Psychodynamic Therapy Role-Play - Defense Mechanisms and Free Association
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- Опубликовано: 22 фев 2016
- This video features a counseling role-play in which psychodynamic therapy is used to help a client (played by an actress) identify the cause of feelings of anger and frustration. The defense mechanisms of sublimation, reaction formation, and displacement are featured and a free association technique is used.
This roleplay was good instruction in how defense mechanisms are explored by a counselor using psychodynamic theory. The client was expressing a lot of anger, and the free association technique helped her realize her feelings about various aspects of her life, in order to come to an understanding that she was transferring her anger at her fiancee to other people instead of confronting the actual source. If the counselor had just said, "your fiancee is controlling and it's making you angry," the client probably would have become defensive or denied this, but by using these techniques, the client was able to piece together her feelings at her own pace.
The client gained the awareness through word association. She knew she was feeling anger, but could not recognize the source herself. The counselor seemed to identify the source early on, as evidenced by asking the right questions and allowing the client to figure it out on her own. Anger was the defense mechanism for a deeper feeling of a power struggle and relationship issues.
I was surprised to see how smoothly the counselor enabled the client to gain a deeper understanding of her underlying anger; it was a great example of how free association could work
It's interesting to see the basic listening skills, such as reflection, question and paraphrase, yet the approach is different. The counselor seeks to draw out the unconscious meaning or cause of anger. Questions focus on change and/or memories in discovering the source of the feeling. The defense mechanisms are present with the client's anger toward service providers (displacement), activity of kick boxing (sublimation) as a release as well as her catering to her partner, though she is resentful (reaction formation). Free association is used to reveal a theme of control and gain insight or awareness that she desires freedom and support, which the counselor then links to her behavior.
Thank you! Your identification of the defence mechanisms was very useful!
Wao Nixon you speak like a license practitioner
I enjoyed seeing how free association is used with a client. It was interesting how she associated negative words with relationship and home, but when it came to "work" she had nothing but positive things to say. It really puts in perspective her feelings and priorities in her life. It helped her to find where her anger is stemming from.
I liked the free association in this role play because it really showed where her frustrations were coming from and provided insight. I think that free association can be a very helpful tool.
This video displayed free association very well, it also displayed some of the terminology used in the previous video on psychoanalysis. After hearing about each association, actually seeing it in action, puts things in another perspective, and allowed me to see things from a different view point.
There was great focus on emotion right from the beginning which I think is great. It's a basic technique to show the client you are listening and understand. I have never watched someone use free association so it was cool that he was using the free association to get under apparent spouts of anger. This technique seems really helpful in allowing clients to uncover their own unconscious feelings. It clearly gives this client great satisfaction in understand themself and their current situation in a different light.
I thoroughly enjoyed the word association that was done. It was clear how it made her think and took her to a different place with her emotions as she was responding. I also liked how he used reflections and paraphrasing with the client yet stayed focused on the defense mechanism that was her anger.
Dr. Grande, you are AWESOME! I hope life is blessing you and that you are taking care during this time. If you could feel how much I appreciate you, I think it would bring a smile to your face!
I like how Dr. G asked the client if anything changed around the time of the anger and further discusses times the client becomes angry. I can see that it is a way to bring awareness to the client and also allows the client to be more thoughtful and expressive about her experience with anger. He ended up getting to the root of the anger by finding out the client has other issues that cause this anger. Mainly the responsibilities of home and family. Having this discussion with the client will help her find ways to resolve these issues and find ways to reduce anger by awareness. The role play brought out conflict and struggle within the relationship and brought about a clearer view of what effects the client most.
I really enjoyed watching this video. I liked the way that Dr. Grande used word association to help the client. I felt this really allowed the client to understand what was happening and was able to gain awareness.
Dr. Grande’s use of free association allowed the client to understand where her feeling stemmed from and allowed her to see common themes of anger and how they were directly related to her current relationship with her fiancé. I found this role play beneficial in that it shows how the basic listening skills can be incorporated into a session from any theoretical framework.
Dr. Grande did an excellent job of challenging the clients own thoughts regarding her emotions, specifically her anger. By using the free association techniques, the client was able to use words to describe certain topics like home and work. This technique allowed the client to realize a pattern within the responses she had given. This appeared to be insightful to the client as she discussed this with Dr. Grande.
I found Dr. Grande's illustration of free-association very useful. It is one thing to read about such techniques in a textbook, but seeing them employed in a demonstration is quite another. It's very interesting how a seemingly neutral word (i.e. relationship) can illicit such strong emotional responses from a client. I also liked how rather than pointing out the general theme in all of the client's responses during the free-association exercise, Dr. Grande prompted her to pick out a theme; therefore allowing the client to steer the direction of the conversation, but in a facilitated manner.
I am more of a visual learner, so this helped. This video explained and demonstrated free association very well. I was able to gain an understanding of where the clients anger was coming from or the cause of it. I felt the client used many defense mechanisms towards her fiancé because he was possibly contributing to her anxiety and she also felt that she was the one who had to do everything around the house. This helped put the things we have learned thus far into perspective.
I really enjoyed this role play. It was nice to see how to use free association in a counseling session. I was never a fan of Psychodynamic therapy, but after watching this role play, I feel like I would use free association in one of my sessions. Dr. Grande did a fantastic job showing how to use this technique to get to the root of the client's frustration, anger, and the contributions to her anger outbursts.
Dr. Grande- I thoroughly enjoyed watching this role-play session based upon the psychodynamic approach. You were able to help the client get to the route of what her anger was stemming from. The client was completely comfortable with you and was expressive about the events in her life. I really like how you did an exercise with the client by giving her 4 works, (Home, Relationship, Work & Power) and asked the client if she saw a connection. In that moment, the client realized that her anger was stemming from her relationship which resulted in the client understanding why she projecting her outside anger onto others. The skills you used were appropriate with probing, active listening and great paraphrasing. Thank you!
Dr. Grande did a great job of guiding the client to finding the source of her anger and aggression. The free association technique has proven to be helpful in this case as the client brought up key emotions when given words and asked what came up for her. I’m excited to learn this technique and even try it for myself and gain clarity where possible.
This video was a great example of how free association brings together the theme of several words. For this client, her theme was centered mainly on her fiance and her relationship with him. She felt controlled and limited which is why her anger became somewhat of a defense mechanism toward others when she felt that she had been wronged by them. The best part was her ability to identify the theme of the free association and elaborate on its effects without much prompting from the counselor. This made the discovery that much more genuine and powerful.
I noticed that Dr. Grande used active listening and paraphrasing often. I enjoyed seeing him use the word association to get to the underlying theme with this client.
It was interesting to see how free association was tackled within this role-play. I originally expected a session on free association to present as unstructured, but Dr. Grande was able to establish a theme within the information that the client was disclosing and help her see her situation in a different perspective. I enjoyed the word association exercise because it seems like a simple technique, but it gained some much information out of the client that was appropriate to the main issue she described when they began the session. Dr. Grande was attending to the client and the information she provided to him. Dr. Grande was able to identify the feelings the client was displaying/mentioning immediately as the session began. Overall, I believe the session was helpful and informational for the client.
I thought this video provided a great demonstration of the free association technique. At first, I didn’t really know where the session was headed but when Dr. Grande began the free association, things really started to make sense. I really liked how Dr. Grande had the client try to locate themes in the words that she was responding with. In doing this, the client was able to make make connections between her responses and eventually led her to find the source of her anger, which was her relationship with her fiancé.
as always thank you Dr. G for the useful and applicable examples for all us current and especially soon to be psychotherapists. Your videos, especially ones like these, have been significant in my educational growth and in fostering more confidence in abilities when working with clients during my internship.
The people you get to act these roles are excellent!
This video is very interesting. At first I wasn’t very intrigued but that changed when the therapist started to utilize the word association technique. I have never actually seen this done before so it definitely caught my attention. One could definitely use this tool to bring materials from the preconscious to the conscious.
Dr. Grande had really good reflections and the conversation was ran seamlessly due to his active listening and tracking. I felt the client benefited greatly from the word association as it allowed her to talk about what seems to be the root of her anger and over reactions. Dr. Grande focused on the theme the client entered the session with and used perfect words to see how she views the themes in her life.
Dr. Grande did a great job with asking the client, Davina, about the possible changes in her life around the times when she engages in anger outbursts. He also asked her about the times that she gets angry (i.e., events when she gets angry/upset). Davina continued to say that she has "too much going on" and Dr. Grande addressed that statement by asking her what she does during her daily life. By doing so, it appeared as if he was trying to find the function of her behavior, and to help her describe more about her thoughts/feelings with specific words. The activity that she engaged in appeared helpful as she seemed unable to describe her thoughts/feelings prior, or find a reason for her behavior. At this time, it was clear that she may be engaging in confrontational behavior to mask some other feeling underneath (defense mechanism).
I like that this method started the process of seeking the unconscious early on and got the client to explore on her own. Using simple encouragers and paraphrases, Dr. Grande guided the client along to reveal further content about her underlying anger. The use of free association and the responses to single words showed an effective way to discover a theme that the client may not have recognized before a session, but brings it to light after performing this technique. A defense mechanism used by the client was sublimation because of the modification of a drive (anger/hitting) into a physical activity such as cardio kickboxing which becomes acceptable and reduces the chances of it happening in an unacceptable setting.
Prior to watching Dr. Grande’s Role-Play video on psychodynamic therapy and free association, I had little knowledge on what to expect of the counseling session or when it is most beneficial. I find that the role play gave insight into the techniques used and how to properly incorporate them into a session. What really stood out to me during the session was how Dr. Grande utilized free association to allow the client to make connections and determine themes in order to process the cause of her anger and frustration. In doing so, Dr. Grande was able to allow the client to uncover feelings and emotions that were being suppressed/avoided, causing her to unconsciously develop defense mechanisms, hence the reason why she would lash out at others. Overall, I find that by using psychodynamic therapy and incorporating techniques such as free association - focusing on her relationship with others, allowing the client to speak freely about anything that comes to mind - the client was able to determine the cause of her frustration, while gaining new perspective in order to work towards overcoming such obstacles.
Dr. Todd Grande's psychodynamic therapy session did such a great job demonstrating what the psychodynamic individual session looks like. His person-centered focus allowed the individual to identify an underlying cause of her anger and frustration simply by using the skills and techniques for psychodynamic therapy. The free association exercise turned out to be effective in that it allowed the individual to find common themes among the words she was providing back to the counselor. It is very helpful to be able to see these skills put into action.
I thought that the role play was an excellent demonstration of free association. Dr. Grande was able to help the client identify where her frustrations were coming from and provided insight. I believe that the technique of free association can be a very helpful and useful tool for counselor to adapt in their counseling style.
It was very enlightening to see the techniques of defense mechanisms and free association within a session. I enjoyed that although the primary theory implemented is psychodynamic, Dr. Grande's use of basic listening skills such as paraphrasing are still used within the session.This reiterates the idea that the BLS is a great foundation for any theory a clinician wishes to use with clients. The free association technique not only allowed the clinician an opportunity to asses the client's perception of her presenting concern, but also provided the client the space to draw connections between her home life and the anger she has been experiencing. After viewing Dr. Grande's demonstration, I believe free association is a technique I can integrate into sessions with my clients to help uncover unconscious drives that present as various defense mechanisms.
It was interesting to witness how the use of word association gave her insight into her own feelings contributing to the outbursts of anger. It was a useful technique for her to delve deeper into the cause of her anger issues.
I enjoy the rephrasing, questioning, summarizing, and paraphrasing in this video. The counselor focuses on the client's anger. This session allowed the client to think differently to the approach of how she handled her anger and identify things that contributed to her anger. A lot of the client's anger resulted from defense mechanisms she experienced such as displacement, sublimation, and reaction formation. In this video the free association allowed the client to speak freely, however identify her errors in thinking.
i think it was cool to see the client gain awareness of the potential reasons behind her feelings. although these things such as her relationship and feeling alone may have been causing her issues, it seems as though she only knew this subconsciously and wasnt made fully aware until after doing the free association exercise. although this may be considered an old school technique in therapy, it seems to be able to bring awareness to some of the things people are feeling without totally understanding them.
At the start of the video, the client expressed that in her everyday life she is frequently becoming angry and she is confused. Dr.Grande then used micro skills, like paraphrasing what the client is saying to get a better picture of where she is coming from. I found this very helpful to use early on in the session because he is trying to understand the client's viewpoint. With the use of free association, Dr.Grande was able to link the client's subconscious anger, to her fiance. The use of the technique seemed like it worked to empower the client in her awareness of her own personal life.
Denise Swindell
It was interesting see the themes of the session begin to unfold as the client spoke. See basic listening tools used was helpful to put into a session. I liked watching the client unravel the source of her anger and emotions. The word association was interesting to see being used in the session and how it helped to allow the client to process her feelings.
Great example! Very helpful, thank you!
thanks so much! as students we get so much information but not a lot of instruction about how to use it. i appreciate the opportunity to witness the work in real time!
I find this psychodynamic therapy really intressting. Are going to do more research on this for sure! Thank you so much! Awesome video 👍😃
Huggy Bear This is not what the (scientific) evidence shows. Unless you’re getting psychodynamic therapy with someone who is improperly trained, it’s not dangerous and is in fact HIGHLY effective in the treatment of a whole range of mental health conditions (0.8 effect size at conclusion of therapy, 1.51 effect size nine months after therapy, compare to antidepressant drugs with an effect size of 0.3.) It is also useful for relationship difficulties and life problems. Psychodynamic practitioners are trained so as not to retraumatise patients. The problem is, proper training in psychodynamics takes years, whereas (at least in the U.K.) there are lots of therapists who have done a course for a couple of weeks saying they’re trained in psychodynamics, so you have to check your therapist’s qualifications. The U.K. is the Wild West of therapy though, there is no regulation at all.
I adore the process and questioning style in the session
Dr. Grande brought life to the words throughout the textbook. He is very skilled in using defense mechanisms (sublimation, reaction formation, and displacement), as well as the concept of free association. The session began with the client expressing how she had been angry and frustrated in different aspects of her life. Dr. Grande acknowledged the client's anger and asked her to participate in an exercise that brought about a theme in her life. I particularly liked his word choice - home, work, relationship, and power. Those four words helped the client realize the root of her anger outbursts were because of her relationship. This was a powerful moment within the session.
Marissa Barnes I agree that his role play helps to bring the text book to life and bridge that gap. I also thought that it was powerful to watch him allow the client to draw her own conclusions instead of just telling her what he thinks is significant or labeling the themes in her life.
This video helped me to understand how free association is used in counseling. Before seeing free association used in a live counseling session, I thought that this technique always had to be rapid and fast-paced, almost as if there were a time limit. However, the counselor and client took their time and slowed the pace during the free association exercise. I now have a stronger liking for this counseling technique. In addition, I was able to see how the client displaced her feelings of anger about her fiancé and directed her anger onto other people. She also used the defense mechanism of sublimation when she over-exercised to the point where she hurt her wrist. In this case, sublimation was not necessarily positive. The client used the defense mechanism reaction formation because she was compensating her unacceptable feelings by playing a role of a responsible house wife and doing all of the chores for everyone in the house.
Angelina,
You bring up a great point about her defense mechanism of sublimation when she over exercised. It was not positive, however I think its a combination of all that she discussed. I also spoke on where she was compensating her feelings by playing the role of having to do everything is the house hold for everyone.
I think Dr. Grande did a good job using word association. It allowed the client to realize that she was really angry because she felt like she was doing all the work at home and her fiance was getting away. I think the client also realized that she was displacing her anger at the cleaners and with her neighbor.
It's interesting to see how things that come up to our mind can sometimes teach us things that we don't realize about ourselves. The word association technique is a great way to help the client reveal their true feelings and reasoning. It's a start for the client to be authentic with themselves.
This was a great example of displaced aggression. She was getting into fights over simple things because she was so aggravated in her personal life. She took care of the home, and the kids and to her it was a lot. Dr. Grande word association exercise was really cool to see in a role play. It showed how she was negative when it came to relationships.
I liked seeing the free association expressing her negative views to relationships. It was interesting to see how maybe she didn't know that she was mad at her fiance until she did the free association and was able to put this together with the displaced anger and defense mechanisms.
Dr. Grande used the technique of free association with his client which helped her identify what was causing her anger outbursts. He skillfully helped her to reflect on her feelings leading up to the outbursts, and her feelings after the behavior occurred. The client was prompted with a few different words during the free association exercise and the majority of her answers were negative. Her anger was the defense mechanism she chose to express the frustrations she has been feeling. Unfortunately, she also began to doubt her future with her fiance. Dr. Grande ended the session and asked the client to reflect on her situation further, and they would speak about it in their next session, nicely summarizing the session.
I enjoyed the way the Dr. Grande allowed the client to come to her own realization through paraphrasing, reflecting her feelings back to her, as well as asking several appropriate questions to dig deeper into where her anger is stemming from. Initially, the focus was on her feelings of anger toward others (such as the person at dry cleaner and her neighbor). However, once Dr. Grande used the Free Association technique, the client was able to further examine herself and reveal that her life seems very structured and pre-determined with every aspect. Also, the presence of conflict and power-related issues is another common theme among what the client is saying. The connection that the client was able to make through the use of free association application was a tremendous breakthrough in allowing the client to realize the root of her challenges with minimal guidance from the therapist.
This is so great to watch, very helpful.
So initially Dr. Grande reflected on his client's feelings of anger, paraphrased some of the specific examples she gave of when her anger was explosive and summarized the overall difficulty. I also noticed how after he used the technique, word association, he allowed his client her own space to interpret the "common theme" of the words she came up with, as appose to offering her his interpretation first. He helped her develop her own insight into her challenges with her anger and the source. Throughout the session he seemed to be seeking the underlying thoughts or what his client's unconscious thoughts are. Dr. Grande concluded the session by encouraging his client to continue to reflect on the "big moment" of awareness she gained while in session.
I appreciated the different techniques used throughout this session but what stuck out the most to me was the part when dr grande stated words and allowed the client to reflect on her emotions and feelings behind the words so that she recognized the impact it was having on her life. She even stated that her change in her mood made sense now that she was expressing how she was feeling and how she felt her fiancé played a part in the reason she felt the way she did.
Kiara-the part where Dr. Grande allowed his client to come up with her own interpretation of the themes also stood out to me too. It appeared that his client gained a lot of insight into the source of her anger which helped her feel less confused. She seemed so bothered by why she is getting so explosively angry and frustrated and to be able to identify a source was probably a huge relief to his client!
Why does it seem as watching this video was a school assignment by the look at the comments
it is
@@icecole8708 what school
@@juliafranco6057 Guilford Technical community college
😂
It is !
Dr. Grande effectively utilized basic listening skills such as illuminating client affect, reflecting, and paraphrasing along with the use of free association. These skills worked to assist the client in identifying a theme and ultimately an underlying causation from which her anger stems. Dr. Grande was able to skillfully use a mixture of open and closed questions to guide the client in her realization of what could could be causing her anger which is now "spilling out" into alternative areas of her everyday life.
I enjoyed this video. I could see some of the things discussed in the first video being displayed here. When it comes to bringing things from the unconscious to the preconscious or conscious, it may take some time. The use of the word association was interesting because it seemed to help bring up some of the unconscious thoughts and feelings.
I can really appreciate how the use of free association was demonstrated here as well as how it was linked to her anger (defense mechanism). When she first began her session I immediately knew there had to be more that was bother her outside of the surface things such as a barking dog. However, the way Dr. Grande allowed the client to come to what was really bothering how by was of free association is something I would like to try in my future session. I feel this was a great tool to help the client see things on their own.
Thank you for this video, much appreciated!
The use of word association definitely appeared to open up Davinia's insight into her anger outbursts. She almost appears relieved at the end of the session.
Psychodynamic is very interesting. I can buy into the theory and see how the [childhood experiences plays a huge part. In this video it is very interesting to see how the techniques were used. The client in this video is using defensive mechanisms that are clearly anger. I feel the counselor uses the anger and looks into where the anger is coming from in childhood. Word association is used throughout to make the client look into her feelings.
Early in the video, it is easy for the training counselor to pick up on the basic listening skills used by Dr. Grande so skillfully to elicit a more complete picture of the client's concerns. The client presented, at first, as confused and frustrated with everyday inconveniences and through the use of free association, Dr. Grande was able to direct the client toward self-discovery and insight. The client ended by seeming more confident in the source of her anger and its impact on her daily life.
Dr. Grande, I thoroughly enjoyed watching this role play.
Your implementation of the basic listening and attending skills were the basis
for the therapeutic setting and the client’s openness to express her feelings
and her sense of feeling heard. It was clear to see how a psychodynamic
approach can be useful in helping the client see his/her life from a third
person view and the responses that she elicits (defense mechanisms) from
certain experiences. The use of free association words helped the client
re-interpret and reform the way she sees certain parts of life like home, work,
and relationships. It is amazing to see how one word can have so many different
meanings to one person. Additionally, we can see how effective free association
is to help reflect the themes in one’s life. -Jose
Psychodynamic therapy and the use of word association is a great way for a counselor to subtly direct the client into developing insight into the underlying source of problems. In this case, word association identified the theme that led to the clients feelings of tension and irrational behavior. The clients' displaced anger resulted from feelings of disappointment and frustration in her relationship with her fiance because of his neglect with the everyday duties of children and household duties. With this technique the client was also able to continue to analyze her thoughts and how they align with other types of negative behaviors.
Free association never be this clear before.... Now I can relate this
Good demo on free association. It gave a rough idea on how it is applied.
Great video content!
Thank you Dr.Grande for the free association demonstration. It was very clear how free expression allowed the client to understand how her behavior was affected and the connection to her relationship and goals. Also the client mentioned that when she's at the gym she goes all in with kicking, screaming and hitting the equipment, could that be another defense mechanism such as sublimation, meaning channeling the anger in an appropriate setting? Thanks.
I like the word association in helping the client understand the root of her frustration.
Yes, it was a well used tool so the client can gain awareness over her deeper feelings, by asking her is she had realized a pattern.
I too liked the free association technique used here. I can see how that would work well with a client who doesn't really know the source of her problem and needs an intuitive way to get there. I like that neither the client or the therapist know the way the conversation will go through free association. That type of co-discovery might just lead the client to the root of the problem and what matters most to them.
I was surprised to read that free association is not used in brief therapy, it seemed to move so quickly in the role play
I agree, the free association technique was very helpful to her.
Very interesting, thank you.
I’m familiar with psychodynamic therapy and CBT ...but I’m wondering about one thing. If there is really any exploration of unconscious cos to me it’s more preconscious. If sb can figure out some patterns then how it can be in his unconsciousness . Many of these issues can be also visible by analyzing sb’s thoughts and beliefs. This is a question for psychodynamics - what level of unconsciousness(if any) can be explored in real. It also all depends on techniques used cos they can bring better results in regards to an exploration.
Hahahaha!! I love this role-play, its great! One thing though - why does Dr Grande look more angry than the woman who's experiencing anger issues? lol
He's just focused.
I was under the impression that psychodynamic therapy was supposed to be structured differently but this might be due to the setting and role play purpose. That aside, seeing free association was helpful in my understanding of the technique but I still don't see how it is helpful in therapy. She spent the beginning talking about her issues and I feel like asking her to respond to those specific words were going to go along with what she had already said since it was on her mind and she had already expressed those feelings. Overall, I do think Dr. Grande and the client were able to make progress on her personal understanding of what she was struggling with but I don't think that came from the free association. I think it came from them talking and making connections between her feelings.
This is very interesting and helpful but it reminds me more a CBT session.
The use of free association helped the client discover the underlying unconscious struggles she has with her fiance and the cause of her anger and frustration.
This was great
is there a chance to give me a head-shot in this training.. i want to help more people
Free association can help individuals categorize their stressors and zero in on why there are active defense mechanisms. She recognizes that the reasons why she is getting so frustrated is because of the lack of help that she is getting from her fiancé.
So after the client develops insight where would the session go from there?
This is a psychodynamic approach so yeh insight is the last stage, this is just a bit of whole therapy,dream interpretation free association , clarification and confrontation and resistance takes place and hence at this point of insight therapy is terminated.
The word association was useful in helping the client realize the "origin" or cause of her anger. I understood the selection of words that were used for the word association exercise based on her overwhelming feeling of household responsibilities. I was curious to know if the fiance was truly contributing to the anxiety that she was experiencing and wondered whether the word association directed her to him prematurely and is this something that would want to be cautious about when using free association.
I agree wit you Susan regarding the fiance. When I was listening I felt as though she was contributing the anxiety to him and as you stated that it was directing her to him.
Excellent
Is it just me or are the chairs really close together?
The counselor, Dr. Grande was using defense mechanisms and free association to work with this client. The client is expressing a lot of anger and not sure what is causing it. As the session proceeds the client realizes that she is frustrated and overwhelmed with her home life. Through word association the client realizes that she has some anger towards her fiancé that she has been suppression. This misplaced anger is causing her to lash out in her daily life. As the theme of this session comes to the surface the client realizes that the word home is being associated with the words like structure and responsibility. The client is feeling like she is single and alone in her relationship.
The therapist took the time to develop rapport and understand the situation from the client perspective before introducing the exercise of free association. For the exercise, the therapist used words associated with the themes the client presented such as relationship, work, and power. The use of free association seemed to allow the client to explore the themes more deeply and she expressed greater awareness at the conclusion of the session. The counselor encouraged the client to utilize the new awarenesses in her life and offered to revisit the information at the next session. This video showed that methods of psychoanalysis can be utilized and still allow the client to be the expert and find their meaning.
The word association allowed the client to gain insight into her situation. She then was able to focus on the source of her anger and frustration.
Definitely, I think that it was a good tool to use to allow her and the counselor to see where her frustrations were stemming from.
Dalieta, in therapy you realize difficulties dealing with some clients. But some how during session, a particular word or idea may change the trajectory of the session. And that is what happened here,word association played the magic.
I'd like to know what happened to the client after this.
Psychodynamic therapy would be a lot more effective if there was less of a need for professionalism. The therapist cannot give their own opinions on the matter/relationships and it makes rapport very difficult to build. Without rapport, how can the client open up and truly express how they feel fully. The therapist should be genuine, empathetic and behave as normal as possible (not professional in that sense) for the client to feel comfortable. Just the client expressing (genuine) empathy can help them. I really think this needs to change about therapy, not to mention the prices.
I respond verrryyyy late but the purpose of psychotherapy is not to make new friends. You can be professional and empathetic. You need to understand the whole thing about what Freud called "transfert", not sure for the translation in English but something like "transference" I guess. Some psychotherapists (even in Freud's Era) tried a more empathetic and very parental/loving cure. There's arguments in favor of course but it is pretty dangerous to do that (attachment of the patient, difficulties when the cure will end) + we need to maintain a structuring frame/surrounding with professionalism. We're not robots, but we're not the patient's friends either.
Directing her towards insights into the blame game. The world and relationship "out there" is the source of my anger. Where's her responsibility in this? Maybe in video two I guess.
The therapist looks a bit rigid and angry too which is funny. Anyways thanks for the effort!
Why does he seem suspicious that she's lying? Is that part of it.
So ayorn! Forda watchmenay ang accla here kase waing subtitles dun sa gclassroom. Itis ay assignment sa intro to counselling actually pasahan nento mamayang 11:59 at tatlong for todays video ang need gawan ng reflection. Yun lang bayuuuut!
Is this CBT or psychodynamic therapy? Im confused. From my perspective its more CBT?
Dr. Josef Mengele I think Dr Grande’s background is CBT which accounts for the style but he’s presenting a psychodynamic process or technique, on the other hand he sort of sets homework, it’s structured like a CBT session but using psychodynamics.
Can we contact you directly ?
I dont understand why he didnt address the issue. They found out what was causing the anger, and then did nothing to problem solve.
Yo is this an assignment everyone is commenting like its a mandatory disscussion
the demonstration of free association in this role play is inaccurate . Word association is NOT free association, especially when the words are selected by the counsellor. He's narrowing and directing her associations.
This man is very fast passed and didn't seem to leave enough room for reflection. I realise was a role play yet I feel if you would have given her more time she would have found more responses. It was a little back and forth and interview style. At the end i felt it was leading a little, the man summed up as though lots of good work has happened but i feel like this should have been left for her to dwell on as we cannot know what is going on in someones mind. Overall, i did like it but unsure if it is psychodynamic in nature.
:)
The word frustrated has a fucking R in it. Holy shit.
I realize this is role play, but I don't think the woman has an issue other than an unhealthy relationship with a military member. I have seen MANY women trapped in this anger/depressive position who are unfamiliar with military life. Worse, because they are unmarried, she can't get support from base agencies or get him into mandatory family counseling. Does no one really see it is a domestic situation going bad?
It doesn't look a psychodynamic therapy. P.Ts take care of subconscious while he is not paying attention to that.
The therapist looks more pensive than the client.
Psychodynamic therapy
Feels distant