Integrating expressive methods in a relational psychotherapy

Author(s):  
Richard G. Erskine

2018 ◽  
pp. 305-312
Author(s):  
Biljana van Rijn


Author(s):  
Paul L. Wachtel ◽  
Gregory J. Gagnon

This chapter covers an integrative psychotherapy known as cyclical psychodynamics and features its origins, applicability, assessment, treatment, therapy relationship, case example, outcome research, and future directions. Cyclical psychodynamics is an approach to theory and therapy that centers on the repetitive interaction cycles that maintain adaptive and maladaptive patterns of living. Employing concepts and methods from psychodynamic, behavioral, cognitive-behavioral, systemic, and humanistic-experiential perspectives, the aim is to interrupt these cycles to enable the person not only to be relieved of distressing symptoms but to live more fully and richly. A key focus is on how the person unwittingly recruits “accomplices” in the maintenance of the pattern through the behaviors his actions evoke in others. Also central is attention to the ways that early attachment experiences lead some of our thoughts, wishes, and feelings to be cast into the background, rendered difficult to access consciously or to draw upon adaptively in one’s life. The therapy proceeds integratively, attending both to the expansion of subjective experience and to more adaptive daily behavior, as well as to how each promotes the other.





2020 ◽  
pp. 002216782097389
Author(s):  
Robert M. Gordon ◽  
Jacqueline Fine Dahan ◽  
Joanna B. Wolfson ◽  
Erin Fults ◽  
Yuen Shan Christine Lee ◽  
...  

Unexpected traumatic events, including life-threatening medical conditions, brain injuries, and pandemics, can be catalysts for patients and clinicians to consider existential issues, including meaning in life. The existential–humanistic and relational perspectives on therapeutic interventions emphasize creating meaning, taking responsibility for one’s own life and self-narratives, choosing and actualizing ways of being in the world that are consistent with values, and expanding the capacity for agency, commitment, and action. Myriad factors have made the COVID-19 pandemic upsetting and potentially traumatic for individuals, including the novel experience of self and other as possibly infectious and dangerous, a sense that anyone is vulnerable, and protracted uncertainty about the duration of the crisis and its consequences. The vignettes included in this article explore risk and reliance factors relevant to patients with preexisting medical conditions during COVID-19 and highlight the benefits of exploring values, priorities, and assumptions, asking open-ended questions about meaning in life and posttraumatic growth, learning for each emotion, and interpretation of dreams. The existential–humanistic and relational approaches offer unique insights into how practitioners might help their patients to reflect on the unanticipated changes and anxieties ignited by COVID-19, while reinforcing the potential to live with greater purpose and intention.







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