Oh dear. I literally did this yesterday. Admittedly, I am not working strictly psychodynamically. It seemed to be helpful at the time but I can certainly see how it is not at the deepest level. Appreciating your knowledge and sharing. Thank you.
@@patriciacoughlinphd1852 thank you for your reply. I bring psychodynamic understandings to my work although I do not work to your exact model. Yesterday I felt that I brought my client an image of their emotional situation that they were not ready to come to themselves. That’s all I meant.
Excellent! Thanks again Patricia for doing this video request. Do you ever notice as your doing proper technique before you can get all three elements online, a defense comes up and disrupts the portrait? For example, The first two factors get activated (ie cognitive and the physiologic). However, as you start to go towards the motoric (e.g. hands make fist) The patient becomes self-conscientious at that point and engages in a defense. For example someone to the left of the spectrum might start to rationalize and use a more repressive and tactical. Where someone more in the middle might use more character and heavier tactical defenses with some regressive to maintain Resistance against emotional closeness. Perhaps, someone on the right who you thought might be ready and built enough capacity (through an initial graded approach) you start to do a portrait with and pt starts to use more regressive defense such as projection, splitting or acting out because the feeling or unconscious anxiety comes too quick for them and they're trying to maintain not going fully immersed into CPD. Correct me if I'm wrong but if I interpreted the information correctly and this occurs, the course of action is to pause the portrait and work through the defense. Maybe with a more psychoneurotic PT on the left of spectrum, do defense work via blocking then helping them see and overcome the syntonicity. Eventually helping them go back to another figure on the triangle working back through portrait once ready. Perhaps somebody who's more to the middle via heavy resistance and repression to the right who's more fragile we might adjust fire through continue graded interventions by restructuring that defense that comes up, work through to assist in making more dystonic well simultaneously doing some anxiety restructuring and recapping all with efforts to build more capacity before further engaging in portraits. Thanks again for your time and wisdom shared. Such a valuable resource these videos you share with us
Thanks Patricia, such a great reminder ~ I have to admit I’ve unintentionally“dragged” a few patients through a portrait. Your advice is so helpful, as always. 🙏🏼
Hello, Patricia! Thanks for your work! In some of your interviews, you mention that to work successfully in iSTDP the therapist must know the psychoanalytical basics solidly. Is there a selected number of works that you would advise to study to make sure the basics are understood? Thanks
Certainly but I would urge you to do your own research as well. Your own curiosity and thirst to learn is key. If you email me at drpcoughlin@gmail.com I can send you a reading list to get you started.
