There are many approaches to counseling and psychotherapy. Each approach, and each therapist, answers the question, “How does healing happen?” somewhat differently. If I were to articulate my approach succinctly, I believe that healing happens in the context of being deeply known and understood such that we can understand ourselves (and others) and thereby grow as more whole people and gain the wisdom and courage to choose well for ourselves and for our relationships.
Dynamic psychotherapy is an orientation to therapy that facilitates this process. It is appreciated by clients because the experience of depth listening can uniquely address the deep and various parts of the self and relationships. This approach helps clients experience and resolve core developmental needs that so often contribute to unresolved relational, sexual or psychological issues. It can be used to address a variety of presenting problems, whether anxiety, depression, couples communication breakdowns, eating disorders, sexual addiction. Dynamic psychotherapy as a general orientation may incorporate interventions from other traditions such as cognitive behavioral exercises, EMDR, body work, expressive therapy exercises, etc. It can be utilized in individual as well as couples work.
The following is
a summary introduction to dynamic psychotherapy by Dr. Lawrence Hedges (used
with permission).
“Dynamic psychotherapy originated with the
work of Dr. Sigmund Freud in Vienna
Dynamic psychotherapy is based on the
insight that our personalities are the result of passing through and solving
relationship issues at many developmental stages. At any stage, the way we have
reacted to events in our lives may have caused us to get stuck at a certain
level of insight or problem solving. While we go ahead and mature
satisfactorily, in many ways we may carry within us the parts that didn't have
a chance to develop. We can have a mature exterior and be functioning more or
less successfully, while internally we may feel vulnerable, confused,
depressed, angry, afraid, and childlike. We may not feel able to bounce back
from rejection, get past blocks, allow our real feelings to surface, or stay in
touch with our feelings and desires. Our physical health may be compromised in
many ways by emotional and relationship issues.
Dynamic psychotherapy is designed to help
the client get in touch with her or his unconscious memories, feelings, and
desires that are not readily available to the conscious mind. Therapy is
designed to help clients of all ages understand how their unconscious feelings
and thoughts affect the ways they act, react, think, feel, and relate. Whether
or not therapy works depends a great deal on the client's willingness and
ability to experience all relationships deeply, especially the therapeutic
relationship. Each client, by expressing her or his story in whatever ways
possible to someone who knows how to listen and to give new meanings back, has
the opportunity to learn about herself or himself in a new way.
Dynamic psychotherapy can provide a safe
place for people of whatever age to discover for themselves their own truths.
It provides a unique opportunity to re-experience personal history in a new
relationship, to see it in a new way, and to make connections between past and
current conflicts that illuminate the way one relates to oneself and to others.
Clients are encouraged to talk about
thoughts and feelings that come up about therapy or about the therapist. These
feelings are important because elements of one's earliest affections and
hostilities toward parents and siblings are often shifted onto the therapist and
the process of therapy. This phenomenon, known as "transference,"
offers a rich source of understanding, for it offers the possibility for people
to re-experience and re-work important feelings arising from the past with the
maturity they possess in the present.
Dynamic psychotherapy is usually not a
short-term therapy as it takes time to explore the complex layers of feeling
and experience that make up a person's own unique relationship history. People
find that their therapy can easily extend for several years but there is no
prescribed length of treatment. Only the people closely involved have a sense
of when personal goals have been met. When the client feels she or he has
accomplished the desired goals, then a termination date can be set and agreed upon.
Dynamic psychotherapy aims to help people
experience life more deeply, enjoy more satisfying relationships, resolve
painful conflicts, and better integrate all the parts of their personalities.
Perhaps its greatest potential gift is the essential freedom to change and to
continue to grow in relationships.”
