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Object Relations
| Question | Answer |
|---|---|
| Object relations | All relations are based on early life experiences; early relationships set the patterns for future interpersonal relationships |
| Attachment Theory | internal working models underlies associations between early attachments and subsequent close relationships; workers use to evaluate strengths and weakness in the client's relations and respond accordingly |
| "Good Enough Mother" | provides the best ego development/acquire a true sense of self. Not about being perfect caregiver; over-caring can prevent the child from learning to self sooth; under-caring can cause a child to develop mistrust, splitting, and projective identification |
| Object loss and ego weakness | when external objects fail to respond to child's needs, the surviving ego (essence of true self) experiences fear, shame, and retreats; causes fear of positive relations and acceptance of negative relations. |
| Stage 1: Preliminary Diagnosis of Relational Pattern | therapist assesses the patient's patters of interaction over the life span to determine personality structure. |
| Stage 2: Building the Therapeutic Alliance | therapist focuses on the here and now and healing quality with the patient |
| Stage 3: Identifying Maladaptive Relational Pattern | therapist sorts out potential countertransference |
| Stage 4: Patient Expresses Maladaptive Pattern | most intense stage; patient relates to therapist in the same previous manner; patient not aware; therapist is, but uses to explore the nature of the therapeutic relationship |
| Stage 5: Therapist Generates Empathetic Confrontation | Therapist remains empathetic, but after making patient aware of patterns, refuses to take part in it; instead "confronts" the patient with the pattern. |
| Stage 6: Working Through the Confrontation | patient may become uncomfortable; therapist must remain empathetic but form and consistent as the patient struggles to change patterns in relational style |
| Stage 7: Generalizing the Therapeutic Relationship | Therapist shares experiences of being a part of the maladaptive relational style of patient allowing the patient to understand their impact on others; Patient is strengthened by internalizing positive relational example with therapist |
| Stage 8: Separation and Termination | Review the relationship; anxiety producing, but understanding that the relationship continues in own self-structure. |
| TLDP (Time-Limited Dynamic Psychotherapy | Allows worker to use corrective interpersonal countertransference- the worker utilizes themselves to offer a corrective experience |
| Repetition Compulsions | maladaptive tendencies |
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