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Critical evaluation of psychodynamic therapy
Strengths and limitations of psychodynamic therapy
The primary goal of Bowen family therapy
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Introduction Crying has always been recognized as a significant and frequent part of the therapeutic process (Blume-Marcovici, Stolberg, & Khademi, 2013; Nelson, 2012). During the therapy process, tears are often shed by both the client and the therapist. Because therapy tends to be focused on uncovering repressed emotions, working through traumatic experiences, processing grief, or adjusting to life’s circumstances, tears are often associated with the work that is done during therapy. Because mental health therapy tends to be emotion-focused, it is surprising to discover that little research has emphasized the importance of therapists’ crying during session. This leaves family science researchers wondering how often therapists cry in therapy and if their tears are helpful or harmful to their clients (“The Tears of a Therapist,” 2013). In a field that is so focused on emotions, more research needs to be done in order to better understand the frequency of therapists crying during therapy and how a therapist crying may affect clients. Understanding the frequency of therapists’ tears and the effects the tears have on clients may help future clinicians better indicate when and if it is appropriate for them to cry in front of their clients in a therapy session. When trying to understand the significance of therapist’s tears in a clinical setting, researchers are often faced with the question, “Are therapist’s tears helpful or harmful?” Much of the literature that is associated with therapists crying in therapy agrees that therapists’ tears can display empathy and strengthen the therapeutic alliance (Blume-Marcovici, Stolberg, & Khademi, 2013). On the other hand, research also indicates that therapists’ tears can create role-reversal in... ... middle of paper ... ... J., Lehmann, M., Pesale, F., Becker- matero, N., & hilsenroth, M. (2012). Therapeutic immediacy across long-term psychodynamic psychotherapy: An evidence-based case study. Journal of Counseling Psychology, 59, 27-40. Nelson, J.K. (2012). Crying in psychotherapy: Its meaning, assessment, and management based on attachment theory. Emotional Regulation: Conceptual and Clinical Issues, 202-2014. Nichols, M. P. (2013). Bowen family systems therapy. In M. P. Nichols & R. C. Schwartz, Family therapy: Concepts and methods (10th ed., pp. 76-96). Boston: Allyn and Bacon Summers, R.F., & Barber, J.P. (2010). Psychodynamic therapy: A guide to evidence-based practice. New York: Guildford Press. The tears of a therapist (2013). British Psychological Society, 26, 328. Vingerhoets, A.J., &Cornelius, R.R. (2001). Adult crying: A biospychosocial approach. Hove, UK: Brunner-Routledge.
Gladding, S. T. (2010). Family therapy: History, theory, and practice (5th Ed.). Boston, MA: Pearson
prospect. In S. L. Garfield and A. E. Bergin (Eds.), Handbook of psychotherapy and behavior
In recent times, trying to express oneself has become increasingly difficult; this is as such with patients suffering from Post-Traumatic Stress Disorder. Post-Traumatic Stress Disorder is a result of extreme exposure to physical harm or danger. These traumatic experiences could be caused by reasons such as near-death, serious accident, violence, war, torture, or any event that causes extreme fear. A common occurrence with patients dealing with Post-Traumatic Stress Disorder is a hesitancy or inability to discuss or express emotions and thoughts verbally. We as art therapist need to come up with a method to reawaken the positive emotions and address the symptoms of emotional freezing in patients with Post-Traumatic Stress Disorder. If not, these patients will suffer lifelong with damaged relations and innumerable ailments, both physical and mental. With that being noted, the method of associative art and its various forms will bridge the gap between the imprisoned emotions detained by those suffering Post-Traumatic Stress Disorder and the positive aspects of their life.
They argue that therapists should consider their own motivation to self-disclose and set boundaries. The therapists should never put their own needs above the client. They make sure to point out that self discourse alone cannot affect the outcome of treatment. Self-disclosure is effective only if it is used appropriately and only if it is used when it is necessary. The amount of information disclosed and when it is disclosed is also important. Therapists should draw a clear line with the amount of intimacy to include in their therapeutic disclosure to ensure that no inappropriate boundaries are crossed. The authors suggest two rules of thumb to follow when disclosing information which include: (a) “Why do I want to say what I am about to say” and (b) “What will be the likely impact of the client” (p. 567).
Murdock (2013) identifies “free association” as being the best option for a successful therapeutic relationship (Murdock, 2013). Through the use of free association, the therapist encourages Ana to say what comes to mind regardless of the positive or negative emotions as means to open the mind to the unconscious. Strean (1944) identifies that all patients “respond to interventions in terms of transference” (Strean, 1944). With the key role transference plays in the therapeutic process it is important that Ana openly communicates and express her feelings. In doing so, it allows the therapist to interpret similar feeling and root causes. In psychoanalytic theory application, insight provides a look into the emotional and logical thought process (Strean, 1944). The goal through insight is to uncover how Ana’s depression and worries were formed, how they affect her and provide her with the opportunity to deal with these
Kendall, P C (02/28/1998). "Empirically Supported Psychological Therapies". Journal of consulting and clinical psychology (0022-006X), 66 (1), p. 3.
Crying is often seen as a sign of weakness. This is a cultural myth in our country. Crying is a reaction to something that triggered emotion or physical pain. Some people cry easily and tears can be a sign of joy or pain. Other people perhaps were raised to never cry o...
Emotion-focused therapy is one of the two most tested and frequently used interventions for couples besides BCT, or behavioral couples therapy. In a couple therapy session where emotion-focused coping is being utilized emotions are obviously the main subject in which the interactions of the therapist and the clients are revolving. During the session the therapist looks for key emotional responses and tries to further these emotions and get to the origin of these emotions in order to help resolve any conflicts or better any situation in the relationship between the couple (Johnson & Woolley,
Fonagy, P. (1999). Relation of theory and practice in psychodynamic therapy. Journal Of Clinical Child Psychology, 28(4), 513--520.
Calmly Jo arrived on time sporting a new bracelet. Cheerfully complementing her on the bracelet resulted in a confident smile, she conveyed this was her new pattern. Expressively admiration for her talent was disclosed. Supportively, questions were asked about how her week went. Jo stated that it was a bit of a roller coaster. Giving reports that some days she was tired and that some nights she had trouble going to sleep. She reported feeling teary-eyed. Discussions occurred that this is normal after disclosing trauma and that the effect is usually temporary providing treatment is continued. Sleep strategies were provided. Jo was asked if there were similarities in times when she felt teary eyed? She replied that it happened a lot in
I completed my clinical training at the Psychology Clinic at University of Montreal included the psychodynamic therapy, cognitive-behavioral therapy (CBT) and third wave behavioural interventions. I was trained in individual therapy with adults presenting a range of difficulties such as anxiety disorders, depressive disorders, eating disorders, personality disorders, addictions, low self-esteem and symptoms of post-traumatic stress. I am glad that part of my training was done in psychodynamic psychotherapy. This taught me to truly listen to clients and to allow them a space to explore their experience. Moreover, it allowed me to pay attention to my own reactions and to become aware of the transferential and counter-transferential issues in
But you can’t be your own little therapist. After I was broken up with, I spent a day or two crying on and off. Then, I took myself on a ‘self-pity date’ (my own descriptors), and was tired of being sad. That didn’t stop the sadness, or the longing I still feel, but it did annoy me. And my little therapist directed me into a Hallmark store where I purchased a Moleskine notebook in which to record my sadness. In all reality, I am not a terribly scarred sixteen year-old. I have traumas, idiosyncrasies, and a lot of thoughts. Sometimes, I even think I think too much (and I probably do). But, all in all, I know a lot about myself as a person, what makes me tick and what can calm me down. I just need to learn to stop analyzing myself so much, and shut up my little therapist every once in a while. She never went to school for it, anyway, so what does she
Murdock, NL 2004, Theories of counselling and psychotherapy: A case approach, Pearson/Merrill/Prentice Hall, New York.
Grief counseling is not new to the counseling field. In 1917 Sigmund Freud published a paper “Mourning and Melancholia”, where in the paper the processes: cathexis, decathexis and hypercathexis were discussed on. These processes include withdrawing emotional energy from the deceased, to becoming detached, and to review thoughts and memories of the deceased. Freud believed that through this process, though painful, only then can the bereaved achieve detachment with the deceased. This theory then became one of the fundamental factors in understanding grief throughout the later years (Malton, 2012).
Corey, G. (2011). Theory and practice of counseling and psychotherapy. (ninth ed., pp. 291-301). Belmont, CA: Brooks/Cole.