By Mary E. Connors
Characteristically, psychoanalytically orientated clinicians have eschewed a right away specialize in signs, viewing it as superficial turning clear of underlying psychopathology. But this assumption is an artifact of a dated classical process; it may be reexamined within the mild of latest relational thinking. So argues Mary Connors in Symptom-Focused Dynamic Psychotherapy, an integrative venture that describes cognitive-behavioral thoughts which were proven to be empirically powerful and will be productively assimilated into dynamic psychotherapy.
What is the warrant for symptom-focused interventions in psychodynamic treatment? Connors argues that the deleterious influence of indicators at the patient's actual and emotional health usually impedes psychodynamic engagement. indicators linked to addictive problems, consuming issues, OCD, and posttraumatic tension obtain specific attention. With sufferers being affected by those and different signs, Connors reveals, particular cognitive-behavior recommendations may possibly relieve symptomatic misery and facilitate a psychodynamic remedy approach, with its attentiveness to the healing dating and the research of transference-countertransference.
Connors' version of integrative psychotherapy, which makes cognitive-behavioral innovations attentive to a finished figuring out of symptom etiology, deals a balanced point of view that attends to the relational embeddedness of signs with no skirting the healing legal responsibility to relieve symptomatic distress. In truth, Connors exhibits, lively options of symptom administration are often facilitative of therapy targets formulated by way of relational psychoanalysis, self psychology, intersubjectivity conception, and attachment research. A discerning attempt to counterpoint psychodynamic remedy with out subverting its conceptual floor, Symptom-Focused Dynamic Psychotherapy is a bracing antidote to the timeworn frame of mind that makes a advantage of symptomatic suffering.
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Additional resources for Symptom-Focused Dynamic Psychotherapy
Sample text
I do not believe so; psychodynamic psychotherapy provides essential elements in a treatment that are quite different from those supplied by cognitive behavior therapy. The concrete, specific, problem-focused nature of the latter approach is unparalleled for effective intervention in certain situations, but such techniques are frequently insufficient for the long-term changes that patients deem important. Although persons suffering with problematic symptoms often want direct help with them, such help may not be as straightforward as some cognitive behavioral treatment manuals might suggest.
She complained of poor self-esteem, lack of zest for living, and feelings of isolation and estrangement from others. It became apparent that both parents had suffered a series of unresolved and tragic losses during their lives and had been too depressed themselves to provide her with many needed selfobject experiences. Her parents had been unable to take an authoritative role when she looked to them for guidance and structure and she had always felt she was alone with her problems.
These shifts have been occurring among self psychologists, object relations theorists, interpersonalists, and others, and this increased emphasis on the legitimacy of noninterpretive interventions provides support for the inclusion Copyrighted Material ACTIVE T E C H N I Q U E S IN A CONTEXT O F INTEGRATIVE POSSIBILITY | 27 of a variety of responses in the clinical situation. In this chapter I develop a theory of therapeutic interaction in which the proffer of active techniques is seen as an entirely natural development in response to the clinician's experience of the needs of a particular patient.
