Psycho-Babble Psychology Thread 1096250

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How many types of psychotherapy are there?

Posted by SLS on December 7, 2017, at 15:49:28

I have never seen a concise list of psychotherapies. Would anyone care to add to the list?


Cognitive Behavioral Therapy (CBT)
Interpersonal Therapy (IPT)
Dialectical Behavior Therapy (DBT)
Psychoanalysis
Psychodynamic Therapy

 

Re: How many types of psychotherapy are there?

Posted by baseball55 on December 7, 2017, at 18:29:05

In reply to How many types of psychotherapy are there?, posted by SLS on December 7, 2017, at 15:49:28

I'ver heard about all these little niche therapies, like attachment therapy, but I think most are just variations of those you list.

> I have never seen a concise list of psychotherapies. Would anyone care to add to the list?
>
>
> Cognitive Behavioral Therapy (CBT)
> Interpersonal Therapy (IPT)
> Dialectical Behavior Therapy (DBT)
> Psychoanalysis
> Psychodynamic Therapy
>
>

 

Re: How many types of psychotherapy are there?

Posted by alexandra_k on December 9, 2017, at 16:17:13

In reply to How many types of psychotherapy are there?, posted by SLS on December 7, 2017, at 15:49:28

I think your question is a bit like asking how many species are there? It is hard because of the hierarchy thing... The boundaries between orders and families and so on is blurry... All the way down to identifying paradigmatic members (exemplars, if you will) of the category...

I'll try and explain what I mean...

_____

There are a number of different theorists who were more or less charasmatic personalities and prolific with their writings. Their influence has inspired a number of acolytes both within their lifetimes, and into today.

So, for example, Freud, Jung, Klein. Skinner. Timothy Leary, Marsha Linehan.

You can trace lineages (if you cared to) with respect to who was a student of who... Who was influenced by who, who read who, who disagreed with who where and when about what and why.

Modern day accreditation requirements fix a curriculum for students with respect ot what theorists they read and what techniques they are taught to practice. And professional practice guidelines set boundaries / limits and perhaps offer more or less guidance on acceptable practice, too.

There are a number of different accreditations that allow people to practice as psychotherapists. For example, psychiatrists, clinical psychologists, behavioral psychologists, counsellers, some people in education (I think), social work...

So in one sense, the answer to your question might amount to an answer to: How many different lisencing bodies are there?

But then within each system of accrediditation there are different curriculum options. Different universities (or other institutions) will offer different options depending on who they have to teach and the lineage of the teacher... So, for example, 'psychodynamically oriented psychotherapy' can be broken down into 'object relations theorists' or 'attachment theorists' or down to particular figureheads e.g., 'Kleinian' or 'Jungian' and so on.

Clinical Psychology programs might have more or less Behaviourists (teaching Skinner, Watson etc) or Cognitivists (Beck etc). More or less of a focus on activity scheduling and reinforcement patterns or cognitive restructuring and self affirmations. Marsha Linehan (Dialectical Behavior Therapy) was herself trained as a Cognitive Behavior Therapist (which involves kludging together cognitivism and behaviorism) with teachniques from Bhuddist Practice (mindfulness meditation and acceptance strategies)...
_____________

So... All these relations... Individual people. Then the people they taught... How much the people they taught retain original teachings (apparently there are still some more or less purist Freudians??) vs develop the orientation (modern day Freudians - psychoanalysts) vs develop it in a way that involves chiasm with a group of people claiming to be more pure... so you get other varieties of psychoanalysis that - "sniff" - do not even deserve to be called *psychoanalysis* - they are merely *psychoanalytically oriented (more or less) therapies*.

Lots of controversy over the name... The name we should give... To that bunch of practitioners operating out of... California... Or, wherever... This or that university... This or that part of the world...

_______________

I think the most useful way of approaching things is to look at the accreditation. If someone has a certificate prnouncing they are a qualified Jungian Analyst then they learned about whatever it was that they learned about during their Jungian Analysis training program.

There isn't much of anything to stop them going off for a weekend workshop to learn Basic Principles of Dialectical Behavior Therapy and displaying that certificate / that accrediation / that theoretical orientation too... Unlikely... But possible...

_________________

I think most therapists (with professional freedom) will do whatever seems to work... But what strategies they think to try and limited by the experience they have / what they have learned. People might be drawn to certain orientations for whatever reasons... Because it makes better sense of the presenting problems of their client base, or because it offers workable(ish) solutions given time constraints, or whatever... But most clinicians do the hodge-podge thing. A little of this, a little of that, and never mind contradictory theory...

Most clincians aren't particularly theoretically minded.

 

Re: How many types of psychotherapy are there?

Posted by alexandra_k on December 9, 2017, at 16:33:15

In reply to How many types of psychotherapy are there?, posted by SLS on December 7, 2017, at 15:49:28

> I have never seen a concise list of psychotherapies. Would anyone care to add to the list?

> Cognitive Behavioral Therapy (CBT)
> Interpersonal Therapy (IPT)
> Dialectical Behavior Therapy (DBT)
> Psychoanalysis
> Psychodynamic Therapy


CBT and DBT developed within Clinical Psychology curricula.

Psychoanalysis is more or less Freudian (Psychiatry) and eventually Psychodynamic Therapy (originally Psychiatrists - but then the doors were opened to those of differnent training backgrounds / orientations as less and less Psychiatrists were willing to train). All the way to 'Psychodynamically Oriented Brief Supportive Psychotherapy' which has been watered down broadened enough to be practicable by Clinical Psychologists who may have done a weekned workshop...

IPT?? Was that a form of group therapy?

I think Humanist theories are important in counselling / education. More of a focus on flourishing, personal fulfillment, meaningful life, instead of disease / disorder.

 

Re: How many types of psychotherapy are there?

Posted by baseball55 on December 10, 2017, at 17:26:13

In reply to Re: How many types of psychotherapy are there?, posted by alexandra_k on December 9, 2017, at 16:33:15

Most clinicians, as you say, aren't especially interested in all the theoretical stuff. My psychiatrist majored in psychology at Harvard in the 1960s, planning on studying clinical psychology. But he got disgusted by all the theoretical disputes and went to med school instead, where he trained in dynamic therapy.

But most clinician are not that eclectic in their clinical practice. DBT is highly specialized and few clinicians have the training to do it. CBT is more widely taught, but not really practiced by dynamic clinicians, who never did the training. Psychoanalysis is rarely taught these days - usually people who want to do this have to do specialized training outside of their PhD/MD/LICSW program. Most therapists have a pretty low opinion of it - years of lying on a couch 3-4 times a week, free-associating.

I also don't really understand what IPT is - seems like very brief dynamic therapy pushed by insurance companies to move patients out of therapy quickly and cheaply.

 

Re: How many types of psychotherapy are there? baseball55

Posted by alexandra_k on December 18, 2017, at 0:15:39

In reply to Re: How many types of psychotherapy are there?, posted by baseball55 on December 10, 2017, at 17:26:13

I don't really know what IPT is, either.

I checked out Wikipedia and it looked like it does some of the clinical psychology (CBT-ish) stuff on attachment styles.

There are varieties of group therapy, too. I can't think of any off the top of my head... But varieties of theraputic commuities... Very influential for drug rehab stuff. And maybe some longer stay private psychiatric hospitals.

 

Re: How many types of psychotherapy are there?

Posted by baseball55 on December 18, 2017, at 18:09:08

In reply to Re: How many types of psychotherapy are there? baseball55, posted by alexandra_k on December 18, 2017, at 0:15:39

I looked up IPT also. Apparently, the idea is that the patient will form an attachment to the therapist and, through that, explore ways in which interpersonal relationships cause them pain. In 8-12 weeks.

So, like I guessed, dynamic therapy condensed to a few visits. I'm sure insurance companies love it. But developing strong enough attachments to a therapist, developing mutual trust, using that bond and trust to explore painful interpersonal issues is, in my experience, something that takes years. I have no respect at all for the therapists who sell this snake oil to insurance companies. Psychiatrists since Freud have understood that transference attachments can be hard to form and harder to break. Sure, you don't need 20 years of 3-5 weekly lying on a couch to deal with it - but less than a year or two (or more)?

Then some entrepreneurial therapist come along and promise insurance companies they can make this all happen in 2-3 months.

 

Re: How many types of psychotherapy are there? baseball55

Posted by alexandra_k on December 19, 2017, at 0:21:19

In reply to Re: How many types of psychotherapy are there?, posted by baseball55 on December 18, 2017, at 18:09:08

> Sure, you don't need 20 years of 3-5 weekly lying on a couch to deal with it...

Really?

I'm not convinced.

;-)

 

Re: How many types of psychotherapy are there?

Posted by Lamdage22 on December 24, 2017, at 8:13:33

In reply to How many types of psychotherapy are there?, posted by SLS on December 7, 2017, at 15:49:28

Hi Scott,

i wanna add hypno systemic therapy


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