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Technically I think Freudian analysis is very uncommon in a clinical setting in 2023. Most often it’s some variant of CBT, and for some conditions DBT, that hav

Technically I think Freudian analysis is very uncommon in a clinical setting in 2023. Most often it’s some variant of CBT, and for some conditions DBT, that have more outcome oriented approaches and frankly can be more systemically applied by less skilled clinicians.

orwin 3y ago
And also work long term, unlike psychoanalysis.
- fnordpiglet 3y ago
  Psychoanalysis is more adapted to non clinical psychology, I.e., helping people cope with trauma and life events that cause issues. It is a decent adjunct to behavioral techniques. CBT etc are less about understanding and dealing with causal factors and more about thought and behavior adjustment towards some goal. In a practical society this is often valued over personal understanding and resolving complex personality challenges. But for the individual post CBT analysis and psychodynamic therapy is what truly locks in gains and mental health.
growingkittens 3y ago
What the original commenter wants is called "occupational therapy." CBT, in application: - is focused on quick results - does not evaluate the patient as a system - does not enable practitioners to recognize the limits of their practice - does not have a concept of trauma as a barrier to using CBT. This references my experience as a complex patient: I have a childhood brain injury that went undiagnosed until age 30. From 0-18, my parent's negligence hindered diagnosis; from 18-30+ I ran into the limitations of medical professionals and the medical system. In addition, I have read hundreds of experiences across time and space that align with these statements. I have noticed that experienced CBT practitioners have a habit of seeing "failure to respond to CBT" as a failure of the patient to use it correctly. Less experienced practitioners are not as confident, and actually more open to the idea that their technique is wrong for the patient.

orwin 3y ago

And also work long term, unlike psychoanalysis.

fnordpiglet 3y ago
Psychoanalysis is more adapted to non clinical psychology, I.e., helping people cope with trauma and life events that cause issues. It is a decent adjunct to behavioral techniques. CBT etc are less about understanding and dealing with causal factors and more about thought and behavior adjustment towards some goal. In a practical society this is often valued over personal understanding and resolving complex personality challenges. But for the individual post CBT analysis and psychodynamic therapy is what truly locks in gains and mental health.

growingkittens 3y ago

What the original commenter wants is called "occupational therapy." CBT, in application: - is focused on quick results - does not evaluate the patient as a system - does not enable practitioners to recognize the limits of their practice - does not have a concept of trauma as a barrier to using CBT. This references my experience as a complex patient: I have a childhood brain injury that went undiagnosed until age 30. From 0-18, my parent's negligence hindered diagnosis; from 18-30+ I ran into the limitations of medical professionals and the medical system. In addition, I have read hundreds of experiences across time and space that align with these statements. I have noticed that experienced CBT practitioners have a habit of seeing "failure to respond to CBT" as a failure of the patient to use it correctly. Less experienced practitioners are not as confident, and actually more open to the idea that their technique is wrong for the patient.