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Supportive Psychotherapy- High Yield Facts
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FORUM FOR PSYCHIATRY RESIDENTS :: Psychiatry :: Psychiatry-Neurology-Psychology discussion :: Psychotherapy
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Supportive Psychotherapy- High Yield Facts
Supportive Psychotherapy- High Yield Facts
Hi Friends,
This thread is dedicated to "Supportive Psychotherapy" facts.
Everyone is welcomed to add the facts here.
INDEX:
Page 1:
• Psychoanalytic Psychotherapy Vs Supportive Psychotherapy
• Conversational Style & Objectives
• Praise, Reassurance, Encouragements, Rationalizing & Advice
Regards
Admin
Hi Friends,
This thread is dedicated to "Supportive Psychotherapy" facts.
Everyone is welcomed to add the facts here.
INDEX:
Page 1:
• Psychoanalytic Psychotherapy Vs Supportive Psychotherapy
• Conversational Style & Objectives
• Praise, Reassurance, Encouragements, Rationalizing & Advice
Regards
Admin
Last edited by Admin on Sat Jan 21, 2012 2:24 am; edited 4 times in total
Re: Supportive Psychotherapy- High Yield Facts
Psychoanalytic Psychotherapy Vs Supportive Psychotherapy
Major difference is that in supportive psychotherapy, transference is not ordinarily on the table for discussion.
Conscious problem or conflicts are addressed in supportive psychotherapy; whereas in Psychoanalytic Psychotherapy, unconscious conflicts that produced the symptoms are worked through.
Major difference is that in supportive psychotherapy, transference is not ordinarily on the table for discussion.
Conscious problem or conflicts are addressed in supportive psychotherapy; whereas in Psychoanalytic Psychotherapy, unconscious conflicts that produced the symptoms are worked through.
Re: Supportive Psychotherapy- High Yield Facts
Conversational Style & Objectives:
When faced with a long pause:-
Supportive therapist thinks "Is there any reason why I should not speak?", whereas
Expressive therapist thinks "Is there any indication for me to speak?"
"Be as supportive as you can be so that you can be as expressive as you will need to be" (Wachtel 1993, p.155)
It is not good form to ask too many questions- but if a question is asked, the issue should not be abandoned without an attempt to get an answer.
Jumping to adaptive solutions without understanding the patient' emotional response is as wrong as ignoring adaptive strategies.
Therapeutic alliance is the most important element of therapy.
When faced with a long pause:-
Supportive therapist thinks "Is there any reason why I should not speak?", whereas
Expressive therapist thinks "Is there any indication for me to speak?"
"Be as supportive as you can be so that you can be as expressive as you will need to be" (Wachtel 1993, p.155)
It is not good form to ask too many questions- but if a question is asked, the issue should not be abandoned without an attempt to get an answer.
Jumping to adaptive solutions without understanding the patient' emotional response is as wrong as ignoring adaptive strategies.
Therapeutic alliance is the most important element of therapy.
drkamalika- Moderator
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Re: Supportive Psychotherapy- High Yield Facts
Praise:
- If therapist expresses praise for something that patient cannot feel good about, therapist's words will be ineffective & may even have a negative effect.
- Find opportunities to respond with honest praise.
Reassurance:
- Must be honest
- It is never acceptable to offer reassurance that is simply what patient/family wants to hear.
- Adages and maxims are a form of normalizing
Encouragements:
- is powerful, because people want to believe that their efforts will lead to something.
- Two meaning of word "encourage"- to stimulate, and to give hope.
Rationalizing and Reframing:
- The challenge here to avoid sounding fatuous and to avoid what may appear to be argument or contradiction.
Advice:
- important tactic
- not to give advice on issues about which patient can make his or her own decisions.
- appropriate to give advice about activities of daily living to seriously impaired patients.
- If therapist expresses praise for something that patient cannot feel good about, therapist's words will be ineffective & may even have a negative effect.
- Find opportunities to respond with honest praise.
Reassurance:
- Must be honest
- It is never acceptable to offer reassurance that is simply what patient/family wants to hear.
- Adages and maxims are a form of normalizing
Encouragements:
- is powerful, because people want to believe that their efforts will lead to something.
- Two meaning of word "encourage"- to stimulate, and to give hope.
Rationalizing and Reframing:
- The challenge here to avoid sounding fatuous and to avoid what may appear to be argument or contradiction.
Advice:
- important tactic
- not to give advice on issues about which patient can make his or her own decisions.
- appropriate to give advice about activities of daily living to seriously impaired patients.
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