INTRODUCTION TO PSYCHOTHERAPY GROUP 3 BETITO, ANECITO CASUCO, JUDIE ANN PAALAM, HANNA GRACE RAYMUNDO, ALYANNA SANTIAGO, PETER JOHN MAR Objectives Define psychotherapy. Differentiate counseling and psychotherapy. Understand the importance of psychotherapy in addressing mental health problems. Discuss the psychotherapies‘ techniques, methods and process. What is Psychotherapy? According to American Psychiatric Association (APA), Psychotherapy, or talk therapy, is a way to help people with a broad variety of mental illnesses and emotional difficulties. Psychotherapy can help eliminate or control troubling symptoms so a person can function better and can increase well-being and healing. What is Psychotherapy? According to American Psychological Association, psychotherapy involves communication between patients and therapists that is intended to help people: Find relief from emotional distress, as in becoming less anxious, fearful or depressed. Seek solutions to problems in their lives, such as dealing with disappointment, grief, family issues, and job or career dissatisfaction. Modify ways of thinking and acting that are preventing them from working productively and enjoying personal relationships. What is Psychotherapy? Psychotherapy and counseling are interactions between a therapist/counselor and one or more clients/patients. The purpose is to help the patient/client with problems that may have aspects that are related to disorders of thinking, emotional suffering, or problems of behavior. Therapists may use their knowledge of theory of personality and psychotherapy or counseling to help the patient/client improve functioning. Differentiation Between Counseling and Psychotherapy COUNSELING PSYCHOTHERAPY Clients For normal individuals For severely disturbed individuals Purpose For prevention For healing and management Cases Behavioral problems Mental illnesses and disorders Goal Educational and informational Facilitative and in-depth Work setting Schools Hospitals and psychology clinics Duration Short-term Long-term Dealt with Immediate issues Longstanding and complex issues Importance of Psychotherapy According to American Psychiatric Association, Psychotherapy has been shown to improve emotions and behaviors and to be linked with positive changes in the brain and body. The benefits also include fewer sick days, less disability, fewer medical problems, and increased work satisfaction. b) It can provide relief and can improve symptoms for individual psychological discomfort such as depression, general anxiety disorder, social anxiety, bipolar disorder, OCD, phobias, and panic disorders when used as either the sole treatment or in conjunction with pharmacological treatments (Hunsley, Elliott & Therrien, 2013). c) Psychotherapy can help eliminate or control troubling symptoms so a person can function better and can increase well-being and healing. a) What are the different Psychotherapies? 1. 2. 3. 4. 5. 6. 7. 8. 9. Psychoanalytic Therapy Adlerian Therapy Existential Therapy Person-Centered Therapy Gestalt Therapy Cognitive Behavior Therapy Family Systems Therapy Integrative Reality therapy Play therapy Psychoanalytic Therapy Based on Sigmund Freud's theories of psychoanalysis. Psychoanalytic therapy, also known as psychoanalysis, is a form of in-depth talk therapy that aims to bring unconscious or deeply buried thoughts and feelings to the conscious mind so that repressed experiences and emotions, often from childhood, can be brought to the surface and examined. Techniques Dream interpretation: According to Freud, dream analysis is by far the most important psychoanalytic technique. He often referred to dreams as "the royal road to the unconscious." Psychoanalysts may interpret dreams to get insight into the workings of your unconscious mind. Free association: Free association is an exercise during which the psychoanalyst encourages you to freely share your thoughts. This can lead to the emergence of unexpected connections and memories. Transference: Transference occurs when you project your feelings about another person onto the psychoanalyst. You'll then interact with them as if they were that other person. This technique can help your psychoanalyst understand how you interact with others. Benefits of Psychoanalytic Therapy Focuses on emotions. Explores avoidance. Identifies recurring themes. Exploration of past experienced. Explores interpersonal relationships. Emphasizes the therapeutic relationship. Free-flowing. Adlerian Therapy Adlerian therapy is a short-term, goal-oriented, and positive psychodynamic therapy based on the theories of Alfred Adler. Adlerian psychotherapy is both humanistic and goal oriented. It emphasizes the individual's strivings for success, connectedness with others, and contributions to society as being hallmarks of mental health. Birth order is considered important in understanding a person's current personality, yet the therapy is future-minded, rather than retrospective. Adlerian Therapy Adler focused much of his research on feelings of inferiority versus superiority, discouragement, and a sense of belonging in the context of one’s community and society at large. According to Adler, feelings of inferiority can result in neurotic behavior but, in the right setting, can also be used as motivation to strive for greater success. Adlerian therapy focuses on the development of individual personality while understanding and accepting the interconnectedness of all humans. Stages of Adlerian Therapy Engagement, or creating a collaborative relationship with your therapist; 2. Assessment of your personal history, with an emphasis on birth order and early childhood memories; 3. Insight, wherein the therapist helps you view your situation from a different perspective; and 4. Reorientation, wherein the therapist suggests active steps you can take outside of therapy to reinforce newly developed insights and perhaps learn even more about yourself and your capabilities. 1. Overall, the focus is on reframing the attitudes, beliefs, and lifestyle choices that block success, so that you are more effective at reaching your desired goals. Techniques Adlerian theory emphasizes techniques that promote growth and resilience. Some key techniques that are used in this type of therapy include: Providing encouragement: Therapists show that they care for clients by listening and showing empathy. This also involves helping people learn how to recognize their own strengths and gain confidence in their ability to succeed. Creating expectations: Therapists may ask people to consider how they would act if they were already the person that they strive to be. This allows the client to visualize success, overcome resistance to change, and establish the expectation that the individual will succeed. Techniques Examining the purpose for behavior: As people explore their behaviors, a therapist might ask the client to reflect on the purpose of these behaviors. Often, understanding the purpose that some of these maladaptive behaviors serve can help people develop healthier coping strategies. Examining memories: Looking at past moments can serve as a way to gain insight into past patterns of behavior that might contribute to current problems. After exploring several memories, therapists can look for certain themes that may emerge. 3 Adlerian theory suggests that people are always trying to satisfy certain desires and reach specific goals. How those goals are reached can vary greatly from person to person depending on their personalities and environments. Benefits of Adlerian Therapy Adlerian therapy can help: • Reduce symptoms of depression and anxiety by encouraging individuals to take action towards achieving their goals. • Increase self-esteem so people feel more empowered because they are able to achieve success through hard work and determination • Improve relationships with others by focusing on what is important to you without worrying about pleasing everyone all the time. This is a way for both people in a relationship or friendship to be happy. They don’t have to always compromise for each other’s wishes. Benefits of Adlerian Therapy • Help give back your life meaning, purpose, joys, and motivation that may have been lost due to job loss or other stressful situations such as an illness or accident. • Increase social interest which helps decrease feelings of isolation by connecting with others who share common interests and goals. Existential Therapy ● Developed out of the philosophies of Friedrich Nietzsche and Soren Kierkegaard. ● Kierkegaard theorized that human discontent could only be overcome through internal wisdom. ● In the early 1900s, philosophers such as Martin Heidegger and Jean- Paul Sartre began to explore the role of investigation and interpretation in the healing process. Otto Rank was among the first existential therapists to actively pursue the discipline, and by the middle of the 20th century, psychologists Paul Tillich and Rollo May brought existential therapy into the mainstream through their writings and teachings, as did Irvin Yalom after them. Existential Therapy Existential psychotherapy ● Focuses on concepts that are universally applicable to human existence including death, freedom, responsibility, and the meaning of life. ● Emphasis on the human condition as a whole. ● Uses a positive approach that applauds human capacities and aspirations while simultaneously acknowledging human limitations. ● It shares many similarities with humanistic psychology, experiential psychotherapy, depth psychotherapy, and relational psychotherapy. Existential Therapy Existential psychotherapy is based upon the fundamental belief that all people experience intrapsychic conflict due to their interaction with certain conditions inherent in human existence, which are known as givens. The theories recognize at least four primary existential givens: ● ● ● ● Freedom and associated responsibility Death Isolation Meaninglessness EXISTENTIAL THERAPISTS PROCESS ● Therapists who practice existential psychotherapy do not focus on a person's past. Instead, they work with the person in therapy to discover and explore the choices that lie before them. ● Through retrospection, the person in therapy and therapist work together to understand the implications of past choices and the beliefs that led those to take place, only as a means to shift to the goal of creating a keener insight into the self. ● In existential therapy, the emphasis is not to dwell on the past, but to use the past as a tool to promote freedom and newfound assertiveness. Benefits of Existential Therapy ● People in therapy who are willing to explore the reasons for their intrapsychic conflicts and the decisions that led to their current circumstances can benefit greatly from existential psychotherapy. ● There are many behavioral and mental health issues that may be successfully treated with this therapeutic approach, including depression, anxiety, substance dependency, and posttraumatic stress resulting from exposure to military combat, rape, childhood sexual abuse, interpersonal violence, or other life-threatening experiences. Benefits of Existential Therapy ● Individuals who respond to treatment tend to find meaning and purpose in their lives and often experience heightened self-awareness, self-understanding, self-respect, and self-motivation. ● The realization that they are primarily responsible for their own recovery often increases the likelihood that people in treatment will see beyond the limits of a therapy session and view recovery as a therapeutic process. Person-Centered Therapy Person-centered therapy was developed by Carl Rogers in the 1940s. The therapy is based on Rogers’s belief that every human being strives for and has the capacity to fulfill his or her own potential. It uses a non-authoritative approach that allows clients to take more of a lead in discussions so that, in the process, they will discover their own solutions. Person-Centered Therapy ROGERIAN THEORY IN PSYCHOTHERAPY Rather than viewing people as inherently flawed, with problematic behaviors and thoughts that require treatment, person-centered therapy identifies that each person has the capacity and desire for personal growth and change. Rogers termed this natural human inclination “actualizing tendency,” or self-actualization. He likened it to the way that other living organisms strive toward balance, order, and greater complexity. Techniques/Approaches SIX FACTORS NECESSARY FOR GROWTH IN ROGERIAN THEORY 1. 2. 3. 4. 5. 6. Therapist and Client Psychological Connection Client Incongruence and Vulnerability Therapist Congruence and Genuineness Therapist Unconditional Positive Regard Therapist Empathy Client Perception Benefits of Person-Centered Therapy Overcome depression, anxiety, grief or stress Find a balance between the idealized self and the actual self Strengthen trust in the self and others Achieve better self-awareness Reduce feelings of guilt and insecurity Seek and sustain healthier relationships Healthier self-expression Boost self-esteem and self-reliance. Gestalt Therapy A humanistic, holistic, and person-centered kind of psychotherapy that focuses on a person's current life and issues rather than on their past experiences. This method emphasizes the necessity of knowing a person's life circumstances and taking responsibility rather than assigning blame. Gestalt therapy was established in the 1940s by Fritz Perls with the support of his then-wife, Laura Perls, as an alternative to more orthodox psychoanalysis. Gestalt Therapy Collaborated with others, such as Paul Goodman, to establish a humanistic approach to treatment. In other words, the approach was centered on the individual and their unique experience. Techniques Examples of the different gestalt therapy techniques: Paradoxical change. The theory of paradoxical change focuses on the need for self-acceptance. It helps individuals develop an improved sense of self-awareness. "Here" and "now". This technique enables individuals to appreciate past experiences and how they influence their present thoughts and behavior. The objective of this technique is to help them live for the present and make positive changes going forward. Techniques Empty chair technique. This technique helps individuals to open up and practice talking with an empty chair. The goal of this technique is to visualize yourself opening up to a particular person you needed to talk with. Exaggeration technique. This technique works by making an individual become aware of underlying issues that could be linked to their present problem. The therapist may request you to exaggerate a specific behavior or emotion. This helps in identifying and addressing the root of the problem. Benefits of Gestalt Therapy Increased self-awareness Improved Self-confidence Ability to make peace with the past, and an improved sense of acceptance Increased ability to deal and cope with stressful situations Being more responsible, improved ability to own up for mistakes and behaviors without placing blames. Cognitive Behavior Therapy A type of psychotherapeutic treatment that teaches people how to recognize and change harmful or troubling thought patterns that affect their behavior and emotions. Developed in the 1960’s as a result of psychiatrist Aaron Beck's observations that certain ways of thinking related to emotional difficulties. Beck coined the term "automatic negative thoughts" and devised the cognitive therapy procedure to address them. Techniques How to Recognize Negative. Thoughts Learning how ideas, feelings, and situations might contribute to maladaptive behaviors is critical. Exercising new abilities. It's critical to begin practicing new abilities so that they can be applied in real-life circumstances. Goal-setting. Setting goals might be a crucial step in recovering from mental illness. Techniques Problem-solving. Learning problem solving skills can help you identify and solve problems that arise from life stressors, both big and small, and reduce the negative impact of psychological and physical illness. Self-monitoring. Also known as diary work, self- monitoring is an important part of CBT that involves tracking behaviors, symptoms, or experiences over time and sharing them with your therapist. Benefits of Cognitive Behavior Therapy It enables you to adopt healthy thought patterns. It's a good alternative for a short-term treatment. It has been demonstrated to be useful in the treatment of a wide range of maladaptive behaviors. It is frequently less expensive than other methods of therapy. It has been found to be successful both online and in person. It's appropriate for people who don't need psychotropic drugs. . Family Systems Therapy A form of psychotherapy that focuses on the family as a whole unit. Bowen Family Systems Theory is a family theory put forward by Dr. Murray Bowen in the late 1960s. Dr. Bowen based his theory on the idea that human beings and families function as one emotional unit in a family and it is easier to understand them when they are viewed within the context of their family ties and relationships. Family Systems Therapy Eight Interlocking Concepts 1. Triangles: A three-person relationship system that acts as a building block for other emotional systems. 2. Differentiation of the self: This refers to the ability to maintain individuality. 3. Nuclear family emotional process: This refers to how the family operates in their emotional interactions. 4. Family projection process: Parents can also transmit their problems and anxieties onto their children. 5. Multigenerational transmission process: This describes how people choose partners who have similar levels of differentiation as themselves. Family Systems Therapy 6. Emotional cutoff: In order to manage conflicts within a family, some members may distance or cut themselves off from other members of the group. 7. Sibling position: Bowen believed that birth order had an impact on family dynamics including in areas such as parental expectations, sibling relationships, and parental discipline patterns. 8. Societal emotional process: This concept suggests that many of the things that impact families also affect societies as well. Societal attitudes, cultural shifts, and conflicts can often play a part in affecting families. Techniques/Approaches Strategic family therapy is a technique that focuses on finding solution to deal with specific issues. Each problem needs a fresh strategy that is tailored to the specific challenge that the family is dealing with. Intergenerational family therapy focuses on determining how generational factors have influenced both individual behavior and the functioning of the family unit. It assists families in gaining a better understanding of how patterns passed down through the generations affect the family and creating new ways of engaging. Structural family therapy (SFT) is a type of treatment that focuses on assisting people in identifying and comprehending their family's structure. The idea is to assist people in improving this organization as needed and learning how to interact more effectively with one another. Techniques/Approaches Psychoeducation entails teaching family members about many elements of mental health and therapy. When one family member has a mental health problem, this can be beneficial. The individual's support system can respond more effectively to their needs when members of the family are educated. Benefits of Family System Therapy Better functioning families Stronger connections More cohesiveness Healthier communication Cost-effective Integrative Therapy A type of psychotherapy that incorporates components of many therapies. Integrative therapists believe that no single treatment technique can treat every client in every situation. Rather, each individual must be considered as a whole, with counseling strategies customized to their own needs and circumstances. Depression, anxiety, and personality disorders can all be treated using an integrative approach. Integrative therapy aims to bring together therapeutic strategies that have been empirically proved to be successful in treating a specific issue. Integrative Therapy TYPES OF INTEGRATIVE THERAPY Free association and dream analysis are two techniques used in psychoanalytic treatment to uncover how your past experiences have influenced your future. Cognitive behavioral therapy focuses on modifying your current behavior in order to improve your moods and coping abilities. It emphasizes the relationship between thoughts, feelings, and behaviors. Integrative Therapy Humanistic therapy is concerned with your ability to reach your full potential and believes that you are the greatest judge of what works for you. It may look for patterns in the past, but it also focuses on assisting you in addressing current behavioral patterns. Mindfulness is also becoming more popular. It's a series of techniques that allow you to be more aware of what you're thinking, feeling, and experiencing right now, rather than being preoccupied with anxieties about the past or future. Techniques/Approaches Modeling and reinforcement are two behavioral tactics that can be used to modify a person's behavior. Transference and free association are two psychodynamic mechanisms that might assist people achieve insight. Cognitive methods like cognitive restructuring and exposure can assist you shift your automatic negative ideas that are contributing to your behavior. Benefits of Integrative Therapy Adaptable. Integrative therapists are more flexible in their treatment strategies. If one type of therapy isn’t effective or your circumstances change, your therapist can recommend another. Holistic. Integrative therapy doesn’t just take your mental health into account. Your therapist will ask you questions that consider your whole self. They may ask about habits that impact your daily life, such as sleep, diet, and exercise. Individualized. You are an individual. Nobody shares your exact story or experiences. A therapy approach that works for someone else might not work for you. For your therapy to be most effective, your therapist must consider your unique history and experiences. Reality therapy A specific type of cognitive-behavioral therapy which was first introduced in 1965 by psychiatrist Dr. William Glasser. Glasser believed that when someone chooses to change their own behavior rather than attempting to change someone else's, they will be more successful at attaining their own goals and desires. Focuses on current issues affecting a person seeking treatment rather than the issues the person has experienced in the past, and it encourages that person to use therapy to address any behavior that may prevent them from finding a solution to those issues. Reality Therapy • • • • • 5 Genetically Driven Needs Power: A sense of winning, achieving, or a sense of selfworth. Love and belonging: To family, to a community, or to other loved ones. Freedom: To be independent, maintain personal space, autonomy. Fun: To achieve satisfaction, enjoyment, and a sense of pleasure. Survival: Basic needs of shelter, survival, food, sexual fulfillment. Techniques Self-evaluation. A therapist will use self-evaluation techniques to help you recognize your present actions. This serves as a foundation for planning new actions. Action planning. After self-evaluation, your therapist will guide you through action planning. The goal is to plan new actions that better serve your needs. Reframing. A therapist expresses a concept in a positive or less negative way. This can help shift your mindset from problemfocused to solution-focused. Behavioral rehearsal. involves practicing appropriate social behaviors. For example, your therapist might have you imagine or talk about these behaviors. Or, you might act out the situation with your therapist. Benefits of Reality Therapy • quality of relationships • self-awareness • self-confidence and acceptance • personal growth • coping skills in dealing with adversity Play Therapy A form of therapy used primarily for children. A therapist encourages a child to explore life events that may have an effect on current circumstances, in a manner and pace of the child's choosing, primarily through play but also through language. Some key individuals who contributed and founded this field; Hermine Hug-Hellmuth, Melanie Klein, David Levy, Joseph Soloman, Anna Freud, Carl Rogers, Virginia Axline, and Roger Phillips. Techniques/Approach Directive approach. the therapist will take the lead by specifying the toys or games that’ll be used in the session. The therapist will guide the play with a specific goal in mind. Nondirective approach. The child is able to choose toys and games as they see fit. They’re free to play in their own way with few instructions or interruptions. The therapist will observe closely and participate as appropriate. Play Therapy for Adults Adults who may benefit from play therapy include those affected by: • intellectual disabilities • dementia • chronic illness, palliative care, and hospice care • substance use • trauma and physical abuse • anger management issues • post-traumatic stress disorder (PTSD) • unresolved childhood issues Benefits of Play Therapy • Taking more responsibility for certain behaviors • Developing coping strategies and creative problem- • • • • • • solving skills Self-respect Epathy and respect for others Elleviation of anxiety Learning to fully experience and express feelings Stronger social skills Stronger family relationships References Retrieved from: https://www.verywellmind.com/what-is-psychoanalytic-therapy-2795467 Family Systems Therapy: Definition, Techniques, and Efficacy (verywellmind.com) What Are the Benefits of Integrative Therapy? - Integrative Life Center Existential Theory and Therapy: What Do the Two Have in Common? (healthline.com) https://www.webmd.com/mental-health/what-is-gestalt-therapy https://www.verywellmind.com/what-is-gestalt-therapy4584583#:~:text=Gestalt%20therapy%20is%20a%20humanistic,respons ibility%20rather%20than%20placing%20blame.