News Excerpt:
Recently, six individuals accused in the Parliament breach incident underwent psychoanalysis to ascertain their motives.
About Psychoanalysis:
- Psychoanalysis isn’t a form of psychotherapy but, in fact, a worldview.
- It was the first modern Western system of psychotherapy.
- The Viennese psychiatrist Sigmund Freud coined the term and developed psychoanalysis as a treatment modality for people presenting with symptoms that other physicians were unable to treat.
- Its evolution has been influenced by developments in neurology, psychiatry, psychology, philosophy, and the social and natural sciences.
- It aims to give people greater agency by facilitating awareness of their unconscious wishes and defences.
- According to psychoanalysis, the therapeutic relationship is itself a change mechanism.
What is the unconscious?
- The unconscious is conceptually central to psychoanalytic theory.
- Freud posited that certain memories and associated effects are cut off from consciousness because of their threatening nature.
- He believed that instinctual impulses and associated wishes – and traumatic memories – were also not allowed into awareness. This happened via cultural conditioning, in which people believed such instincts were ‘unacceptable’.
- For example, a person angry with their colleague may disavow these feelings and push them out of awareness by repressing them.
- Repression is an important psychoanalytic construct characterised by the unconscious forgetting of painful ideas or impulses to protect the psyche.
What are fantasies, defences, and resistance?
- Fantasies:
- Freud posited that fantasies served numerous psychic functions, including the need to feel safe, regulate self-esteem, and overcome traumatic experiences.
- According to him, fantasies are linked to sexual or aggressive wishes and provide imaginary wish fulfilment.
- Since fantasies are expected to motivate a person’s behaviour, he believed exploring and interpreting them was vital for psychoanalysis.
- Defence:
- A defence is an intrapsychic process that helps individuals avoid emotional pain by pushing thoughts, wishes, feelings, and fantasies out of conscious awareness.
- People can attribute their own threatening feelings or motives to another person via projection.
- And via reaction formation, they can deny a threatening feeling by claiming they’re experiencing the opposite.
- Resistance:
- Freud formalised the concept of resistance when he found his clients were reluctant to work with him.
- He asked them to engage in free association: they could say anything that came to their minds without self-censorship.
What are transference and countertransference?
- Transference:
- It wasn’t uncommon for his clients to view him as unjust if they had a tyrannical father.
- In Freud’s view, his clients were transferring a template from the past into the present.
- He believed transference provided a window of opportunity for a person to gain insights into the effects of adverse past experiences on current behaviour.
- Countertransference:
- Freud held that the therapist may have unresolved unconscious conflicts and that they paved the way for the therapist to develop feelings towards the client.
- So, in his view, the therapist had to work through their own countertransference via personal supervision or self-analysis.