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

2. 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)

3. 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

4. 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

5. 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

6. 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