Psychoanalytical therapy

Psychoanalytic therapy and its techniques.

1. Psychoanalytic therapy Suresh V. Associate Professor ( Dept . of Psychiatric Nursing) Sumandeep Nursing College Sumandeep Vidyapeeth Deemed to be University, Vadodara.

2. Introduction Psychotherapy is a verbal communication as the means of treatment. Aimed at relieving patient’s symptom and helping to modify his behavior. Psychoanalytic therapy  is a form of in-depth talk therapy that aims to bring unconscious or deeply buried thoughts and feelings to the conscious mind so that repressed experiences and emotions, often from childhood, can be brought to the surface and examined. Suresh V, Sumandeep Nursing College, SVDU

3. Psychoanalytic therapy The most important Indication for psychoanalytical therapy is the presence of long standing mental conflicts, which may be unconscious but produce symptoms. Psychoanalysis first developed by Sigmund freud . Psychoanalysis focus on the cause of the problem, which is buried somewhere in the unconscious. Suresh V, Sumandeep Nursing College, SVDU

4. Therapist tries to take the patient into the past in an effort to determine where the problem began. The aim of the therapy is to bring all repressed material to conscious awareness so that patient can work towards healthy resolution of his problem. Suresh V, Sumandeep Nursing College, SVDU

5. Therapy Process Typically psychoanalyst to be positioned at the head of the patient and slightly behind, so that patient cannot see the therapist. This decreases any kind of nonverbal communication between two people. Patient typically on couch, relaxed and ready to focus on the therapist instruction which facilitate the free association. Suresh V, Sumandeep Nursing College, SVDU

6. The patient is an active participant, freely revealing all thoughts exactly as they occur and describing all dreams. Therapist is a shadow person, he reveals nothing personal, nor give any directions to the patient. Suresh V, Sumandeep Nursing College, SVDU

7. Techniques used in Psychoanalysis Free association Dream analysis Hypnosis Catharsis Abreaction Suresh V, Sumandeep Nursing College, SVDU

8. Free association In free association, the patient is allowed to say what ever comes to his mind, in response to the word given by the therapist. Eg: Therapist utter word “Mother”, patient would give a response typically in one word. (Which ever word comes to his or her mind). Mother-Dead Therapist looks for the theme or pattern to the patients response. The theme may give the therapist an idea of the cause of the patients emotional disturbance. Suresh V, Sumandeep Nursing College, SVDU

9. Dream Analysis Dream analysis  is the process of assigning meaning to dreams. Freud believed that behaviour is rooted in the unconscious and the dreams are a manifestation of the troubles people repress. The better way to get idea of the problem is to monitor and interpret dreams. Analysis of the patients dreams helps to gain additional insight into the problem. Suresh V, Sumandeep Nursing College, SVDU

10. Suresh V, Sumandeep Nursing College, SVDU

11. Hypnosis Hypnosis is an artificial induced state in which the person is relaxed and usually suggestible. The relaxation is guided by the therapist. Hypnosis can be induced in many ways such as by using a fixed point for attention, rhythmic monotonous instruction. In hyponotherapy relaxation is guided by the therapist who has been trained in techniques of trance formation. Hypnosis is a means for entering an altered state of consciousness and in this state using visualization and suggestion to bring about desired changes in behaviour and thinking. Suresh V, Sumandeep Nursing College, SVDU

12. Catharsis The process of releasing, and thereby providing relief from, strong or repressed emotions. Suresh V, Sumandeep Nursing College, SVDU

13. Abreaction Therapy Abreaction is a process by which repressed material, particularly a painful experience or conflict is brought back to consciousness. (Can be brought about by strong encouragement to relieve the stressful event). Suresh V, Sumandeep Nursing College, SVDU

14. Thank you Suresh V, Sumandeep Nursing College, SVDU