Feedback in dynamic psychotherapy: Notes on selected clinical issues and practical applications

Conclusion In this presentation of selected clinical issues and applications of feedback in dynamic psychotherapy, I have ranged from metaphor to paradox and the sharing of the therapist’s wisdom; from feedback of silence, empathy, and memories to working through alienation from self; from feedback of the therapist’s psychophysiologic reactions during a session to feedback of the fear of separation and mortality. Believing that all too often the therapeutic process is based on linear feedback, I have focused on the circularity of interactive, interpersonal systems, suprasystems, and subsystems as well as their simultaneous, mutually influencing perception through many equally important channels of communication and levels of awareness. These serve as the ground, frame, and context for constructive feedback between therapist and patient that can promote personality reconstruction and development of human potentials. Revised from a paper presented at a scientific meeting of the Association for the Advancement of Psychoanalysis of the Karen Horney Psychoanalytic Institute and Center on April 22, 1993. Immediate Past-President of the Association for the Advancement of Psychoanalysis; author of many publications on verbal and nonverbal communications.     

Basic concepts in existential psychotherapy with couples and families

Existential psychotherapy with couples and families is a treatment approach that pays close attention to both problems and the meanings and meaning potentials to be found in daily marital and family life. The author reviews both the elements and treatment dynamics to be found in existential treatment with couples and families and overviews the practice of creative interaction between the existential psychotherapist and the marital and/or family members requesting help.     

Therapist interventions in short-term dynamic psychotherapy: six expert treatments

This paper describes the profile of verbal response modes utilised in the expert application of Short-Term Dynamic Psychotherapy (STDP). One hundred and fifteen randomly selected segments from six treatments of STDP were analysed. Trained raters used a verbal response mode coding system to examine the individual speaking turns of an expert therapist. Based on the profile of therapist interventions reported, it was concluded that the actual conduct of this treatment in routine practice illustrates the empirically informed modifications to STDP technique integrated alongside the common characteristics of STDP based on the therapist (i) adopting an active stance, (ii) maintaining treatment focus using frequent confrontations and the ‘Triangle of Conflict’, and (iii) tailoring treatment to participant functioning using a combination of supportive and expressive interventions. Furthermore, specific differences in therapist activity were observed across treatment phases as well as between participants.     

Transformational education for psychotherapy and counselling: a relational dynamic approach

ABSTRACT

An evolving relational dynamic approach to psychotherapy and counselling education is described. Key themes integrated within the approach are the learning community and transformational relationships. Learning is a reciprocal change process involving students, teachers, supervisors and therapists in overlapping learning communities. Drawing on evidence that effective outcomes in therapy correlate with effective aspects of the therapeutic relationship, the relational dynamic approach emphasises the findings of attachment and intersubjectivity theorists. The intersubjective matrix of infant/caregiver and client/therapist is mirrored and embodied in the relational ethos of training and actively engaged in group supervision. An emphasis on embodied relating is discussed, drawing on infancy studies and recent neuroscientific findings     

Dependency and perfectionism: Short-term dynamic group psychotherapy for university students

Abstract

This paper is based on the authors' experiences of conducting short-term psychodynamic group therapy with university students. The therapy groups focus on common problems among the members, i.e. perfectionism, procrastination, and fear of graduation. Working on their dependency and on their inadequate separation from parental figures typically helps the students cope more creatively with their academic problems. The paper explores technical questions and possible advantages in working within a short time frame using a group analytic approach.     

Client process in short term dynamic psychotherapy1

In this study, a single case design was used to examine significant client events in a process of short-term dynamic psychotherapy. The Category System of Client Good Moments (Mahrer, 1988) was used as a measure of therapeutic process. Client speaking turns were rated for three sessions (early, middle, and late) of the complete sixteen session treatment conducted according to davanloo's (1978) model of short-term dynamic psychotherapy (STDP), and categories of good moments identified. The results showed that the salient client change-events were related to the client's (a) provision of significant information, (b) exploration of feelings, and (c) insight and understanding across the three sessions. Additionally, the results also showed a statistically significant increase in client-reported behavior change and sense of well-being for the late session. The results suggest that in-session report of behavior change is an important component of therapeutic process. The implications of these results for an atheoretical, data-driven understanding of therapeutic change processes are presented.