Psychoanalytic therapy
Hi I need this 5 questions answered. It really doesn’t need to be long! Just 3-4 sentences per question.
·
1. How much interest would you have in Stan’s
early childhood? What are some ways you’d help him see patterns between his
childhood issues and his current problems?
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2. Consider the transference relationship that
is likely to be established between you and Stan. How might you react to his
making you into a significant person in his life?
·
3. In working with Stan, what
countertransference issues might arise for you?
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4. What resistances and defenses might you
predict in your work with Stan? From a psychoanalytic perspective, how would
you interpret and work with this resistance?
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5. Which of the various forms of psychoanalytic
therapy—classical, relational, or object relations—would you be most inclined
to apply in working with Stan?
Psychoanalytic Therapy Applied to the Case of Stan
In
each of the theory chapters, the case of Stan is used to demonstrate
the practical applications of the theory in question. Refer to the last
section of Chapter 1, (see attachment) where Stan’s biography is given, to refresh your memory of his central concerns.
The
psychoanalytic approach focuses on the unconscious psychodynamics of
Stan’s behavior. Considerable attention is given to material that he has
repressed. At the extreme, Stan demonstrated a self-destructive
tendency, which is a way of inflicting punishment on himself. Instead of
directing his hostility toward his parents and siblings, he turned it
inward. Stan’s preoccupation with drinking could be hypothesized as
evidence of an oral fixation. Because he never received love and
acceptance during his early childhood, he is still suffering from this
deprivation and
continues to desperately search for approval and acceptance from
others. Stan’s gender-role identification was fraught with difficulties.
He learned the basis of female–male relationships through his early
experiences with his parents. What he saw was fighting, bickering, and
discounting. His father was the weak one who always lost, and his mother
was the strong, domineering force who could and did hurt men. Stan
generalized his fear of his mother to all women. It could be further
hypothesized that the woman he married was similar to his mother, both
of whom reinforced his feelings of impotence.
The
opportunity to develop a transference relationship and work through it
is the core of the therapy process. Stan will eventually relate to me,
as his therapist, as he did to his father, and this process will be a
valuable means of gaining insight into the origin of Stan’s difficulties
in relating to others. The analytic process stresses an intensive
exploration of Stan’s past. Stan devotes much therapy time to reliving
and exploring his early past. As he talks, he gains increased
understanding of the dynamics of his behavior. He begins to see
connections between his present problems and early experiences in his
childhood. Stan explores memories of relationships with his siblings and
with his mother and father and also explores how he has generalized his
view of women and men from his view of these family members. It is
expected that he will reexperience old feelings and uncover buried
feelings related to traumatic events. From another perspective, apart
from whatever conscious insight Stan may acquire, the goal is for him to
have a more integrated self, where feelings split off as foreign (the
id) become more a part of what he is comfortable with (the ego). In
Stan’s relationship with me, his old feelings can have different
outcomes from his past experiences with significant others and can
result in deep personality growth.
I
am likely to explore some of these questions with Stan: “What did you
do when you felt unloved?” “As a child, what did you do with your
negative feelings?” “As a child, could you express your anger, hurt, and
fears?” “What effects did your relationship with your mother and father
have on you?” “What did this teach you about women and about men?”
Brought into the here and now of the transference relationship, I might
ask, “When have you felt anything like you felt with your parents?”
The
analytic process focuses on key influences in Stan’s developmental
years, sometimes explicitly, sometimes in terms of how those earlier
events are being relived in the present analytic relationship. As he
comes to understand how he has been shaped by these past experiences,
Stan is increasingly able to exert control over his present functioning.
Many of Stan’s fears become conscious, and then his energy does not
have to remain fixed on defending himself from unconscious feelings.
Instead, he can make new decisions about his current life. He can do
this only if he works through the transference relationship, however,
for the depth of his endeavors in therapy largely determine the depth
and extent of his personality changes.
If
I am operating from a contemporary object-relations psychoanalytic
orientation, my focus may well be on Stan’s developmental sequences.
Particular attention is paid to understanding his current behavior in
the world as largely a repetition of one of his earlier developmental
phases. Because of his dependency, it is useful in understanding his
behavior to see that he is now repeating patterns that he formed with
his mother during his infancy. Viewed from this perspective, Stan has
not accomplished the task of separation and individuation. He is still
“stuck” in the symbiotic phase on some levels. He is unable to obtain
his confirmation of worth from himself, and he has not resolved the
dependence–independence struggle. Looking at his behavior from the
viewpoint of self psychology can shed light on his difficulties in
forming intimate relationships.
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