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Working Alliance
The therapeutic relationship refers to the relationship between a healthcare professional and a client or patient. It is the means by which a therapist and a client hope to engage with each other and effect beneficial change in the client. In psychoanalysis the therapeutic relationship has been theorized to consist of three parts: the working alliance, transference/countertransference, and the real relationship. Evidence on each component's unique contribution to the outcome has been gathered, as well as evidence on the interaction between components. In contrast to a social relationship, the focus of the therapeutic relationship is on the client's needs and goals. Therapeutic Alliance / Working Alliance The therapeutic alliance, or the working alliance may be defined as the joining of a client's reasonable side with a therapist's working or analyzing side. Bordin conceptualized the working alliance as consisting of three parts: tasks, goals and bond. Tasks are what the therapist ...
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Psychoanalysis
PsychoanalysisFrom Greek: + . is a set of theories and therapeutic techniques"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might be considered an unfortunately abbreviated description, Freud said that anyone who recognizes transference and resistance is a psychoanalyst, even if he comes to conclusions other than his own.… I prefer to think of the analytic situation more broadly, as one in which someone seeking help tries to speak as freely as he can to someone who listens as carefully as he can with the aim of articulating what is going on between them and why. David Rapaport (1967a) once defined the analytic situation as carrying the method of interpersonal relationship to its last consequences." Gill, Merton M. 1999.Psychoanalysis, Part 1: Proposals for the Future" ''The Challenge for Psychoanalysis and Psychotherapy: Solutions for the Future''. New York: Americ ...
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Counseling Psychology
Counseling psychology is a psychological specialty that encompasses research and applied work in several broad domains: counseling process and outcome; supervision and training; career development and counseling; and prevention and health. Some unifying themes among counseling psychologists include a focus on assets and strengths, person–environment interactions, educational and career development, brief interactions, and a focus on intact personalities. History The term "counselling" is of American origin, coined by Carl Rogers, who, lacking a medical qualification was prevented from calling his work psychotherapy. In the U.S., counselling psychology, like many modern psychology specialties, started as a result of World War II. During the war, the U.S. military had a strong need for vocational placement and training. In the 1940s and 1950s, the Veterans Administration created a specialty called "counseling psychology", and Division 17 (now known as the Society for Couns ...
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Psychoanalytic Theory
Psychoanalytic theory is the theory of personality organization and the dynamics of personality development that guides psychoanalysis, a clinical method for treating psychopathology. First laid out by Sigmund Freud in the late 19th century, psychoanalytic theory has undergone many refinements since his work. The psychoanalytic theory came to full prominence in the last third of the twentieth century as part of the flow of critical discourse regarding psychological treatments after the 1960s, long after Freud's death in 1939. Freud had ceased his analysis of the brain and his physiological studies and shifted his focus to the study of the mind and the related psychological attributes making up the mind, and on treatment using free association and the phenomena of transference. His study emphasized the recognition of childhood events that could influence the mental functioning of adults. His examination of the genetic and then the developmental aspects gave the psychoanalytic theor ...
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Psychoanalysis
PsychoanalysisFrom Greek: + . is a set of theories and therapeutic techniques"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might be considered an unfortunately abbreviated description, Freud said that anyone who recognizes transference and resistance is a psychoanalyst, even if he comes to conclusions other than his own.… I prefer to think of the analytic situation more broadly, as one in which someone seeking help tries to speak as freely as he can to someone who listens as carefully as he can with the aim of articulating what is going on between them and why. David Rapaport (1967a) once defined the analytic situation as carrying the method of interpersonal relationship to its last consequences." Gill, Merton M. 1999.Psychoanalysis, Part 1: Proposals for the Future" ''The Challenge for Psychoanalysis and Psychotherapy: Solutions for the Future''. New York: Americ ...
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Person-centered Therapy
Person-centered therapy, also known as person-centered psychotherapy, person-centered counseling, client-centered therapy and Rogerian psychotherapy, is a form of psychotherapy developed by psychologist Carl Rogers beginning in the 1940s and extending into the 1980s. Person-centered therapy seeks to facilitate a client's self-actualizing tendency, "an inbuilt proclivity toward growth and fulfillment", via acceptance (''unconditional positive regard''), therapist ''congruence'' (genuineness), and empathic understanding. History and influences Person-centered therapy was developed by Carl Rogers in the 1940s and 1950s, and was brought to public awareness largely through his highly influential book ''Client-centered Therapy'', published in 1951. It has been recognized as one of the major types of psychotherapy (theoretical orientations), along with psychodynamic psychotherapy, psychoanalysis, classical Adlerian psychology, cognitive behavioral therapy, existential therapy, and ...
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Parallel Process
Parallel process is a phenomenon noted in clinical supervision by therapist and supervisor, whereby the therapist recreates, or parallels, the client's problems by way of relating to the supervisor. The client's transference and the therapist's countertransference thus re-appear in the mirror of the therapist/supervisor relationship. Origins and nature Attention to parallel process first emerged in the nineteen-fifties. The process was termed reflection by Harold Searles in 1955, and two years later T. Hora (1957) first used the actual term parallel process – emphasising that it was rooted in an unconscious identification with the client/patient which could extend to tone of voice and behaviour. The supervisor thus enacts the central problem of the therapy in the supervision, potentially opening up a process of containment and solution, first by the supervisor and then by the therapist. Alternatively, the supervisor's own countertransference may be activated in the parallel p ...
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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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Negative Therapeutic Reaction
The negative therapeutic reaction in psychoanalysis is the paradoxical phenomenon whereby a plausible interpretation produces, rather than improvement, a worsening of the analysand's condition. Freud's formulations Freud first named the negative therapeutic reaction in ''The Ego and the Id'' of 1923, seeing its cause, not merely in the analysand's desire to be superior to their analyst, but (more deeply) in an underlying sense of guilt: "the obstacle of an unconscious sense of guilt....they get worse during the treatment instead of getting better". The following year he offered the alternative formulation of a need for punishment instead; but in his thirties summation it was again unconscious guilt to which he attributed "the negative therapeutic reaction which is so disagreeable from the prognostic point of view". Precursors to the idea can be found in his own article Criminals from a sense of guilt, as well as in Karl Abraham's 1919 article on envy and narcissism as enemies of t ...
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Intersubjective Psychoanalysis
The term "intersubjectivity" was introduced to psychoanalysis by George Atwood and Robert Stolorow (1984), who consider it a "meta-theory" of psychoanalysis. Intersubjective psychoanalysis suggests that all interactions must be considered contextually; interactions between the patient/analyst or child/parent cannot be seen as separate from each other, but rather must be considered always as mutually influencing each other. This philosophical concept dates back to "German Idealism" and phenomenology. The myth of isolated mind Trends in intersubjective psychoanalysis have accused traditional or classical psychoanalysis of having described psychic phenomena as "the myth of isolated mind" (i.e. coming from within the patient). Psychoanalyst and philosopher Jon Mills, has criticized this accusation as a misinterpretation of Freudian theory. However, the intersubjective approach emphasizes that psychic phenomena are contextual and an interplay between the analyst and analysand.Orange, At ...
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Interpersonal Psychoanalysis
Interpersonal psychoanalysis is based on the theories of American psychiatrist Harry Stack Sullivan (1892–1949). Sullivan believed that the details of a patient's interpersonal interactions with others can provide insight into the causes and cures of mental disorder. Current practitioners stress such features as the detailed description of clinical experience, the mutuality of the interpersonal process, and the not-knowing of the analyst. Sullivan and the neo-Freudians Along with other neo-Freudian practitioners of interpersonal psychoanalysis, such as Horney, Fromm, Thompson and Fromm-Reichman, Sullivan repudiated Freudian drive theory. They, like Sullivan, also shared the interdisciplinary emphasis that was to be an important part of the legacy of interpersonal psychoanalysis, influencing counsellors, clergymen, social workers and more. Selective inattention Sullivan proposed that patients could keep certain aspects or components of their interpersonal relationships out ...
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Intersubjectivity
In philosophy, psychology, sociology, and anthropology, intersubjectivity is the relation or intersection between people's cognitive perspectives. Definition is a term coined by social scientists to refer to a variety of types of human interaction. For example, social psychologists Alex Gillespie and Flora Cornish listed at least seven definitions of intersubjectivity (and other disciplines have additional definitions): * people's agreement on the shared definition of a concept; * people's mutual awareness of agreement or disagreement, or of understanding or misunderstanding each other; * people's attribution of intentionality, feelings, and beliefs to each other; * people's implicit or automatic behavioral orientations towards other people; * people's interactive performance within a situation; * people's shared and taken-for-granted background assumptions, whether consensual or contested; and * "the variety of possible relations between people's perspectives". has been use ...
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Gestalt Therapy
Gestalt therapy is a form of psychotherapy that emphasizes personal responsibility and focuses on the individual's experience in the present moment, the therapist–client relationship, the environmental and social contexts of a person's life, and the self-regulating adjustments people make as a result of their overall situation. It was developed by Fritz Perls, Laura Perls and Paul Goodman in the 1940s and 1950s, and was first described in the 1951 book ''Gestalt Therapy''. Overview Edwin Nevis, co-founder of the Gestalt Institute of Cleveland, founder of the Gestalt International Study Center, and faculty member at the MIT Sloan School of Management, described Gestalt therapy as "a conceptual and methodological base from which helping professionals can craft their practice". In the same volume, Joel Latner stated that Gestalt therapy is built upon two central ideas: that the most helpful focus of psychotherapy is the experiential present moment, and that everyone is caught in ...
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