1. Describe the goals and techniques in psychoanalysis.
Psychoanalysis is a therapeutic approach developed by Sigmund Freud, aiming to treat mental health issues by exploring the unconscious mind
and past experiences. The primary goals of psychoanalysis include:
1. *Self-awareness*: Helping patients understand unconscious thoughts, feelings, and memories that contribute to their distress.
2. *Conflict resolution*: Resolving unconscious conflicts that lead to distressing symptoms.
3. *Behavioral change*: Enabling patients to make positive changes in their thoughts, feelings, and behaviors.
To achieve these goals, psychoanalysts employ several techniques:
1. *Free association*: Patients express thoughts, feelings, and memories without censorship, allowing access to unconscious material.
2. *Dream analysis*: Examining dreams to uncover hidden desires, conflicts, and unresolved issues.
3. *Transference*: Analyzing patients' feelings and attitudes toward important figures in their lives, redirected toward the analyst.
4. *Resistance analysis*: Identifying and working through patients' defenses against confronting uncomfortable truths.
5. *Interpretation*: Analysts provide insights into patients' unconscious thoughts, feelings, and motivations.
Through these techniques, psychoanalysts help patients:
1. Understand and resolve unconscious conflicts.
2. Develop greater self-awareness.
3. Improve relationships and coping mechanisms.
While traditional psychoanalysis has evolved, its principles remain influential in modern psychotherapies, offering a profound understanding of
human psychology.
2.Explain existential therapy in terms of view of human nature, goals, and techniques.
Existential therapy is a profound and thought-provoking approach to psychotherapy that delves into the fundamental aspects of human
existence. At its core, existential therapy views human nature as inherently free, responsible, and capable of self-awareness, yet simultaneously
confronted with the inherent ambiguities and uncertainties of life.
*View of Human Nature*
Existential therapists perceive humans as dynamic, complex beings who are constantly struggling to find meaning and purpose in an apparently
indifferent and often chaotic world. This perspective emphasizes individual freedom, acknowledging that people have the capacity to choose
their own path, create their own values, and shape their own destiny. However, this freedom also brings responsibility and anxiety, as individuals
must confront the consequences of their choices.
In this framework, human nature is not seen as predetermined by external factors such as genetics, environment, or societal expectations.
Instead, individuals are viewed as beings who continually create and recreate themselves through their experiences, relationships, and
decisions. Existential therapists also recognize the inherent fragility and impermanence of human existence, acknowledging that mortality, loss,
and uncertainty are inescapable aspects of life.
*Goals*
The primary goals of existential therapy are:
1. *Increased self-awareness*: Helping clients develop a deeper understanding of their own values, beliefs, and purposes.
2. *Authenticity*: Encouraging clients to live genuinely, embracing their uniqueness and taking responsibility for their choices.
3. *Existential awareness*: Acknowledging and accepting the inherent uncertainties and ambiguities of life.
4. *Meaning-making*: Assisting clients in creating their own meaning and purpose in life.
*Techniques*
Existential therapists employ various techniques to facilitate clients' exploration of their existence:
1. *Phenomenological exploration*: Investigating clients' subjective experiences, emotions, and thoughts to gain insight into their worldview.
2. *Descriptive reflection*: Reflecting back clients' words and actions to promote self-awareness and clarity.
3. *Existential inquiry*: Encouraging clients to confront and explore fundamental questions about existence, such as "What is the meaning of
my life?" or "How do I cope with uncertainty?"
4. *Paradoxical intention*: Helping clients confront and resolve contradictions and paradoxes in their thoughts, feelings, and behaviors.
5. *Emphasis on the present moment*: Focusing on the here-and-now experience, rather than dwelling on past regrets or future anxieties.
*Therapeutic Relationship*
The therapeutic relationship in existential therapy is characterized by:
1. *Authenticity*: The therapist strives to be genuine, transparent, and empathetic.
2. *Non-judgmental attitude*: The therapist avoids imposing values or expectations, instead encouraging clients to explore their own.
3. *Collaborative exploration*: Therapist and client engage in a joint inquiry into the client's existence.
In summary, existential therapy offers a unique perspective on human nature, emphasizing individual freedom, responsibility, and self-
awareness. By acknowledging the inherent complexities and uncertainties of life, existential therapists empower clients to create their own
meaning, purpose, and authenticity. Through a range of techniques and a genuine therapeutic relationship, clients are encouraged to confront
and embrace the ultimate questions of existence, cultivating a deeper understanding of themselves and their place in the world.
*3. Cause of Psychological Distress according to Person-Centred Therapy*
In person-centred therapy, psychological distress is attributed to conditions of worth, incongruence, and lack of empathy. Carl Rogers, the
founder, proposed that individuals experience distress when their self-concept doesn't align with their ideal self. This discrepancy arises from:
- Conditions of worth: When self-worth is contingent upon external validation, individuals struggle to meet unrealistic expectations.
- Incongruence: A mismatch between the true self and the presented self leads to internal conflict.
- Lack of empathy: Unconditional acceptance and understanding from others are essential; without it, self-acceptance is challenging.
Person-centred therapy focuses on creating a supportive environment where clients can explore and reconcile these discrepancies, fostering
self-awareness, acceptance, and personal growth.
*4. Art Therapy: Definition, Steps, and Techniques*
Art therapy is a form of psychotherapy that harnesses creative expression to explore and resolve emotional conflicts. It combines art-making
with psychological principles to promote self-awareness, catharsis, and healing.
Steps:
1. Introduction and assessment
2. Establishing a therapeutic relationship
3. Art-making (drawing, painting, sculpting, etc.)
4. Reflection and processing
Techniques:
- Free drawing: Uninhibited expression
- Guided imagery: Directed visualization
- Art journaling: Reflective writing and drawing
- Collage: Exploring relationships between images
- Sculpture: Three-dimensional representation
Art therapy provides an alternative to verbal communication, allowing clients to express and process complex emotions in a non-threatening,
creative manner.
*5. Approaches to Dance and Movement Therapy*
Dance and movement therapy (DMT) utilizes movement to promote emotional expression, physical awareness, and psychological well-being.
Approaches include:
1. Authentic Movement: Fostering mindfulness and inner awareness through spontaneous movement.
2. Laban Movement Analysis: Analyzing movement patterns to understand emotional states.
3. Dance/Movement Psychotherapy: Integrating psychotherapeutic principles with movement.
4. Mind-Body Therapy: Combining movement with mindfulness and relaxation techniques.
DMT sessions involve:
- Warm-up exercises
- Movement exploration
- Verbal processing and reflection
- Closure and integration
This holistic approach helps clients develop self-awareness, regulate emotions, and enhance overall well-being.
*6. Stages of Drama Therapy*
Drama therapy involves six stages:
1. Establishing a relationship: Building trust between therapist and client.
2. Assessment: Identifying client goals and needs.
3. Warm-up: Preparing client for therapy through relaxation and improvisation.
4. Action: Using drama techniques (e.g., role-playing, improvisation) to explore issues.
5. Processing: Discussing and reflecting on the drama experience.
6. Closure: Integrating insights and planning for future actions.
These stages facilitate personal growth, self-awareness, and emotional expression.
*7. Motivational Interviewing*
Motivational interviewing (MI) is a goal-oriented, client-centered approach to elicit behavioral change. Developed by Miller and Rollnick, MI
involves:
1. Establishing empathy and rapport.
2. Identifying and exploring ambivalence.
3. Developing discrepancy (awareness of harmful behaviors).
4. Avoiding argumentation.
5. Supporting self-efficacy.
6. Encouraging commitment to change.
MI helps individuals resolve conflicting motivations and move toward positive change.
*8. Geriatric Counselling*
Geriatric counseling addresses the unique mental health concerns of older adults (65+). Key considerations:
1. Life review and legacy work.
2. Coping with loss (grief, health decline).
3. Managing chronic health conditions.
4. Social isolation and connection.
5. Cognitive changes and dementia.
6. End-of-life planning.
Geriatric counselors adapt interventions to address age-related challenges and promote well-being.
*9. A-B-C Model*
The A-B-C model, developed by Ellis and Beck, is a cognitive-behavioral framework:
A (Activating Event): Identifying the triggering event.
B (Beliefs): Examining thoughts and assumptions related to A.
C (Consequences): Understanding emotional and behavioral responses.
This model helps individuals identify and challenge distorted or unhelpful thinking patterns, leading to more constructive coping strategies.
*10. Systematic Desensitization*
Systematic desensitization, developed by Joseph Wolpe, is a behavioral technique to overcome phobias and anxieties:
1. Identify and rank feared stimuli.
2. Teach relaxation techniques (e.g., progressive muscle relaxation).
3. Create a hierarchy of anxiety-provoking situations.
4. Gradually expose client to each situation, starting from least anxiety-provoking.
5. Maintain relaxation during exposure.
This process helps individuals gradually become comfortable with previously feared stimuli.