Psychoanalytic psychotherapy

Dr Jane Bingham

 

Psychoanalytic / psychodynamic psychotherapy aims to make a significant contribution to our sense of well-being and to positively influence our mental health. It differs from many other therapies in that it is usually a long-term process which aims for deep- seated change within our personality and emotional development. 

The theory 

Psychoanalytic psychotherapy is based on the observation that we sometimes attempt to deal with our problems by trying to push them out of our mind. However, they will continue to affect our feelings, behaviour and sometimes our physical health. 

Our mind is shaped by experience, and the way we integrate our childhood experiences, both good and bad, affects how we cope with adult life. Much of our mind is outside our conscious awareness; in  therapy, we gradually come to make sense of our experiences.  As we do so, a process of change occurs.

The therapist 

The relationship with the therapist is a vital factor in the therapy. The therapist offers a confidential space where the unconscious dynamics of our inner world can be played out. Troubling emotional conflicts can be re-lived, and this gives an opportunity to become aware of patterns of behaviour which we keep repeating. Once aware of old patterns it becomes possible to change them, and to find new solutions to old problems.

The psychoanalytic psychotherapist will reveal little about him or herself. Although this may feel strange or uncomfortable at first, this approach helps us to bring to mind unconscious wishes and conflicts. The therapist usually refrains from directing the session and keeps questions to a minimum. This requires a willingness to tolerate uncertainty at times, but can bring increased self-confidence and a sense of finding one’s own voice.