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psychodynamic psychotherapy amp problem gambling a

Dec 20, 2023 249 likes •405 views

Psychodynamic Psychotherapy & Problem Gambling A Workshop Victorian Responsible Gambling Foundation Conference Melbourne 23 rd October, 2014 Running Order 1pm Introductions What is psychodynamic psychotherapy definitions, ideas,

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Psychodynamic Psychotherapy & Problem Gambling A Workshop

Victorian Responsible Gambling Foundation Conference Melbourne 23rd October, 2014

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Running Order

1pm – Introductions
What is psychodynamic psychotherapy – definitions,

ideas, workshop goals.

Where does gambling fit in?
1.30pm ‐ Transference & Counter‐transference
Attachment theory and psychotherapy
Containment & Holding
2.15pm ‐ Case Study
2.30pm ‐ Tea/Coffee
2.45 ‐ Groups
3.15 – Group Feedback & Conclusions
3.45 ‐ End

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What is psychodynamic psychotherapy?

Catholic confession –
circa. 1215
Aristotle’s “catharsis”
Freud and the couch
Blank screen
Making the unconscious

conscious

Remembering,

repeating, working through

SLIDE 4

Psychotherapy & Gambling
Gambling treatments: shorter term, CBT

focused

UCLA – Residential gambling program
Short‐term/long‐term?
Resources & evidence‐base

SLIDE 5

Clip: countertransference

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Transference: defintion

“the experiencing of feelings, drives, attitudes, fantasies and defences toward a person in the present, which do not befit that person but are a repetition of reactions originating in regard to significant persons of early childhood, unconsciously displaced onto figures in the

present. The two outstanding characteristics of

a transference reaction are 1. it is a repetition and 2. it is inappropriate.” Ralph Greenson, 1967

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Transference

Transference as a block
Shadow of the object
Intensified under stress/anxiety/illness
Breuer and the “private theatre”
Institutional transference
Transference interpretations

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PARENT DRIVER PARKING INSPECTOR ADULT CHILD PARENT ADULT CHILD

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PARENT DRIVER PARKING INSPECTOR ADULT CHILD PARENT ADULT CHILD

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PARENT PATIENT THERAPIST ADULT CHILD PARENT ADULT CHILD

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PARENT PATIENT THERAPIST ADULT CHILD PARENT ADULT CHILD

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Attachment theory & psychotherapy

Bowlby, Ainsworth & the 44 thieves
What’s your attachment style?
Attachment style questionnaire
Peter Fonagy & Psychoanalysis
Attachment theory & addiction

SLIDE 13

Clip: Will

SLIDE 14

Containment & Holding

Bion – containment
Alpha function & thinking
Winnicott – holding
Primary maternal preoccupation

SLIDE 15

Containing & Holding

“Mrs. Darling first heard of Peter when she was tidying up her children's

minds. It is the nightly custom of every good mother after her children are

asleep to rummage in their minds and put things straight for next morning, repacking into their proper places the many articles that have wandered during the day. If you could keep awake (but of course you can't) you would see your own mother doing this, and you would find it very interesting to watch her. It is quite like tidying up drawers. You would see her on her knees, I expect, lingering humorously over some of your contents, wondering where

n earth you had picked this thing up, making discoveries sweet and not so

sweet, pressing this to her cheek as if it were as nice as a kitten, and hurriedly stowing that out of sight. When you wake in the morning, the naughtiness and evil passions with which you went to bed have been folded up small and placed at the bottom of your mind and on the top, beautifully aired, are spread out your prettier thoughts, ready for you to put on.” ‐ J.M . Barrie, Peter Pan