MOD 4: Psychoanalytic Therapy Part 3

Prototypical disorders

characteristic of fully impaired individuals

• Depression

• Anxiety

• Eating Disorders

• Somatic Symptoms

• Substance Use Disorder

• Personality Disorders (Borderline & Narcissistic)

Psychodynamic therapy may be a good choice for addressing:

Kohut (1984)

___________maintains that people are their healthiest and best when they can feel both independence and attachment, taking joy in themselves and also being able to idealize others.

Mature adults

_______ feel a basic security grounded in a sense of freedom, self-sufficiency, and self-esteem; they are not compulsively dependent on others but also do not have to fear closeness.

Transference-Based Psychotherapy

BPD uses __________.

Brief Psychodynamic Therapy (bPt)

This adaptation applies the principles of psychodynamic theory and therapy to treating selective disorders within a preestablished time limit of, generally, 10 to 25 sessions (Messer and Warren, 2001)

BPT uses key psychodynamic concepts such as the enduring impact of psychosexual, psychosocial, and object-relational stages of development; the existence of unconscious processes and resistance; the usefulness of interpretation; the importance of the working alliance; and reenactment of the client’s past emotional issues in relation to the therapist.

Oral

• Neurotic = “Neurotic” Depression

• Borderline = Borderline Personality Disorder

• Psychotic = Schizophrenia/ Psychotic Depression

Anal

• Neurotic = Obsessions and Compulsions

• Borderline = Sadistic/Masochistic/ Antisocial Personalities

• Psychotic = Paranoia (Delusional Disorder)

Phallic

• Neurotic = Hysterical Conversion/ Phobia

• Borderline = Narcissistic and Histrionic Personality Disorders

• Psychotic = Manic-Depression/ “Hysterical Psychosis”

Treating Borderline and Narcissistic Personality Disorders

• Kohut (1984) maintains that people are their healthiest and best when they can feel both independence and attachment, taking joy in themselves and also being able to idealize others.

• Mature adults feel a basic security grounded in a sense of freedom, self-sufficiency, and self-esteem; they are not compulsively dependent on others but also do not have to fear closeness.

• BPD uses Transference-Based Psychotherapy.