PS251, Lec 5, Ex. 3 11/01/2013
Starting at Turning Point slide:
• Hardest point in treatment is when the child asks therapist to abuse him (especially in play therapy)
• Have to get “close” in order to transform (corrective emotional experience)
• “Playing” both sides is critical
• Difference between past & present must be recognized
• Metabolize the toxic, internalized structure is the long term goal of treatment
Case of Conor M:
• 9 year old boy
• Referred for sexual trauma work (documented by father)
• Significant fears around father returning, ADLs limited (e.g. bath time)
• Importance of pretreatment phase (Winnicott)
• Limits of CBT (“thoughtstopping”)
• Phase one trauma treatment (safety & stability)
Importance of garnering support from family/environment
Adler and Jung had their own views in psychology, broke away from Freud. Karen Horney’s ideas were too
radical for the psychological society.
Simplistic theory. Social determinism was his idea. He believed the individual was shaped by social and
family factors. Talked about object relations way before Freud. Said that background plays a huge role in
Was the first to break away from Freud. Criticized Freud for focusing too much on sexuality as the basis of
development. Adler believed social interest played a bigger role, focused more on the positive aspects.
Believed in communitybased adult education. Opened his own school for grown ups. Talked about family therapy, and the idea of Confluence:
Intellectual maturities of children growing up in the same family flow together over time in their influence on
one another, changing most profoundly when new offspring join the siblingship.
There are several types of confluence. Adler’s confluence had to do with siblings’ order.
Middle kids get left out. Older children are practice children. Parents treat you differently. Lastborns are
Adler’s confluence: If you follow the attention, first borns get the most attention. Parents are very
careful about treating their first borns. Attention decreases following the order of kids. The siblings can form
dynamic alliances with each other. When first borns from one family and last borns from another family
marry, they get along well together. But when a last born marries a middle born, they argue all the time.
Middle borns always argue to be heard.
Talked about the 3 problem area’s of life: said everybody struggles with these 3 things at some
point in their lives:
(1) sex & marriage
(2) school & occupation
(3) family & social nature
His theory was seen as superficial, because so far all theories were deep, and
Adler’s theory was more practical. Emphasized the psychology of inferiority and
Some of his basic Concepts:
1. Fictional Finalism: same idea as Jung’s Teleology. Known as the psychology of as if. Not like
as if personality, as Winnicott’s false self. But he said: man lives by assumptions,