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Seven Benefits of Psychoanalysis

Benefits of Psychoanalysis

What are the benefits of psychoanalysis?  Psychoanalysis benefits the individual in a number of ways that not all types of psychotherapy do.  

 

First, some context.  In a complex society such as ours, people are challenged to adapt to a constant flow of change.  Each of us is subject to cultural, ethnic, religious, economic, and political expectations while also trying to preserve our individual sense of self.  While we navigate our way through daily living, we do our best to preserve the values, ideals, and dreams that make us unique. 

Diversity and difference are essential on a large scale for a species to survive, while at the individual level consistency and integrity are essential for security.  Many of the issues that bring persons to seek psychotherapy relate to threats against security.  Loss of loved ones, conflicts with co-workers, struggles in school, or financial worries all share a basic threat to the preservation of one’s individuality.  Yet, people are expected to adapt and change to the relentless pressure to conform.

Unfortunately, many modern approaches to psychotherapy advocate on behalf of the prevailing society’s definition of health.  That is, the goals of some therapies involve helping the individual learn to accommodate his or her actions and ideas to those deemed “normal.”  A person “should” be extraverted, socially motivated, objective, and open to change.  Admirable as these qualities might be, they are not for everybody.  Likewise, psychotherapy that functions as a tool for social conformity may tend to diminish the value of the individual in favor of a socio-political agenda.

In contrast, historically psychoanalytic therapy has advocated for the enhancement of human diversity through the nurturing of a person’s self-development.  (Not surprisingly, psychoanalysis was banned in repressive totalitarian societies like the USSR).  This is at the heart of the benefits of psychoanalysis. 

Seven Benefits of Psychoanalysis

Benefits of PsychoanalysisPsychoanalysis advocates on behalf of the individual’s personal truths, as follows:

  1. Psychoanalytic therapy promotes a consumer-driven agenda as it is tailored to the needs of the individual and his or her life history. Childhood history is important as the reference of the normality each individual has known.  Everyone is born into a “normal” home in that childhood sets the context for one’s experience of the world.  Good, bad, or otherwise, one’s childhood has influenced how one knows the self and others.  Becoming aware of these historical influences is critical for any semblance of autonomy.
  2. The psychoanalytic patient is accepted for who he or she is, rather than being compared to some hypothetical “norm.”
  3. Likewise, the patient is not pigeon-holed into some pre-determined diagnostic category, but rather is appreciated in terms of his or her unique challenges and conflicts.
  4. Every patient is encouraged to talk about and explore whatever is important to him or her. No one else imposes an agenda of acceptable or appropriate areas of concern.
  5. Therapy is not time-limited, but rather affords the patient the dignity and respect to pace the treatment and to preserve the therapeutic relationship as long as it proves valuable.
  6. The role of the therapist is as an ally and partner in the therapeutic process. While it may sometimes necessitate confrontation, the over-arching principle is “in the best interest of the patient” wherever possible.
  7. The ultimate goal of therapy is to help mitigate human suffering and enhance the quality of the individual’s life. Whereas symptom reduction occurs, it is not the sole focus of therapy or the definition of success.

Too often, expedience and economic efficiency become the criteria for establishing a standard of care.  Psychoanalytic psychotherapies support relevance, meaningfulness, and humanity as the more appropriate gold standards.

To learn more about psychoanalysis, see Psychodynamics of the Therapeutic Relationship, Personality Disorders from a Psychoanalytic Perspective, Psychodynamics of Child Abuse and Trauma, Classical Psychoanalytic Theory, Ego Psychology, or Object Relations Theory.

Psychoanalysis and Mindfulness

Psychoanalysis and Mindfulness

Psychoanalysis and Mindfulness - AwarenessPsychoanalysis and mindfulness may seem to have little in common.  They both involve the mind and are often focused on taming disturbing thoughts and feelings.  But their methods seem to be completely at odds with each other.  Or are they?  Let’s take a look at mindfulness and see how it may be an excellent adjunct to psychoanalysis.

Mindfulness

Try, for a minute, to do nothing at all.  Don’t talk or move around or think about anything.  Just be.  For a full minute.  What happens?  If you’re like most people, you’ll find this to be harder to do than it sounds.  Your thoughts may wander.  “What’s the purpose of this?”  Thoughts or images of the past or future may emerge.  “What do I need to do tomorrow?”  “I wonder what he meant by that?” . . . 

The mind easily gets lost in endless thinking.  Thoughts create emotions and emotions generate more thoughts, and so on.  This may be fine when these are positive and pleasant thoughts and emotions.  But often they are not.  And often they’re not about the immediate present.  Instead, they’re likely to be about past upsets or future worries.  You may lay awake at night because you worry about what might happen tomorrow.  Maybe you can’t stop thinking about that mistake you made last week.  You may constantly be busy with the things that need to be completed.

Mindfulness teaches how to bring more balance to this tendency, by focusing the attention on the here and now—attention to the things that are happening in this very moment, in a non-judgmental way.   Thinking about and learning from past mistakes, planning for the future, and acknowledging sorrows and worries are all important.  But people often get lost in thoughts about the past and future, to the detriment of experiencing life in the present.

Note that acceptance plays a key role in mindfulness.  Mindfulness is not turning off the mind.  Mindfulness does not restrict, deny, or inhibit thoughts or feelings.  Instead, through mindful attention and acceptance, you allow every feeling, emotion, sensation, or thought to be there.  Instead of fighting against them, mindfulness fosters willingness to acknowledge, allow, and accept these internal states.  

By letting go of this struggle, you may come to realize that many thoughts, worries, and feelings fade away automatically, and probably sooner than if they’d been fought against.  Emotions come and go and thoughts, worries, and feelings often fade away automatically if allowed to.  By letting go of the struggle against them and giving them room to exist, unhappy thoughts and feelings can be experienced as temporary and less overwhelming.  

Mindfulness helps you create a different relationship with your thoughts, feelings, and emotions.  When you become an observer of your own inner states, you are no longer identified by them or completely lost in them.  You can still experience the emotions or feelings, but now have the choice of being fully taken by them or not.

Psychoanalysis

What I’ve just described for mindfulness is actually similar to the stance of the psychoanalyst.  Inviting you to say whatever comes to mind without censoring your associations.  Helping you become aware of the thoughts, feelings, and patterns that arise.  Helping you make sense of them without judgment, until they can be dealt with instead of battled against. 

Mindfulness practices are helpful tools for bringing a person back to the present moment.  By allowing thoughts and feelings to be present without judgment, a person may also become more aware of the internal states, of recurring patterns of thoughts and feelings, and of issues that seem repeatedly to cause distress.  This self-awareness can be very helpful in therapy.

Resistances to meditation—boredom, distraction, sleepiness, etc.—are also common complaints in mindfulness practice.  They can be useful signals that outside guidance—as in psychoanalysis—may be helpful in removing barriers to further insights.  And yes, now we may need to delve into transferences from . . . the past . . .  But only so that the person can be freed from the past.

Psychoanalysis and Mindfulness

This brings us back to the question of whether psychoanalysis and mindfulness have anything in common.  The more experience I have with both as a clinician, the more excited I am about how they can be used together in practice, to facilitate a person’s self-understanding for a fruitful life in the present. 

To learn more about psychoanalysis, see Classical Psychoanalytic Theory.  To learn more about the theoretical foundations of mindfulness, see Mindfulness Meditation Training: Introduction, Attention, and the Present Moment, or for its applications, see Mindfulness Meditation Training: Body Scan Meditation and Informal Mindfulness Practices.

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