Psychodynamic Therapy Outline

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Recommended: Strengths and difficulties of the psychodynamic approach

Thesis
Cognitive-behavioral psychotherapy is more influential in reintroducing individuals suffering from depersonalization-disorder into society and relieving them from their distress than psychodynamic psychotherapy.
Objection #1: Psychodynamic therapy provides insight to the client’s condition unlike cognitive-behavioral psychotherapy
• Refutation #1: Psychodynamic therapy does not relieve client through activities keeping them in that condition continuously.
• Psychodynamic therapy o Focus: Clients discussing condition
• Fewtrell: o “Powerful relief” when condition verbalized (Simeon and Abugel, 172)
• Focuses: new reality and not an unreality (Simeon and Abugel, 172)
• “Bottom-up” approach: o Addresses ‘the more primitive, autonomic, and involuntary functions of the brain’ (“Psychodynamic”)
o …show more content…

• Client speaks most of time
• Therapist take notes from behind couch o In order for patient to depersonalize no eye contact of client and therapist
• Major issue with this technique of only insight: o Keeps the patient seeking therapy over and over o No concrete solution o Takes a very long time
• Case study: o Lisa with schizoid personality
 Childhood: “Striking absence of physical and emotional warmth” (Simeon and Abugel, 174)
• “Felt threatened by the slightest attempts of others to be intimate with her” (Simeon and Abugel, 174)
 Therapy on: “helping her appreciate how her depersonalization symptoms heightened whenever her sense of ‘separateness’ from others was threatened” (Simeon and Abugel, 174)
 Very weak unlike the case study of CBT with John
 Therapy no concrete solution simply recognition thus continued harm
 Michael
• DPD: neurotic dynamics over guilt in betraying wife
• Reminded him of childhood of helpless, dependent mother
• Psychotherapy: “Grappled with feelings of betrayal and guilt toward women” (Simeon and Abugel, 175)
• CBT exposes person to women and guilt to habituate o Danielle with borderline personality level
 Career: prostitute
 DPD as she had

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