Experiencing these emotions which had been previously outside of awareness seemed to be the curative factor. This cure became known as catharsisand the experiencing of the previously forbidden or painful emotion was abreaction. Freud tried various techniques to deal with the fact that patients generally seemed resistant to experiencing painful feelings. He moved from hypnosis to free associationinterpretation of resistance, and dream interpretation.
Edited by Alan Solomon, Ph. To our readers, We are altering our usual format by having Dr. Alan Solomon interview Dr. Glenn Peters and Dr. Malcolm Miller about the differences between brief and long term therapy. Although these therapists use both approaches, depending upon the needs of their clients, we felt this format would help you better understand the selective advantages of each.
If you wish, you can discuss these distinctions with your current therapist, or a potential therapist, to determine which would be best suited for your needs. Is the distinction between the two therapies based upon number of sessions, or the focus and philosophy of treatment?
I would probably say both. Brief therapy is typically time limited; my preference is between sessions. But this is only one part. Brief therapy has clear, focused goals, must be a collaborative process between client and therapist, and must include specific assignments for the client between sessions.
Interconnected with this, a major component of brief therapy is that change can occur from the "outside in," not just from the "inside-out. By clients listing goals for the day, checking off what they have accomplished, moving unaccomplished items to their next day list, and keeping a log over a month of what they have done, clients realize: Just not "tomorrow, and tomorrow and tomorrow"!
Brief therapy has become much more sophisticated than this one example of "outside-in. Finally a major tenet of brief therapy is that therapy does not need to last until all goals are accomplished.
Once forward momentum is solidly established, progress will continue after therapy has ended, with occasional booster sessions. Long-term therapy can go anywhere from a year or longer.
Sometimes what will drive us to seek the assistance of a therapist are problems that do not get resolved in 10 to 20 sessions.
Often these are problems that are more ingrained in terms of our lifestyle or character. For example, some individuals who have suffered multiple traumas in early childhood, such as multiple forms of abuse often will need a more prolonged commitment to therapy in order to resolve these issues that continue to impact negatively on their adult lives.
Another, example in regards to these long-standing problems could be manifested in our intimate relationships. Some people find that they have serious difficulties in getting close to others, and that for many years they have jumped around from one relationship to another, without developing closer or more intimate connections with another person.
Furthermore, inside they may feel that they are living empty and isolated lives. In my opinion, this kind of problem needs a longer-term focus with a longer-term commitment to the therapeutic process.
These are not the only issues more amenable to long-term therapy, but they do give you a sense of the more long-standing, more established aspects of personality that often need more prolonged treatment.
What are the specific advantages of each form of therapy? Long-term therapy gives a person an opportunity to work out issues that are deeply rooted in their lifestyle. Some people want to gain deeper access to their emotional lives, they want to gain more insight and discover what leads them into a certain style of life that may be comfortable, but leaves them unfulfilled in regards to what they yearn for themselves.
Long-term therapy gives people the time to engage in a journey of self-discovery that can lead them to develop a fuller life of more meaning and creativity. Finally, long-term therapy gives us the time to come to grips with and relieve those areas of our life that are painful.Long-term vs.
Short term psychotherapy Introduction Psychotherapy uses many psychological theories in order to assist an individual toward the resolution of a wide array of problems. Most commonly, psychotherapy is separated into two distinct categories short term psychotherapy and long term psychotherapy.
“Many counselors who favor long-term approaches often think brief and solution-focused approaches are invalidating to the client’s experience because they only concern themselves with understanding enough of the problem to find a solution to it,” he says.
Short-term dynamic psychotherapy applies psychoanalytic principles to define and understand the dynamics and problems that clients bring to the therapy session. The aim of this approach is to uncover the feelings or thoughts that interfere with a client's relationships, communication, and daily functioning.
Intensive short-term dynamic psychotherapy (ISTDP) is a form of short-term psychotherapy developed through empirical, video-recorded research by Habib Davanloo, MD..
The therapy's primary goal is to help the patient overcome internal resistance to experiencing true feelings about the present and past which have been warded off because they are either too frightening or too painful. Long-term psychodynamic psychotherapy is superior in the long term to short-term psychodynamic psychotherapy.
Short-term produces benefits more quickly than long-term therapies. After 3 years of follow-up, however, the situation was reversed with a stronger treatment effect in the long-term psychodynamic treatment group both for patients with depressive and anxiety symptoms. November/December BRIEF VS.
LONG TERM THERAPY Written by Glenn Peters, Ph.D. and Malcolm Miller, Ph.D. Edited by Alan Solomon, Ph.D.. To our readers, We are altering our usual format by having Dr.
Alan Solomon interview Dr. Glenn Peters and Dr. Malcolm Miller about the differences between brief and long term therapy.