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Pick two non-psychodynamic
approaches from the second 5 weeks of teaching; critically describe how these
approaches work and show how they can supplement a psychodynamic approach. 


In this assignment I will be looking at two different
non-psychodynamic approaches; these are Cognitive behavioural and psychiatry
approaches, how they work, their pros and cons and how their approach can
supplement a psychodynamic approach. I will also look at psychodynamic approach
itself, its pros and cons.

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With regards to considering different types of talking
treatments, the two that apparent regularly are here and now CBT and
longer-term Psychodynamic Psychotherapy.

Both of these types of treatment are famous in light of the
fact that exploration has exhibited their viability.


Cognitive Behavioural Treatment (CBT):

Cognitive behavioural treatment, or “CBT”, has
risen more as of late than psychodynamic treatment, and is frequently observed
as a remedy of everything emotional wellness.

It is a type of brief treatment, implying that you and your
therapist will agree on various sessions and that all in all this will be
somewhere close to five to 20 gatherings with your therapist. There might possibly
be a couple of follow-up sessions after that.

CBT appeared when the hypothesis and strategies behind both
psychological and behavioural treatments where joined to make an approach that
takes a look at the communication between our reflections, emotions, real
reactions and conduct. As it were, the thoughts we have about our lives
influence the way we act.

Fashioned by Aaron T. Beck and Albert Ellis, that analyses
how enthusiastic reactions result from our reflections, was joined with crafted
by behaviourists, for example, Ivan Pavlov, John Watson and B.F Skinner, whose
work took a look at the strengthening energy of conduct.

CBT believes that you can change any negative feelings you
may have by changing negative examples of reasoning or conduct. Not at all like
different types of psychotherapy, CBT concentrates particularly on the issues
and troubles in the present, as opposed to issues from the past.


 Highlights of CBT

•             It’s
brief and time-constrained

•             Focuses
on what’s going on in the present instead of the past

•             It’s
exceedingly organized plan is set for every session

•             The
association with the therapist is not a concentration of the treatment

•             Homework
is a focal component – work proceeds outside of the treatment room

•             Collaborative
in nature – you and the therapist cooperate to set objectives


Pros of CBT

•             Brief and
objective cantered

•             More
moderate treatment (because treatment length is shorter)

•             Empowering
– by educating viable methods and homework – place systems into utilization
even once treatment has finished up

•             Strong
logical help for its adequacy in various issues

•             Collaborative
– you and your specialist act as a group.


Cons of CBT

•             Can feel
shallow – just tends to current issues and disregards issues from childhood

•             Need to
put in the diligent work – your therapist can encourage you however you do the
aptitudes outside of the sessions

•             Due to
the exceedingly organized nature it will not be appropriate for those with
complex emotional well-being necessities or learning handicaps

•             Looks at
the person’s need for change and overlooks more extensive issues i.e., society
or families.




Psychodynamic psychotherapy:


While psychodynamic psychotherapy has been fairly pushed to
the side lines since the development and start of CBT, it is still particularly
a favoured kind of treatment.

A more drawn out term treatment, you and your therapist will
generally cooperate until the point that you agree that you are prepared to end
your work or you conclude that you are prepared to end your therapy sessions.


Psychodynamic psychotherapy takes its core foundations in
the theories and work of Sigmund Freud and his thoughts with respect to

Put quickly, psychodynamic psychotherapy focuses on the noteworthiness
of our childhood encounters and how they keep on affecting us amid adulthood.
It additionally contends that human conduct emerges from both cognizant and
oblivious thought processes, and that the demonstration of discussing issues
itself can enable individuals to discover methods for seeing how their past
impacts their present conduct.

To do this, psychodynamic psychotherapy depends vigorously
on the remedial relationship – the relationship that creates between the
therapist and client. It gives a chance to inspect this relationship in a
protected field and perceive how it reflects different connections that we have
(or had). Furthermore, it attempts to make this connection amongst therapist
and client a solid one.

Real strategies utilized by psychodynamic specialists
incorporate free affiliation, perceiving protection and transference
(unknowingly exchanging sentiments about a man or occasion in the past onto a
man or occasion in the present), counter-transference (emotions evoked in the
therapist by the client’s transference), and purge (extraordinary enthusiastic


Key Highlights of Psychodynamic Psychotherapy

•             Often
longer in nature (running from a couple of months to years)

•             Less
organized and normally without homework assignments

•             The
client, not the therapist sets the plan for the session by discussing whatever
is at the forefront of their thoughts

•             Focuses
on the at this very moment, and in addition individual history

•             The
connection between the client and the therapist is incorporated as a
concentration of treatment

•             Less
exceptional than Therapy









Pros of Psychodynamic Psychotherapy

•             Addresses
the main drivers of mental misery and the intricacy of human conduct

•             One of
the couple of treatments to concentrate on identity

•             Benefits
from treatment can increment after some time

•             Encourages
free articulation

•             Looking
at subjects that emerge in the restorative relationship may uncover helpful

•             You
coordinate what’s discussed


Cons of Psychodynamic Psychotherapy

•             Less
organized than CBT

•             Longer
term duty required

•             Can be
costly (because of length of treatment)

•             Discusses
adolescence/individual history which some may not wish to do

•             Requires
elucidation from the advisor – needs objectivity

•             Relies on
hypothetical develops that are hard to demonstrate – i.e. oblivious personality

•             Difficult
to test in an experimental way

There are ways CBT can help supplement the psychodynamic approach,
one of which is:

Since CBT focuses only on the here and now with
regard to treatment, it can now transfer the patient to using a psychodynamic approach.
Especially if patient may need a longer treatment plan.Psychodynamic approach can be merged with CBT,
to avoid a very lengthy treatment time and help save cost.


Psychiatry Relies on Medication Management

According to the American Psychiatry Association ” Psychiatry
is the branch of medicine focused on the diagnosis, treatment and prevention of
mental, emotional and behavioural disorders”.

Psychiatrists are medical doctors (MDs) who
graduate from medical school, have a year of medical internship, and have 3
years of residency in the assessment and treatment of mental health disorders.  Because of their medical training,
psychiatrists can prescribe medication — probably the most commonly known
distinction between the two fields.


The difference
in background and training translates into different approaches to solving
mental health problems.

have a stronger sense of biology and neurochemistry,” says Ranna Parekh, MD, a
director at the American Psychiatric Association. “Theirs is going to be a
diagnosis of exclusion. For instance, before we call someone depressed, we’re
going to make sure they don’t instead have some vitamin deficiency or thyroid problem.” Once they’ve made
a mental health. One possible advantage of seeing a psychiatrist is that, as a
medical doctor, he or she has the knowledge and training to evaluate underlying
medical problems or drug effects that could cause emotional or behavioral
symptoms. Diagnoses, psychiatrists often prescribe you medicine.

use a variety of treatments – including various forms of psychotherapy,
medications, psychosocial interventions and other treatments (such as
electroconvulsive therapy or ECT)

This advantage
of psychotherapy automatically should allow for collaboration between
Psychiatry and Psychodynamic approach. One has the advantage of medicine that
can aid the body, whilst the other has the advantage of knowing how to help the
individual gain access to his or her unconscious in dealing with their unique
situation. However this may not be the case, as a psychiatrist will be driven
towards medication. I guess as stated above that the approach is completely
dependent on the training.

Since one
approach of psychiatry is psychotherapy it should be a way of supplementing the
psychodynamic approach. But because Psychiatry is more clinical than talking,
this may be difficult to do. A psychiatrist is more likely to  prescribe medication to a patient than going
the psychodynamic way.

Patience is a
40year old single mum, who is also suffering from depression. She was referred
to a CBT clinic and was on a program for treatment for a while. At the early
stage everything seems to be working fine and looked as if she was coping or
rather felt she was on top of things. Months later she had a breakdown and
tried to take her own life. She was taken to hospital and of course started
seeing a psychiatrist. Today Patience is not doing too well as she cannot cope
without medication. She has lost custody of her children as she cannot cope
with them on her own. This is just one out of thousands that I feel has been
given the wrong kind of treatment.

I felt personally
that Patience could have been given a chance to recovery and regaining her life
back, if a psychodynamic approach was used. I am not a great fan of medication
but at the same time appreciate it has its place.  There is an inner strength inbuilt in man, and
I am convinced that if a psychodynamic approach is utilized side by side other non-psychodynamic
approach like CBT and Psychiatry, this will go a long way in solving a lot of

I have no doubt
it will be very expensive to do this but in the long run will probably save
thousands of pounds and also save lives. One way of doing this is to train
people in the psychodynamic approach and get patients to be familiar with each
approach, when they come in for treatment. For every medication given there is
a side-effect. But if this is used in conjunction with a psychodynamic approach
there may be fewer victims and more recoveries. The target should be to get
people back on their feet and not make them a permanent guest in a mental


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