Short-Term Dynamic Psychotherapy
TLDP (Time-Limited Dynamic Psychotherapy)
The history of psychotherapy, starting with Freud, Today, it has reached nearly 400 psychotherapy techniques that have been defined, clarified and outlined. Although there are an almost unlimited number of psychotherapy methods, we can basically group all the techniques into four main groups.
The oldest psychotherapy method, which started to develop in the periods when there were no techniques and theories, and which we still use in many psychological problems, is to observe human behavior and derive meaning from it. In later periods, as a result of the information obtained during laboratory studies on the process of perception, the working principles of the mind, evaluation of perception, and memory, cognitive therapies were developed. With Freud, who introduced the concept of the unconscious and defense mechanisms, dynamic psychotherapy and psychoanalytic psychotherapy focusing on the Oedipal period were born. Melanie Klein has brought a different perspective to this school with her object relations theory, which draws attention to the attachment between mother and child, and a very rich dynamic perspective has been captured with the understanding of ego psychology, different attachment styles and their neurobiological expansions. This dynamic cycle operates together with behavioral and cognitive distortions and schemas.
In this context, psychotherapy processes that take years have been replaced by short-term therapy aimed at achieving not the biggest change possible, but the biggest change that can be achieved in the fastest and shortest time with the available resources. or started receiving psychotherapies that were limited in duration. Short-term dynamic psychotherapies can give very good results.
Short-term dynamic psychotherapy is a flexible psychotherapy method that, although its general framework is psychodynamic, includes object relations and self-psychology theories and blends current interpersonal relationships with a cognitive behavioral approach.
Psychiatric studies have found that the majority of outpatients choose short-term treatments for their treatment. These clients often need their emotional pain to end as soon as possible.
Short-term therapies are ideal for these clients. S� In dynamic psychotherapies with limited duration, clients are more willing to end the treatment because there is a beginning, middle and end configuration of the therapy. Giving a certain amount of time to end therapy reduces patients' fears of becoming dependent on therapy and reduces their concerns about therapy. Short-term dynamic psychotherapy has a limited focus and limited target. The most important focus that distinguishes these time-limited dynamic psychotherapies from open-ended psychotherapy or psychoanalysis is that they are determined through various formulations such as the theme of conflictual core relationships, role-relationship models, unresolved oedipal conflicts plan formulation method, and cyclic maladaptive pattern.
Short-Term dynamic psychotherapies Other features include time setting, therapeutic agreement, immediate intervention, planned end time, optimism, and contract. The maximum number of sessions in short-term therapies is 20.
Clients with high levels of ego strength, motivation and object relations benefit better from short therapies. Although short-term dynamic psychotherapy is based on basic psychoanalytic concepts such as childhood memories, unconscious determinants of behavior, contradictions, and transference, it does not delve into metapsychological models or inferential concepts such as the Oedipus complex. The therapeutic process is kept fact-based by emphasizing the patient's strengths. The focus is on the here and now relationship.
In short-term therapies, therapists prefer the least radical intervention, have a developmental adult perspective, do not accept the concept of eternity in some therapy models, and believe that the reality of life and daily life are always more important than being in therapy.
The basic principle of Short-Term dynamic psychotherapy is to change the client's interaction with himself and others by using the relationship that develops between the therapist and the client. Short-Term dynamic psychotherapy, which provides a flexible approach in short-term therapies, can easily be preferred in the treatment of difficult patients.
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In short-term dynamic psychotherapy, symptoms are not emphasized. The aim is to change the way a person relates to himself and others, that is, to change the person's character structure.
Short-term dynamic psychotherapy practices require people who are psychologically aware, open to new ideas, and have insight. It will be sufficient for clients who can monitor, limit their complaints, are motivated for change, are honest with themselves, and have realistic expectations about the results of the treatment. Short-term dynamic psychotherapy has a modernist view and looks at events from an interpersonal perspective.
The reality that we depend on others for a certain period of time in order to survive after birth plays a big role in interpersonal problems. Underlying our perspective on ourselves and how we feel about ourselves, how we treat others and our relationship with the world, this individual's secure attachment to their parents in childhood changes the negative effects of anxiety and strengthens healthy development.
The experiential and cognitive schemas coded in this period form the basis of the building. , this infrastructure plays the primary role in protecting and maintaining the emotional bond in the person's interpersonal relationships in later periods.
In Short-Term Dynamic Psychotherapy, it is believed that this process does not end at a certain point, but changes dynamically during the interaction of individuals with others. Although the person's relational characteristics are shaped in the first years of life, the fact that the person maintains this style is reinforced with his current adult life.
For example, a client who developed a calm, docile and submissive approach in his childhood, continues to have a wrong, authoritarian approach to his life in adulthood. , dogmatic, punishing people, and cannot abandon the "hit them in the neck and take the food out of their mouth" relationship style. This style invites others to behave more dominantly and tyrannically, creating a vicious circle. The client who encounters these reactions feels himself in the environment he is used to, but his psychological balance is disrupted and the unrest within him grows.
Short-Term Dynamic Psychotherapy works on this basis and emphasizes the present.
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