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Transcript of Ego Psychology
Theory & Treatment Id, Ego, Superego
& Implications for Treatment
Reconceptualized Undifferentiated matrix
Average expectable environment
Conflict Free Ego functions / Primary Autonomy from the drives.
Neutralization (secondary autonomy)
Ego and superego divert libidinal and aggressive energy away from purely sexual and aggressive aims by defenses such as sublimation. Primitive Libido
Erotic gratification --> the maturing ego could seek affection, entertainment, and enlightenment
Desire to destroy others --> is internalized to serve ego; used by the superego to constrain destructive pursuit of id impulses; Transformed into competitiveness and other more adaptive manifestation. Ego
Roles & Functions Reality Testing Judgment Modulating and Controlling Impulses Modulating and Controlling Affects Object Relations Self-Esteem Regulation Defensive Functioning Autonomous Functions Mastery
--Effectance as Motivating Force Synthetic-Integrative Function Defenses Assessment So....What have we learned sooooo far? Let's Practice Assessment Skills Treatment Ego-Supportive
Ego-Modifying Ego-supportive intervention aims at restoring, maintaining, or enhancing the individual’s adaptive functioning as well as strengthening or building ego where there are deficits or impairments.
Ego-Modifying intervention aims at changing basic personality patterns or structures.
Ego-supportive intervention tends to rely on both psychological and environmental work, whereas ego-modifying intervention tends to be more psychological. Focus of Intervention ES: Current behavior and conscious thoughts and feelings; some selected focus on the past; mostly on the “here-and-now”
EM: Past and present; conscious, preconscious, and unconscious Nature of Change ES: Change includes: The exercise of autonomous ego functioning in the service of mastering new developmental, life transitional, crisis or other stressful situations; greater understanding of the impact of one’s behavior on others; learning and positive reinforcement of new behavior, skills, attitudes, problem-solving capacities, and coping strategies; the utilization of conflict-free areas of ego functioning to neutralize conflict-laden areas; the use of relationships and experiences to correct for previous difficulties and deprivations; the use of the environment to provide more opportunities and conditions for the use of one’s capacities.
EM: Insight and conflict resolution Use of Relationship ES: Experience of the real relationship; positive transference; corrective relationship; worker’s relationship with others in client’s environment
EM: Understanding of positive and negative transference ES: Directive, sustaining, educative, and structured; some reflection
EM: Nondirective, reflective, interpretive Psychological Intervention ES: Environmental modification and restructuring; provision and mobilization of resources; improving conditions
EM: Not emphasized but may be used Work with Environment ES: Those encountering life transitions, such as acute and transitional crises, or stress; those with ego deficits; those with maladaptive patterns and low anxiety tolerance and impulse control
EM: Those with good ego strength who have maladaptive patterns interfering with optimal functioning ES: Short-term or long-term
EM: Generally long term Appropriate Populations Duration Factors Impacting
Treatment Motivation Two conditions must hold for the sustainment of responsible willingness to work at problem-solving : discomfort and hope… Thus a person must feel more uncomfortable than comfortable with his problem in order to want to do something about it and this malaise will serve to push him...Discomfort without hope spells resignation, apathy, fixation….Hopefulness without discomfort…is the mark of the immature, wishful person, he who depends on others or on circumstances to work for his interest [Perlman, 1979: 186-87] Values, Experiences, Sociocultural Background Ego Functioning Current Life Situation Ability to Modify Adaptive Abilities
(either the environment or individual's coping)