Fixations at different stages
Oedipal conflict ( relationships with father , mother are analyzed )
The role of defense mechanisms ( which defense mechanism is person using more frequently like blaming others all the time, or rationalizing e.t.c )
Personality factors ( presence of any personality disorder is identified as individuals with PD are comparatively difficult to treat )
Starting therapy
In psychodynamic methods, focuses on the depth and breadth of the clinical experience itself: entering into the inner world of patients and their object relationships, meeting and facing feelings as they emerge within transference and the countertransference. No relationship starts with out transference and counter transference. A therapist needs to be alert and attentive to resolve the transference counter transference issues.
Transference
Transference is the client’s unconscious redirection/projection of feelings for one significant to the therapist. (Perceiving therapist as father or mother)
- Counter Transference
From a psychodynamic perspective, countertransference is an inevitable part of all patient-therapist contact. In its broadest sense it means the therapist’s emotional response, which stems both from the specific relationship with the particular patient and from the character and disposition of the therapists personal life.
Conscious countertransference can usually be controlled and may shed useful light on aspects of the patient’s personality and ways of relating. Clearly, it remains an essential task for the clinician to meticulously observe the inner feelings after every session and discuss under supervision to crystallize the vision.
- Therapeutic relationships
Once the therapist has resolved the all transference and counter transference issue and fantasy relationship evaporates, the real therapeutic relationship emerges.
Once the therapist has resolved the all transference and counter transference issue and fantasy relationship evaporates, the real therapeutic relationship emerges.
Techniques
Following techniques are used:
Free association ( client is asked to express what ever comes in mind with out any censor ) Dream interpretation ( earlier dreams are considered as current sate of mind and later dreams in therapeutic process are considered as a change that has occurred as a result of therapy )
