Psychodynamic LO1 & LO2 Nicola Hamilton 10th November 2022 Before the invention of Psychodynamic theory any form of mania or hysteria was initially treated in the community by family, friends, or the church, beyond that, they were incarcerated in mental asylums with no effective treatment plans. With the invention of psychoanalysis, mental health issues were categorised, explored clinically by physicians, and patients were prescribed medication. The ‘father of Psychoanalytic theory’ Sigmund Freud made the move from medication and the lunatic asylums to the therapy room after soldiers returned from the First World War presenting with unknown hysteria type symptoms; at the time it was known as ‘shellshock’ today it is recognised as ‘Post Traumatic Stress Disorder’’. (Rosenberg, 2019) Psychodynamic theory has been developed from Freud's Psychoanalytic Theory (written between the 1890s and the 1930s) it stated all human behaviour is shaped by experiences in infancy and early childhood and that those experiences influence the unconscious mind. (Lumen Learning and Traylor, n.d.) Freud delved into the unconscious mind, his assumptions were that personality and its flaws develop during the first few years of life, and that interactions from caregivers made a lasting impact on the child's mental and emotional state believing that even a slip of the tongue was a determined factor. Although there is a difference, psychodynamic and psychoanalytic are often confused, Freud's theories contributed exponentially to the psychodynamic movement, however, his theories are psychoanalytic, the term 'psychodynamic' refers to not only Freud's theories but those of his followers Carl Jung (1912), Melanie Klein (1921), Alfred Adler (1927), Donald Winnicott (1945), Erik Erikson (1950), and John Bowlby (1969) amongst others. Psychodynamic theory breaks down the mind into components of preconscious, subconscious, and conscious thoughts and refers to the inner unconscious psychological processes and conflicts or ‘blind spots’ of a person's mind, it stresses the importance of the past and how negative childhood experiences can hinder the growth of the psychosexual and psychosocial stages of early development and continue to shape the personality of adults years later. Analysis also discusses the significance of dream interpretation to gain insight into the inner workings of the unconscious mind, it is said that the unconscious part of the mind is in constant conflict with the conscious mind of the client which can create areas of anxiety and in turn creates defence mechanisms to cope in crisis; it is the assumption that once a person realises the root cause of the problem it will cease to be a problem. (Corey, 2013a) Psychodynamic theorists understand that there is an internal active self, something that is more than the mind and body alone, that there are forces within the self that have basic drives that actively seek satisfaction and expression, the sense of being is more than just the person, it is also the internal relationships and conflicts within the person. According to Freud the psyche is split into 3 parts, the primal needs of the Id, the authoritarian Super Ego and the balanced Ego, Jung had similar hypothesis and mentions Persona, Shadow, Anima, and Animus giving theorists an idea that there is more than ‘one' self, Winnicott wrote of the True Self and False Self, Adler discussed theories of ‘Private Logic’ and Inferiority/Superiority, whereas Klein developed the idea of ‘Object Relations’, and Bowlby pioneered Attachment Theory. (Jacobs, 1988) By using free association and the interpretation of dreams clients are encouraged to discuss the thoughts, emotions, and attitudes they are feeling towards significant people in the Psychodynamic LO1 & LO2 Nicola Hamilton 10th November 2022 past, by bringing the subconscious into conscious thought it provides insight however, these feelings can be unconsciously transferred by the client and projected toward the counsellor, should this happen exploration and acknowledgement of these feelings and where they should sit to would an appropriate course of action. Progress is made when the client gains control over the situation at hand. (Hough, 2010a) Client insight needs to be carefully managed in a step-by-step process, the client needs to possess the mental strength and stability to understand and realise what has happened to them in the past, the view is that our unconscious mind holds on to painful feelings that the conscious mind cannot process successfully, clarifying and understanding of the root cause of past life traumas can be both a relief and an exceptionally distressing, and overwhelming time for the client while they make sense of their revelations. Psychodynamic counsellors spend many years training and studying to become therapeutic counsellors and are seen as the ‘expert’ in the relationship, the therapy sessions are highly analytical in style and immensely deterministic in nature; by bringing forward unconscious processes into conscious thought, it surmises that our behaviours are entirely caused by subconscious factors we have no control over. Drawing from years of clinical practice, dreams and past life events are discussed, the counselling process becomes a long-term helping relationship, it may see a strategy put in place over a considerable number of years so the client can explore past experiences and gain strength and understanding to resolve inner conflicts and unlock healthier coping mechanisms with newfound self-worth. Freuds' understanding of psychoanalysis and the mind is the basis of virtually all modern psychological theories, it is founded on the understanding that over or under stimulation of a child during the psychosexual stages of growth (oral, anal, phallic, latent, and genital) in infancy and early childhood caused by major conflicts can cause a child to acquire considerable defects later in adult life. It discusses the psyche being 3 separate ego states (ego, superego, and id) and talks of human nature, the basic drives and internal conflict we have, it further breaks down human consciousness into 3 overlapping levels of awareness; pre-conscious, conscious and unconscious, and discusses how uncontrollable situations in the past have caused the current crisis within the patient, that most of the traumatic events are stored in the unconscious mind outside of awareness however they continue to influence current behaviours. (Walinga, 2014) Freud worked alongside other theorists during this period however many split away from his assumptions and developed their own perspectives, Carl Jung (1875-1961) was one of the first to expand on Freuds’ theories (circa 1913) focusing less on infantile and sexual development and more on the integration of the various parts of the personality, adapting Freud’s ego states into Ego, Personal Unconscious and Collective Unconscious and treating the person as a whole rather than separate entities, Jung became the pioneer of Analytical Psychology. (Hough, 2010b) Jung took a more positive and altruistic approach to humanity believing everyone was inherently good, striving for self-improvement; he described the Collective Unconscious as having multiple ‘Archetypes’, these archetypes (Child, Hero, Persona, Shadow) would be handed down as learned behaviours or ‘traditional values’ fostered from caregivers during Psychodynamic LO1 & LO2 Nicola Hamilton 10th November 2022 childhood and positively or negatively shape how the person experiences life. (Corey, 2013b) Jung considered both the light and dark side of humanity, developing theories of the Principle of Opposites, Principle of Equivalence and Principle of Entropy, it states that there is good and bad in everyone, the shadow side of the self must also be acknowledged and live in acceptance and balances otherwise the continual repression of thoughts and feeling can create complex psychological issues and impede personal growth and the ability to move towards individualisation. Jung studies on introversion/extroversion and the functions of thinking, feeling, sensing, and intuiting were the inspiration behind the Myers-Briggs Type Indicator that is used today to categorise the personality into 16 types. (Boeree, 1997) Alfred Adler was another colleague of Freud, and President of the Vienna Psychoanalytic Society, they parted company in 1912 when their ideologies began to differ; Adler went on to found the Society of Individual Psychology and unlike Freud he believed that although the unconscious mind was important, it was conscious thought and social connectedness that held the key to our motivation and goals along with treating the individuals a whole instead of in parts. (Cherry, 2019) He proclaimed that birth order was significant and attributed certain characteristics with a specific order of birth, stating that everyone is born with a feeling of inferiority, how they react to those feelings and interact with internal ‘private logic’ and external stimuli could be either positive and see them striving for perfection, superiority, and self-actualisation, or negatively where people develop difficulties an inferiority complex forms from hereditary norms and social situations. Adlerian theory states that people get into difficulties when they find themselves disconnected from society, they overcompensate feelings of inferiority and use private logic to justify their behaviours, and to try and preserve self-esteem they may overtly act superior but in fact feel inferior due to unbalanced feelings of inferiority losing motivation and sight of goals. (McGrath, n.d.) Theorist and developmental psychologist, Erik Erikson, originated in the field of Psychodynamics and worked alongside Freud until developing his own Psychosocial Theory by de-emphasising the sex aspect of Freud’s Psychosexual Stages and expanding on personality development and the impact of excessive positive ‘maladaptive’ and negative ‘malignant’ social interactions to create 8 psychosocial stages that span the entire life cycle of a person. At each stage of development there is an inner challenge or ‘crisis’ starting from birth, successfully completing each stage ensures healthy psychological development and a positive ‘virtue’ being completed enabling the person to move to the next stage, failing to complete a stage successfully can result in an inability to effectively move on to the next stage of growth therefore an unhealthy personality type would develop along with a skewed sense of self, this is where the term ‘identity crisis’ originates. (Mcleod, 2018) Psychosocial theories focus on the archetypal changes in ego development and the conscious sense of self, Erikson maintained that there was a particular order in which personality develops, each stage of growth builds from the previous stage, this is known as the ‘epigenetic principle’. (Mcleod, 2018) Psychodynamic LO1 & LO2 Nicola Hamilton 10th November 2022 Object Relations Theory grew from Psychodynamic theory, Melanie Klein and Donald Winnicott were leaders in the field, they believed that mental disorders in adulthood were directly related to the caregiver/infant relationship, both highlighted the significance of object attachment in early infancy and the beginning of emotional and personality development. Both theorists used play as a form of therapy, they used toys and drawings to analyse children the way Freud would analyse dreams in an adult, Klein was a controversial thinker and believed that the primitive mental states of an infant connected the ‘object’ to the mothers’ breast, which was either good or bad, depending on if the child was being fed or starved, a term she called a ‘paranoid-schizoid position’. (Melanie Klein Trust, 2022). Winnicott who trained under Klein, believed children and infants attached emotional significance to objects through play with the purpose of coping with the stresses and anxieties of independence, he maintained that a balanced ‘holding environment’ was crucial for the child to feel emotionally secure and supported, the idea of the ‘good enough mother’ was that she adapted herself to the infants needs until they were able to become more autonomous. (Nursinganswers.net, 2018) Interactions during this time contribute to the infants' sense of self, the ‘true self’ will manifest if the child is nurtured and given the freedom to play and grow without constraint; if a child has been subjected to malignant introjected values from caregivers or harmful social /living situations, the child will mould themselves to fit into the situation to appease the adults creating a ‘false self’ that can cause emotional imbalance and mental disorders later in life. Similarly, Attachment Theory assigns a ‘secure base’ as the safe place of protection between a caregiver and an anxious child, John Bowlby was heavily influenced by psychodynamic theorists Freud and Klein, studied separation anxiety in infants and young children noting that children have an intrinsic attachment behavioural system and a need for attachment from birth. He goes on further to explain that infants when separated from caregivers will react in are 4 distinct attachment styles when retuned from an unfamiliar situation. Secure infants are confident although upset upon removal however very quickly comforted when returned, ambivalence appears when a child is unable to create a secure based due to disruptions in care, a disorganised attachment style denotes a child will attempt remain close and create a secure bond with the care giver despite contradictory care conditions, detachment or active avoidance of caregivers when returned would signify deprivation of care or the requirement to ‘keep the peace’. (Ackerman, 2018) Bowlby concluded that these interactions and bonds in early life was the prototype for all future interpersonal relationships and that separation or deprivation in infancy and early childhood caused permanent emotional damage in adulthood. Psychodynamic LO1 & LO2 Nicola Hamilton 10th November 2022 Ackerman, C. (2018). What Is Attachment Theory? Bowlby’s 4 Stages Explained. [online] Available at: https://positivepsychology.com/attachment-theory/#definition-attachmenttheory [Accessed 1 Nov. 2022]. Boeree, C.G. (1997). Carl Jung. [online] Available at: https://webspace.ship.edu/cgboer/jung.html#:~:text=The%20second%20principle%20is%20 the [Accessed 9 Nov. 2022]. Cherry, K. (2019). What Did Alfred Adler Do for Psychology? [online] Available at: https://www.verywellmind.com/alfred-adler-2795502 [Accessed 9 Nov. 2022]. Corey, G. (2013). Student manual for Theory and practice of counseling and psychotherapy. 9th ed. Belmont, Ca: Brooks/Cole. Hough, M. (2010). Counselling Skills and Theory 3rd Edition. [online] Hodder Education. Available at: https://edoc.pub/counselling-skills-and-theoryhough-pdf-free.html. Jacobs, M. (1988). Psychodynamic Counselling in Action. 2nd ed. London: Sage Publications Ltd. Lumen Learning and Traylor, J. (n.d.). Psychodynamic Theory | Lifespan Development. [online] Available at: https://courses.lumenlearning.com/wmlifespandevelopment/chapter/freuds-psychodynamictheory/#:~:text=check%20back%20later.-. McGrath, M. (n.d.). Chapter 4, Part 2: Adler’s Individual Psychology. [online] open.baypath.edu. Available at: https://open.baypath.edu/psy321book/chapter/c4p2/ [Accessed 10 Nov. 2022]. Mcleod, S. (2018). Erik Erikson's Stages of Psychosocial Development. [online] Available at: https://www.simplypsychology.org/Erik-Erikson.html. Melanie Klein Trust (2022). Paranoid-schizoid position – Melanie Klein Trust. [online] Available at: https://melanie-klein-trust.org.uk/theory/paranoid-schizoid-position/ [Accessed 8 Nov. 2022]. NursingAnswers.net (2018). Object Relations Theories: Klein and Winnicott. [online] Available at: https://nursinganswers.net/essays/object-relationsories.php [Accessed 10 Nov. 2022]. Rosenberg, J. (2019). The Life of Sigmund Freud, the Father of Psychoanalysis. [online] Available at: https://www.thoughtco.com/sigmund-freud-1779806 [Accessed 9 Nov. 2022]. Walinga, J. (2014). 2.2 Psychodynamic Psychology. [online] Available at: https://opentextbc.ca/introductiontopsychology/chapter/2-2-psychodynamic-andbehavioural-psychology/#:~:text=and%20external%20stimuli.-. New Psychodynamic LO1 & LO2 Poi Nicola Hamilton 10th November 2022