Psychoanalytic Diagnosis

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Presentation transcript:

Psychoanalytic Diagnosis

Classical Psychoanalytic Conceptualization Centrality of the Unconscious: Dreams, Parapraxes Repression Centrality of Past Experiences Psychic Determinism: Behavior has Meaning

Classical Psychoanalytic Conceptualization Drive Theory Ego Psychology Object Relation theory Self psychology

Different Models and Theories Contradictory? Mutually exclusive? Enriching? What factors influence your choice?

Classical Freudian Drive Theory Centrality of instinctual processes: Libido & Aggression Psycho-sexual phases: oral-anal-phallic-genital Fixation due to - excessive deprivation or - overindulging Ex. Oral, anal character

Erik Erickson's reformulation of Psychosexual stages Oral stage: basic trust Anal stage: autonomy vs shame or doubt Oedipal phase: Initiative vs Guilt

Margaret Mahler’s Separation Individuation From Autistic Phase (6weeks) through Symbiotic Relatedness (2 years) through Object Constancy (3 years) Hatching ((בקיעה Practicing Rapprochement Object constancy

Ego Psychology: The Structural Model Id: primitive drives, impulses & fantasies. Pleasure Principle. Unconscious Ego: adaptive/ maladaptive functions. Reality principle. Both conscious and unconscious. Ego strengths? Defense mechanisms:mature vs immature. Superego: harsh vs lacunae

The Object Relations Tradition Internalized self and object images Ego states Activation of introjects Centrality of transference/countertransference; re-enactment as diagnostic tools Relational Approach

Self Psychology Self structure, self images, self esteem Self experience: subjectivity Defects in self structures vs Conflicts Normal need for selfobject functions: Idealization, Mirroring, Twinship

Psychoanalytic Treatment Principles of Technique Free Associations Resistance Transference Countertransference Interpretations Neutrality