Which approach to psychological treatment focuses on getting insight into the unconscious processes?

Those in the field of abnormal psychology study people's emotional, cognitive, and/or behavioral problems. Abnormal behavior may be defined as behavior that is disturbing (socially unacceptable), distressing, maladaptive (or self‐defeating), and often the result of distorted thoughts (cognitions).

Several perspectives (models, approaches derived from data) and theories attempt to explain the causes of abnormal behavior.

The medical perspective. Those who hold a medical perspective focus on biological and physiological factors as causes of abnormal behavior, which is treated as a disease, or mental illness, and is diagnosed through symptoms and cured through treatment. Hospitalization and drugs are often preferred methods of treatment rather than psychological investigation. (Recent research linking biochemical disorders with some abnormal behaviors has provided some support for this approach.)

The psychodynamic perspective. The psychodynamic perspective, proposed as an alternative to the medical model, evolved from Freudian psychoanalytic theory, which contends that psychological disorders are the consequence of anxiety produced by unresolved, unconscious conflicts. Treatment focuses on identification and resolution of the conflicts.

The behavioral perspective. Those espousing a behavioral perspective contend that abnormal behavior results from faulty or ineffective learning and conditioning. Treatments are designed to reshape disordered behavior and, using traditional learning procedures, to teach new, more appropriate, and more adaptive responses. For example, a behavioral analysis of a case of child abuse might suggest that a father abuses his children because he learned the abusive behavior from his father and must now learn more appropriate parenting tactics.

The cognitive perspective. According to the cognitive perspective, people engage in abnormal behavior because of particular thoughts and behaviors that are often based upon their false assumptions. Treatments are oriented toward helping the maladjusted individual develop new thought processes and new values. Therapy is a process of unlearning maladaptive habits and replacing them with more useful ones.

The social‐cultural perspective. From the social‐cultural perspective, abnormal behavior is learned within a social context ranging from the family, to the community, to the culture. Cultural variables, acquired through learning and cognitive processes, are believed to be important in producing abnormal behavior. Anorexia nervosa and bulimia, for example, are psychological disorders found mostly in Western cultures, which value the thin female body.

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Last updated on 13th June, 2022 | Next review due 13th December, 2023

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What is psychodynamic therapy, and what can it help with? We explain more about this therapeutic approach.

What is psychodynamic therapy?

Psychodynamic therapy (also known as psychodynamic counselling) is a therapeutic approach that combines parts of many different types of analytic therapies. Psychoanalytical and psychodynamic therapies work on the idea that each individual’s unconscious thoughts and perceptions are developed throughout their childhood. These unconscious thoughts and perceptions affect their current behaviours and thoughts.

While the roots of psychodynamic therapy lie predominantly in Freud’s approach to psychoanalysis, Carl Jung, Alfred Adler, Otto Rank and Melanie Klein are all widely recognised for their involvement in further developing the idea and use of psychodynamics.

Like psychoanalysis and psychoanalytic therapy, the aim of psychodynamic therapy is to bring the unconscious mind into consciousness. This means helping you to recognise, experience, and understand your true, deep-rooted feelings, in order to help you resolve them. Based on the idea that our unconscious holds onto painful feelings and memories, psychodynamic therapy believes these are too difficult for your conscious mind to process. 

In order to ensure these memories and experiences stay below the surface, many people will develop defences, such as denial and projections. According to psychodynamic therapy, these defences will often do more harm than good.

Integrative psychotherapist and counsellor, Jeremy Sachs (BA Hons, Dip.Couns), explains psychodynamic therapy: how the theory came about and the benefits of the approach.

Despite sharing the same core principles, psychodynamic therapy is typically a less intensive approach than psychoanalysis. Focusing primarily on immediate problems, it looks to find a quicker solution. However, both approaches can help with a range of psychological disorders, helping you to make significant changes to how you make decisions and interact with others.

What are the core principles of psychodynamic therapy?

Psychodynamic therapists help you to get a better insight into your life and problems you are experiencing here and now. To help monitor how you are developing over time, they typically review four key areas:

  • beliefs
  • emotions
  • early life experiences
  • thoughts 

Through looking at these, your therapist can help you to recognise recurring patterns, help you to see how you can avoid distress, and develop defence mechanisms to help you cope. With this insight, you can begin changing negative patterns to help you move forward. 

The therapeutic relationship is a key aspect of psychodynamic therapy.


What are the benefits of psychodynamic therapy?

The psychodynamic approach is designed to help individuals, couples, families, or even groups with a wide range of problems, though is generally more effective in treating specific issues, such as anxiety, addiction and eating disorders. Primarily used to treat depression, psychodynamic therapy can be particularly beneficial if you feel like you have lost meaning in your life, or are having difficulty forming or maintaining personal relationships.

Which psychodynamic therapy is suitable for everyone, some people benefit more and respond better to this approach than others. If you have a genuine interest in exploring yourself and seeking self-knowledge, as well as relieving symptoms, have the capacity for self-reflection, and are naturally curious about your internal life and behaviours, then this type of therapy should work well for you. 

What can psychodynamic therapy help with?

Psychodynamic therapy can be used to help with a broad range of issues and mental illnesses. Psychodynamic therapy can help with:

  • anxiety
  • depression
  • eating disorders
  • loss of meaning in life
  • panic disorders
  • personality disorders
  • post-traumatic stress disorder (PTSD)
  • persistent feelings of loneliness
  • trouble connecting with others or forming relationships
  • sexual issues
  • substance misuse (addiction)

How does psychodynamic therapy work?

The psychodynamic approach is guided by the core principle that the unconscious mind harbours deep-rooted feelings and memories that can affect our behaviour.

Psychodynamic therapists will work based on this, in context-specific ways, catering their techniques and therapy style to you. Your therapist will maintain an equal relationship with you, adopting the attitude of unconditional acceptance and aiming to develop a trusting relationship. This is to help encourage you to open up and explore any unresolved issues and conflicts hidden in your unconscious that may be affecting your mood and behaviour.

Deep insight into the feelings we act out can be achieved by psychodynamic work. Once we become conscious of our internalised feelings and beliefs, and from where they stem, we no longer need to act them out. Greater internal security and peace then offers us greater freedom.

- Counsellor Mary-Claire Wilson, MBACP, Dip Couns, Dip Ad. Psychology, explains more in How is psychodynamic counselling different to psychoanalysis?

In order to help you understand what your ‘unconscious disturbances’ are and how your mind works, psychodynamic therapists will draw on similar techniques used in psychoanalysis and psychoanalytic therapy, such as free association, therapeutic transference and interpretation.

Free association

Free association is a technique that involves talking freely to your therapist. There is no attempt to shape ideas before they are said, nor do you tell things in a linear story structure. The spontaneity allows for true thoughts and feelings to emerge without any concern for how painful, illogical or silly you may sound to the therapist. You can be honest and open, without fear of judgement.

Therapeutic transference

This is the redirection of feelings for a significant person, especially those unconsciously retained from childhood, onto the therapist. 

You may feel an 'erotic attraction' to your therapist, but this transference can manifest in many other forms, such as hatred, mistrust, extreme dependence and rage. Through recognition and exploration of this relationship, you can begin to understand your feelings and resolve any conflicts with figures from your childhood.

Interpretation

Psychodymanic therapists are likely to stay quiet throughout therapy, but will occasionally interject with thoughts or interpretations of the topics you choose to discuss. Your therapist will help you learn new patterns of behaviour and ways of thinking that promote personal development and growth, helping you to overcome any limitations caused by unconscious feelings.

Generally, this process tends to be quick and solution-focused, and sessions will take place once a week, lasting for around 50 minutes a session. Of course, this is completely down to you, the client. If you would like more or fewer sessions, speak to your therapist and they will be able to devise a plan that is right for you. 


Short-term psychodynamic therapy 

Since the 1950s, a more intense, short-term form of psychodynamic therapy has emerged. Originally introduced in a series of workshops, this method of short-term psychodynamic therapy (also known as intensive short-term dynamic psychotherapy (ISTDP)) was eventually developed 20 years later by psychoanalyst Habib Davanloo. His aim was to enhance the efficacy of psychoanalysis and minimise the length of treatment.

While the primary goal of short-term psychodynamic therapy is very similar to psychoanalysis, rather than acting as a neutral observer of an individual’s personal development, a short-term psychodynamic therapist will be an active advocate of change.

They will guide you through the process by applying non-interpretative techniques, including the encouragement to feel - a method founded on Davanloo’s discovery that the dynamic unconscious has many layers.

These specific interventions allow the therapist to access those layers in the client. When applied in a particular way and at a particular time in the therapeutic process, these interventions can help the client to recognise and overcome their unconscious blocks and any resistance as quickly and efficiently as possible.


Frequently asked questions (FAQs)

How long does psychodynamic therapy take?

The number of sessions needed can vary from person to person, depending on their individual needs. Long-term psychodynamic therapy can take a year or more, lasting 50 or more sessions. Brief psychodynamic therapy, another form of psychodynamic therapy, aims to see results more quickly across 35-30 sessions. This is often done through determining a specific emotional area in which you want to focus on, and looking into this first. 

Is CBT a psychodynamic therapy? 

Cognitive behavioural therapy (CBT) and psychodynamic therapy are not the same thing. CBT is a type of therapy which looks to manage problems you are experiencing now, by changing the way you think and behave. Psychodynamic psychotherapy, on the other hand, aims to identify, explore, and address underlying problems which may be affecting your life (through focusing on unconscious processes that affect your current behaviour) rather than focusing on the specific symptoms that are causing you issues right now. 

Essentially, psychodynamic therapy tried to identify the root cause and bring awareness and understanding to how that has affected past and present behaviour. CBT may not look for the root cause, instead helping you to change your way of thinking and behaving to manage your problems. 

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Which technique helps patients explore the unconscious part of the mind?

Psychoanalytic therapy is a form of talk therapy based on Sigmund Freud's theories of psychoanalysis. The approach explores how the unconscious mind influences your thoughts, feelings, and behaviors.

Which perspective or tradition focuses on unconscious processes as a cause of psychopathology?

Psychodynamic therapy focuses on unconscious processes as they are manifested in the client's present behavior. The goals of psychodynamic therapy are client self-awareness and understanding of the influence of the past on present behavior.

What connection does classical conditioning have with psychological disorders?

In addition to setting the stage for future, cued panic attacks, classical conditioning (via paired association) is often associated with the development of phobias. Phobias are highly anxious responses to specific objects or situations. For example, imagine a child is happily playing with her neighbor's dog.

What was the focus of early asylums?

Modern treatments of mental illness are most associated with the establishment of hospitals and asylums beginning in the 16th century. Such institutions' mission was to house and confine the mentally ill, the poor, the homeless, the unemployed, and the criminal.