A Question of Time: Essentials of Brief Dynamic by Angela Molnos

By Angela Molnos

Describes and explains the unfairness opposed to short psychotherapy, while stressing the significance of actively hard resistance and dealing during the transference. additionally covers the confident use of anger - even from the 1st consultation.

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E X A M P L E 9: the presenting problem (C) T h e s a m e patien t (Tim) feels low, d e p r e s s e d , u n w o r t h y of love, a n d he w a n t s to leave h i s girlfriend, J i l l . H e c a n n o t tal k to h e r , does not feel a n y t h i n g for h e r , c a n n o t tolerate (D) h e r t o u c h i n g h i m or telling h i m " I love y o u " . He i s a n x i o u s (A = anxiety) a n d feels like r u n n i n g away. H e h a s n o i d e a of w h a t i s h a p p e n i n g to h i m , w h a t i s u n d e r n e a t h it a l l (X = tru e feelings, unknown).

The question of what makes a therapy psycho­ analytic can be answered with two key concepts: boundaries and transference. Boundaries and therapeutic space The special space that is the therapeutic situation is estab­ lished and maintained by the therapist through the boundaries. Boundaries may be seen to have three func­ tions. One Is to carve out a special space from everyday life. The other two are to create a secure base for the therapeutic process and to set a baseline for observation. The issue of boundaries is often neglected.

T h e few p a t i e n t s w h o a s k for b r i e f t h e r a p y m o r e often t h a n not J u s t w a n t to get it over w i t h q u i c k l y a n d avoid the p a i n of c h a n g e . T h e few t h e r a p i s t s 10 A QUESTION OF TIME w h o p r a c t i s e brief d y n a m i c p s y c h o t h e r a p y ( B D P ) i n t h i s c o u n t r y do not feel entirely at eas e w i t h it. T h e p r e j u d i c e s agains t a n y form of brief, time-limite d a n a l y t i c p s y c h o t h e r a p y are w i d e - s p r e a d .

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