When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and TherapyBartlett, Steven J.
Science
When You Don't Know Where to Turn: A Self-Diagnosing Guide to Counseling and Therapy
Bartlett, Steven J.
Consumer education; Counseling; Psychotherapy
Psychoanalysis is a piece of the work of conciliation with one's
own origins. The important ability to be implacable, attached to
the wrong place in the neurotic unforgivingness toward ... [my]
parents, has been freed for aspects of life where it can be used
for efforts directed toward social change, the changing of
conditions that cause avoidable suffering to countless human
beings. The longtime impassable road of affection toward my
parents, based on humor, has been re-opened.[2]
[2] Tilmann Moser, _Years of Apprenticeship on the Couch: Fragments of
My Psychoanalysis_, trans. by Anselm Hollo (New York: Urizen Books,
1977), p. 18.
APPLICATIONS OF PSYCHOANALYSIS
In general, psychoanalysis is successful in bringing about what are
called _broad-spectrum improvements_. It is less intended for
abatement of specific symptoms. In other words, those with highly
_specific_ goals they wish to achieve through therapy tend not to be
good candidates for analysis. For example, a person seeking specific
and prompt relief from depression, public-speaking anxiety, or shyness
may not be appropriate for psychoanalysis. Long-term, intensive
psychoanalysis, because it is long-lasting and very detailed, can lead
to very broad improvements: a sense of increased satisfaction in daily
living; a stronger, more positive sense of self-esteem; a greater
capacity to enjoy and be at ease with others. In the process, specific
symptoms often do subside or disappear, but the focus is general, and
the patient must be willing to embrace a commitment to general
improvement.
On the other hand, _brief_ psychoanalysis may begin by focusing on
specific problems experienced by a patient, but treatment quickly
widens in scope to touch on matters that affect the {121} patient's
life in a general way. We saw this in Bobby's case, where recurrent
night terrors revealed his general need for the greater emotional
stability that comes from feeling settled, having friends, etc.
Psychoanalysis is best suited to problems that fall into two categories:
* Problems that are clearly "neurotic" in nature: they interfere with
living to some degree but do not totally impair you so that your life
is clearly out of control, as in cases involving psychoses (where you
are no longer able to distinguish reality from fantasies and
hallucinations), alcoholism, or drug addiction
* Problems that involve sexual difficulties, mood disturbances, and
impairment of personal relations, assuming that you are willing to work
on these problems within the wider focus that analysis usually requires
Public-domain text, read in full here on John Shaqi.
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