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Combining

Psychodynamic

&

Behaviroal

Techniques

9: Psychotherapy Integration: A Clinical View

Jeffery Smith, MD

Please bring your case material so we can discuss real world applications.

Psychotherapy Integration:

Technical Ecclecticism

Common Factors Approach

Theoretical Integration

Assimilative Integration

 

Why not combine psychodynamic and behavioral approaches?

Psychoanalysis and psychodynamic therapy require neutrality

An active stance on the part of the therapist is not neutral.

 

What is neutrality and what does it do?

Traditionally neutrality means creating a blank screen to maximize the transference. Does it really work this way?

Active therapy has been defined as "watering down" the transference and the therapy when the patient is not strong enough for a purer approach.

Class discussion

 

Reinterpreting Neutrality

Optimal therapeutic stance for catharsis: Maximum empathy

Optimal stance for internalization: Optimum Expectancy

 

What happens with active support?

Does the transference diminish? Can you still interpret?

 

What happens with behavioral prescriptions?

Acting out and behavior as an alternative to feeling

 

What Analysts know that behaviorists don't

Five-year-old "someday" plans that persist underground