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🗓️ 2 April 2022
⏱️ 2 minutes
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0:00.0 | Hello and welcome to Psychology and Seattle. I'm your host, Kirk Honda, licensed therapist. |
0:05.1 | It's just me today. I thought I would dive into the negative therapeutic reaction. In |
0:12.7 | my efforts to help therapists with their work, I have investigated several topics related |
0:17.8 | to treatment failure, and the negative therapeutic reaction was one of those topics. But first, |
0:23.7 | a little disclaimer. I am by no means a Freudian or psychoanalytic scholar. As a psycho |
0:29.8 | dynamic therapist and professor, I have studied the history of psychoanalysis, but not to the |
0:35.4 | extent that would make me an expert. Also, another disclaimer, I am in no way going to be able to |
0:41.8 | summarize every nuance and tributary of this topic that I know of. Almost every topic related to |
0:47.4 | psychoanalysis and psychodynamic theory has been expanded upon by many, many authors over, you |
0:53.3 | know, the past 110 years or so. Some of them are brilliant and some of them are strange and some |
0:59.3 | of them are both and some of them are not so brilliant or strange. And so it's a complex area |
1:05.8 | that is difficult to summarize very quickly, but I will attempt to provide a useful summary. |
1:13.1 | Okay, so first off, I have a few questions for you. Is it possible for psychotherapy to always |
1:21.0 | succeed? If psychotherapy helps someone, then the therapist is likely to attribute that success |
1:26.3 | to the therapy or to the therapist, him or herself. But what if therapy doesn't work? What if a |
1:32.8 | client symptoms get worse? Treatment failure has been a source subject for therapists since the |
1:37.7 | beginning of the profession. It's rarely discussed. Personally, I attribute this lack of discussion |
1:44.9 | to the self-serving attitudes of those in my field. It's so much easier to blame others when we |
1:50.4 | fail, right? But before I get more into that area, let's take a trip down history lane, okay? |
1:56.7 | All right, so in an attempt to understand why some of his patients were getting worse with |
2:01.4 | psychoanalysis, Sigmund Freud, first coined the term negative therapeutic reaction |
2:07.7 | in the early part of the 20th century. Hey, deserving listeners, this is an old episode that we |
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