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A PRESENTATION ON PSYCHOANALYTIC THERAPY
BY
ADU BOAHEN BENARD
&
NANA AKUA AKUFFO
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Psychoanalysis is the psychotherapeutic
application by a trained analysts, of
psychoanalytic theory in order to ameliorate
disorders that interfere with the analysandssatisfactory functioning.
This is conducted with frequency and
intensity
And seek to bring the unconscious mentalprocesses into the analysands awareness
where they may be explored and understood.
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how did psychoanalysis originate?
More than a hundred years ago, the medical founder ofpsychoanalysis, Sigmund Freud, abandoned a traditional psychiatricapproach. Instead he encouraged his patients to lie down in a
relaxed position, on a couch, and to try to say exactly what waspassing through their minds from moment to moment.
He sat out of sight behind them, so as not to distract them. He keptto a strictly professional setting that was confidential and avoidedjudgment or blame, with sessions at regular times. What he foundwas that there were all sorts of unconscious and half-conscious fearsand preoccupations behind his patient psychological symptoms.
These (especially in the repressive late
19th and early 20th centuries) could be worries and traumas of a
sexual nature, which they found shaming and disgusting. Often,
anxieties were also to do with hatred and aggression; things that
conflicted with the way people wanted to see themselves. This is
still very true today.
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THE THEORY
Psychoanalytic psychotherapy is based on the observation
that we sometimes try to deal with problems by trying to
keep them out of our mind as a way of getting rid of
them. However, they will continue to have an important
effect on our feelings and behavior. Early experiences
are important in shaping the way the mind works but a
large part of our mind operates outside of ourconsciousness. From an early age, we find ways of
managing our experiences and this influences how we
cope in later life.
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It is through conflicts between the conscious
and the unconscious and between the
biological motivating forces in people and the
social tempering forces in the environmentthat the personality develops, acculturation
occurs, and values are acquired.
o Freud described this human motivation as
being governed by the tendency to seekpleasure (a biological drive) and to avoid pain.
He called this tension-reducing force the
pleasure principle.
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Freud continued to research hypnotism in treatment,
but his work and friendship with colleague Josef Breuer
led to the development of his most famous therapeutic
technique. Breuer described his treatment of a youngwoman, known in the case history as Anna O., whose
symptoms of hysteria were relieved by talking about
her traumatic experiences. Freud and Breuer
collaborated on a book called Studies on Hysteria andFreud continued to develop his use of this "talk
therapy."
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Psychoanalytic therapists generally spend
time listening to patients talk about their
lives, which is why this method is often
referred to as "talk therapy." The therapyprovider will look for patterns or significant
events that may play a role in the clients
current difficulties. Psychoanalysts believe
that childhood events and unconscious
feelings, thoughts and motivations play a
role in mental illness and maladaptive
behaviors.
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The therapist offers an empathetic and
nonjudgmental environment where the client
can feel safe in revealing feelings or actions
that have led to stress or tension in his or herlife
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The client must feel free to express
anything.
The therapeutic situation must be a unique
social situation, one where the patient donot have to be afraid of social judgment or
ostracism.
In this therapy, the environment should be
physically relaxing couch, dim lights, sound-proof walls, and the stage is set.
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Psychoanalysis is interested in exploration of the
unconscious mind in order to cure. In this respect,it applies specific techniques or methods that we
intend to present in this section.
FREE ASSOCIATION
The client talks about anything at all. The theory is
that, with relaxation, the unconscious conflict will
inevitably drift to the fore.
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RESISTANCE
When a patient tries to change the topic,
falls asleep, comes in late or skips an
appointment , the therapist says aha!. These resistance suggest that the client is
nearing something in his free association that
he unconsciously, finds something
threatening.
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DREAM ANALYSIS
This is the process of explaining the meaning of the waythe unconscious thoughts and emotions are processed inthe mind during sleep.
THE SYMBOLIC METHOD
Held that dreams had to be considered in their entirety andtherefore unified in their meaning.
THE DECODING METHODConsiders events and objects in dreams as symbols, whichare translated into broader symbols using a key as a guide.
In sleep we are somewhat less resistant to our unconsciousand we will allow a few things in symbolic forms to cometo awareness.
These wishes from the id provide the therapist with moreclues.
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PARAPRAXES
Is a slip of tongue often called Freudian slip.
The therapist is also interested in the jokes
of his clients told. Almost everything meant something all the
time. Eg dialing a wrong number, making a
wrong turn, misspelling a word.
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PROJECTIVE TEST
Such as famous Rorschach or inkblot test.
The theory behind this test is that when the
stimulus is vague, the client fills it with hisown unconscious themes.
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TRANSFERANCE
Occurs when a client projects feelings
towards the therapist that more legitimately
belong to certain important others. This brings the repressed emotions that has
been plaguing the client for so long to the
surface.
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CATHARSIS
Is a sudden or dramatic outpouring of
emotions that occurs when the trauma is
resurrected INSIGHT
This is being aware of the source of the
emotion. The major portion of the therapy is
completed when catharsis and insight areexperienced
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The analyst is silent as much as possible in order to
encourage patients free association. However, theanalyst offers judiciously timed interpretations in
the form of verbal comments about the material
that emerges in order to uncover the patients
resistance to treatment. The interpretation may be either focused on
present issues Dynamic or to draw connection
between the patients past and the present
Genetic.
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The therapist offers an empathetic and nonjudgmentalenvironment where the client can feel safe in revealing
feelings or actions that have led to stress or tension in his
or her life. Oftentimes, simply sharing these burdens with
another person can have a beneficial influence.The patient experience a sense of greater fulfillment in
their lives from having established a secured base in the
relationship with psychoanalyst that allows glitches and
faults in development.
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Individuals who are most suited for this therapy have
experience general dissatisfaction with their lives-
suffering from long standing depression, anxiety, sexual
difficulties, physical symptoms without physical basis.
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Costs are often cited as the biggest disadvantage ofpsychoanalytic therapy. Many clients are in therapy for
years, so the financial and time costs associated with
this treatment modality can be very hig.
.
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Critics also point out that the effectiveness
of psychoanalytic therapy can also be
questioned. One study found that there was
no difference in therapy outcomes between
psychoanalytic therapy clients and a placebo
group. Other critics including Noam Chomsky
and Karl Popper suggest that psychoanalysis
lacks scientific basis
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Other critics claim that psychoanalysis
cannot be considered a science due to its
lack of predictions. Psychoanalysts, critics
maintain, state that certain childhood
experiences, such as abuse or molestation,
produce certain outcomes or states of
neurosis. To take this idea one step further,
one should be able to predict that if children
experience abuse, for instance, they will
become characterized by certain personality
traits. (Colby, 1960, p. 55).
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Commer, R.J (1995) Abnormal psychology (2nd
ed)
Freud S. (1916-1917) Introductory lecture on
psychoanalysis Salzman L. (1980) treatment of obsessive
oersonality.