Therapy and Treatment
Psychoanalysis
Learning Objectives
- Describe psychoanalysis as a treatment approach
One of the goals of therapy is to help a person stop repeating and reenacting destructive patterns and to start looking for better solutions to difficult situations. This goal is reflected in the following poem:
Autobiography in Five Short Chapters by Portia Nelson (1993)
Chapter One
I walk down the street.
There is a deep hole in the sidewalk.
I fall in. I am lost. . . . I am helpless.
It isn’t my fault.
It takes forever to find a way out.
Chapter Two
I walk down the same street.
There is a deep hole in the sidewalk.
I pretend I don’t see it.
I fall in again.
I can’t believe I am in this same place.
But, it isn’t my fault.
It still takes a long time to get out.
Chapter Three
I walk down the same street.
There is a deep hole in the sidewalk.
I see it is there.
I know where I am.
It is my fault.
I get out immediately.
Chapter Four
I walk down the same street.
There is a deep hole in the sidewalk.
I walk around it.
Chapter Five
I walk down another street.
Two types of therapy are psychotherapy and biomedical therapy. Both types of treatment help people with psychological disorders, such as depression, anxiety, and schizophrenia. Psychotherapy is a psychological treatment that employs various methods to help someone overcome personal problems, or to attain personal growth. Biomedical therapy involves medication and/or medical procedures to treat psychological disorders. First, we will explore the various psychotherapeutic orientations outlined in Table 1 (many of these orientations were discussed in the Introduction module). In addition to psychotherapy and the biomedical approach, there is also a social approach to treatment, which focuses on family or group therapies.
| Type | Description | Example |
|---|---|---|
| Psychodynamic psychotherapy | Talk therapy based on belief that the unconscious and childhood conflicts impact behavior | Patient talks about his past |
| Play therapy | Psychoanalytical therapy wherein interaction with toys is used instead of talk; used in child therapy | Patient (child) acts out family scenes with dolls |
| Behavior therapy | Principles of learning applied to change undesirable behaviors | Patient learns to overcome fear of elevators through several stages of relaxation techniques |
| Cognitive therapy | Awareness of cognitive process helps patients eliminate thought patterns that lead to distress | Patient learns not to overgeneralize failure based on single failure |
| Cognitive-behavioral therapy | Work to change cognitive distortions and self-defeating behaviors | Patient learns to identify self-defeating behaviors to overcome an eating disorder |
| Humanistic therapy | Increase self-awareness and acceptance through focus on conscious thoughts | Patient learns to articulate thoughts that keep her from achieving her goals |
Psychotherapy Techniques: Psychoanalysis
Psychoanalysis was developed by Sigmund Freu