07-Interpersonal Therapy

Interpersonal Therapy – Transactional Analysis
Theory of Personality
Personality exists in three ego states:
– positive:
– negative:
– best for
– 3 types
o Natural child –
o Adapted –
o Little Professor Parent
based on
necessary for
2 types
o Nurturing –
o Pig Parent –
like a computer
unfeeling, rational, logical
best for
It is normal, healthy, “stable” for a person to be able to switch back and forth between
ego states depending on the situation.
Motivation comes from
- Stimulus hunger – for children, there is a physical need to be stroked, for
adults this can be satisfied emotionally
- Recognition hunger – need to be recognized by others who are important to
us; bad attn is better than no attn at all
- Structure hunger – need to structure our free time with work, social activities,
hobbies, religion, politics
- Rituals – highly structured transactions and events (Hi, How are you?...,
weddings, etc)
- Work
- Pastimes
Games People Play
o most risky yet exciting
o done for a payoff (feeling of guilt, depression, anger)
Four life positions
- I’m OK, You’re OK
- I’m OK, You’re not OK
- I’m not OK, You’re OK
- I’m not OK, You’re not OK
Life positions determine the life scripts you use and the types of payoff you look for.
Theory of Psychopathology
Structural Problems
- confusion –
- contamination –
- exclusion –
Problems with life position
- I’m OK, You’re not
I’m not OK, You’re OK
I’m not OK, You’re not OK
Unhealthy Life Scripts
- No-love
o Depression
o Feel unloved and unlovable
o Parents were stingy with loving strokes
o Psychosis
o Parents discouraged child from thinking (ex. Hallucinations of 8 year
o Parents did not allow them to enjoy their bodies
o Become addicted to substances to numb pain or create false joy
Therapeutic Process
Structural Analysis is conducted to stabilize ego states.
Transactional Analysis is conducted to examine life position and life scripts.
Consciousness Raising
- Therapy begins
Structural analysis
“Which part of you said that?” “Which ego state are you in now?”
The __________________ is usually in control during therapy
If a person needs to experience joy or if they need to accept strokes not
received in childhood, the ________________ is asked to respond
The therapist can intentionally use a “______________________________”
to elicit a Child response (guilt, depression, anger) and teach the client the
appropriate Adult response instead
Identifying and interpreting patterns in the games and payoffs of the client
What ________________________________________________________ is
the person’s life patterned after?
Role play: scenario is presented and multiple patients act out the various ego
states of the person
- As the Adult becomes more informed, the client can choose to behave more
appropriately based on their choice of ego states, scripts, etc.
Therapeutic Content
- Anxiety – reaction of Child state to rejection by Parent.
o Games are defenses against anxiety and must not be attacked too
Self-esteem – being “OK” is crucial to health
o What is the original life position??
Responsibility – don’t blame yourself for choosing a faulty life script as a
child, but hold yourself responsible for continuing to make that choice
Intimacy – interacting with another without games, structure, etc.
o May be too overwhelming due to lack of structure
o Therefore, sex is scheduled, ritualized
o Complementary transactions – Adult-Adult, Child-Child, ParentParent;
o Crossed transactions – conflict
Hostility - results from the belief that others are not OK
Control – comes from the Parent within
Adjustment versus Transcendence
o Choosing to be healthy is consistent with living in society; doesn’t
mean you have to believe all that society says about you
Impulse control
o Impulsivity usually comes from the Child, must use the Adult or
Parent to control impulses
Filling life with “strokeless” activities leads to loss of meaning. We need to
fill our lives with work, pastimes, etc that give us strokes
Therapeutic Relationship
Games in the relationship provide the content for analysis. The relationship also provides
the process for healing.
Initially the client gives up control from own Parent to therapist’s Adult. Once they
realize that their own Adult is as capable, they take back control as Adult.
Therapist believes client is OK.