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Course Overview

Session 7 Compulsive Behaviors

Session 6: Treatment Strategy and Stance

Jeffery Smith, MD

Whom to treat: Individual vs. Family System

There are many variations and looking at where the strengths and sources of motivation are in the family system helps to determine where best to intervene.

Individual Therapy / Analysis:

How the therapist is like a parent

How the therapist is like a peer

A different kind of transitional object

Creating a safe environment for communication

Transference Resistances:

Externalizing conflict

- Acting out

- Collusion against parents

Clinical examples:

Anorexia with pregenital roots

Narcissistic mothers

Culture and Autonomy