Psychoanalytic/Psychodynamic Theory FREUD 2 Psychoanalysis Theory of Personality Method of Therapy Technique of Investigation Freud developed his theories based on intensive clinical studies of individual cases – women with hysterical symptoms 3 Brief History 1856-1939 1881 – Practices medicine in neurology and nervous diseases Basic research in “nerve” cells in simple animals neurons- bdng. blocks brain Breuer “talking cure” Anna O. Under hypnosis connect symptoms to earlier traumas that are repressed Re-lives the early emotional experience and symptoms disappear - catharsis 4 Hypnosis vs. Free Association How to make the patient remember the “forgotten” traumatic experience while awake. Freud assumes that all behavior is purposeful, therefore, Patient verbalizations, interpreted by the analyst, will lead to the repressed material 5 Concept of Humans Humans are an energy system Basic source of energy – Instincts States of excitation in the body that seek expression and tension reduction Biologically rooted Behavior is purposeful--determined by instinctual forces Instincts are governed by the pleasure principle 6 Instinctual energy exists in a state of tension created by opposing forces EROS Life Instinct Preservation of self and species THANATOS Death instinct Source of aggression and drive to die 7 Instinct may be satisfied By external objects – Real or displaced The object is energized by the instinct In fantasy By becoming fused in one action Eating – aggression and self-preservation 8 Instinct gratification vs. society’s demands for restraint Direct Gratification – Possible sometimes Sublimation – positive and culturally valued activities Neurosis – maladaptive but more acceptable ways to the person or to society 9 Levels of Awareness: Unconscious, Pre-conscious, Conscious Unconscious A-logical Disregards time and space Symbolic language Many ideas may be condensed in one Part = Whole One whole = several objects 10 Clinical evidence for postulating the unconscious Dreams Slips of the tongue Posthypnotic suggestions Material derived from free-association Material derived from projective techniques Symbolic content of psychotic symptoms NOTE: consciousness is only a thin slice of the total mind 11 Implications of the Unconscious Significant part of our behavior is controlled by forces out of our awareness Psychic energy is used to find acceptable ways to express unconscious ideas and wishes or to keep them repressed 12 Structure of Personality Three psychic structures or mental functions that are grouped according to the role they play in the dynamic conflict ID EGO SUPER EGO 13 THE STRUCTURE OF THE PSYCHE New Introductory Lectures on Psychoanalysis Freud, 1933 Pcpt.-cs.: Perceptual consciousness 14 ID Unconscious Biological Component Base of instinctual life Source of drive energy – Libido Guided by pleasure principle, seeks gratification of instinct in action or fantasy A-social – no regard for social norms Life and death drives co-exist in dynamic tension 15 EGO Conscious Aspect of Self –Reality Principle Acts in the external world – behaviors Site of perceptual cognitive skills Mediates between Id and Super-Ego Able to separate wish from fantasy Tolerates tension and is able to compromise Changes with time 16 SUPER EGO Learned Aspect of Self, Ego ideal Both conscious and unconscious Moral aspect, guided by ideals Lacks reality testing Actions = Thoughts Black –White judgments – no ability to compromise Formed by Ego out of the Id 17 18 Theory of Psychological Development Focuses on the development of the instincts, therefore it is rooted in biology Genetic approach – earlier stages are important determinants of later stages It is a rather abstract aspect of the theory 19 The Development of Personality ORAL STAGE Related to later mistrust and rejection issues ANAL STAGE Ages 1-3 Related to later personal power issues PHALLIC STAGE First year Ages 3-6 Related to later sexual attitudes Theory and Practice of Counseling and Psychotherapy - Chapter 4 (1) 20 The Development of Personality LATENCY STAGE A time of socialization GENITAL STAGE Ages 6-12 Ages 12-60 Sexual energies are invested in life 21 Erikson’s Stages of Development Trust vs. Mistrust First Year Autonomy vs. Shame and doubt Initiative vs. Guilt Industry vs. Inferiority Identity vs. Role Confusion Intimacy vs. Isolation Generatively vs. Stagnation Integrity vs. Despair Oral 1-3 3-6 6-12 12-18 18-35 35-60 60+ 22 Process of Psychic Life Investment of energy for: Object gratification Repression of drives and desires 23 Process of Psychic Life Conflict is experienced for two main reasons: Internal forces in dynamic opposition Relationship with figures of authority and/or rigid super ego engender perceptions of danger which lead to repression of impulses and frustration Conflict leads to Anxiety 24 Anxiety Painful emotional experience Alerts Ego of danger Emerges from the emotional repetition of the trauma 25 Anxiety The conflict may be between ID-Ego Ego fears being overwhelmed by Id ID-Super Ego Guilt, self-condemnation Ego-Ego Aware vs. repressed Ego Desire/want versus fear, sense of threat 26 THE STRUCTURE OF THE PSYCHE Freud, 1933 New Introductory Lectures on Psychoanalysis 27 Ego-Defense Mechanisms Are normal behaviors which operate on an unconscious level to deny or distort reality Help the individual cope with anxiety and prevent the Ego from being overwhelmed Have adaptive value if they do not become a style of life to avoid facing reality Theory and Practice of Counseling and Psychotherapy - Chapter 4 (4) 28 Defense Mechanisms Repression Denial Reaction formation Projection Displacement Rationalization Regression Intellectualization Sublimation Introjection Identification Compensation 29 Ego Strength or Resiliency The more the EGO needs to use repression to maintain equilibrium: The more rigid and defended it will be, and The less capable to deal with the demands of the ID and the outside WORLD and the criticisms of the SUPER EGO 30 Theory of Psychopathology (1/2) When conflicts occur in early life, a fixation or “freezing” of development occurs Person will have difficulty with the tasks of the stage in which conflict occurred Conflicts at one stage influence the development of subsequent stages 31 Theory of Psychopathology (2/2) The experience of the conflict (then and now) generates ANXIETY which Results in the development of MECHANISMS OF DEFENSE that help the Ego deal with the anxiety Overuse of the defenses results in SYMPTOMS -- disguised expression of repressed emotions and impulses 32 Stage of Development and Trauma 4/5 years + 2/3 years First year Neurosis Obsessive/compulsive Psychosis, Narcissistic, Borderline Ego can handle the anxiety using the defenses, or Ego is overwhelmed and person regresses to primitive, primary processes of thinking 33 ] Example Early Conflict Child receives inadequate, inconsistent care in infancy, responds with: Frustration and anger Perception of needs as bad, self as bad Fear of abandonment from caretaker Part of the Ego that perceives the unmet needs and the negative feelings will be repressed or denied 34 In adulthood, situations that elicit desire to be close to others, to have others take care of one’s needs, elicit Anxiety related to the old feelings of: Frustration and anger Perception of needs as bad, self as bad Fear of abandonment Symptom: Difficulties in interpersonal relations -- product of mechanisms of defense (e.g. denial, reaction formation, projection, displacement, sublimation) used to avoid the anxiety generated by these negative feelings 35 Psychodynamic Perspective Conflict between conscious (want to get close, be taken care of) and repressed aspects of the Ego (sense of self as bad; fear of rejection) Potential Defense Mechanisms Displacement: anger, frustration towards parental figures and self is directed towards significant others Projection/Sublimation: projects on others repressed desires of being taken care of- becomes supreme caretaker Reaction formation: develop a super-independent persona 36 Therapeutic Objectives Bring the unconscious conflict to awareness -- Resistance Corrective emotional experience Re-live past painful experiences under more favorable conditions to get a better solution to the conflict The process involves Catharsis – release of blocked emotions Insight- awareness and understanding of emotional reactions and use of defenses 37 Psychoanalytic Techniques Free Association Client reports without censoring feelings & thoughts Dream Analysis “Royal road to the unconscious” to bring unconscious material to light 38 Psychoanalytic Techniques Transference The client reacts to the therapist as he did earlier to significant others To re-experience repressed memories and feelings ANALYSIS OF TRANSFERENCE — allows the client to achieve insight into the influence of the past Interpretation to lead to Insight Therapist points out, explains, and teaches the meanings of what is revealed- connect unconscious to conscious- which leads to insight 39 Counter-Transference Therapists’ reactions toward the client is based on unconscious issues -- that may interfere with objectivity 40 Resistance Anything that works against the progress of therapy; prevents the production of unconscious material avoid dealing with painful emotions Defense Mechanisms: Denial, intellectualization, projection, rationalization Canceling appointments, terminating therapy prematurely, having nothing to say Confrontation and Analysis of Resistance Helps client see the secondary gain of behavior Theory and Practice of Counseling and Psychotherapy - Chapter 4 (7) 41 Markers Ego Resiliency vs. Brittleness Confidence Optimism • • • • Has social poise and presence Responds to humor Calm, relaxed in manner Feels a lack of personal meaning • • • • • • Basically anxious Vulnerable, fearful Tends to ruminate Feels cheated, victimized by life Maladaptive under stress Is self-defeating Productive and Autonomous Activity • Is productive; gets things done • Values own independence • Gives up; withdraws from adversity 42 Markers Ego Resiliency vs. Brittleness Interpersonal Warmth and Insight • Has warmth; is compassionate • Insight into own motives and behaviors • Arouses liking and acceptance • Perceptive of interpersonal cues • Sees to heart of problems • Dependable and responsible • Denies unpleasant experiences • Over-reactive to frustrations Skilled Expressiveness • Skilled in social techniques • Initiates humor • Is emotionally bland • Does not vary roles • Uncomfortable with uncertainty 43 44 Limitations Freud’s Theory Reductionism and theory of instincts Concepts are difficult to observe and measure empirically Limited use in predicting behavior: goes from the adult back to the child Socio-cultural limits Based on women from higher SES Victorian issues of sex and morality Outdated gender role perspectives 45 Contributions Moved the study of “nervous diseases” to the realm of the psychological Discovery of the Unconscious Comprehensive complex theory Has generated much study and continues to evolve Basic tenets have been incorporated in modern theories 46 Anatomy of the Brain & the Unconscious 47 Amygdala – receives perceptual stimulus directly; storages emotional memories Prefrontal cortexdeclarative memoryconscious recollections of past events, things, persons 48 Pathways of Emotions: Fear The amygdala lets us react almost instantaneously to the presence of a danger. Often we startle first, and then realize what frightened us. 49