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Q: Counselling Theory and Practice ( Answered,   0 Comments )
Question  
Subject: Counselling Theory and Practice
Category: Health > Conditions and Diseases
Asked by: rphedleyc-ga
List Price: $20.00
Posted: 01 Dec 2002 07:26 PST
Expires: 31 Dec 2002 07:26 PST
Question ID: 117187
What are the main similarities and differences between psychodynamic
and humanistic (person centred, transactional analysis, gestalt etc.,)
therapy in theory and practice
Answer  
Subject: Re: Counselling Theory and Practice
Answered By: sublime1-ga on 01 Dec 2002 09:44 PST
 
rphedleyc...

The following page, from Google's cache of a page
at the University of Memphis Psychology Department,
lists the essential differences (The actual site
timed out, so I was unable to access it):

==================================================

Psychoanalysis and Psychodynamic Therapies

    * Lengthy therapy aimed at uncovering and resolving
      conflicts and unconscious impulses.

      Uses free association, dream analysis, & transference.

    * Freud's Therapy is an insight therapy

      Goals - to discover relationships between unconscious
      motivations and behavior.

Techniques -

   1. Free Association - Report whatever comes to mind
      (allows unconscious to express self).
   2. Dream Analysis - describe dreams in detail - 
      insight into unconscious.
   3. Interpretation - involved in both - therapist 
      provides context and meaning to idea or feeling.
   4. Resistance - Unwillingness to cooperate by which
      patient signals a reluctance to provide information.
   5. Transference -therapist becomes the object of a 
      patient's emotional attitudes about an important
      person in the patient's life.

Ego Analysts - Psychoanalytic therapists who assume the
ego has great control over behavior and are more
interested with reality testing and control over the
environment than with unconscious motivations.

   1. Freud thought ego evolved out of id, however, they
      believe they are separate.
   2. Help patients develop stronger egos.

Criticism of Psychoanalysis

   1. Contend that it is unscientific, imprecise and 
      subjective.
   2. Most find sexist concepts unacceptable.
   3. Not found to be more or less effective than other
      therapies.
   4. Disadvantages are - must be able to meet 1 hr 
      daily for 5 years.
---------------------------------------------------

Humanistic Therapies


Client or Person-Centered Therapy

   1. Developed by Carl Rogers - focused on the person.
   2. He thought that we learn by reinforcement for 
      achievements and tend to see ourselves and others
      in this manner.
   3. He trained them to see the world from their own
      perspective and to improve self-regard.

Techniques

   1. Non-directive therapy (Client Centered) - 
      The client determines direction of therapy.
   2. Therapist accepts client's feelings and behavior
      and does not judge or try to dominate therapy.
   3. Therapist helps client organize thoughts by
      reflecting back the client's feelings.
   4. Therapist must be warm, accepting person who
      exhibits:
    * Empathetic Understanding
    * Unconditional Positive Regard.

Criticisms

Deals with hard to define concepts and thus results
are hard to measure.


Gestalt Therapy

   1. Assume people are responsible for their own
      lives.
   2. Focus on the here and now
   3. People must be aware of their current feelings
      and situations.

Goals

   1. Help clients become aware of their current 
      feelings and old conflicts.
   2. Help enable them to resolve future conflicts.
   3. Doesn't try to cure.
   4. Helps client become complete
   5. Perls viewed imcomplete gestalts as unresolved
      conflicts and unfinished business
   6. Gestalt therapy helps expand conscious awareness.

Techniques

   1. Ask client to concentrate on current feelings
      about difficult past experiences.
   2. May get client to change speech - e.g. speak
      more assertedly.
   3. May get to behave in a manner opposite feelings
      (considered experiential therapy).
   4. Hypnosis may be used.

Criticisms

   1. Focus too much on individual's happiness and growth
      at the expense of other goals.
   2. Focus too much on feelings and not enough on thought
      and decision making.
   3. Not effective with more disturbed individuals.

==================================================
http://216.239.39.100/search?q=cache:-lLl2_qckIUC:neuro.psyc.memphis.edu/1101/1101treat.htm+psychodynamic+humanistic+therapies+similarities+OR+differences&hl=en&ie=UTF-8

In essence, psychotherapy assumes the expertise of the
therapist in working with the client's unconscious, and
his ability to identify and bring to the surface patterns
and dynamics which the client has been unable to see on 
his own. This is why it is considered to be, at best,
"subjective", and, at worst, having the potential for 
abuse by therapists who are, themselves, conflicted.

The "client-centered" approach is intended to eliminate
these pitfalls by working primarily with what the client
is actually aware of, and supporting their transition to
greater insight. Gestalt therapy, however, is more
directive and confrontive than the approach suggested
by Carl Rogers. Transactional Analysis is a gentler form
of therapy, created by Eric Berne, and described on this
page from the International Transactional Analysis
Association's website:

"Eric Berne made complex interpersonal transactions
 understandable when he recognized that the human
 personality is made up of three "ego states"; each
 of which is an entire system of thought, feeling,
 and behavior from which we interact with each other.
 The Parent, Adult and Child ego states and the
 interaction between them form the foundation of
 transactional analysis theory. These concepts have
 spread into many areas of therapy, education, and
 consulting as practiced today."
http://www.itaa-net.org/ta/keyideas.htm

In Transactional Anaylsis, the therapist works to 
increase the client's awareness of these 3 ego states,
as evidenced by language and behavior, until the 
"Adult" state has gained control over the often
dysfunctional "Parent" and "Child" aspects.

This page, from the TherapyQuest website, summarizes the
significance of these differences in approach in this way:

"Upon completion of this assignment the student will have
 a better appreciation of the fact that psychology is not
 a perfect science.  Opinions among experts vary, and are
 often the by-product of their varied training.  Persons
 seeking treatment for psychological problems should be
 aware of these differences, and select their mental
 health practitioner accordingly."
http://www.oswego.org/staff/mmirabit/web/therapyquest2.htm

In summary, I would also draw from my own experience in the
field of mental health, which ended as a result of the 
company for which I worked transitioning from a non-profit
corporation, focused on the needs of the client, to a 
for-profit, managed-care corporation, focused, at least
equally, on the bottom line of cost. This is the trend in
public mental health organizations, and there's little
likelihood of a reversal. Therefore, there is a strong
preference for short-term, cost-effective approaches to
therapy, regardless of the needs or preferences of the 
client. Psychoanalysis has thus fallen out of favor in 
the public sector, due to its inherent length and 
questionable outcomes. It has, by default, become an 
option which is only available to those who can afford
a private practitioner.


Searches done, via Google:

psychodynamic humanistic therapies similarities OR differences
://www.google.com/search?hl=en&ie=UTF-8&oe=UTF-8&q=psychodynamic+humanistic+therapies+similarities+OR+differences

transactional analysis
://www.google.com/search?hl=en&ie=UTF-8&oe=UTF-8&q=transactional+analysis


Please do not rate this answer until you are satisfied that the 
answer cannot be improved upon by means of a dialog with
the researcher through the "Request for Clarification" process.

sublime1-ga
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