HD 3700 1st Edition Lecture 23 Outline of Last Lecture I Hamlet II Personality disorders final thoughts III Psychotherapy Outline of Current Lecture I Psychotherapy II Varieties of Psychotherapy III Hamlet confronts Gertrude Current Lecture I Psychotherapy Psychotherapy is a strategic use of intimacy Psychotherapist guidelines o Boundaries o Therapist abstinence o Fidelity to the process Universal Psychotherapy Components o Forming the Alliance Listening making connections demonstrating empathy and also strength o Setting Goals Either explicitly or through wished for versions of the future o Creating an Interpersonal Space Putting the focus on the patience the use of silence speaking to the patient s emotional experience o Interpreting what the patient does doesn t know Questioning Clarifying Confronting Interpreting In class examples of therapy styles o Therapy 1 Supportive therapy Good old fashioned counseling Have you tried this have you tried that Wasn t in depth but supportive o Therapy 2 CBT looking at the way she was interpreting events o o Challenging her in how she was interpreting her social experience you are assuming rejection that may Therapy 3 Psychodynamic psychotherapist Not trying to solve her problems Not challenging interpretations Trying to get at her core emotional experience what was that loneliness about Led to her relationship with her parents she could feel lonely at home discussion about what feelings were acceptable at home what could she share with her parents Each therapist tried to form an alliance First very nice causal and warm Second a little aggressive confrontational Third very quiet held back and waited for her associations to lead us somewhere II Varieties of Psychotherapy Have a different providence origin Schools of psychotherapy o Projective School Psychoanalysis Projection Psychoanalytic Psychotherapy Transference Psychodynamic Psychotherapy Associations to the Past o Objective school can you change behaviors Behavior Therapy Behavior Change Ratio Emotive Therapy Rational Solutions Cognitive Behavioral Therapy Homework Cognitive Affective Therapy Core Schemas o More recent schools of psychotherapy Group Psychotherapy Group Identity Family Psychotherapy Interpersonal Process Dialectical Behavioral Therapy Mindfulness Freud s Categories o Free Association What Comes to Mind o Transference Projections onto the Analyst o Counter transference Analyst s Projection o Analysis of Resistance Defenses Interpreting Ways of Avoiding the Analysis and Anxiety o Making what is Unconscious Conscious Interpreting the Underlying Thoughts Feelings Wishes Fears Psychodynamic TX The Patient o Discourse what is spoken what the patient says What s going on Chit Chat defensive stories Future Goals Conscious Conflicts Events from the Past Friendships Romantic Relationships Family Relationships Free Associations Dreams Feelings Thoughts about the therapy o Process mental experience what the patient is experiencing emotionally Automatic thoughts Visual memories Feelings Anxiety Disavowed thoughts feelings wishes and fears Unspoken feelings about the therapist Internal representations of the self Internal representations of parents Resonance of early life events Psychodynamic TX the Therapist o Discourse what is spoken Opening the narrative tell me more Clarifying questions Demonstrating Empathy Maintaining the Alliance Directing the Patient inward Identifying defenses Confronting self destructive behaviors Interpreting disavowed motives Interpreting disavowed feelings Following associations to dreams Exploring transference feelings o Process mental experience Automatic thoughts Visual memories Feelings Anxiety Internal representations of the self Internal representations of parents Resonance of early life events Defenses acknowledged Attention to the process of the hour Unspoken feelings about the patient Considering timing and form of interpretation Attention to the empathy anxiety gradient III Hamlet confronts Gertrude Hamlet with his mother in her bedroom First time he s approached his mother after he found out she married his father s murderer Polonius is spying on them