The Efficacy of Psychodynamic Psychotherapy – Jonathan Shedler

 

 

English: Boulders, boulders and more boulders ...

English: Boulders, boulders and more boulders in Coire a’ Bhalachain (Photo credit: Wikipedia)

American Psychologist – February – March 2010

“#2.  Exploration of attempts to avoid distressing thoughts and feelings.

People do a great many things, knowingly and unknowingly, to avoid aspects of experience that are troubling.  This avoidance (in theoretical terms, defense and resistance) may take coarse forms, such as missing sessions, arriving late, or being evasive.  It may take subtle forms that are difficult to recognize in ordinary social discourse such as subtle shifts of topic when certain ideas arise, focusing on the incidental aspects of an experience rather than on what is psychologically meaningful, attending to facts and events to the exclusion of affect, focusing on external circumstances rather than one’s own role in shaping events, and so on.  Psychodynamic therapists actively focus on and explore avoidances.

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