Tuesday, June 19, 2012

Psychoanalytic Therapy and Alderian Therapy


Psychoanalytic Therapy


I.                   Sigmund Freud founded this theory which is the benchmark against which many other theories are measured.


II.                Key Concepts: View of Human Nature

                                                             a.      Life instincts – oriented toward growth, development and creativity.

                                                            b.      Libido – a source of motivation that encompasses sexual energy but also goes beyond it.

                                                             c.      Death Instincts- Accounts for the aggressive drive people at times manifest through their behavior.  This is an unconscious wish to die or to hurt themselves or others.

                                                            d.      Both sexual and aggressive drives are powerful determinants of why people act as they do.


III.             Structure of Personality

a.       Id – is roughly all the untamed drives or impulses, the biological component.

b.      Ego – attempts to organize and mediate between the id and the dangers of the ids impulses.

c.       Superego – internalized social component, moral code that represents the ideal rather than the real and often strives for perfection.


IV.             The Unconscious and Conscious

a.       The unconscious are dreams, slips of the tongue, forgetting, and post-hypnotic suggestions. These are things derived from free association, projective techniques and psychotic symptoms.

b.      The conscious is the thin slice of the total mind or awareness.


V.                Anxiety

a.       Feelings of dread that result from repressed feelings, memories, desires and experience that emerge to the surface of awareness.

b.      Reality anxiety: fear of danger from the external world

c.       Neurotic anxiety: fear that the instincts will get out of hand and cause one to do something for which they will be punished.

d.      Moral anxiety: fear of ones own conscience or guilt.


VI.             Therapeutic Process: the goal is to ultimately increase adaptive functioning which involves the reduction of symptoms and the resolution of conflicts.  Rather it strengthens the ego, to make the unconscious conscious so that behavior is based more on reality than on instinctual cravings or irrational guilt.


VII.          Techniques: these are aimed at increasing awareness, fostering insights into client behavior, and understanding the meanings of the symptoms.

a.       maintaining the analytical framework

b.      free association

c.       interpretation

d.      dream analysis

e.       analysis of resistance

f.       analysis of transference


Reference:

Corey, Gerald (2013). Theory and Practice of Counseling and Psychotherapy (9th ed.). Belmont, CA:Brooks/Cole, Cengage Learning p. 62-97

Alderian Therapy

I.                   Founder: Alfred Adler followed by Rudolph Dreikurs who is credited for the theory’s popularity in the United States.
II.                Key Concepts:
a.       View of Human Nature: Adler beliefs were contrary to Freud in that human behavior is not determined solely by heredity and environment, but that we have the capacity to interpret, influence, and create events.  Adlerians focus on reeducating individuals and reshaping society.
b.      Subjective Perception of Reality: Focuses on the way people perceive their world.
c.       Unity and Patterns of Human Personality: Individual Psychology – avoids reductionism and stresses that understanding the whole person in the context of his life and how all the components fit and work together.
d.      Behavior as Purposeful and Goal Oriented: Adlerians assume that most decisions are based on past experiences, the present and the future goals.
                                                             a.      Fiscal Finalism – an imagined life goal that guides a person’s behavior. Adler actually used the words “guided self-ideal” and “goal of perfection” to account for striving for superiority and perfection.
                                                            b.      Lifestyle: Often described as our perceptions regarding self, others, and the world.  This includes an individual’s characteristic way of thinking, acting, and feeling, living and striving toward long-term goals.
e.       Social Interest and Community Feeling: Social interest: the action line of one’s community feeling and it involves being as concerned as others as one is about oneself.
                                                             a.      The concept involves the capacity to cooperate
                                                            b.      Begins in childhood
                                                             c.      People express social interest through shared activity and mutual respect.
                                                            d.      Community feeling: the feeling of being connected to all of humanity past, present and future.
                                                             e.      Many of our problems stem from the fear of not being accepted by the groups we value most.
f.       Birth Order and Sibling Relationships: Adler identified five psychological positions from which children tend to view life.
                                                             a.      The oldest child: Lots of attention in the beginning until another sibling arrives.
                                                            b.      The second child: Seems they are always in a race to beat the oldest child.
                                                             c.      The middle child: Often feels squeezed out.
                                                            d.      The youngest child: Always the baby of the family and usually the most pampered.
                                                             e.      The only child: Traits are somewhat same as the oldest child, but often is spoiled by parents and strives to be the center of attention.
III.             Therapeutic Goals
a.       Prefer a growth model of personality rather than a medical model.
b.      The process includes providing information, teaching, guiding and offering encouragement.
IV.             Techniques
a.       Establish the proper therapeutic relationship
b.      Explore the psychological dynamics operation in the client including the family constellation.
c.       Encourage the development of self- understanding (insight and purpose).
d.      Help the client make new choices (reorientation and reeducation).
Reference:

Corey, Gerald (2013). Theory and Practice of Counseling and Psychotherapy (9thed.). Belmont, CA:Brooks/Cole, Cengage Learning p. 62-97






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