Picture an elderly man sitting on an chair with pad and pen in hand listening to a patient lying on a couch recalling their dream. This elderly man is a psychoanalyst, his name, Sigmund Freud. Freud was a Psychologist who produced a theory on personality called the Psychoanalytic perspective. This perspective proposes that personality is the result of animal-like driving forces that often conflict with one another and sometimes are unconscious. All references and terminology regarding Freud are taken from Ciccarelli, S.K., & White N.J.(2013). Psychology an exploration (2nd edition) New Jersey: Pearson Eduction, Inc. According to Freud dreams permit us to express these desires without the regulations of our conscious thought processes. In order to uncover unconscious conflicts that drive maladaptive behavior, Freud developed a method of therapy based off of the Psychoanalytic perspective called Psychoanalysis. In order to understand Psychoanalysis, Freud's theories regarding characteristics of personality is required. According to Freud there are three basic systems, id, ego, and super ego that make up personality. First, the Id operates to the pleasure principle and is driven by pleasure and gratification, according to Freud these drives are sexual and aggressive in nature. Second, the Ego operates according to the reality principle, it acts as a negotiator between the desires of the id and the responsibilities of being part of a community. Third, the super ego is what many people call your conscience, it judges if an action is moral or not. Taking all this into account, the purpose of this paper is to psychoanalyze a dream of mine as if I were both Freud and the patient. To start, I recall the manifest content(part of the dre... ... middle of paper ... ...aper, I recorded two weeks worth of sleep records and any dreams. I feel this method of recording my dreams was not effective in obtaining an accurate record of my dreams. When I woke up most days I was too groggy to record any dream correctly. I would write down my dream but I feel that if someone were there to ask me about my dream and record my responses, then the record of the dream would be more accurate since my mind would not try as hard to piece together a realistic story out of the dream. As for psychoanalysis I was actually rather surprised at how it brought to light issues that I am having with living under my parents authority. I do believe it to be an accurate way to bring to light frustrations that cause maladaptive behavior. Works Cited Ciccarelli, S.K., & White N.J.(2013). Psychology an exploration (2nd edition) New Jersey: Pearson Eduction, Inc. The primary focus of psychodynamic therapy is to uncover the unconscious content of a client's psyche in order to alleviate psychic tension. Discuss the goals, techniques, and efficacy of psychodynamic therapy
Person-centered therapy is less structured and non-directive. Developed by Carl Rogers, this method of therapy proposes that the function of the therapist is to extend empathy, warmth, and "unconditional positive regard" toward their clients. By listening to and echoing back the clients' own concerns, the therapist helps the client see themselves as another might see them. This can help them perceive inconsistencies or biases in their perceptions of the world and other people. Psychodynamic theory was born in 1874 with the works of German scientist Ernst von Brucke, who supposed that all living organisms are energy systems governed by the principle of the conservation of energy. During the same year, medical student Sigmund Freud adopted this new "dynamic" physiology and expanded it to create the original concept of "psychodynamics," in which he suggested that psychological processes are flows of psychological energy (which he termed the "libido") in a complex brain. Freud coined the term "psychoanalysis," and related theories were developed further by Carl Jung, Alfred Adler, Melanie Klein, Anna Freud, Erik Erikson, and others. By the mid-1940s and into the 1950s, the general application of the "psychodynamic theory" had been well established. The effectiveness of strict psychoanalysis is difficult to gauge; therapy as Freud intended it relies heavily on the interpretation of the therapist and is therefore difficult to prove. The effectiveness of more modern, developed techniques of psychodynamic therapy can be more accurately gauged, however. Meta-analyses in 2012 and 2013 found evidence for the efficacy of psychoanalytic therapy; other meta-analyses published in recent years showed psychoanalysis and psychodynamic therapy to be effective, with outcomes comparable to or greater than other kinds of psychotherapy or antidepressant drugs. In 2011, the American Psychological Association made 103 comparisons between psychodynamic treatments and non-dynamic competitors and found that 6 were superior, 5 were inferior, 28 showed no difference, and 63 were adequate. The study found that this could be used as a basis to make psychodynamic psychotherapy an "empirically validated" treatment. In 2013, the world's largest randomized controlled trial on therapy with anorexia outpatients, the ANTOP study, proved modified psychodynamic therapy to be more effective than cognitive behavioral therapy in the long term. In contrast, a 2001 systematic review of the medical literature by the Cochrane Collaboration concluded that no data exist demonstrating that psychodynamic therapy is effective in treating schizophrenia and severe mental illness, and cautioned that medication should always be used alongside any type of talk therapy in schizophrenia cases. The Schizophrenia Patient Outcomes Research Team in particular cautions against following a psychodynamic approach in treating cases of schizophrenia due to its lack of empirical support. Psychoanalysis continues to be practiced by psychiatrists, social workers, and other mental health professionals; however, its practice is less common today than in years past. Psychodynamic therapy, in contrast, is still commonly used today. A common critique of psychoanalysis is its lack of basis in empirical research and too much reliance on anecdotal evidence by way of case studies. Both psychoanalysis and psychodynamic therapies have been criticized for a lack of scientific rigor, sometimes even referred to as "pseudoscience." A French 2004 report from INSERM said that psychodynamic therapy is less effective than other psychotherapies (including cognitive behavioral therapy) for certain diseases. It used a meta-analysis of numerous other studies to find whether the method was "proven" or "presumed" to be effective in the treatment of different diseases. Numerous studies have suggested that its efficacy is related to the quality of the therapist, rather than the particular school, technique, or training. Behavior therapy is based on the idea that maladaptive behavior is learned, and thus adaptive behavior can also be learned. Discuss the goals, techniques, and efficacy of behavior therapy and applied behavior analysis
The use of token economies is a behavior-therapy technique in which clients are reinforced with tokens that are considered a type of currency that can be exchanged for special privileges or desired items. Token economies are mainly used in institutional and therapeutic settings. Over time, tokens need to be replaced with less tangible rewards, such as compliments, so that the client will be prepared when they leave the therapeutic setting. Contingency contracts are formal, written contracts between the client and the therapist. They outline behavior-change goals, reinforcements, rewards, and penalties for not meeting the terms of the agreement. Modeling involves learning through observation and emulating the behavior of others. The modeling process involves a person being subjected to watching other individuals who demonstrate behavior that is considered adaptive and that should be adopted by the client. In some cases, the therapist might model the desired behavior; in other instances, watching peers demonstrate the behaviors may be helpful. The process is based on Albert Bandura's social learning theory, which emphasizes the social components of the learning process. One commonly used classical conditioning therapeutic technique is aversive conditioning, which uses an unpleasant stimulus to stop an undesirable behavior. Therapists apply this technique to eliminate addictive behaviors, such as smoking, nail biting, and drinking. In aversion therapy, clients will typically engage in a specific behavior (such as nail biting) and at the same time are exposed to something unpleasant, such as a mild electric shock or a bad taste. After repeated associations between the unpleasant stimulus and the behavior, the client can learn to stop the unwanted behavior.In exposure therapy, a therapist seeks to treat clients’ fears or anxiety by presenting them with the object or situation that causes their problem, with the idea that they will eventually get used to it. This can be done via reality, imagination, or virtual reality. A popular form of exposure therapy is systematic desensitization, wherein a calm and pleasant state is gradually associated with increasing levels of anxiety-inducing stimuli. Virtual reality exposure therapy uses simulations when it's either too impractical or expensive to re-create anxiety-producing situations; it has been used effectively to treat numerous anxiety disorders such as the fear of public speaking, claustrophobia (fear of enclosed spaces), aviophobia (fear of flying), and post-traumatic stress disorder (PTSD). Flooding is the general technique in which an individual is exposed to anxiety-provoking stimuli, while at the same time prevented from having any avoidance responses. It is often used to treat phobias, anxiety, and other stress-related disorders. For example, flooding might be used to help a client who is suffering from an intense fear of birds. The individual may be forced to stay in a room with a harmless bird for an extended period of time and over repeated sessions. The theory is that after a while, the individual will realize that nothing bad is happening and the fear response will diminish. Relaxation training is a type of behavior therapy that involves clients learning to lower arousal to reduce their stress by tensing and releasing certain muscle groups throughout their body. Social skills training teaches clients skills to access natural reinforcers and lessen life punishment. The first use of the term "behavior modification" appears to have been by Edward Thorndike in 1911. His article "Provisional Laws of Acquired Behavior or Learning" makes frequent use of the phrase "modifying behavior." Through early research in the 1940s and the 1950s the term was used by Joseph Wolpe's research group. In general, behavior therapy is seen as having three distinct points of origin: South Africa (Wolpe's group), the United States ( B. F. Skinner ), and the United Kingdom (Rachman and Eysenck). Each had its own distinct approach to viewing behavior problems. B. F. Skinner developed the idea of operant conditioning in 1937, when he tested the learning of rats through reinforcement and punishment in what is now called a Skinner box. Ivan Pavlov's famous experiments with dogs provide the most familiar example of the classical-conditioning procedure. Exposure therapy was first reported in 1924 by Mary Cover Jones, who is considered the mother of behavior therapy. Jones used exposure therapy with a boy named Peter to help him overcome his fear of rabbits. Thirty years later, Joseph Wolpe (1958) refined Jones’s techniques, giving us the technique of exposure therapy that is used today. In the second half of the 20th century, many therapists coupled behavior therapy with the cognitive therapy of Aaron Beck and Albert Ellis, forming cognitive behavioral therapy (CBT). Behavior therapy has proven effective in many areas and has been used to address intimacy in couples, relationships, forgiveness, chronic pain, anorexia, chronic distress, substance abuse, depression, anxiety, insomnia, and obesity. Behavioral applications to these problems have left clinicians with considerable tools for enhancing therapeutic effectiveness. Many have argued that behavior therapy is at least as effective as drug treatment for depression, ADHD, and OCD. Two large studies done by the Faculty of Health Sciences at Simon Fraser University indicates that behavior therapy and cognitive-behavioral therapy (CBT) are equally effective for OCD. CBT has been proven to perform slightly better at treating co-occurring depression. Systematic desensitization has been shown to successfully treat phobias about heights, driving, and insects, as well as any anxiety that a person may have. Virtual reality treatment has been shown to be effective for a fear of heights; it has also been shown to help with the treatment of a variety of anxiety disorders. Applied behavioral analysis has been shown to be an effective tool and is a very common treatment approach for children with autism (Lovaas, 1987, 2003; Sallows & Graupner, 2005; Wolf & Risley, 1967). Applied behavioral analysis has been criticized for trying to "normalize" the behavior of children with autism; critics argue that children with autism express themselves in different ways that are not pathological, and that ABA pathologizes these behaviors and seeks to re-shape them into more socially acceptable behaviors. Other critics have argued that ABA and other behavior therapies are too rigid in their approach, and that effective treatment requires an acknowledgement of the subconscious as well as observable behaviors. Some have argued that certain types of behavior therapy may make a patient too dependent on external rewards rather than internal motivation to change. Finally, many have critiqued the use of punishment in certain forms of behavior therapy as inhumane.Cognitive and cognitive-behavioral therapies address the interplay between dysfunctional emotions, maladaptive behaviors, and biased cognitions. Discuss the goals, techniques, and efficacy of cognitive and cognitive-behavioral therapies
Cognitive therapy seeks to help the client overcome difficulties by identifying and changing dysfunctional thinking and behavior, as well as emotional responses. This involves helping patients to develop skills for modifying beliefs, identifying distorted thinking, relating to others in different ways, and changing behaviors. Treatment is based on collaboration between the patient and therapist and on testing beliefs. At the core of cognitive therapy is the idea of cognitive biases, or irrational beliefs that cause distress in a person's life. Some examples include:
These irrational beliefs take the form of automatic thoughts; cognitive therapy believes that patients suffering from mental illness can be helped if therapists challenge these irrational beliefs. In this way, cognitive therapy encourages people to see that some of their thoughts are mistaken. It has been found that by adjusting these thoughts people's emotional distress can be reduced. Cognitive-behavioral therapy (CBT) works to solve current problems and change unhelpful thinking and behavior. The basic tenet of CBT is that emotions (both adaptive and maladaptive) occur because of our interpretation of an event, not because of the event itself. At its most basic level, it is a combination of cognitive therapy and behavioral therapy. While rooted in rather different theories, these two therapy types have been characterized by a constant reference to experimental research to test hypotheses. Common features of CBT procedures are a focus on the here and now, a directive or guidance role of the therapist, structured psychotherapy sessions, and alleviating patients' symptoms as well as vulnerabilities. CBT is one of the most widely researched and most effective treatments for depression, anxiety disorders, eating disorders, and substance abuse disorders. When someone is distressed or anxious, the way they see and evaluate themselves can become negative. CBT therapists and clients work together to see the link between negative thoughts and mood. This empowers people to assert control over negative emotions and to change the way they behave. CBT assumes that changing maladaptive thinking leads to change in affect and behavior. Therapists help individuals to challenge maladaptive thinking and help them replace it with more realistic and effective thoughts, or encourage them to take a more open, mindful, and aware posture toward those thoughts. Modern forms of CBT include a number of diverse but related techniques such as exposure therapy, stress inoculation training, cognitive processing therapy, cognitive therapy, relaxation training, acceptance and commitment therapy (ACT), and dialectical behavior therapy (DBT), which is discussed in more detail below. Dialectical behavior therapy (DBT) is a form of psychotherapy that was originally developed to treat people with borderline personality disorder (BPD). DBT involves a combination of standard cognitive-behavioral techniques (e.g., reframing, emotion regulation testing) with acceptance approaches (e.g., distress tolerance, mindful awareness). DBT research suggests that maladaptive behaviors (such as self-harm or attention-seeking) function to regulate negative emotions in individuals who lack emotion-regulation skills. Thus, from a DBT perspective, the behaviors that are considered maladaptive in BPD, in people with eating disorders, and in sexual abuse survivors, are negatively reinforced, as they function to regulate emotions and decrease feelings of distress. Consequently, helping clients to develop more adaptive strategies to cope with their emotions should help patients improve their maladaptive behaviors. DBT includes learning a number of strategies that are directly focused on increasing patients' skills to adaptively cope with strong urges and emotions. These strategies include mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. The modern roots of CBT can be traced to the development of behavior therapy in the early 20th century, the development of cognitive therapy in the 1960s, and the subsequent merging of the two. Groundbreaking work of behavioralism began with Watson's and Rayner's studies of conditioning in 1920. Behavioral-centered therapeutic approaches appeared as early as 1924 with Mary Cover Jones's work on the unlearning of fears in children. These were the antecedents of the development of Joseph Wolpe's behavioral therapy in the 1950s. During the 1950s and 1960s, behavioral therapy became widely utilized by researchers in the United States, the United Kingdom, and South Africa, who were inspired by the behaviorist learning theories of Ivan Pavlov, John B. Watson, and Clark L. Hull. Cognitive therapy was developed by psychiatrist Aaron Beck in the 1960s. His initial focus was on depression and how a client’s self-defeating attitude served to maintain a depression despite positive factors in her life (Beck, Rush, Shaw, & Emery, 1979). One of the first forms of cognitive-behavior therapy was rational emotive therapy (RET), which was founded by Albert Ellis and grew out of his dislike of Freudian psychoanalysis (Daniel, n.d.). During the 1980s and 1990s, cognitive and behavioral techniques were merged into cognitive-behavioral therapy. Pivotal to this merging was the successful development of treatments for panic disorder by David M. Clark in the UK and David H. Barlow in the US. Over time, cognitive-behavioral therapy came to be known not only as a therapy, but as an umbrella category for all cognitive-based psychotherapies. DBT is a modified form of cognitive-behavioral therapy that was originally developed in the late 20th century by psychology researcher Marsha Linehan to treat people who are chronically suicidal and those with borderline personality disorder (BPD). In adults, CBT has been shown to have effectiveness and a role in the treatment plans for anxiety disorders, depression, eating disorders, chronic low back pain, personality disorders, psychosis, substance use disorders, and in the adjustment, depression, and anxiety associated with fibromyalgia and post-spinal-cord injuries. Evidence has shown CBT is effective in helping treat schizophrenia, and it is now offered in most treatment guidelines. Some meta-analyses find CBT more effective than psychodynamic therapy and equal to other therapies in treating anxiety and depression. However, psychodynamic therapy may provide better long-term outcomes. In children and adolescents, CBT is an effective part of treatment plans for anxiety disorders, body dysmorphic disorder, depression and suicidality, eating disorders and obesity, obsessive-compulsive disorder, and post-traumatic stress disorder, as well as tic disorders, trichotillomania, and other repetitive-behavior disorders. The research conducted for CBT has been a topic of sustained controversy. While some researchers write that CBT is more effective than other treatments, many other researchers and practitioners have questioned the validity of such claims. A recent meta-analysis revealed that the positive effects of CBT on depression have been declining since 1977. The overall results showed two different declines in effect sizes: 1) an overall decline between 1977 and 2014, and 2) a steeper decline between 1995 and 2014. Some critics argue that CBT studies have high drop-out rates compared to other treatments. At times, the CBT drop-out rates can be more than five times higher than those of other treatment groups. Critics argue that one of the hidden assumptions in CBT is that of determinism, or the absence of free will, because CBT invokes a type of cause-and-effect relationship with cognition. Specifically, critics argue that since CBT holds that external stimuli from the environment enter the mind, causing different thoughts that lead to emotional states, there is no room in CBT theory for agency, or free will.Humanistic therapy helps individuals access and understand their feelings, gain a sense of meaning in life, and reach self-actualization. Discuss the goals, techniques, and efficacy of humanistic therapy
Another key element is unconditional positive regard, which refers to the care that the therapist needs to have for the client. Unconditional positive regard is characterized by warmth, acceptance, and non-judgment. This ensures that the therapist does not become the authority figure in the relationship, and allows for a more open flow of information, as well as a kinder relationship between the two. A therapist practicing humanistic therapy needs to show a willingness to listen and ensure the comfort of the client by creating an environment where genuine feelings may be shared but are not forced upon someone. Gestalt therapy focuses on the skills and techniques that permit an individual to be more aware of their feelings. According to this approach, it is much more important to understand what and how clients are feeling, rather than to identify what is causing their feelings. Previous theories are thought to spend an unnecessary amount of time making assumptions about what causes behavior. Instead, Gestalt therapy focuses on the here and now. Client-centered therapy provides a supportive environment in which clients can reestablish their true identity. This approach is based on the idea that fear of judgment prevents people from sharing their true selves with the world around them, causing them to instead establish a public identity to navigate a judgmental world. The ability to reestablish their true identity will help the individual understand themselves as they truly are. The task of reestablishing one's true identity is not an easy one, and the therapist must rely on the techniques of unconditional positive regard and empathy. Humanistic psychology rose to prominence in the mid-20th century in response to the limitations of Sigmund Freud 's psychoanalytic theory and B. F. Skinner's behaviorism. With its roots running from Socrates through the Renaissance, this approach emphasizes individuals' inherent drive towards self-actualization, the process of realizing and expressing one's own capabilities, and creativity. Among the earliest approaches are the developmental theory of Abraham Maslow, which emphasizes a hierarchy of needs and motivations, and the client-centered therapy of Carl Rogers, which is centered on the client's capacity for self-direction and understanding of his or her own development. The term "actualizing tendency" was also coined by Rogers and was a concept that eventually led Maslow to study self-actualization as one of the needs of humans. Rogers and Maslow introduced this positive, humanistic psychology in response to what they viewed as the overly pessimistic view of psychoanalysis; during the 20th century, humanistic psychology became known as the "third force" in psychology. Humanistic therapy is used to treat a broad range of people and mental health challenges. It has been used in the treatment of schizophrenia, depression, anxiety, relationship issues, personality disorders, and various addictions, such as alcoholism. Many proponents advocate the idea that it can be useful and effective with any population; however, others have argued that it has limited effectiveness with individuals who have limited access to education. Certain studies suggest that humanistic therapy is at least as effective as other forms of psychotherapy at producing stable, positive changes over time for clients that engage in this form of treatment. While personal transformation may be the primary focus of most humanistic psychologists, humanistic approaches have also been applied to theories of social transformation related to pressing social, cultural, and gender issues. In addition, humanistic psychology's emphasis on creativity and wholeness created a foundation for new approaches towards human capital in the workplace, stressing creativity and the relevance of emotional interactions. Critics have taken issue with many of the early tenets of humanistic psychology. As with all early psychological approaches, questions have been raised about the lack of empirical evidence used in research. Because of the subjective nature of the framework, psychologists worry about the fallibility of the humanistic approach. The holistic approach allows for much variation but does not identify enough constant variables to be researched with true accuracy. Psychologists also worry that such an extreme focus on the subjective experience of the individual does little to explain or appreciate the impact of society on personality development. The presence of such a dynamic view of personality also does not seem to account for apparent continuity in an individual's persona over time. Body-oriented psychotherapies focus on the importance of working with the body in the treatment of mental health issues. Discuss the goals, techniques, and efficacy of body-oriented psychotherapy
Body-oriented therapies, also referred to as body psychotherapies, are based on the principles of somatic psychology, which involves the study of the body, somatic experience, and the embodied self, including therapeutic and holistic approaches to the body. A wide variety of techniques are used in body-oriented therapies, including sound, touch, mirroring, movement, and breath. There is an increasing use of body-oriented therapeutic techniques within mainstream psychology (such as the practice of mindfulness), and psychoanalysis has recognized the use of such concepts as somatic resonance and embodied trauma. These alternative methods include (but are not limited to) eye movement desensitization and reprocessing (EMDR), light therapy, hypnotherapy, and yoga. Eye movement desensitization and reprocessing (EMDR) is a psychotherapy technique discovered in 1987 by Francine Shapiro for use in the treatment of anxiety, stress, and trauma. The goal of EMDR is to reduce the long-lasting effects of distressing memories by developing more adaptive coping mechanisms. The therapy uses an eight-phase approach that includes having the patient recall distressing images while receiving one of several types of bilateral sensory input, such as side-to-side eye movements. EMDR was originally developed to treat adults with post-traumatic stress disorder ( PTSD ); however, it is also used to treat other conditions. Light therapy (also known as phototherapy or heliotherapy) consists of exposure to daylight or to specific wavelengths of light using polychromatic polarized light, fluorescent lamps, or very bight, full-spectrum light. Light is usually controlled with various devices. The light is administered for a prescribed amount of time and, in some cases, at a specific time of day. Hypnotherapy is a form of psychotherapy used to create unconscious change in the patient in the form of new responses, thoughts, attitudes, behaviors, or feelings. Under hypnosis, a person experiences heightened suggestibility and responsiveness.
Group therapy is a form of psychotherapy in which one or more therapists treat a small group of clients together at the same time. Discuss the goals, techniques, and efficacy of group therapy
The term "group therapy" is sometimes loosely used to indicate any group of individuals that are experiencing and discussing distress (support groups, for instance). Group therapy can be based on any theoretical approach, from cognitive-behavioral to humanistic. However, in the psychodynamic sense, it specifically indicates a situation where the group context and group process is explicitly utilized as a mechanism of change by developing, exploring, and examining interpersonal relationships within the group. In short, the interpersonal dynamics that play out in the group are reflections of what happens in real life. Dr. Irvin D. Yalom outlined key therapeutic principles, which are derived from reports of individuals who have undergone group therapy. These principles summarize the benefits of group therapy:
Expressive therapies use the creative arts as a form of therapy; systemic therapies emphasize the treatment of a system rather than an individual. Discuss the goals, techniques, and efficacy of expressive and systemic therapies
As a branch of psychotherapy, the roots of family therapy can be traced to the early 20th century, with the emergence of the child guidance movement and marriage counseling. There was initially a strong influence from psychoanalysis (most of the early founders of the field had psychoanalytic backgrounds) and social psychiatry, and later from learning theory and behavior therapy. Significantly, family therapists began to articulate various theories about the nature and functioning of the family as an entity that was more than a mere aggregation of individuals. According to a 2004 French government study, family and couples therapy was the second most effective therapy after cognitive-behavioral therapy. Of the treatments looked at in the study, family therapy was presumed or proven effective in the treatment of schizophrenia, bipolar disorder, anorexia, and alcohol dependency. Family therapists tend to be more interested in the solving of problems rather than in trying to identify a single cause. Some families may perceive cause-effect analyses as attempts to place blame on one or more individuals, with the effect that for many families a focus on causation is of little or no clinical utility. It is important to note that a circular way of problem evaluation is used, as opposed to a linear route. Using this method, families can be helped by finding patterns of behavior, what the causes are, and what can be done to better their situation. Since issues of interpersonal conflict, power, control, values, and ethics are often more pronounced in systemic therapy than in individual therapy, there has been debate within the profession about the different values that are implicit in the various theoretical models of therapy, as well as the role of the therapist’s own values in the therapeutic process, and how prospective clients should go about finding a therapist whose values and objectives are most consistent with their own.[33][34][35] Specific issues that have emerged include an increasing questioning of the longstanding notion of therapeutic neutrality, a concern with questions of justice and self-determination, connectedness and independence, "functioning" versus "authenticity," and questions about the degree of the therapist’s "pro-marriage" versus "pro-individual" commitment.CC licensed content, Shared previouslyCC licensed content, Specific attribution |