Author Topic: Essential Factors for Effective Psychoanalytic Psychotherapy  (Read 667 times)

Lorenzo

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Essential Factors for Effective Psychoanalytic Psychotherapy
« on: January 10, 2011, 12:43:44 AM »
-A. Lorenzo Lucino Jr, Medical Intern


When I study Psychotherapy , I cannot help but refer to what Freud , himself, referred to it as the processes of recollection, repetition, and working through, which makes up the totality of remembering, reliving and gaining insight. These mentioned essentials illustrates the role  and duty of the psychotherapist with that of the patient. In order for these processes to be realized, there are three factors that must be observed in providing effective psychotherapy. There has to be a solid, comfortable and trusting relationship between therapist and patient and essential to this relationship is empathy, knowledge of the material, and a psychoanalytic setting.

In regards to empathy,  the therapist has to retain a sense of neutrality with the patient and empathy in their situation, and it is necessary for the patient to develop a sense of trust with the therapist and thus can open up to the therapist. By doing this the patient can better relinquish former regressive patterns and develop new, more adaptive ones, as she or he learns the reasons for the behavioral pathology. This is why empathy is necessary to achieve some sort of self understanding and insight to the underlying psychopathology.

Like any professional in a field of interest, one needs to have mastery of a subject material , pass all licensing boards, and practice. A psychotherapist should have the degree , the training, and the expertise to practice his or her field. These prerequisites are necessary in order for one to establish a practice and be employed in the field.

The third factor that is essential is the psychoanalytic setting. Psychoanalysis has to take place in a professional environment, outside from the realities and stresses of life. In this setting, the patient is in a ‘sanctuary’ so to say from external stressors ; it is in this setting that the patient and the therapist develop a trusting and professional relationship. The psychoanalytic setting must promote relaxation and regression, thus allow the practice of effective psychotherapy.

There are ethical and diversity issues that relate to counseling responsibility. The ethical issues that one has to deal with would regard to abstinence, especially considering that most patients will have a libidal need and direct a transference of affection to the therapist. It is a professional requirement that the therapist evade creating any romantic relationship with a patient. One has to keep thing strictly platonic. Diversity issues might arise when some patients come from a different part of the world and express foreign beliefs and practices that might be different from the standard norm that the therapist is used to. In this regard, the therapist should be understanding the cultural implications and effects on why a patient thinks a certain way, practices a certain ritual etc.


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