Solution
Anju Lata answered on
Apr 13 2021
Running Head: Na
ative Review
Na
ative Review 11
Assessment
Na
ative Review
Student Name:
Introduction
In this report I am reviewing the effectiveness of -short term psychodynamic therapy- as a treatment for intimacy issues of patients. The therapy emphasizes on unconscious processes as they are demonstrated in the present behavior of the client. The aim of this therapy was to develop self awareness and help the patient understand the impact of her past incidents over present behavior. It helped her identify the unresolved conflicts and consequent symptoms emerging from her dysfunctional relationships.
The therapeutic focus is achieved by using Triangle of Conflict (which involves Feeling, defence and Anxiety), and a triangle of Person/Time (which involves Past/Parents, Therapists and Cu
ent Relationships). These two triangles guide the basic process of therapy. A therapist interprets our behaviors and reactions as per the linkages given in these triangles. The therapy focuses to resolve the attachment ruptures and not to resolve the symptoms of anxiety in performance. The symptoms of performance anxiety naturally get resolve or heal if the treatment can access, express and process the early trauma and related painful impact of incidents over one’s life.
In the case study, the short term psychodynamic therapy has been used to address patient’s internal emotional conflicts which emerged due to ruptures in her attachment relationships such as:
eak up, emotional neglect, prolonged separation from parents, especially father and chronic lack of empathy from her parents towards her emotional needs and psychological symptoms. The longer the duration of such experiences, the more is the severity of attachment rupture (Kenny, 2016). The anxiety related to internal emotional conflicts and the defensive strategies used by the patient to avoid the experience of emotional pain created more issues in her life. The psychodynamic therapist focused on identifying, acknowledging, expressing, understanding and overcoming the contradictory negative perceptions and feelings to improve her perception of relationships. The therapy is psychoanalytical and involves less than 25 talking sessions between the patient and therapist, mainly based on principles and theories of Psychoanalysis (Psychology Today, 2019). Therapists encouraged her to speak freely about the anything that comes in her mind like existing issues, desires, expectations, fears and fantasies. The treatment also rebuilds the self esteem, and improves the ability to establish better relationships than before. The therapy helped her analyze and resolve the existing issues, and transform her behavior in the relationships by in depth analysis and exploration of emotions and earlier experiences.
Analysis of Case Study
The patient suffered a recent
eakup with a partner who was with her for the last two years. Since after that incident she was feeling depressed, aloof and indulged in drinking alcohol. She never talked to anyone about the feelings how she was exactly feeling after the
eakup. While talking with the therapist Elisha, she recites whole of the incidents again, describing the panic attack and fight over small incident. Additionally, the news of her father ma
ying to somebody other than her mother dis-hearted her even more. During her talk with the therapist, she often remembered the times when both of them were happy together. While talking, the patient identified her own pattern of sabotage in every relationship; she was lost and vulnerable after her
eakup. She elaborated her not so close relationships with parents and her financial independence. However she identifies that she is more similar to her father in maintaining emotional distance and sabotage. She identified during the therapy sessions that her relationship with her father was the only meaningful one and she considered that relationship as a prototype for all her future relationships. Her father sabotaged her. She sabotaged all her other relationships. She used the pattern of leaving people to prevent herself from hurt. However, she got hurt emotionally in very deep. She had nothing stable to base her relationships on.
Later on her therapeutic sessions, she started thinking about her father’s condition and its impact over her own relationships. Her depression had reduced, she was angrier with confused state of mind. She tried interpreting and associating the impact of her parent’s divorce on her own life, after so many years. During the successive sessions, therapist Elisha discussed with her all the topics related to her life. She revealed all the aspects one by one, remembering, analyzing, and evaluating the role of each incident on her present life. Therapist helped her interpret each of the sequence with assertiveness and meaning. She was heavily influenced by her parent’s life and could understand a clear influence of their life over her own personal relationships with her boyfriend. She could realize that she had intimacy issues, her reasons for having them and encouraged her to leave off her past where it was while motivating her to move on for a
ighter future ahead with more stable relationships.
Review
The
ief Psychodynamic therapy, or insight oriented therapy has been useful in probing the unconscious aspects of the patient which are based on past experiences (Bhagat, Haque, & Javali, 2017). The selected case of
eak up affected by social and emotional parameters has been intervened effectively through
ief psychoanalysis. A study by Maljanen & Paltta (2012) compared the cost effectiveness and clinical efficiency of short term psychodynamic psychotherapy with the solution focused therapy, in treating the anxiety disorders and depression. The study found that the psychodynamic therapy is lower in cost when direct costs are only included. Direct costs involved intervention session costs, inpatient care, outpatient visits, travel costs and medications. The indirect costs for the therapy is higher than the solution oriented therapy. Indirect costs include absence from work and loss of productivity, leisure time cost, neglected household work and unpaid assistant received for mental issues (Maljanen & Paltta, 2012). The STPP has no toxicities, side effects or adverse outcomes thus it can be safely recommended in major depression and personality disorders (A
as, Town & Driessen, 2011).
A research by Gaskin (2012) identified that Psychodynamic...