Psychiatry notes

Apr 16th, 2015
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PSYCHOTHERAPY AND COUNSELLING 2 PSYCHOANALYTIC PSYCHOTHERAPY-A modifiedpsychoanalysis It focus on the pt current conflicts and dynamics Interviewing and discussion techniques are used-(analysis of transference and free association isnot necessary) -No use of a couch and the client and therapistare usually in full view of each other It can be used in combination with psychotropicdrugsPsychoanalytic psy TYPES- (1)Insight orientedpsychotherapy(expressive psychotherapy)(2) Relationship-oriented psychotherapy(Supportive psychotherapy)INSIGHT ORIENTED PSY It helps pt regains insight ie understand theirpsychological functioning and personalities In the Insight oriented psychotherapy thetherapist emphasis is on the value to ptgaining new insight into current dynamics oftheir feelngs, their response to issues, theirbehaviour in different situations and also theirrelationship with other personsSUPPORTIVE PSYCHOTHERAPY The therapist offers patient support duringperiod of illness, turmoil or temporarydecompensation It also has the goal of restoring andstrengthening the pt defences It provides a period of dependence for a pt who isin need of help in dealing with guilt, shameanxiety and in meeting frustrations or extenalpressure that may be too great to handle One danger lies in the possibility of a clientregression and becoming too dependentCONT The therapist should strive to make the clientassume indep

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