Professional Documents
Culture Documents
Therapy
Therapy
people, nature, and so on) and what the world demands of me.
Thorndike published animal Intelligence in 1898.
Pavlov theory of conditioning came in 1902.
McDougall theory came in 1908.
Wertheimer experiment came in 1912.
Freud interpretation of dream came in 1900.
Wilhelm Wundt
PSYCHOANALYSIS
Defence mechanism
Ek situation hai jiske wajah se wo thoughts mere andar generate ho rahe
hai that I cannot tolerate. It is fearful, dangerous in some way. Then I will
avoid that situation. Avoidance here is defense mechanism.
Defense mechanism is automatic, unconscious response developed by
ego to solve id & superego conflict.
Eg: when situation comes where there is a boy who meet my all criteria
to be good husband. My id says marry him bcz he can provide me safety.
But my superego says that I am thinking of marrying him just because I
want my safety not because I love him. So, both are in conflict. Because
my safety is now conditional. If he is with me, I am safe. If he will leave
me, I will develop neurotic anxiety. To avoid this dependence, I have to
avoid this situation of flirting & relationship. Because I don’t want to
make my self-esteem, worth & safety conditional on another person. I
will make it unconditional.
Transference
We transfer feelings from past relationships to new relationships.
And it becomes pattern that affects attitude towards new people &
situation.
It is shaping present with help of past template.
It’s like because I felt inferior due to abuse by my father, I transfer
That feeling now into my boyfriend.
The patient’s transference to the analyst enables them both to see
its operating force and to work on separating reality from
memories and expectations. The transference contains patterns
from the past that may be remembered through actions or through
repetition of the past, rather than through recollection; “ . . . the
patient does not say that he remembers that he used to be defi ant
and critical toward his parents’ authority; instead, he behaves that
way to the doctor”
Transference has been investigated through clinical research on the
Core Conflictual Relationship Theme (CCRT) method.
Gestalt, Adlerian, and Client-centered (Rogerian) therapists have
less confidence in the therapeutic value of transference. They place
greater value on actively cultivating a positive relationship with the
client by maintaining a stance that is visibly empathic, supportive
and non-judgmental and attempting to bypass any negative
transference phenomena.
In REBT, the therapist attempts to eradicate transference
phenomena at the outset by demonstrating that the client’s
feelings are based on irrational, maladaptive wishes. Behaviorally
and cognitively oriented therapists attempt to enhance the
working alliance, but transference is not part of their theories.
Their more active stance, in which homework assignments are
routinely given and explicit instructions are provided about how to
change thoughts and behavior, establishes the therapist as an
authority figure, a role that is utilized to encourage compliance.
Interpretation of dreams(1900)
On narcissism (1914)
The ego & the ID (1923)
Carl Jung
He acknowledges the significance of unconsciousness.
Similar to psychoanalysis, neurosis in Jungian analysis results when one
is excessively cut off from the contents of the unconscious and the
meaning of the archetypes.
Adler
Adler, another of Freud’s students, departed from the belief in the
unconscious as part of an intrapsychic system based on repression of
drives
Melaine Klein
Heinz Hartmann
Splitting – mother is good when she takes care of me, bad is she don’t
fulfil my needs.
Good enough mother – merging of good & bad. When satisfactorily
mother fulfils the need of infant.
Margret Mahler
First stage
Normal autism (3-4 week )
Infants fulfil need within orbit of all powerful protective mother.
Needs are taken care of automatically.
The infant is detached and self-absorbed. Spends most of his/her
time sleeping.
Second stage
Normal Symbiosis (upto 5 months)
The infant and the mother are one, and there is a barrier between
them and the rest of the world.
Child is aware of mother but there is no sense of individuality.
Third stage
Separation–individuation phase.
It is end of normal symbiotic phase. Child breaks out of an "autistic
shell" into the world with human connections.
Separation means the child psychologically separates from mother.
Individuation means child achieve sense of individuation, develop
personal identity.
4 substages under it –
4. Differentiation/Hatching – Aware of differentiation between self &
mother. Rupture of the “autistic shell". Increased alertness and
interest for the outside world. Using the mother as a point of
orientation.
5. Practising - Brought about by the infant's ability to crawl and then
walk freely, the infant begins to explore actively and becomes more
distant from the mother. Child experience himself still as one with his
mother.
6. Reproachment – Child comes again close to mother. For
reassurance. Child slowly realize their helplessness & dependence,
need for independence alternates with need for closeness.
3 steps in reproachment
o Beginning
o Crisis
o Solution
Fourth stage
Object constancy – Child understand that mother is separate
identity & separate individual. This leads to formation of
Internalization means internal representation that child has formed
of mother. This internalization provides child image that supply
them with unconscious level of security, support & comfort.
Deficiency in positive internalization could possibly lead to sense of
insecurity & low self-esteem in adulthood.
Heinz Kohut
Developed Self-psychology
Healthy development centres around concepts of idealizing,
mirroring, twinship needs.
Kohut observed that narcissistic patients often reported a lack of
mirroring experience in their childhood.
When child demand attention & admiration from parents(healthy
Narcissistic need), these parents often react with lack of warmth &
often with criticism or ridicule.
Many of these parents also lacked adult figure to safely idealize
which was crucial to healthy development.
Psychopathology is result of unmet development needs rather than
psychological conflict.
Kohut found that psychoanalytic interpretations did not help
narcissistic patients. Instead, he proposed offering empathy,
mirroring, and support for positive self-esteem. In a well-known
case of “Mr. Z,” he used his empathic approach to reanalyze a
patient who had not done well with traditional analytic technique.
DW Winnicott
Environment-individual set-up
Transitional phenomena
In 1953, Donald Winnicott introduced the term 'transitional object' to
describe those blankets, soft toys, and bits of cloth to which young
children frequently develop intense, persistent attachments. Winnicott
theorized that such T.O. attachments represent an essential phase of ego
development leading to the establishment of a sense of self.
He called these objects transitional objects or transitional phenomena.
The transitional object helped to facilitate the transition from the
infant’s narcissistic “Me” to the more other-oriented “Not-Me” psychic
development.
Relationship with transitional object requires symbolism.
When symbolism is employed the infant is already clearly distinguishing
between fantasy and fact, between inner objects and external objects,
between primary creativity and perception.
His contributions -
Holding environment
Mary Ainsworth
Strange situation test
1. Secure attachment
2. Anxious-resistant
3. Anxious -avoidant
Fonagy
Developed concept “Ability to Mentalize”
Mentalize means = mentally represent internal psychological
states, develops from secure early attachment relationship.
It is related to later ability to regulate emotions & calm one-self
during times of stress & anxiety.
mentalization is the ability to understand the mental state – of self
or others – that underlies overt behaviour.
Mentalization can be seen as a form of imaginative mental activity
that lets us perceive and interpret human behaviour in terms of
intentional mental states (e.g., needs, desires, feelings, beliefs,
goals, purposes, and reasons).
4 types of mentalization - Automatic/Controlled, Self/Other, Inner/Outer,
and Cognitive/Affective
Social Interest
Social interest is ability to cooperate with others.
It is innate potential.
Basic Assumptions –
Social context is important when we study defective behaviour.
Behaviour is function of person & environment.
Individual psychology is interpersonal psychology.
It rejects reductionism in favour of studying the whole person &
how he moves through life.
Rejected competing or conflicting structure of id, ego & superego
to say that personality work as unit, we work to maintain unity.
Conscious & Unconscious are both in service of individual who uses
them to achieve personal goals.
Conflict is one step forward & one step backward. Dead centre.
People create these conflicts because they don’t want to solve
problems.
Understanding individual requires understanding his life-style.
Inferiority complex - Inferiority is label given to biological disability
(organ inferiority) present at birth. Later included imaginary
inferiority which results from how society treat us.
We want to compensate for our inferiority. And this inferiority
motivates us to move towards superiority goal.
Life style is developed early in life to help them move towards
superiority & personal goals.
People move toward self-selected goals that they feel will give
them a place in world, will provide them security & will preserve
their self-esteem.
Life of human is not being but becoming.
High role of cognition in emotion & behaviour.
Central motivation of human is completion, perfection,
superiority, self-realization, self-actualization, competence &
mastery.
If striving is solely for the individual’s greater glory, he considers
them socially useless & in extreme is cause of mental problems.
On other hand if striving is for purpose of overcoming life’s
problems, individual is engaged in striving for self-realization, in
contributing to humanity & making world a better place.
Adlerian’s are not deterministic but see human as creative,
choosing, self-determined decision makers permit them to
choose the goals they want to pursue.
Individual may select socially useful goals or they may devote
themselves to useless side of life.
Greatest value for Adlerian is Social Interest. It is innate potential.
People possess the capacity for coexisting and interrelating with
others.
If my feeling derives from my inferiority, then I will strive for
personal superiority through overcompensation wearing a mask,
withdrawal, attempting only safe task. Displaying hesitant attitude
towards life.
Neurotic display – yes but & if only personality.
Device Adler used for diagnosis of individual task avoidance = “The
Question”
The Question = if I had a magic wand that would eliminate my
symptoms immediately what would be different in your life?
Life presents challenges in form of life task – Society, work, sex. We
need to solve this.
Courage is willingness to engage in risk taking behaviour when one
does not know consequences or consequences might be adverse.
Life has no intrinsic meaning; we give meaning to life. The meaning
we attribute to life will determine our behaviour.
Adler psychology has religious tone bcz of his believe in social
interest.
Adler introduced family therapy in 1922.
Adler was functionalist. He asked how individual use heredity &
environment.
Family constellation become primary social environment for child.
Child searches for significance in environment & competes for
position.
Importance to birth order of child. First child is conservative &
second is often rebellious.
Maladjusted child is not sick but is discouraged child.
Goal of discouraged child = attention getting, power seeking,
revenge taking & declaring defeat.
Child due to experience forms conclusion which are often
incorrect. About self & others. Such conclusions are subjective &
biased rather than objective reality. One can feel inferior without
being inferior.
Life-style = self-concept, self-ideal, Weltbild (picture of world),
ethical conviction.
If there is discrepancy between self & ideal self , inferiority feelings
arise. Eg: masculine protest.
Life style is adopted to reach a goal to get rid of inferiority.
Using maps people facilitate their movements through life. Life-
style is instrument for coping with experience, it is very largely
unconscious.
Lif-style comprises cognitive organization of individual. It is
unconscious.
Goal of psychotherapy is to change life-style.
Adlerian’s do not accept the concept of the unconscious.
Adlerian’s major goal is not behaviour modification but motivation
modification.
Problem is faulty learning, faulty values, faulty perceptions.
Human is responsible for one’s action & problems.
Patient has a active role in therapy responsible for contributing in
solution of his problem.
Therapy requires cooperation = alignment of goals.
He founded family education centres.
Of supreme importance is the child’s position in the family
constellation. Birth Order. Thus, it would appear that the first child
usually is a conservative and the second is often a rebel.
Comparison between Freud & Adler
Freud Adler
1. Objective 1. Subjective
2. Emphasised causality 2. Emphasized teleology
3. Reductionist = individual (importance of goals in
was divided into parts. motivating human
4. Study of individual centres behaviour)
on intrapersonal level. 3. Holistic – individual is
indivisible.
5. Establishment of 4. People can be understood
intrapsychic harmony = only interpersonally as
goal of psychotherapy. social beings.
5. Expansion of individual,
self-realization &
enhancement of social
interest represent the ideal
6. People are basically bad. goals for individual.
Socially embedded
An individual does not develop in isolation. A critical goal is to find a place of significance or
belonging in the social group. All of our problems are basically social problems, i.e., how we
relate to each other. The ability to cooperate and contribute is a measure of social interest and
mental health. A well-adjusted person is oriented to and behaves in line with the needs of the
situation. A mal-adjusted person has faulty concepts of his or her place in the group, feelings of
isolation and inferiority, and mistaken goals, which are compensation for these feelings.
Individuals grow up initially feeling a sense of inferiority and compensate by developing a unique
sense of superiority or striving for significance (moving from felt minus to perceived plus). Given
the inherent social nature of individuals, this striving is seen through the lens of social interest,
either adequately fulfilling the tasks of life in socially useful ways or moving on the socially
useless side of life and living a world more at odds with others, more in one’s own private logic
and personal strivings for superiority.
Beck Adler
4. Socratic dialogue
5. Guided discovery
6. Collaborative empiricism
7. For self interest 4. For social interest.
Therapist act as a model, The patient has an active role in the therapy.
Giving task
Anti-suggestion, paradoxical intention.
Images to remember goals.
Catching oneself
Push-button technique – it is to make patient understand that they
are creator not the victim of their own emotions. It is for those
patients who thinks that are victim of their disjunctive emotions.
Here therapist request patient to close their eyes to re-create
pleasant incident from past & un-pleasant incident of hurt. For
depression we can use this.
Archetypes
1. Persona
2. Shadow – urges, wishes which are not approved by conscious ego.
It is dark side of personality. It comes out through projection.
3. Anima – man’s feminine side.
4. Animus – female’s masculine side.
Sandor Ferenczi
4 stages of development of reality perception-
1. Unconditional omnipotence
2. Hallucination-magic omnipotence
3. Magic gesture omnipotence
4. Magic of thoughts & words
He developed participation therapy.
Karen Horney
Abraham Low
Recovery group similar to social club.
Otto Rank
Rank regarded birth as the most traumatic event in human life, &
as major source of an overwhelming anxiety.
Any other anxiety in later life is outcome of basic birth anxiety.
Since birth is separation from mother’s body, any future separation
will revive this anxiety.
Male desire for intercourse is craving for mother’s womb but sight
of birth giving female organs was fear producing.
Oedipus complex is repetition of primal birth anxiety.
Individual has fear of living alone & being independent.
According to Rank there is deep seated conflict between
individuality & belongingness, between separation & unity.
Emotional life fully develops at higher stage, where will develops.
Eric Fromm
Freud said society is product of human.
Fromm said - Human behaviour is product of culture at that time.
Society is formed by objective conditions – like politics, geography
etc.
He used human history to explain his psychological theories.
He accepted that humans have biological needs but they do not
fulfil it like animals.
He rejected instinct as uniform pattern of behaviour in man. Higher
the species more developed the brain of an animal, less rigid the
method to fulfil biological needs.
Humans fulfil needs as he learned through society.
Only lower animals display full fledged instinctual behaviour, while
humans learns, reason & his behaviour is flexible & adaptable.
Except biological needs all other needs are products of social
process like love, hatred, lust etc.
Existential dichotomies like life & death – humans cannot escape.
But historical dichotomies like high production & poverty – humans
can solve.
To escape the truth of death, humans created groups, religions for
sense of security, & save them from feeling of being alone.
But humans could not stay away from truth & revolted for freedom
& they stove towards independence. This process is called
individuation. High individuality brings high insecurity.
But with this freedom, security & happiness did not come. That’s
why many people return to totalitarian systems to gain back
security.
4 ways to gain security
Sadism – complete control over other person.
Masochism – submission of self to another person to
escape loneliness.
Destructiveness – destroy others to escape
powerlessness.
Automation conformity – complete conformity to social
rules.
Child if had bad parenting develops above 4 ways to gain security.
So these escape mechanisms are product not of heredity but of
their experiences in childhood.
Child’s individual personality is formed by parenting & society.
Not as Freud’s assumption that personality is genetic.
Child’s character is formed by environmental influences exercised
by parents.
Whatever human learns good or bad it is through society &
parents models.
2 part of character – personal & social character.
Social character is same as superego.
Freud said that society is product of personality, Fromm said that
personality is a product of society.