma, e-hi(it the! mani"estatins that ##se c#e!atin

    *ith the t!eatment en$eav!& Such !esistances a!e $ealt *ith (, inte!#!etatin&

    .h!ugh inte!#!etatin the #atient is (!ught t an a*a!eness " h* an$ *h, he

    ! she is !esisting an$ the cn"licts that ma7e !esistance necessa!,& • Sne! ! late! the #atient *ill 9t!ans"e!% #ast attitu$es an$ "eelings int the

    #!esent !elatinshi# *ith the anal,st& O(se!vance " the 9(asic !ule+% the

    attac7 n !esistances th!ugh inte!#!etatin+ an$ the cnsi$e!atin " 

    uncnscius mate!ial in $!eams an$ "!ee assciatins !emve ha(itual #!tective

    $evices an$ "a;a$es that #e!mit the #atient t maintain a cnventinal

    !elatinshi#& .he #atient is mst a#t t e-#!ess st!ivings t*a!$ the the!a#ist

    !te$ in #ast e-#e!iences+ #e!ha#s even !e#!$ucing the #ast in the #!esent&

    .hus+ a !evival " #athgenic #ast cn"licts is institute$& Unli7e su##!tive

    an$ !ee$ucative the!a#,+ in *hich t!ans"e!ence ma, (e use$ as a the!a#eutic

    vehicle+ the t!ans"e!ence is inte!#!ete$ t the #atient in !$e! t e-#se its

    natu!e& .his is the chie" means " !eslving !esistance+ " (!inging the

    in$ivi$ual t an a*a!eness " the *a!$e$8"" cntent+ an$ " !eali)ing the

    hist!ical !igin " cn"licts&

    • .he $evel#ment " t!ans"e!ence ma, ccu! insi$iusl, an$ mani"est itsel" 

    in$i!ectl,+ ! it ma, su$$enl, (!ea7 ut in sta!7 "!m& It "ten sh*s itsel" in

  • 8/17/2019 Reconstructive Therapy - Wolberg

    4/26

    changes in the cntent " "!ee assciatins+ "!m inne! "eelings an$ #ast

    !elatinshi#s *ith #a!ents t m!e inncuus t#ics+ li7e cu!!ent events

    an$ situatins& .his shi"t is evi$ence " !esistance t $ee#e! mate!ial activate$ (,

    the e!u#ting t!ans"e!ence "eelings& Smetimes "!ee assciatin ma, cease

    enti!el,+ *ith lng stu((!n silences #!evailing that a!e engen$e!e$ (, an ina(ilit,

    t tal7 a(ut "eelings in !elatin t the the!a#ist& .he #u!#se " su#e!"icial tal7 ! 

    silence is t 7ee# "!m a*a!eness !e#!esse$ emtins an$ "!gtten mem!ies

    assciate$ *ith ea!l, chil$h$+ #a!ticula!l, the Oe$i#us cm#le-& Until these

    can (e (!ught ut int the 