Why Is Long-term Dynamic Therapy Needed?

2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43

What is long-term dynamic therapy and how does it differ from

short term? Why in some cases it is necessary to use this particular type

psychotherapy, and what happens to a person while using this

approach?

For some reason, short-term therapy often does not provide effective

result? Session, second, third … Nothing works. It's all about the absence

feelings of closeness and affection between the therapist and the client - many

people at the third and even the tenth meeting cannot fully open up to the therapist.

At this stage, the person still does not feel a kindred spirit and, accordingly, does not

trusts a "stranger" to him. The situation can be viewed in a simple

example. If the therapist tells the client that he is living the wrong way, respond

the reaction is easy to predict - defense and denial. A person will argue that everything is fine in his life and will make a decision that he does not need an outsider

help. Why? Anyone will be unpleasant to hear from a stranger that something is wrong with him.

Interestingly, it is enough for the therapist to simply say what he sees.

For example, the client avoids responsibility. Therapist not considering the flaw

inner closeness with a person, utters an elementary phrase: “A person, who avoids responsibility - cowardly, unreliable, infantile and

selfish person. The reaction to such a statement would be quite logical -

the client will decide to end the therapy sessions and no progress will be made

will, or think, that the therapist has decided to pounce on him with criticism.

However, in this case, opposing oneself to the therapist's phrase is an erroneous

action, since each person is special in his own way, and the therapist accepts and understands anyone. That is why, first of all, to protect the human psyche, its soft and beneficial process of growth and development, the correct perception of phrases without interpreting them as accusations and attempts to humiliate a person, long-term psychotherapy is recommended.

If there is no trust between people, the personal feelings of anyone may be affected.

an explosive response (in most cases) is quite natural and

fine. In the process of building trust, you can look at personal characteristics from a neutral point of view, critically assess some of your qualities without feeling offended by the words of another person. The task of the psychotherapist is not to offend and touch the deep feelings of the client; on the long path of psychotherapy, a person must hear his therapist and realize his “I”, analyze certain actions that are committed for the sake of the chosen goal, and find out his needs. This process is called the interpretation of certain aspects of behavior and mental life. If desired, the information received can be transformed, but few are ready for this step, therefore, sometimes at the stage of therapy, it is quite enough for a person to understand the consequences of his actions, to understand character in all its manifestations and mental life.

What other stage takes a lot of time in therapy? IN

in the vast majority of cases, a person needs to work for a long time to

accept and experience your imperfection. This aspect is personal, because each of us has our own views on "imperfection". Quite often there are situations when the client is so consumed with feelings of shame, guilt and fear that he absolutely cannot admit something to the therapist. For example, people with the character of narcissists can show their true feelings of shame after at least a year of work, only at the moment when they are already firmly convinced that no one wishes them harm, no one will condemn and offend, and will not cause inner pain.

Therapy is not just a pleasure, it is much more. Psychotherapy is

search for the source of personal pain, thresholds of sensitivity, vulnerability, so sometimes the process itself can be somewhat painful. First of all, at the stage of searching for personal boundaries, the understanding and understanding of which requires the relationship that has been formed between the client and the therapist. Anyone who is convinced of the good and warm intentions of his therapist can be loyal to his imperfection. Absolutely any action of the patient on the part of the psychotherapist should have adequate feedback.

Thus, therapy consists of four main stages - to hear

the therapist, to realize everything said, accept and experience. The fifth stage -

transforming is the immediate task of the client himself. If a person

wants, he himself must take certain steps for changes in life and, with

desire, share the result with your psychotherapist.

What else is possible in long-term therapy and not possible in short-term?

Rarely enough there are cases when in just 1-10 sessions it is possible to excavate

a huge deep piece, but most often such a situation is available if a person

psychologically ready and visited a psychotherapist before with a certain break.

Relatively speaking, he is scientific, he understands his feelings well and understands them.

The same is true for people with a “low” threshold of trust, who quickly form close and trusting relationships with strangers.

However, in most cases, many of us are not formed correctly

the trust. Why? We are all children of the post-Soviet space, children of those times when the child after birth was not even given to the mother to breastfeed. This is the very first bug, after which trust begins to sink in the child's psyche.

Additional factors - parents left early for work, leaving us alone, were constantly busy

"Extraction" of money, did not get emotionally involved in our problems, sometimes they didn’t even

reacted to our actions … Such moments have contributed to the wrong formation of trust among entire generations.

Long-term therapy not only generates trust between the therapist and

the patient, it removes the defense mechanisms and transforms them to a higher level.

Why are there two categories of people who go to psychotherapy - successful and less successful? The thing is that at the peak of the sessions it is necessary not

only to remove the protective mechanisms, but also to build new ones correctly. The stage of building a defense barrier in psychotherapy is a rather crucial moment at which you need to learn to live again. Therefore, regardless of the number of experiences, a person should continue therapy for some time.

What makes it possible to see defense mechanisms in long-term therapy?

Due to certain points of resistance to the therapy itself (for example, the patient became often late or forgot money). With a therapeutic mindset, the therapist can properly process the information received.

What is the therapist's reaction to the absence of a client or another delay?

1. Analysis of the current situation (Why didn't the client come today?

stressful moments for a person lately? What changed?).

2. Analysis of the therapist's actions in relation to the client (Maybe there was

fewer inclusions on the part of the therapist, so the client is offended and silent?)

3. Comparison of the client's life and family situation with the course of therapy

(for example, the client's opinion that he is dependent on psychotherapy sessions, as

parents - they try to keep him in one place and not let him go anywhere).

The mechanism of human action in response to long-term psychotherapy can be

various - from the banal avoidance of direct contact with a psychotherapist to

deep feelings of guilt and heaviness. However, regardless of our feelings, they should not be hidden - this is the only way to fully realize and control our behavior. Such unconscious behavior and uncontrollable actions are clearly manifested in places of resistance.

Another compelling argument for long-term therapy - all of our views

in relation to contacts and close relationships are laid and

are finally formed in early childhood. It refers to trust, fear,

desire and need for intimacy, fear of loneliness, absorption, desire

absorb and so on. All of the listed internal sensations are formed up to three years, completely the human psyche by the choice of contacts and the perception of his partner is laid up to seven years. Many of us do not remember our early childhood at all, so it is quite difficult to extract such moments from memory. There are various techniques for this - body-oriented exercises, Bert Hellinger's constellation method, hypnosis. However, those wishing to practice in this direction need to remember that the use of such techniques is not the only tool that will instantly give answers to all questions of interest. It is imperative that a clear analysis of the line of the past and the present is necessary - how it was then, how it is happening now, why at this stage of life the actions and feelings of a person are intertwined.

Why is this approach important? This makes it possible to change the past in your mind and act differently - "At this point I would like to do this and make a completely opposite decision." The mechanism of action of our brain is difficult to explain, but at a certain moment something “clicks” inside, and everything falls into place. Often, it takes time to completely collect the overall picture from a huge number of puzzles - this segment may be different for each person.

The average statistical time for building trust is a year. This is

the most optimal time period for obtaining sufficiently significant results. For comparison, an interesting parallel can be drawn between psychotherapy sessions and training in the gym. Ten sessions of therapy "feel like" three sessions in the gym - muscles ache, we feel them, but we still do not understand how to work with them correctly.

For whom in particular is long-term psychotherapy recommended? For people with

certain difficulties in finding a partner and building harmonious

relationship. In therapy, it is very clear and clearly visible what feelings the person evokes in

partner - the therapist feels this through the processes of transference and

countertransference. For example, if a client perceives their therapist as

mothers, the reaction will be reciprocal. The psychotherapist does not unconsciously act out the role, he accepts this fact on the basis of logic and knowledge, forming a certain hypothesis and interpretation. It is at such points of contact that one can see mistakes in the client's behavior, understand the partner's responses, answer questions of interest (Why does the partner avoid close relationships or, conversely, stick "like a bath leaf" and haunt?).

Such subtle nuances, invisible to others, can be detected

only on long-term dynamic therapy. Places of stress, reasons and way of leaving them, relationships with a partner and others - all these issues are clearly traced, discussed, interpreted, experienced and, if the client wishes, are transformed. The most important task of a person in sessions is to realize and accept.

In the early stages of communication with a psychotherapist, many people have quite

a logical question: “How is my personal relationship related to the therapy sessions? to me

will need to behave with the therapist the same way as with the partner? This assumption is fundamentally wrong. In close relationships, we behave the same, so

it is easy for a psychotherapist to understand and trace a certain pattern of client behavior.

Typically, the basis of the model is taken from the relationship between the child and the mother.

Mom is the first person in the life of each of us, the connection with mom is inseparable from the first day of conception, she knows her child best of all. After birth, in the first six months of life, the baby perceives only his mother, who is much closer and dearer to him, and then begins to distinguish between mother, father, and other people.

In relationships as in life - we got experience and applied it in practice.

The first experience of relationship we get with a mother, this is exactly the model of behavior we will have with the therapist, partner, husband (wife). With friends, there may be a slightly different story, because we do not become so intimately attached to them, we do not fully open our souls and hearts. But the situation with a psychotherapist is special - here a person, in moments of intimate and spiritual closeness, can fully open his soul, as in front of a mother, various inconsistent and opposite emotions can turn on in his head - a thirst for insane attention, counter-dependence, an irrepressible desire to escape. All these sensations and feelings the therapist understands through the countertransference process.

So, let's summarize. What are the benefits of long-term therapy?

1. You can see and understand the invisible aspects of the client's life, understand

life foundations of a person, which can give him certain bugs in life, cause inconvenience and discomfort. The person makes the decision on further transformation independently.

2. The ability to accept your imperfection and adapt to it. Not

love crowds of people? Don't like aggressive men? It is necessary to act in the opposite direction to achieve complete personal comfort and coziness.

3. Experience of building relationships with another person and communicating with oneself

yourself, understanding your aspirations, actions, desires. First of all

long-term therapy is aimed at teaching the client a dialogue with the inner self in a positive, warm and kind manner. This is the only way to be healthy and rational.

reason inside. At the initial stages, this dialogue resembles a session with

psychotherapist, but over time, the stage of internal dependence on the therapist will pass.

4. Safe environment for the experience - the therapist will not reject, not

will expel, not condemn, not be offended, will show by example and explain why some

actions can offend others. The main task of the therapist is to think about

the client and what will be useful for him. And only starting from this point, the therapist can make any interpretations, make hypotheses, ask questions and share their feelings.