INDIVIDUAL THERAPY Ms. ANGELINE MSC (N) PREVIOUS YEAR CHOITHRAM COLLEGE OF NURSING
Psychotherapy can be defined (Wolbers) as the treatment by psychological means, of problems of an emotional nature , in which a trained persons (therapist) deliberately establishes a professional relationship with the patient to ;
Remove modify or retard existing Mediate disturbed patterns of behaviour and /or Promote positive personality growth and development. Psychotherapy is the use of techniques that facilitate or allow people to modify their feelings ,attitude , and behaviours.
To treat an emotional disorder To treat chronic disorder To gain insight and self knowledge To train people in the helping profession To promote positive personality To modify maladaptive behaviour To improve interpersonal relationship To make personal change
PSYCHOANALYSIS –The therapeutic interaction is characterized by mutual trust , with the goal of helping individuals change destructive or unhealthy behaviours ,thoughts and emotions. It is common for experienced therapists to combine several different approaches or techniques.
INDIVIDUAL PSYCHOTHERAPY Individual psychotherapy is a method of bringing about change in a person by exploring his or her feelings, attitudes, thinking, and behaviour. It involves a one-to-one relationship between the therapist and the client.
INDICATION
INDIVIDUAL THERAPY OBJECTIVE To build a psychotherapeutic nurse patient relationship in order to build a therapeutic alliance. A kind of relationship formed with trust.
STAGES OF PSYCHOTHERAPY
INTRODUCTORY STAGE In the introductory , the client and therapist meet and begins to work together. This stage usually involves taking history of the client’s life including any medical problems and current medications.
WORKING STAGE In the working stage , the client is able to become more trusting ,to disclose and to begin exploring with the therapist the thoughts , feelings and behaviors to problems
TERMINATION STAGE For this stage , client behaviour modified or remove the maladaptive symptoms , if it is not changed ,allow the next sessions for the treatment .
1.PSYCHOANALYSIS Psychoanalytical therapy was developed by Freud. It focus on unconscious forces such as repressed impulses & memories, internal conflicts & childhood trauma on mental life & adjustment of the individual.
The aim of therapy is to bring all repressed material to unconscious awareness so that the patient can work towards a healthy resolution of his problems, which are causing the symptoms.
The specific methods used to achieve the effect of therapy are: Free association, Dream interpretation analysis of resistances Defenses used by the patient, Working through the feelings Experiences revealed by the patient during transferring. Every interaction lasts for 45 minutes. 45 days a week for approximately 3-5 years
2. HYPNOSIS Hypnosis is a superficial or deep trance (a somnolent state/sleep like) resembling sleep. • It induced in a patient by suggestions of relaxation & concentrating attention on a single object. • The client becomes highly suggestible, submissive & abandons control & response to therapist influence.
Changes that occur during hypnosis: The person becomes highly suggestible to the commands of the therapist. There is an ability to produce or remove symptoms or perceptions. Dissociation of a part of the body or emotions. Amnesia for the events that occurred during the hypnotic state .
This therapy is used in: obesity, hypertension, asthma, smoking, peptic ulcer, overeating, abreaction of past experiences, psychosomatic disorders, conversion & dissociative disorders, habit disorder & anxiety disorder or other addiction disorder.
3.ABREACTION THERAPY Abreaction is a process by which repressed material, particularly a painful experience or conflict is brought back to consciousness
The person not only recalls but also relieves the material, which is accompanied by the appropriate emotional response. It is most useful in acute neurotic conditions caused by extreme stress (PTSD, hysteria etc).
METHODS: Abreaction can be brought about by strong encouragement to relieve the stressful events. The procedure is begun with neutral topics at first, & gradually approaches area of conflict. Abreaction can be done with or without the use of medication.
4 . REALITY THERAPY This is a psychotherapeutic technique which focuses on the present behavior & development of patient’s ability to cope with the stress of reality & take a greater responsibility for the fulfillment of his needs .
To achieve these purposes the therapist becomes involved in an active relationship with patient, rejects his unrealistic behavior & teaches better ways to meet his need in the real world.
5. UNCOVERING OR INSIGHT PSYCHOTHERAPY This technique is used to break through the patient’s repressed conflict & traumatic experience to the surface. It helps the patient in gaining an insight .
6. SUPPORTIVE PSYCHOTHERAPY It is a form of “surface therapy”. The therapist helps the patient to relieve emotional distress & symptoms without probing in to past or attempting to change or alter the basic personality of the individual.
Individual psychotherapy is a method of bringing about change in a person by exploring his or her feelings, attitudes, thinking, and behavior. It involves a one-to-one relationship between the therapist and the client. CONCLUSION