Theory and Practice of Counseling and Psychotherapy Ninth Edition: Chapter 4 Psychoanalytic Therapy

The Structure of Personality: The Id

The Demanding Child. Ruled by the pleasure principle.

The Structure of Personality: The Ego

The Traffic Cop. Ruled by the reality principle.

The Structure of Personality: The Superego

The Judge. Ruled by the moral principle.

Conscious and Unconscious

Conscious: What's on the surface - i.e. logic, reality. Unconscious: What lies deep, below the surface i.e. drives, instincts.

The Unconscious

Clinical evidence for postulating the unconscious:
Dreams, slips of the tongue, Posthypnotic suggestions, Material derived from free-association and projective techniques, Symbolic content of psychotic symptoms. NOTE: consciousness is only a thin slice of

Anxiety

Feeling of dread resulting from repressed feelings, memories and desires. Develops out of conflict among the id, ego and superego to control psychic energy.
Three types of anxiety:
Reality Anxiety
Neurotic Anxiety
Moral Anxiety

Ego-Defense Mechanisms

Are normal behaviors which operate on an unconscious level and tend to deny or distort reality. Help the individual cope with anxiety and prevent the ego from being overwhelmed. Have adaptive value if they do not become a style of life to avoid facing rea

Ego-Defense Mechanisms (list)

Repression
Denial
Reaction Formation
Projection
Displacement
Rationalization
Sublimation
Regression
Introjection
Identification
Compensation

The Development of Personality

First year: ORAL STAGE
Ages 1-3: ANAL STAGE
Ages 3-6: PHALLIC STAGE
Ages 6-12: LATENCY STAGE
Ages 12-60: GENITAL STAGE

Erikson's Psychosocial Perspective

Psychosocial stages refer to Erickson's basic psychological and social tasks to be mastered from infancy through old age. Erikson's theory of development holds that psychosexual growth and psychosocial growth take place together. During each psychosocial

The Therapeutic Process

The goal is to make the unconscious conscious and strengthen the ego so that behavior is based more on reality and less on instinctual cravings or irrational guilt. Analysts use blank-screen approach to foster transference relationship. Analysts help clie

Psychoanalytic Phenomena

Transference occurs when the client reacts to the therapist as he or she did to an earlier significant other
Countertransference is the reaction of the therapist toward the client that may interfere with objectivity
Resistance is anything that works again

Psychoanalytic Techniques: Maintaining the Analytic Framework

Therapist uses a range of procedural and stylistic factors (e.g., the analyst's relative anonymity, the regularity and consistency of meetings).

Psychoanalytic Techniques: Analysis of Resistance

Therapist helps clients become aware of the reasons for their resistance so that they can deal with them.

Psychoanalytic Techniques: Analysis of Transference

Therapist uses this technique as a route to elucidating the client's intrapsychic life.

Free Association

Client reports immediately without censoring any feelings or thoughts.

Interpretation

Therapist points out, explains, and teaches the meanings of whatever is revealed.

Dream Analysis

Therapist uses the "royal road to the unconscious" to bring unconscious material to light.

Application to Group Counseling

Group work provides a rich framework for working through transference feelings. The group becomes a microcosm of members' everyday lives.
Projections onto the leader and members are valuable clues to unresolved conflicts within the person that can be iden

Jung's Analytical Psychology

An elaborate explanation of human nature that combines ideas from history, mythology, anthropology, and religion.
Places central importance on psychological changes associated with midlife.
Achieving individuation�the harmonious integration of the conscio

Object Relations

Emphasizes interpersonal relationships as these are represented intrapsychically, and as they influence our interactions with people.

Self Psychology

Emphasizes how we use interpersonal relationships (self objects) to develop our own sense of self.

Relational Psychoanalysis

Emphasizes the interactive process between client and therapist.

Brief Psychodynamic Therapy

Applies the principles of psychodynamic theory and therapy to treating selective disorders within 10 to 25 sessions.

Strengths from a Diversity Perspective

Erikson's psychosocial approach, with its emphasis on critical issues in stages of development, has particular application to people of color.
This approach stresses the value of intensive psychotherapy for therapists, to help them become aware of their o

Limitations from a Diversity Perspective

Perceived as being based on upper- and middle-class values.
Cost of treatment is prohibitive for many people.
Cultural expectations may lead clients to want more direction and structure from the professional.
Generally more concerned with long-term person

Contributions of Classical Analysis

Helps therapists understand: Human behavior from a psychosexual perspective, which can be a powerful framework when paired with the psychosocial perspective.That unfinished business can be worked through to provide a new ending to events that have restric

Limitations of Classical Analysis

This approach may not be appropriate for all cultures or socioeconomic groups. Deterministic focus does not emphasize current maladaptive behaviors. Minimizes role of the environment.
Requires subjective interpretation. Relies heavily on client fantasy. L