Core Conflictual Relationship Theme
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Core Conflictual Relationship Theme
The core conflictual relationship theme, or CCRT, is an analytic tool developed in the late twentieth century by Lester Luborsky, as an aid both to brief psychotherapy in the psychodynamic tradition, and to researching its efficacy. Origins Drawing on the Freudian concept of transference, as refined by Jacob Arlow to cover a specific pattern of object relations theory, relating to people established in early life, as well as upon Michael Balint's focal therapy, with its concern to delimit therapy to the exploration of a key theme, CCRT set out to focus therapy on three aspects of a client's central relationship conflict – their core desire, the response to it they typically elicited from other people (RO), and their reaction in turn to that response (RS). Methods CCRT is generally employed within the context of a time-limited therapy (perhaps involving 16 or 24 sessions). It focuses on examining core patterns of relating, initially using relationship anecdotes to establish them; ...
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Lester Luborsky
Lester B. Luborsky (1920–2009) was one of the founders of scientific research in psychotherapy. Luborsky was born and raised in Philadelphia. He graduated from Philadelphia Central High School and then earned his bachelor's degree at Pennsylvania State University. Luborsky received his Ph.D. in psychology from Duke University. He was an instructor at the University of Illinois for two years. He then spent eleven years at the Menninger Foundation before joining the faculty of the University of Pennsylvania. In 1973–1974 Luborsky served as president of the Society for Psychotherapy Research. Career Author of nine books and over 400 articles, he had the rare ability to apply a scientific eye to the personal processes of psychotherapy. He examined the factors that make psychotherapy work, along with large-scale studies of outcome. Among his major research contributions were the development of methods that could be used to study therapeutic processes, notably the symptom†...
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Brief Psychotherapy
Brief psychotherapy (also brief therapy, planned short-term therapy) is an umbrella term for a variety of approaches to short-term, solution-oriented psychotherapy. Overview Brief therapy differs from other schools of therapy in that it emphasizes (1) a focus on a specific problem and (2) direct intervention. In brief therapy, the therapist takes responsibility for working more pro-actively with the client in order to treat clinical and subjective conditions faster. It also emphasizes precise observation, utilization of natural resources, and a temporary suspension of disbelief to consider new perspectives and multiple viewpoints. Rather than the formal analysis of historical causes of distress, the primary approach of brief therapy is to help the client to view the present from a wider context and to utilize more functional understandings (not necessarily at a conscious level). By becoming aware of these new understandings, successful clients will ''de facto'' undergo sponta ...
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Transference
Transference (german: Ãœbertragung) is a phenomenon within psychotherapy in which the "feelings, attitudes, or desires" a person had about one thing are subconsciously projected onto the here-and-now Other. It usually concerns feelings from a primary relationship during childhood. At times, this transference can be considered inappropriate. Transference was first described by Sigmund Freud, the founder of psychoanalysis, who considered it an important part of psychoanalytic treatment. Occurrence It is common for people to transfer feelings about their parents to their partners or children (that is, cross-generational entanglements). Another example of transference would be a person mistrusting somebody who resembles an ex-spouse in manners, voice, or external appearance, or being overly compliant to someone who resembles a childhood friend. In ''The Psychology of the Transference'', Carl Jung states that within the transference dyad both participants typically experience a ...
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Jacob Arlow
Jacob A. Arlow (1912–2004) was an American teacher, scholar, and clinician who served as president of the American Psychoanalytic Association and the New York Psychoanalytic Institute. Arlow was an editor of the ''Psychoanalytic Quarterly'' from 1972 to 1979; and published several articles on psychoanalysis, as well as writing a history of psychoanalytic history, and co-authoring with Charles Brenner the influential text ''Psychoanalytic Concepts and the Structural Theory''. Fantasy and myth In perhaps his most significant theoretical contribution to psychoanalysis, Arlow explored the role of unconscious fantasy from the point of view of ego psychology, both subsuming its use in Kleinian theory, and providing the building block for Brenner's later development of conflict theory. His earlier article on 'Fantasy Systems in Twins' (1960) was used by Maynard Solomon to illuminate the inner development of Beethoven, Arlow observing that the “bond of complete understanding whic ...
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Object Relations Theory
Object relations theory is a school of thought in psychoanalytic theory centered around theories of stages of ego development. Its concerns include the relation of the psyche to others in childhood and the exploration of relationships between external people, as well as internal images and the relations found in them. Thinkers of the school maintain that the infant's relationship with the mother primarily determines the formation of its personality in adult life. Particularly, attachment is the bedrock of the development of the self or the psychic organization that creates the sense of identity. Theory While its groundwork derives from theories of development of the ego in Freudian psychodynamics, object relations theory does not place emphasis on the role of biological drives in the formation of personality in adulthood. Thinkers of the school instead suggest that the way people relate to others and situations in their adult lives is shaped by family experiences during inf ...
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Michael Balint
, , image = Monte Verità Gedenktafel Michael Balint 1K4A4638-b.jpg , caption = , birth_name = Mihály Maurice Bergsmann , birth_date = , birth_place = Budapest , death_date = , death_place = London , occupation = psychoanalyst , education = , nationality = Hungarian, English , movement =Object relations theory , parents = , spouse = Alice Székely-Kovács (died 1939), Enid Flora Eichholz 1958-his death , children = Dr. John A. Balint (1925-2016) Michael Balint ( hu, Bálint Mihály, ; 3 December 1896, in Budapest – 31 December 1970, in London) was a Hungarian psychoanalyst who spent most of his adult life in England. He was a proponent of the Object Relations school. Life Balint was born Mihály Maurice Bergsmann, the son of a practising physician in Budapest. It was against his father's will that he changed his name to Bálint Mihály. He also changed religion, from Judaism to Unitarian Christianity. During World War ...
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Daniel Goleman
Daniel Goleman (born March 7, 1946) is an author, psychologist, and science journalist. For twelve years, he wrote for ''The New York Times'', reporting on the brain and behavioral sciences. His 1995 book ''Emotional Intelligence'' was on ''The New York Times'' Best Seller list for a year and a half, a bestseller in many countries, and is in print worldwide in 40 languages. Apart from his books on emotional intelligence, Goleman has written books on topics including self-deception, creativity, transparency, meditation, social and emotional learning, ecoliteracy and the ecological crisis, and the Dalai Lama’s vision for the future. Biography Daniel Goleman grew up in a Jewish household in Stockton, California, the son of Fay Goleman (née Weinberg; 1910–2010), professor of sociology at the University of the Pacific, and Irving Goleman (1898–1961), humanities professor at the Stockton College (now San Joaquin Delta College). His maternal uncle was nuclear physicist Alvin M ...
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Psychological Projection
Psychological projection is the process of misinterpreting what is "inside" as coming from "outside". It forms the basis of empathy by the projection of personal experiences to understand someone else's subjective world. In its malignant forms, it is a defense mechanism in which the ego defends itself against disowned and highly negative parts of the self by denying their existence in themselves and attributing them to others, breeding misunderstanding and causing untold interpersonal damage. A bully may project their own feelings of vulnerability onto the target, or a person who is confused may project feelings of confusion and inadequacy onto other people. Projection incorporates blame shifting and can manifest as shame dumping. Projection has been described as an early phase of introjection. Historical precursors A prominent precursor in the formulation of the projection principle was Giambattista Vico. In 1841, Ludwig Feuerbach was the first enlightenment thinker to employ ...
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Projective Identification
Projective identification is a term introduced by Melanie Klein and then widely adopted in psychoanalytic psychotherapy. Projective identification may be used as a type of defense, a means of communicating, a primitive form of relationship, or a route to psychological change; used for ridding the self of unwanted parts or for controlling the other's body and mind. According to the American Psychological Association, the expression can have two meanings: (1) In psychoanalysis, projective identification is a defense mechanism in which the individual projects qualities that are unacceptable to the self onto another person, and that person introjects the projected qualities and believes him/herself to be characterized by them appropriately and justifiably. (2) In the object relations theory of Melanie Klein, projective identification is a defense mechanism in which a person fantasizes that part of their ego is split off and projected into the object in order to harm or to protect t ...
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Fantasy (psychology)
In psychology, fantasy is a broad range of mental experiences, mediated by the faculty of imagination in the human brain, and marked by an expression of certain desires through vivid mental imagery. Fantasies are associated with scenarios that are absolutely impossible. Conscious fantasy In everyday life, individuals often find their thoughts "pursue a series of fantasies concerning things they wish they could do or wish they had done ... fantasies of control or of sovereign choice ... daydreams." George Eman Vaillant in his study of defence mechanisms took as a central example of "an immature defence ... ''fantasy'' — living in a 'Walter Mitty' dream world where you imagine you are successful and popular, instead of making real efforts to make friends and succeed at a job." Fantasy, when pushed to the extreme, is a common trait of narcissism; and Vaillant found that "not one person who used fantasy a lot had any close friends." Other researchers and theorists find that fa ...
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Golden Fantasy
Golden fantasy is a secret (or not-so-secret) expectation that all of one's problems can be solved by interaction with a perfect and all-caring relationship figure. The fantasy can be found both in psychotherapy and in ordinary life. Structure The golden fantasy was first named as such by Sidney Smith in 1977. Arguably however, the concept had been anticipated by Karen Horney and by Charles Brenner; and it was rooted in earlier psychoanalytic understanding of passive-receptive mastery. Such a fantasy may resonate to unfortunate effect with the therapist's own "rescuer" fantasies; and has to be gradually given up and mourned if progress in therapy is to be made. In the form of compulsive acting out of the fantasy in real life, it can constitute a formidable obstacle to analysis of the transference. Later writers have placed more emphasis on the adaptive nature of the fantasy in ego-maintenance – its role in fending off a primitive sense of angst – and on the necessity of i ...
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Malan Triangles
Malan's triangles – comprising the ''triangle of conflict'' and the ''triangle of persons'' – were developed in 1979 by the psychotherapist David Malan as a way of illuminating the phenomenon of transference in psychotherapy, both brief and extended. Their application has continued to prove fruitful into the twenty-first century. This method also became a rubric in which a therapist can reflect upon what he is doing or where he "is" in relational space at any given moment. Origins As Malan himself acknowledged, he drew the concept of his triangles from previous analytic writings (albeit combining in the process very different aspects of the tradition). The American Freudian Karl Menninger - building on Franz Alexander's concept of the totalizing transference interpretation, which linked past experience, life context and the analytic setting – set out what he called the triangle of insight, involving the three poles of analyst, past significant others, and present significa ...
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