What's the difference is between 'Internal Medicine' and 'General Practice?

Whats the difference between “time-limited” practice vs. “traditional” psychotherapeutic practice. (in social?

  • My teachers power points say..... Describe the five key differences between “time-limited” practice and “traditional” psychotherapeutic practice. • Time limited:view of client-healthy individual seeking changes vs psychotherapeutic practice view of client: personal pathology • Most helpful during critical periods vs. necessary, ongoing • Goal and objectives –mutually defined vs. therapist defined (1st), concrete defined, beyond walls vs. memories, in-session • Little emphasis on insight vs. insight • Therapist- active, directive vs. active listening, consultative role but that doesnt really explain it and she didnt clarify which one is which

  • Answer:

    The Conversational Model of psychotherapy was devised by the English psychiatrist Robert Hobson, and developed by the Australian psychiatrist Russell Meares. Hobson listened to recordings of his own psychotherapeutic practice with more disturbed clients, and became aware of the ways in which a patient's self - their unique sense of personal being - can come alive and develop, or be destroyed, in the flux of the conversation in the consulting room. The Conversational Model views the aim of therapy as allowing the growth of the patient's self through encouraging a form of conversational relating called 'aloneness-togetherness'. This phrase is reminiscent of Winnicott's idea of the importance of being able to be 'alone in the presence of another', and of Rogers' notion of 'unconditional positive regard'. The client comes to eventually feel recognised, accepted and understood as who they are; their sense of personal being, or self, is fostered; and they can start to drop the destructive defenses which disrupt their sense of personal being. The development of the self implies a capacity to embody and span the dialectic of 'aloneness-togetherness' - rather than being disposed toward either schizoid isolation (aloneness) or merging identification with the other (togetherness). Although the therapy is described as psychodynamic, it relies more on careful empathic listening and the development of a common 'feeling language' than it does on psychoanalytic interpretation.

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