2. Brief Psychodynamic Therapy— Core Conflictural Relationship Themes Method (CCRT) Adapted from Book, H. E. (1998). How to practice brief psychodynamic psychotherapy. Washington, DC: APA.

3. What is CCRT Wish (see handout) What a person wants and wishes in relationships RO: the Response of the Other how a person anticipates others will respond to him or her or how the others actually respond RS: the Response of Self client’s affective, cognitive, and behavioral responses in relationship situations What are your feelings? (affective) What are your thoughts? (cognitive) What do you do? (behavioral)

4. The goal of CCRT Goal is to help clients actualize the wish This actualization is accomplished by working through and understanding the client’s RO as either a transference distortion or a repetition disorder RO as a transference distortion Why we expect others to respond to us in a certain way RO as a repetition disorder Why others tend to respond to us in a certain way

5. Three Phases of CCRT Treatment Identify CCRT patterns over and over again (1-4 sessions) Therapists listen to stories of Relationship Episodes (listen to Wish, RO and RS) Identifying that CCRT pattern is everywhere A person’s conscious awareness of CCRT is increased A person has more control over previously unconscious behavior

6. Three Phases of CCRT Treatment Work through the RO (5-12 sessions) Be aware that current expectations of RO are affected by past experiences with others Enactment: the client’s acting out of his or her CCRT toward the therapist Recognize here-and-now examples of CCRT in session

7. Three Phases of CCRT Treatment Termination (13-16 sessions) Offer a second chance to work through the CCRT Discuss themes of fear of abandonment, separation, and loss. Discuss worries regarding gains from treatment will not continue