Adlerian Psychotherapy Prioritizing social interest History of Adlerian Theory



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adler

1. Establishing the relationship

  • Therapist gets to know the client as a person
  • Supportive, caring human connection
    • Warmth, empathy, and acceptance
    • Hope, reassurance, and encouragement
    • Love
  • Therapy is collaborative
    • Goals established together prior to start
    • Awareness of goal discrepancies during early phases
      • Scripts (“Have you ever seen a patient like me before?”)
      • Games (“My previous therapist said the opposite…”)
    • Realignment of goals, when necessary

2. Gathering information

  • Interview
    • Client tells own story as expert on own life
      • Presenting problem(s)
      • Early recollections, influences (earliest memories, vivid memories from early adolescence)
      • Life tasks
      • Personality priorities
    • Lifestyle Assessment -- therapist listens for clues to client’s coping and approach to life, develops therapy goals by identifying major successes and mistakes
    • “The Question” -- If I had a magic wand that would eliminate your symptom immediately, what would be different in your life?”
  • Family constellation, other paper-pencil tests
  • Integration and summary

3. Facilitating Self-Understanding & Insight

  • Insight = Understanding of motivations (the whys)
  • that operate in client’s life
  • Therapist clarifies vague thinking with Socratic questioning.
  • Therapist invites evaluation of consequences of ideas and actions.
  • Therapist gently challenges mistaken ideas about self and others.
  • Therapist offers open-ended interpretations to:
    • bring conscious awareness to unconscious processes
    • identify and confront resistance
    • explore purposes of symptoms, feelings, behaviors or blocks
  • Types of interpretation
    • Of nonverbal behavior: to bring the client’s nonverbal behavior to the attention of the client and interpret it.
    • Of the therapeutic process: Dealing with what is in the here and now.
    • Active wondering: Proposes an alternative to the presenting problem.

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