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Psykodynamisk Terapi (Theorists and their concepts (Sandor Ferenzi ("…
Psykodynamisk Terapi
Theorists and their concepts
Sandor Ferenzi
"The Subjective truth"
Counter-transference
Liberal, respect to autonomy
Narcissistic countertransference
Unwelcome child
TRAUMA
The wise baby syndrome
Short-term dynamic psych
Identification with the agressor
Michael and Alice Balint
Tavinstock Clinic
Object relation school
New Beginning
Body and psych works togheter
Budapest School
Jospeh Sandler
Safety zone
Otto Rank
Narcissistic countertransference
Trauma of birth --> Seperation anxiety
Short-term dynamic psych
Edward Glover:
Negative and positive Countertransference
John Bowlby
Internal working model
Attachment
Early seperation anxiety
Toward Resilience
Peter Fonagy[
Mentalizing
Resilience as psycho-social factor
René Spitz
Hospitalization Syndrome
Marget Mahler
Individuation-Seperation
Frederick Leboyer
Birth without violance (i basäng).
Heinz Hartman
Adaptive aspects
Hans Kohut
Mirror and Idealzing transferende
Self-psychology
Donald Winnicott
False Self
Mainpoints
3 Principer:
1 - Formal process/based on theory, systematic.
2 - Frames, learning process.
3 - Trust, not avoid conflicts
Basic rules:
Neutralitet.
Openess.
Reflective.
Self-reflection
How our uncounsness influnce our motives, inner conflicts, personality and development
Structural model:
The dilemma - Balance between ID and Super ego.
Link Title
Topographic
:
The signal Anxiety --> Berättar till Egot att det behöver lösa konflikten m.h.a försvarsmekanism annars = Symptom.
The two Triangles
Defence, Anxiety and Feeling.
as well as
Past, Current and Transference
.
Long process, 1-2 yrs, causes not symptoms
Theories
Ego Psychology
Defence mechanism
Conflicts internal --> Anxiety and symptom (the compromiser)
Always unconscious
Adaptive
Thinking, Learning, Perception, language, impulsive control, competence
Object Relations theory
Balint, Klein, Winnicott
Negative experiences
Positive Experiences
Introjection
Early realtions
Internalizations
Self Psychology
Hans Kohut
Mirror Transference
Idealizing Transference
Empathy --> Remove narcisism and cohesive self comes.
Primary and secondary Narcisism
Attachment Theory
Klinisk
Maps
No perfect theory
live with uncertainity
wait for clarification
Libido theory
Trauma
Other
Incapable "stuck", can't cope.
Intrusive Flood
: seed of personality, context falls apart, shakes the whole building. OVERRIDES coping capacity
FIrst, second and third trauma theory (The helpless ego)
Subjective and suprising
Transgenerational process
Resilience - Keep its integrity thou circumstances
Shame
Horisontal and vertical levels (enviorment)
Physical/psychical causes
Ferenzis Paradigm Shift
Confusiion of tounges
Trauma is real, subjective and a Process! --> Introjection
Victim
: Introjection/identification, Capos, Sthlm and dissocation
Offender
: Bagatilization, denial, projektion, Blaming the victim
Dread and desire - Fear and sadtsfaction
Pleasure principle
Stresses the relationship
Wise baby syndrome
Clinical Dairy
Types
"Unwelcome Child"
"Hospitalization Syndrome"
Seperation-anxiety/individuation-seperation
Trauma of Birth
Visible
: Mass-assicdent and Nature disaster
Invisible
: Sexual harrasment, sects, sports,
Post-traumatic
Lack of trusted person, first step is to talk
CTD: Cummulative Trauma Dissorder: Drugs, mood, identity, cognitive dissorder
Acute, Chronick and Deleayed Onset.
Normal reaction on abnormal circumstances
Depletion
Experiences, Eyewitnessed or Work exoposed (transference) --> Burnout
The building blocks
Emotional Experience
- work through emotional, not intelectual
Subjective - Always truth
Relive
trauma
Refugee (
Ulysses Syndrome
)
Uprooting
Homecountry
Object Loosing
Refugee
New country
Integration
Main Concepts
Resilience
Resilience of uncounsiouness
Resilience towards change in therapy
Repression-Resilience
Resilience against trauma
Wise-baby syndrome
Traumatic progression/traumatic regression
Internal Locus of Control: Life-sustaining.
Psycho-social (both factors matters)
Transitional object (snuttefilten)
Use enviorment, relations, resources (Varvin, norsk).
Positve Factors
BASIC TRUST
REFLECTIVE SELF-FUNCTIONING
(obs transitional generaton resilience påverkar).
Task, oriented, Autonomi, Empathy Humour, Creativitity, Planning, High Iq, Competent parents, Resources, Curiosity, A goal, Groups, "A good super-ego"
EARLY HEALTHY OBJECT RELATIONS
(Small is beautiful)
Emotional self-regulation
Negative Factors
Denial and Identification with aggressor
Transference
"The unity of transference and CT"
#
Therapeut transfence and CT Seperate!
Embodies earlier relations
The honeymoon effect
Idealizing and mirror Transference
Counter-Transference
Postive CT
Negative CT
Others
:
Mentalizing
Capos-Syndrome
Sthlm Syndrome
Blaming the victim
Bagatellization
Depletion (pga miljö)/depression (innifrån)
False Self
Ulysses Syndrome
Branches
:
Psychoanalysis
Sexual trauma
45 minutes, 3-5 times /week, several years
Goal
: Facilate changes within personality
Divan
Anna O (Joseph Breur)
Full-acceptance, free flaoting, dreams m.m.
Expressive/psychoanalytic
Bad For
Mental Dissorder
Acute stress
Manic and bipolar dissorders
Psychosis
Insights
Conflicts process
Goal
: Reduce problems, facilitate changes
2 times a week 45 min
Face to face (see expressions).
Transference analysis
Free-floating attention
Supportive Psychotherapy
Make problems lesser
Equilibrium
GOAL
: Help patient get a better EGO, decrease problems
Important to make own decisions
Suggestions, clarify, confrontation, consultation
Limited sessions
Short-term dynamic psych
GOAL
: Focus on one problem + facilitate changes, traumatic experiences
Confront, clarify, interpret
Focus on suppression.
Ferenzi and Otto Rank
Active technique, patterns, provocite/confront
Relive traumatic experience
15-40 sessions, 1-2times/week
Face-to-face
Bra för borderline, fobi, obsession
Honest, will, clear problem, attachment to one secure person, not acute dangerous, no psychosis,
Tools
Acting out/gestures
Talking Free association
Metaphors, talk
(Hypnosis)
Freudian slips/parapraxis
Dreams
Verbal - talk
Interventions
Clearifying
Interpretantion
Confrontation
Tranceferende
Counter-transference
Resilience
Catharsis "the turning point"
Working through, New beginning and Closing Period (separation anxiety)
Therapeutic Alliance
Terapeut
Double-roll
Free-floating attention
Adequat mental attitude
COnfidelenty
Neutrality
Autencity
TRUST
Tolerate insecurity
Empathy
Absitence (don't "coach"
Ethical Rule
Never question patients truth
Patient
Critical and Open
Access memories
Want to change
Insight -ability
Cognitive and verbal ability
Honesty
