Psychodynamic Techniques: Working with Emotion in the by Karen J. Maroda

By Karen J. Maroda

Helping therapists navigate the complexities of emotional interactions with consumers, this ebook presents useful scientific instructions. grasp clinician Karen J. Maroda provides a massive size to the psychodynamic literature by means of exploring the position of either consumers' and therapists' emotional studies within the strategy of treatment. The e-book discusses how one can develop into extra attuned to one's personal adventure of a shopper; provide direct suggestions and self-disclosure within the provider of remedy targets; and deal with severe emotions and clash within the courting. particular ideas are illustrated with bright case examples. Maroda basically distinguishes among healing and nontherapeutic how you can paintings with emotion during this candid and instructive guide.

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Example text

I asked her what sites she went to. She blushed and said she often went to soft porn sites. I noted that she was interested in sex, but not sex with her boyfriend. She agreed and seemed relieved that I did not express any shock or disapproval about her interest in looking at nude pictures. I asked her about what kind of nudity 24 PSYCHODYNAMIC TECHNIQUES it was, and she replied that she looked at pictures of naked people and some sexual scenes, but nothing kinky or weird. I want to note here that Jennifer was not reluctant to answer my questions, but she also did not volunteer anything that wasn’t asked.

Saying something like “That must have been difficult for you” is often quite enough, even when the client has been severely traumatized. It will not be lost on her that you are listening, asking questions, encouraging her to say more, and registering empathic facial expressions. With this type of person, less is more. The rare client who routinely rejects even the most minimal empathy has a poor prognosis. One woman I treated could not articulate any real emotion other than anger (alexithymia).

Basic Empathy Most students of psychotherapy become familiar with the basic concept of empathy early in their training. They practice rephrasing other people’s statements, focusing particularly on the emotion that is direct or implicit. Higher levels of empathy require transcending the parrotlike responses practiced by new trainees, integrating observations of the client’s body language, facial expression of emotion, and the implications of the client’s expressed thoughts. When the client is in denial, or feels guilty about his emotions, the therapist’s ability to reflect what he is really feeling can be extraordinarily liberating.

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