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Psychology (7,612)
PSYB30H3 (526)
Lecture 18

Lecture 18

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University of Toronto Scarborough
Marc A Fournier

Lecture 18 Relationship between life story and psychotherapy We can understand much of what goes on in psychotherapy from three frameworks, which include Psychodynamic; talk about conflicts inherent in their patients, conflicts between id and ego, ego and superego. Unconscious conflicts produce anxieties; defence mechanisms are used to overcome these anxieties. When defence mechanisms fail we can develop symptoms symptom represents expression of underlying conflict. Therapist provides interpretation of patients projection. This produces some insight into conflict they have. Process of producing insight leads to resistance. Cyclical process is expected to occur transference material onto therapist, interpretation of transference, patients insight, and then reaction to resistance, which leads to further transference. Cognitive behavioural therapy grows out of modern learning traditions. Notion that antecedent events illicit behaviours, behaviours can be overt or covert. Behaviours have consequences and whether they are rewarding or punitive you will be more or less likely to engage in behaviour in future. Cognitive restructuring techniques and behavioural experiments. CBT therapists may engage in a number of behavioural experiments with a socially anxious patient for example. Humanisticexistential therapies rogerian conditions of worth that we all learn. One goal of this therapy, through process of reflection communicate to patient that his or her thoughts and feelings can be revealed to the world, they dont have to be suppressed or hidden. All these therapies claim to produce change through different processes and mechanisms. One major question to haunt psychotherapy research is which one is better? Over four five decades, large body of research has emerged testing therapies against each other. Not one psychotherapy can be said to be superior to the others no differential efficacy despite technical diversity. Three suggestions made to explain why this is the case Literature is wrong, differences do exist but we have yet to detect them. Symptom measures have demonstrated reliability and validity so to call into question is to call into question all research that has been done so this seems like unlikely case There are different ways of arriving at the same conclusion. Therapies are different but equally effective routes. This is highly implausible situation Idea that in spite of technical differences there are common factors to all psychotherapies, even though they claim to do different things, they are not doing things that are so different than what other therapists are doing. There are underlying procedures and
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