By Angela Molnos
Describes and explains the unfairness opposed to short psychotherapy, while stressing the significance of actively demanding resistance and dealing in the course of the transference. additionally covers the confident use of anger - even from the 1st consultation.
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Extra info for A Question of Time: Essentials of Brief Dynamic Psychotherapy
As i t encapsulated m u c h of the patient's i n t e r n a l and interpersonal difficulties, t h i s i n c i dent became the focal reference point i n the subsequent phases of therapy. The conduct required f r o m b o t h patient a n d therapist is to respect the boundaries of place a n d time. I n a d d i t i o n i n a psychoanalytic therapy there s h o u l d be suspended action. Obviously no psychotherapist can or s h o u l d force the patient to do a n y t h i n g . However, a psychoanalytic therapist w i l l n o t let the patient get away w i t h ignoring or transgress ing the boundaries w i t h o u t b r i n g i n g the m a t t e r to the patient's f u l l awareness.
The t h e r a p i s t says n o t h i n g . The patient is aware of having done something against the rules. She feels uncomfortable, anxious, laughs, a n d makes jokey comments o n her o w n action. " T h i s was a violation on the p a r t of the p a t i e n t of the r u l e of suspended action. The patient acted o u t her w i s h to be t a k e n care of by the therapist, as i f she were a s m a l l child. The therapist reacted correctly. She neither colluded w i t h the patient n o r retaliated.
Lengthening factors i n analytic psychotherapies since Freud tern u n t o u c h e d a n d e v e n s t r e n g t h e n the "defensive w a l l " b e h i n d w h i c h the t r u e feelings hide . T h e i d e a t h a t the patient will be helped mainl y by promoting regression a n d t r a n s f e r e n c e n e u r o s i s i n order to w o r k t h r o u g h t h e m i s a s d u b i o u s a s i s the c o n c o m i t a n t i n c r e a s e i n t h e n u m b e r of s e s s i o n s to five a week . A c t u a l l y , t r a n s f e r e n c e n e u r o s i s m i g h t b e c o m e a s e c o n d a r y p r o b l e m I n itself, w h i c h , i n i t s t u r n , wil l t a k e furthe r time to resolve.
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