As a psychotherapist of nearly 30 years, I've found that many people still think of psychoanalysis as Freudian psychoanalysis--even though this is an outdated perspective.
Why Does the Public Still Have Outdated Views on Psychoanalysis?
Since Freud was the founder of psychoanalysis, it's understandable that people still view psychoanalysis in this outdated way.
Contemporary psychoanalysis has undergone significant changes in the last 50 or so years but, unfortunately, it hasn't gotten much publicity outside of psychoanalytic circles.
Pop culture tends to focus on outdated and stereotypical perspectives on psychoanalysis related to the early days of psychoanalysis such as:
- Clients lying on the couch
- Therapists sitting behind them
- Clients free associating and talking about their childhood
- Therapists sitting silently maintaining a "neutral" presence
- Therapists taking notes and occasionally makes "interpretations"
What is Contemporary Psychoanalysis?
Contemporary psychoanalysis moves beyond classical analysis to emphasize the relationship between the client and the analyst. They also incorporate various other disciplines (see later in this article). In addition, contemporary psychoanalysis includes:
- A Relational Dynamic: The relationship between the client and the therapist is seen as the primary vehicle for change. Contemporary psychoanalysis focuses on the "here and now" of the interaction. This is a shift from older models of psychoanalysis where the focus was historical and the analyst was viewed as a detached authority in the therapy.
- Collaboration and Mutuality: Contemporary psychoanalysis is seen as collaborative and interactive where both the client and the therapist are involved in a two-person psychology. The internal world of the therapist and client can intersection and the mutual influence is understood and worked (see my article: Psychotherapy as a Co-created Process Between Clients and Therapists - Part 1 and Part 2).
- Integration of Research: Contemporary psychoanalysis incorporates findings from other disciplines to build a more comprehensive understanding of the mind, including:
- Child development
- Attachment theory
- Neuroscience
- Memory research
- Emphasis on Subjective Experience: Contemporary psychoanalysis values the unique and subjective experience of the client to understand their inner world in a way that is meaningful and transformative for the client.
- A Goal of Deeper Insight: Contemporary psychoanalysis strives to uncover unconscious processes and relational patterns that keep a client "stuck." It allows for a deeper understanding of the client and new ways of relating (see my article: Making the Unconscious Conscious).
- Rigorous Training: To become a contemporary psychoanalyst, a therapist must undergo intensive training at a psychoanalytic institute and their own three-time-a-week psychoanalysis, clinical supervision and coursework. In addition, contemporary psychoanalysts usually continue to keep up with new theories, training and continue to work on their own personal development (see my article: Striving to Be a Lifelong Learner).
Integrating Contemporary Psychoanalysis With Experiential Therapies
I completed my four year psychoanalytic training in 2000.
After I completed my psychoanalytic training, I trained in various Experiential Therapies including:
- Hypnotherapy (also known as Clinical Hypnosis)
- EMDR (Eye Movement Desensitization and Reprocessing) Therapy
- AEDP (Accelerated Experiential Dynamic Psychotherapy
- Parts Work Therapy (Ego States Therapy and IFS: Internal Family Systems)
I also became certified in Sex Therapy to work with individuals and couples who are having sexual/relational problems. As of this writing, I also teach and supervise at a sex therapy institute in New York City.
As a psychotherapist who works in a contemporary way, I have found that integrating contemporary psychoanalysis with experiential therapy produces the best results, especially when working with a client's unresolved trauma (see my article: Integrating Contemporary Psychoanalysis and EMDR Therapy For Trauma Work: A Powerful Combination).
Combining contemporary psychoanalysis and experiential therapy provides an opportunity to integrate depth psychology and the embodied mind-body connection including:
- A Relational Focus: The "here-and-now" focus on contemporary psychoanalysis is also found in experiential therapy like AEDP, EMDR, IFS, Ego States Parts Work, hypnotherapy, Somatic Experiencing and other experiential therapies.
- An Embodied Experience: An integration of contemporary psychoanalysis and experiential therapies emphasize the client's and therapist's embodied experience. Together they link physical sensations and non-verbal cues (key components to all experiential therapies) to relational patterns, central to contemporary psychoanalysis (see my article: Experiential Therapy and the Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind).
- Affect Regulation: Therapists who use experiential therapies help clients to regulate their emotions which would otherwise be overwhelming. At the same time, contemporary psychoanalysis helps the client to understand the historical perspective of their emotional responses.
- Trauma Work: Experiential therapies provide evidence-based protocols for processing trauma. At the same time, contemporary psychoanalysis helps to contextualize the client's personality and history.
- Challenging the "Quick Fix" Mentality: Both contemporary psychoanalysis and experiential therapies challenge the idea that there can be a "quick fix" to long-standing problems. While it's generally true that experiential therapies can potentially bring about transformation in a more efficient way than psychoanalysis, especially for one-time trauma, both contemporary psychoanalysis and experiential therapies attempt to achieve a more meaningful and longer lasting transformation than "quick fix" modalities (see my article: Beyond the Band-Aid Approach to Overcoming Psychological Problems).
Conclusion
Contemporary psychoanalysts who integrate experiential therapies value a flexible, client-centered approach that provides the deep contextual understanding of modern psychoanalysis and with the application of powerful, targeted experiential therapy techniques.
About Me
I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), IFS/Ego States Parts Work, Somatic Experiencing and Certified Sex Therapist.
I work with individual adults and couples (see my article: The Therapeutic Benefits of Integrative Psychotherapy).
To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.
To set up a consultation, call me at (917) 742-2624 during business hours or email me.
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