BY IRA NAEEM AND QURA-TUL-ANN

Intellectual

and emotional insight into the cause of the problem Working though those insights Strengthening the egos control over the id and superego

Brief or Focal Psychoanalytic Psychotherapy is part of the theoretical framework of psychoanalysis. This means that you can work psychoanalytically not necessarily use the classic frame.

 One

example of these treatments in Argentina is the psychiatrist Hctor Fiorini, who supplemented his undergraduate training in a vast Psychoanalysis.
In 1973, he published his first paper on the subject: "Theories and Techniques of psychotherapy." His contributions to the systematization of focal psychotherapy have been sustained over time.

 In

this case, as in psychoanalytic therapy, the analysis seeks to transform the individual through introspective study of human beings, it assumes that our early experiences strongly influence our psychic development. However, brief psychodynamic psychotherapy is proposed specific objectives, not necessarily regresivante, you can go to technical resources that exceed the word (using the body, drama) and basically it is planned or focal.

Goal of brief Psychoanalysis

The treatment is aimed at solving a specific problem in a limited time. Therefore, the therapeutic work is structured around a focus, specific area or problem selected, strategic and willfully neglecting other areas of potential interest. The therapist works according to the agreement previously established with the patient in the diagnostic phase, using interventions not only floating, but also to direct intervention.

WHAT PROBLEM IS EXPECTED TO BE SOLVED? Being a focal therapy, the goals are limited and specific. In general, tend to increase the ability to make critical decisions, increase self-awareness, facilitate communication and interpersonal relationships, modify bodily processes, reduce emotional stress and facilitate the expression of inner feelings.
Fiorini brief therapy, specifically seeks to identify the conflicting forces of the patient both intrapersonal and interpersonal level, anchoring the experience in the present and the past, at a time.

Traditional
50

minute sessions 5 times per week Duration of several years

 Expectable

time for brief psychoanalysis

The duration of brief psychoanalytic therapies precisely cater to this aspect. The treatment does not exceed a few weeks or few months, scheduled one-hour weekly sessions. Of course, the variation depends on therapeutic goals. The important thing is establishing initial limits treatment duration. The number of sessions varies from one approach to another, but brief psychodynamic therapy is typically considered to be no more than 25 sessions (Bauer and Kobos, 1987).

The classical psychoanalytic frame is accessible to those who can afford extensive therapy, with weekly sessions frequent, with no time limit. In budgetary terms, is a privileged position, since only one segment of the population can access.

Crits-Christoph and Barber included models allowing up to 40 sessions in their review of short-term dynamic psychotherapies because of the divergence in the scope of treatment and the types of goals addressed (Crits-Christoph and Barber, 1991). For example, some brief psychodynamic models focus mainly on symptom reduction (Horowitz, 1991), while others target the resolution of the Oedipal conflict (Davanloo, as interpreted by Laikin et al., 1991. The length of therapy is usually related to the ambitiousness of the therapy goals. Most therapists are flexible in terms of the number of sessions they recommend for clinical practice. Often the number of sessions depends on a client's characteristics, goals, and the issues deemed central by the therapist.

The more advanced subjects related to their psychological development are ideal cases to work on focal psychotherapy.
We are talking about individuals with the ability to collaborate with the therapist in a productive partnership, which have or may become conscious of the disease and its responsibility or liability in it, with some degree of motivation for treatment and some confidence in the validity of the technical level of development of object relations evolved enough; moderate control over impulses, frustration tolerance, self-esteem means; intellectual level and appropriate symbolism to capture as quickly as possible direct or metaphorical interpretations.

 For

cases of subjects very regressive, dependent and immature, with poor object relations, which have not passed the omnipotent narcissism, brief psychodynamic psychotherapy is contraindicated. Also, in the case of rigid personalities and characteropathies becomes chronic.

 Transference
Identifying

resistance Free association Dream interpretation Psychopathology of everyday life

process in which the patient projects onto the analyst emotional attitudes felt as child toward important persons

 Behavior

that prevents insight or prevents unconscious material from coming into consciousness

therapeutic technique in which a person says anything that comes to mind with the goal of uncovering unconscious material.

therapeutic technique used to uncover unconscious process Manifest content Latent content (symbols)

Clients Most Suitable for Psychodynamic Therapy Brief psychodynamic therapy is more appropriate for some types of clients with substance abuse disorders than others. For some, psychodynamic therapy is best undertaken when they are well along in recovery and receptive to a higher level of self-knowledge. Although there is some disagreement in the details, this type of brief therapy is generally thought more suitable for the following types of clients: Those who have coexisting psychopathology with their substance abuse disorder Those who do not need or who have completed inpatient hospitalization or detoxification Those whose recovery is stable Those who do not have organic brain damage or other limitations due to their mental capacity