HD 3700 1st Edition Lecture 23Outline of Last LectureI. HamletII. Personality disorders—final thoughtsIII. PsychotherapyOutline of Current LectureI. PsychotherapyII. Varieties of PsychotherapyIII. Hamlet confronts Gertrude Current LectureI. Psychotherapy- Psychotherapy is a strategic use of intimacy - Psychotherapist guidelineso Boundarieso Therapist abstinenceo Fidelity to the “process”- Universal Psychotherapy Componentso Forming the Alliance Listening, making connections, demonstrating empathy, and also strengtho Setting Goals Either explicitly or through wished-for versions of the futureo Creating an Interpersonal Space Putting the focus on the patience, the use of silence, speaking to the patient’s emotional experienceo 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 supportiveo Therapy #2 CBT: looking at the way she was interpreting events Challenging her in how she was interpreting her social experience—you are assuming rejection that mayo 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 parentso 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 psychotherapyo Projective School Psychoanalysis Projection Psychoanalytic Psychotherapy Transference Psychodynamic Psychotherapy Associations to the Pasto Objective school: can you change behaviors  Behavior Therapy Behavior Change Ratio-Emotive Therapy Rational Solutions Cognitive Behavioral Therapy Homework Cognitive-Affective Therapy Core Schemaso More recent schools of psychotherapy Group Psychotherapy Group Identity Family Psychotherapy Interpersonal Process Dialectical Behavioral Therapy Mindfulness- Freud’s Categorieso Free Association  What Comes to Mindo Transference  Projections onto the Analysto Counter-transference  Analyst’s Projectiono Analysis of Resistance & Defenses Interpreting Ways of Avoiding the Analysis and Anxietyo Making what is Unconscious, Conscious Interpreting the Underlying Thoughts/Feelings Wishes & Fears- Psychodynamic TX: The Patiento 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 therapyo 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 feelingso 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 gradientIII. 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