Chapter 7. Seventh Edition. Berger: The Developing Person Through Childhood and Adolescence, 7th Edition, Chapter 7. What does “psychosocial” mean?. Introduction To Development Test 1 > Chapter 7 – First Two Years During infancy, interactions with sensitive, responsive ___ foster psychosocial development. Bowlby’s attachment theory came about by John Bowlby and Mary Ainsworth in the ‘s and ‘s. • Bowlby held a strong psychoanalytic.

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In most cases, the development of a therapeutic alliance is partially a process of the passage of time. The therapist fosters this process of integration and understanding by focusing attention, correcting distortions, making linkages, and counteracting defensive avoidance. The material presented in this dh7 provides a quick glance at the usefulness and the complex nature of this type of therapy.

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Brief psychodynamic therapies are perhaps more helpful after abstinence is well established. Working with the client’s perceptions of reality rather than arguing Asking questions Sidestepping rather than confronting defenses Demonstrating the denial defense while interacting with the client to show her how it works.

Many therapists who conduct substance abuse treatment from a psychodynamic perspective are comfortable combining insight-oriented therapy with concrete, behavioral interventions. Under the pressure of the excessive anxiety produced by an individual’s experience of his environment, the ego is forced to relieve the anxiety by defending itself. This was a collaborative research project that paralleled a study by Woody and colleagues Woody et al.

As mentioned above, SE psychotherapy has been modified for use with methadone-maintained opiate dependents and for cocaine dependents. The essential aspects of the theory of Self Psychology Baker, include the following: Defense mechanisms are constructions of the ego that operate to minimize pain and to maintain psychic equilibrium.

The healing and change process envisioned in long-term psychodynamic therapy typically requires at least 2 years of sessions. Another critical underlying concept of psychodynamic theory–and one that can be of great benefit to all therapists–is the concept of insight. Comparisons among specific models of therapy have become the focus of much interest.

Chapter 7 – First Two Years Psychosocial Flashcards by Vicky Kravtchenko | Brainscape

In ISTDP, therapeutic techniques are used to provoke emotional experiences and, through this, to facilitate corrective emotional experiences developjent the positive reenactments, in therapy, dsvelopment past conflictual relationships Laikin et al. Please review our privacy policy. Psychosociao opening session in psychodynamic therapy usually involves the assessment of transference so that it may be incorporated into the treatment strategy.


Of all the brief psychotherapies, psychodynamic approaches place the most emphasis on the therapeutic relationship and provide the most explicit and comprehensive explanations of how to use this relationship effectively. The therapist establishes a working alliance with the client and then, using techniques appropriate to the client’s state of mind and control processes, helps the client to integrate the life event and its meaning into his schema a schema is one’s way of understanding oneself in relation to others.

To introduce clients into treatment. A growing body of research supports the efficacy of these approaches Crits-Christoph, ; Messer and Warren, Dynamic Supportive Psychotherapy Supportive therapy is widely practiced clinically but historically is defined mainly by the absence of expressive or interpretive components of psychoanalytic psycbosocial Pinsker et al.

The CCRT concept also can help clients deal with relapse, which is regarded by virtually all experts in the field as an integral and natural part of recovery.

Thus they seek to relieve this discomfort with substances. These options include learning to separate his reactions to the supervisor from his feelings about his father, working through his feelings about his father of which he may not have been previously awareactively choosing alternative behaviors to drinking when he feels bad e.

The therapist has a cohesive psychodynamic formulation of the client but only shares parts of it in a manner intended to foster the client’s adaptive functioning.

In those studies, psychodynamic therapy was well integrated into a comprehensive methadone maintenance program.

Chapter 7 – First Two Years Psychosocial Flashcards Preview

Khantzian and colleagues developed Modified Dynamic Group Therapy MDGT to address these issues in a group therapy format, and this approach has some empirical support. The central focus singles out the most important issues and thus creates a structure and identifies a goal for the treatment.

He believes that a moralistic stance toward the substance-abusing behavior is counterproductive and that substance abusers’ problems consist of psycjosocial much, rather than too little, superego.

Substances of abuse are powerful behavioral reinforcers and the therapist needs to help the client counter the strong compulsive desire for them. Ten major approaches to short-term psychodynamic psychotherapy are briefly summarized in this section for more detailed information, see Crits-Christoph and Barber, Defense Mechanisms And Resistance In psychoanalytic theory, defense mechanisms bolster the individual’s ego or self.

Christopher suggested that Stella might tell both the physician and the group therapist how she felt. The capabilities of the therapist to be honest and empathic and of the client to be trusting are also factors.

Insight Another critical underlying concept of psychodynamic theory–and one that can be of great benefit to all therapists–is the concept of insight. It evolved as the psychodynamically based therapy used for lower functioning or more fragile clients for whom the expressive work of therapy psychosocail be too distressing. Transference Effective use of the therapeutic relationship depends on an understanding of transference.


Supportive-expressive SE psychotherapy Luborsky, is one brief psychodynamic approach that has been adapted for use with people with substance abuse disorders. A therapeutic alliance requires intimate self-disclosure on the part of the client and an empathic and appropriate response on the part of the therapist. She thus confessed before being confronted by drug screen results. The SE approach was adapted for use in treatment of cannabis dependence Grenyer et al.

In psychoanalytic theory, defense mechanisms psycbosocial the individual’s ego or self. Wurmser recommends that the therapist provide a strong emotional presence and a warm, accepting, flexible attitude.


Psychodynamic therapy is distinguished from psychoanalysis in several particulars, including the fact that psychodynamic therapy need not include all analytic techniques and is not conducted by psychoanalytically trained analysts. Background The theory supporting developmrnt therapy originated in and is informed by psychoanalytic theory. Her response then is to use drugs, which makes her feel strong and independent for a brief time and also makes her see herself as deserving of being thwarted and exploited, which has happened repeatedly in interpersonal contexts in cb7 life.

Working with the client’s perceptions of reality rather than arguing. Kohut postulated that persons suffering from substance abuse disorders also suffer from a weakness in the core of their personalities–a defect in the formation of the “self.

A longer term goal–necessitated by the brevity of the process–is to increase the client’s motivation and participation in other modalities of treatment for substance abuse disorders.

However, developmentt counseling alone was helpful for clients with lower devepopment of psychopathology Woody et al. It has since been summarized in a manual for research and modified for treatment of other types of depression dysthymiaother populations adolescents and couplesand other problems substance abuse disorders and bulimia.

Four contemporary analytic theorists have offered valuable psychodynamic perspectives on the etiology of substance abuse disorders. Another study involving three methadone programs was also positive regarding the efficacy of SE therapy Woody et al.