In psychodynamic psychotherapy, working through is seen as the process of repeating, elaborating, and amplifying interpretations. It is believed that such working through is critical towards the success of therapy. [1]
The concept was introduced by Sigmund Freud in 1914, [2] and assumed ever greater importance in psychoanalysis, in contrast to the immediacy of abreaction. [3]
Interpretations are made when the client comes up with some material, be it written, a piece of art, music, or verbal, and are intended to bring the material offered into connection with the unconscious mind. Because of the resistance to accepting the unconscious, interpretations, whether correct or partially incorrect, consciously accepted or rejected, will inevitably require amplifying and extending to other aspects of the client's life. [4]
In a process Sandor Rado compared to the labour of mourning, the unconscious content must be demonstrated repeatedly in all its various forms and linkages – the process of working through. [5]
Because of the power of resistance, [6] the client's rational thought and conscious awareness may not be sufficient on their own to overcome the maladjustment, entailing further interpretation and further working through. [7]
Before formulating the concept of working through, in his case study of the Rat Man, Freud wrote of his interpretations: [8]
"It is never the aim of discussions like these to create convictions. They are only intended to bring the repressed complexes into consciousness...and to facilitate the emergence of fresh material from the unconscious. A sense of conviction is only attained after the patient has himself worked over the reclaimed material".
The necessity of working through the transference is stressed in almost all forms of psychodynamic therapy, from object relations theory, [9] through the openings offered for working through by transference disruption in self psychology, [10] to the repetitive exploration of the transference in group therapy. [11]
Jacques Lacan compared the process of working-through to the stylistic recommendations of Boileau: "Cent fois sur the métier, remettez...A hundred times consider what you've said"(Pope). [12]
Psychoanalysis is a set of theories and therapeutic techniques that deal in part with the unconscious mind, and which together form a method of treatment for mental disorders. The discipline was established in the early 1890s by Austrian neurologist Sigmund Freud, who developed the practice from his theoretical model of personality organization and development, psychoanalytic theory. Freud's work stems partly from the clinical work of Josef Breuer and others. Psychoanalysis was later developed in different directions, mostly by students of Freud, such as Alfred Adler and his collaborator, Carl Gustav Jung, as well as by neo-Freudian thinkers, such as Erich Fromm, Karen Horney, and Harry Stack Sullivan.
Psychoanalytic theory is the theory of personality organization and the dynamics of personality development that guides psychoanalysis, a clinical method for treating psychopathology. First laid out by Sigmund Freud in the late 19th century, psychoanalytic theory has undergone many refinements since his work. The psychoanalytic theory came to full prominence in the last third of the twentieth century as part of the flow of critical discourse regarding psychological treatments after the 1960s, long after Freud's death in 1939. Freud had ceased his analysis of the brain and his physiological studies and shifted his focus to the study of the mind and the related psychological attributes making up the mind, and on treatment using free association and the phenomena of transference. His study emphasized the recognition of childhood events that could influence the mental functioning of adults. His examination of the genetic and then the developmental aspects gave the psychoanalytic theory its characteristics. Starting with his publication of The Interpretation of Dreams in 1899, his theories began to gain prominence.
Free association is the expression of the content of consciousness without censorship as an aid in gaining access to unconscious processes. The technique is used in psychoanalysis which was originally devised by Sigmund Freud out of the hypnotic method of his mentor and colleague, Josef Breuer.
The genital stage in psychoanalysis is the term used by Sigmund Freud to describe the final stage of human psychosexual development. The individual develops a strong sexual interest in people outside of the family.
In psychology, displacement is an unconscious defence mechanism whereby the mind substitutes either a new aim or a new object for goals felt in their original form to be dangerous or unacceptable.
Countertransference is defined as redirection of a psychotherapist's feelings toward a client – or, more generally, as a therapist's emotional entanglement with a client.
Transference is a phenomenon within psychotherapy in which the feelings a person had about their parents, as one example, are unconsciously redirected or transferred to the present situation. It usually concerns feelings from a primary relationship during childhood. At times, this transference can be considered inappropriate. Transference was first described by Sigmund Freud, the founder of psychoanalysis, who considered it an important part of psychoanalytic treatment.
Psychodynamic psychotherapy or psychoanalytic psychotherapy is a form of psychoanalysis and/or depth psychology, the primary focus of which is to reveal the unconscious content of a client's psyche in an effort to alleviate psychic tension, which is inner conflict within the mind that was created in a situation of extreme stress or emotional hardship, often in the state of distress. It evolved from and largely replaced psychoanalysis in the mid-20th century.
Repression is a key concept of psychoanalysis, where it is understood as a defence mechanism that "ensures that what is unacceptable to the conscious mind, and would if recalled arouse anxiety, is prevented from entering into it." According to psychoanalytic theory, repression plays a major role in many mental illnesses, and in the psyche of the average person.
Depth psychology refers to the practice and research of the science of the unconscious, covering both psychoanalysis and psychology. It is also defined as the psychological theory that explores the relationship between the conscious and the unconscious, as well as the patterns and dynamics of motivation and the mind. The theories of Sigmund Freud, Carl Gustav Jung, and Alfred Adler are all considered its foundations.
In psychology, intellectualization is a defense mechanism by which reasoning is used to block confrontation with an unconscious conflict and its associated emotional stress – where thinking is used to avoid feeling. It involves removing one's self, emotionally, from a stressful event. Intellectualization may accompany, but is different from, rationalization, the pseudo-rational justification of irrational acts.
Repetition compulsion is a psychological phenomenon in which a person repeats an event or its circumstances over and over again. This includes re-enacting the event or putting oneself in situations where the event is likely to happen again. This "re-living" can also take the form of dreams in which memories and feelings of what happened are repeated, and even hallucinated.
Psychodynamics, also known as psychodynamic psychology, in its broadest sense, is an approach to psychology that emphasizes systematic study of the psychological forces that underlie human behavior, feelings, and emotions and how they might relate to early experience. It is especially interested in the dynamic relations between conscious motivation and unconscious motivation.
In psychoanalysis, preconscious is the loci preceding consciousness. Thoughts are preconscious when they are unconscious at a particular moment, but are not repressed. Therefore, preconscious thoughts are available for recall and easily 'capable of becoming conscious'—a phrase attributed by Sigmund Freud to Josef Breuer.
In the psychology of defense mechanisms and self-control, acting out is the performance of an action considered bad or anti-social. In general usage, the action performed is destructive to self or to others. The term is used in this way in sexual addiction treatment, psychotherapy, criminology and parenting. In contrast, the opposite attitude or behaviour of bearing and managing the impulse to perform one's impulse is called acting in.
Resistance, in psychoanalysis, refers to oppositional behavior when an individual's unconscious defenses of the ego are threatened by an external source. Sigmund Freud, the founder of psychoanalytic theory, developed his concept of resistance as he worked with patients who suddenly developed uncooperative behaviors during sessions of talk therapy. He reasoned that an individual that is suffering from a psychological affliction, which Freud believed to be derived from the presence of suppressed illicit or unwanted thoughts, may inadvertently attempt to impede any attempt to confront a subconsciously perceived threat. This would be for the purpose of inhibiting the revelation of any repressed information from within the unconscious mind.
Identification is a psychological process whereby the individual assimilates an aspect, property, or attribute of the other and is transformed wholly or partially by the model that other provides. It is by means of a series of identifications that the personality is constituted and specified. The roots of the concept can be found in Freud's writings. The three most prominent concepts of identification as described by Freud are: primary identification, narcissistic (secondary) identification and partial (secondary) identification.
Psychoanalytic dream interpretation is a subdivision of dream interpretation as well as a subdivision of psychoanalysis pioneered by Sigmund Freud in the early twentieth century. Psychoanalytic dream interpretation is the process of explaining the meaning of the way the unconscious thoughts and emotions are processed in the mind during sleep.
Robert Joseph Langs was a psychiatrist, psychotherapist and psychoanalyst, the author, co-author, and editor of more than forty books on psychotherapy and human psychology. Over the course of more than fifty years, Langs developed a revised version of psychoanalytic psychotherapy, currently known as the “adaptive paradigm”. This is a distinctive model of the mind, and particularly of the mind’s unconscious component, significantly different from other forms of psychoanalytic and psychodynamic psychotherapy.
Negative transference is the psychoanalytic term for the transference of negative and hostile feelings, rather than positive ones, onto a therapist.