Brief Psychodynamic Therapy—

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Presentation transcript:

Brief Psychodynamic Therapy— Core Conflictural Relationship Themes Method (CCRT) Adapted from Book, H. E. (1998). How to practice brief psychodynamic psychotherapy. Washington, DC: APA.

What is CCRT Wish (see handout) RO: the Response of the Other What a person wants and wishes in relationships RO: the Response of the Other how a person anticipates others will respond or how the others actually respond RS: the Response of Self client’s affective. Cognitive, and behavioral responses in relationship situations What’s your feelings? (affective) What’s your thoughts? (cognitive) What do you do? (behavioral)

The goal of CCRT Goal is to help clients actualizing the wish This actualization is accomplished by working through and understand the client’s RO as either a transference distortion or a repetition disorder RO as a transference distortion Why we expects others to respond to us in a certain way RO as a repetition disorder Why others tend to respond to us in a certain way

Three Phases of CCRT Treatment Identify CCRT patterns over and over again (1-4 sessions) Therapists listen to stories of Relationship Episodes (listen to Wish, RO and RS) Identifying CCRT pattern is everywhere A person increases a conscious awareness of CCRT A person has more control over previously unconscious behavior

Three Phases of CCRT Treatment Work through the RO (5-12 sessions) Be aware that current expectations of RO is affected by the past experiences with others Enactment: the client’s acting out of his or her CCRT toward the therapist Recognize here-and-now examples of CCRT in session

Three Phases of CCRT Treatment Termination (13-16 sessions) Offer a second chance to work through the CCRT Discuss themes of fear of abandonment, separation, and loss. Discuss worries that gains from treatment will not continue