Psychodynamic Counselling. the Word Psychodynamic Is An
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Psychodynamic counselling. The word Psychodynamic is an amalgam of two words both of them Greek of origin. The first part “Psyche” can be translated as spirit, mind or soul, while the second part is from the Greek “dynamis” and can be translated as active, forceful, energetic or alive. In the contexts of Counselling and Therapy, the word psychodynamic refers to a Freudian approach. This psychodynamic approach to counselling is also deep rooted in Freudian concepts and theory. Its central theoretical focus is on the unconscious and transference. The Psychodynamic model of counselling is one which places emphasis on past as well as present experiences. It looks at the way a person’s early life, in particular a person’s childhood and relationships with parents and family, has shaped their present personality, their way of thinking and behaving, and their current relationships with people. According to the model, much of what happened in childhood is still present in the unconscious mind, and thus capable of exercising an influence over our adult experiences. Psychotherapists usually work long term with clients. To use the psychodynamic model effectively the counsellor needs to have a thorough understanding of its theoretical principles, along with a commitment to the time and work required for its effective practice. Freud’s theories have been developed and adapted by different strands of psychodynamic theorists. However, many of Freud’s original concepts remain central to the psychodynamic approach, e.g. The unconscious, transference and countertransference. Freud also include the importance of formative childhood experience, sex and relationships, and the use of dreams and metaphor e.g. Inkblots as a way of understanding the human psyche. Freud was fascinated with the material which he believed to be hidden in the human psyche. So he developed and identified three levels or categories of mental process. The Conscious – represents materials, facts, feelings and thoughts which the client is aware of The Sub Conscious – represents materials, ideas memories which are not conscious but are easily accessed. The Unconscious – materials, desires or impulses which lie buried or hidden from the conscious mind The ID, the ego and the super ego Freud went on to identify three driving forces of the mind The ID (IT) The ID is the part of the unconscious mind which contains the instinctual drives and impulses that motivate our behaviour. The primitive impulses driven by our instinctual needs are at odds with the Ego and Superego, EG: Sally was thirsty. Rather than waiting for her mother to refill her glass of water, she reached across the table and drank from her father’s glass of water, much to his surprise. The ID can be thought of as the child part of the unconscious... I want, What I really want…etc The ID has two main driving forces • Eros – the life affirming drive of love and sexuality • Thanatos - the drive towards death and destruction The EGO (I) The EGO is the rational, mainly conscious part of the mind. It makes decisions and copes with the external world. The EGO can be thought of as the “grown-up/adult” side of our mind. It “mediates between the ID and the Superego. It seeks to please the ID’s drive in realistic ways that will benefit in the long term rather than bring grief EG: Sally was thirsty. While waiting for her mother to refill her glass she asked her fathers if she may take a sip of this water. The Super ego (HIGER I) The SUPEREGO is the “conscious” side of our mind which contains social and paternal rules and taboos. As we take these into our unconscious mind the taboos are translated into “I ought” “I should”. The SUPEREGO is the source of guilt and ideals. EG: Sally was thirsty. She really wanted to take a drink from her father’s glass but decided to wait for her mother to refill her glass The psycodynamic stages of development and fixation The early writings of Freud divided the human development stages into: Stage 1 – 0 -2yrs Oral Stage – The infant experiences pleasure through the mouth, mainly gratification from sucking, breast feeding, or toys or other objects EG dummy put into the mouth “felt” by the mouth Stage 2 - 2 -3yrs Anal Stage – At this stage of development the child take s a sensual interest in their own faeces. They experience a gratification in a substance they produce. From here they can experiment with smearing or eating faeces, withholding or expelling faeces as a means of control. Stage 3 - 3-5yrs Phallic Stage – The Superego develops within this age range a move of interest from the anus to the genitals in the need for gratification and discovery. The child becomes aware of anatomical sex differences, which sets in motion the conflict between erotic attraction, resentment, rivalry, jealousy and fear. At this stage parents become models for role identifications, this leads to the Oedipus and Electra complex’s The Oedipus complex The name of the Oedipus complex derives from the Greek myth where Oedipus, a young man, kills his father and marries his mother. Upon discovering this he pokes his eyes out and becomes blind. This Oedipal is the generic (i.e. general) term for both Oedipus and Electra complexes. In the young boy, the Oedipus complex arises because the boy develops sexual (pleasurable) desires for his mother. He wants to possess his mother exclusively and get rid of his father to enable him to do so. Irrationally, the boy thinks that if his father were to find out about all this, his father would take away what he loves the most. During the phallic stage what the boy loves most is his penis. Hence the boy develops castration anxiety. The boy believes that all women including his mother have been castrated. The little boy then sets out to resolve this problem by imitating, copying and joining in masculine dad-type behaviours. This is called identification and is how the three-to-five- year-old boy resolves his Oedipus complex. Identification means internally adopting the values, attitudes and behaviours of another person. The consequence of this is that the boy takes on the male gender role and adopts an ego ideal and values that become the superego. Freud (1909) offered the Little Hans case study as evidence of the Oedipus The Electra Complex For girls, the Oedipus or Electra complex is less than satisfactory. Briefly, the girl desires the father, but realizes that she does not have a penis. - the girls clitoris acts as a penis until she becomes aware she has no penis This leads to the development of penis envy and the wish to be a boy. The girl resolves this by repressing her desire for her father and substituting the wish for a penis with the wish for a baby. The girl blames her mother for her 'castrated state' and this creates great tension. The girl then represses her feelings (to remove the tension) and identifies with the mother to take on the female gender role. Stage 5 – Latency Stage 5 – Puberty – Process which dislodges the Oedipus complex. Sexual development is interrupted suppressed by the Ego so that the child can develop learning skills and gaining knowledge. The ID, Ego and Superego balance themselves ready for the turmoil of puberty. No further psychosexual development takes place during this stage (latent means hidden). The libido is dormant. Freud thought that most sexual impulses are repressed during the latent stage and sexual energy can be transferred towards schoolwork, hobbies and friendships. Much of the child's energy is channelled into developing new skills and acquiring new knowledge and play becomes largely confined to other children of the same gender. The Genital Stage This begins with puberty and depending on the individual can be affected in adulthood. Psychosexual development of the individual EG: excessively gratified or extremely frustrated Genital Stage This is the last stage of Freud's psychosexual theory of personality development and begins in puberty. It is a time of adolescent sexual experimentation, the successful resolution of which is settling down in a loving one-to-one relationship with another person in our 20's. Sexual instinct is directed to heterosexual pleasure, rather than self-pleasure like during the phallic stage. For Freud, the proper outlet of the sexual instinct in adults was through heterosexual intercourse. Fixation and conflict may prevent this with the consequence that sexual perversions may develop. For example, fixation at the oral stage may result in a person gaining sexual pleasure primarily from kissing and oral sex, rather than sexual intercourse . Freud, S. (1905). Three essays on the theory of sexuality. Se, 7. McLeod, S. A. (2008). Psychosexual State Transference and countertransference Transference was a term introduced by Freud when describing the events that occurred while he was observing his college Joseph Breuer and his female patient. She had become so dependent of Breuer that she fantasised that she was pregnant with this child. Freud wrote that the transferred emotions led to the elimination of the illness. These manifest feelings really belonged to a past relationship and a solution of the original disturbance would effect a “cure”. Working with transference encourages that which is in the unconscious to be brought to the conscious. This becomes possible when the therapist becomes “a significant” other form the clients past E.G parent/teacher. These feelings can prove to be problematic if of an admiring or erotic nature. When Freud initially encountered transference in his therapy with clients, he felt it was an obstacle to treatment success. But what he learned was that the analysis of the transference was actually the work that needed to be done.