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Therapeutic Alliance
A therapeutic alliance, or working alliance, is a partnership between a patient and their therapist that allows them to achieve goals through agreed-upon tasks. The concept of therapeutic alliance dates back to Sigmund Freud. Over the course of its evolution, the meaning of the therapeutic alliance has shifted both in form and implication. What started as an analytic construct has become, over the years, a transtheoretical formulation, an integrative variable, and a common factor. Alliance as analytic In its analytic permutation, Freud suggested the importance of allowing for the patient to be a “collaborator” in the therapeutic process. In his writings on transference, Freud thought of the patient’s feelings towards the therapist as resembling the non-conflicted, trusting elements of early relationships with the patient’s parents, and that this could serve as the basis for collaboration in this way. In later years, ego psychologists popularized a construct that t ...
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Sigmund Freud
Sigmund Freud ( ; ; born Sigismund Schlomo Freud; 6 May 1856 – 23 September 1939) was an Austrian neurologist and the founder of psychoanalysis, a clinical method for evaluating and treating psychopathology, pathologies seen as originating from conflicts in the Psyche (psychology), psyche, through dialogue between patient and psychoanalyst, and the distinctive theory of mind and human agency derived from it. Freud was born to Galician Jews, Galician Jewish parents in the Moravian town of Příbor, Freiberg, in the Austrian Empire. He qualified as a doctor of medicine in 1881 at the University of Vienna. Upon completing his habilitation in 1885, he was appointed a docent in neuropathology and became an affiliated professor in 1902. Freud lived and worked in Vienna having set up his clinical practice there in 1886. Following the Anschluss, German annexation of Austria in March 1938, Freud left Austria to escape Nazi persecution. He died in exile in the United Kingdom in 1939. In ...
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Cognition
Cognition is the "mental action or process of acquiring knowledge and understanding through thought, experience, and the senses". It encompasses all aspects of intellectual functions and processes such as: perception, attention, thought, imagination, intelligence, the formation of knowledge, memory and working memory, judgment and evaluation, reasoning and computation, problem-solving and decision-making, comprehension and production of language. Cognitive processes use existing knowledge to discover new knowledge. Cognitive processes are analyzed from very different perspectives within different contexts, notably in the fields of linguistics, musicology, anesthesia, neuroscience, psychiatry, psychology, education, philosophy, anthropology, biology, systemics, logic, and computer science. These and other approaches to the analysis of cognition (such as embodied cognition) are synthesized in the developing field of cognitive science, a progressively autonomou ...
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Lester Luborsky
Lester B. Luborsky (1920–2009) was one of the founders of scientific research in psychotherapy. Luborsky was born and raised in Philadelphia. He graduated from Philadelphia Central High School and then earned his bachelor's degree at Pennsylvania State University. Luborsky received his Ph.D. in psychology from Duke University. He was an instructor at the University of Illinois for two years. He then spent eleven years at the Menninger Foundation before joining the faculty of the University of Pennsylvania. In 1973–1974 Luborsky served as president of the Society for Psychotherapy Research. Career Author of nine books and over 400 articles, he had the rare ability to apply a scientific eye to the personal processes of psychotherapy. He examined the factors that make psychotherapy work, along with large-scale studies of outcome. Among his major research contributions were the development of methods that could be used to study therapeutic processes, notably the symptom ...
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Psychotherapy
Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of Psychology, psychological methods, particularly when based on regular Conversation, personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Some types of psychotherapy are considered evidence-based for treating diagnosed mental disorders; other types have been criticized as pseudoscience. There are hundreds of psychotherapy techniques, some being minor variations; others are based on very different conceptions of psychology. Most approaches involve one-to-one sessions, between the client and therapist, but some are c ...
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Behavior
Behavior (American English) or behaviour (British English) is the range of actions of Individual, individuals, organisms, systems or Artificial intelligence, artificial entities in some environment. These systems can include other systems or organisms as well as the inanimate physical environment. It is the computed response of the system or organism to various stimuli or inputs, whether internal or external, conscious or subconscious, overt or covert, and voluntary action, voluntary or Volition (psychology), involuntary. While some behavior is produced in response to an organism's environment (extrinsic motivation), behavior can also be the product of intrinsic motivation, also referred to as "agency" or "free will". Taking a behavior informatics perspective, a behavior consists of actor, operation, interactions, and their properties. This can be represented as a behavior Euclidean vector, vector. Models Biology Definition Behavior may be defined as "the internally coordin ...
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Interpersonal Relationship
In social psychology, an interpersonal relation (or interpersonal relationship) describes a social association, connection, or affiliation between two or more people. It overlaps significantly with the concept of social relations, which are the fundamental unit of analysis within the social sciences. Relations vary in degrees of intimacy, self-disclosure, duration, reciprocity, and power distribution. The main themes or trends of the interpersonal relations are: family, kinship, friendship, love, marriage, business, employment, clubs, neighborhoods, ethical values, support and solidarity. Interpersonal relations may be regulated by law, custom, or mutual agreement, and form the basis of social groups and societies. They appear when people communicate or act with each other within specific social contexts, and they thrive on equitable and reciprocal compromises. Interdisciplinary analysis of relationships draws heavily upon the other social sciences, includin ...
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Dialectic
Dialectic (; ), also known as the dialectical method, refers originally to dialogue between people holding different points of view about a subject but wishing to arrive at the truth through reasoned argument. Dialectic resembles debate, but the concept excludes subjective elements such as emotional appeal and rhetoric. It has its origins in ancient philosophy and continued to be developed in the Middle Ages. Hegelianism refigured "dialectic" to no longer refer to a literal dialogue. Instead, the term takes on the specialized meaning of development by way of overcoming internal contradictions. Dialectical materialism, a theory advanced by Karl Marx and Friedrich Engels, adapted the Hegelian dialectic into a materialist theory of history. The legacy of Hegelian and Marxian dialectics has been criticized by philosophers, such as Karl Popper and Mario Bunge, who considered it unscientific. Dialectic implies a developmental process and so does not fit naturally within classical ...
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Intersubjectivity
Intersubjectivity describes the shared understanding that emerges from interpersonal interactions. The term first appeared in social science in the 1970s and later incorporated into psychoanalytic theory by George E. Atwood and Robert Stolorow, the term has since been adopted across various fields. In phenomenology, philosophers such as Edmund Husserl and Edith Stein examined intersubjectivity in relation to empathy and experience, while in psychology it is used to analyze how individuals attribute mental states to others and coordinate behavior. Definition is a term coined by social scientists beginning around 1970 to refer to a variety of types of human interaction. The term was introduced to psychoanalysis by George E. Atwood and Robert Stolorow, who consider it a "meta-theory" of psychoanalysis. For example, social psychologists Alex Gillespie and Flora Cornish listed at least seven definitions of intersubjectivity (and other disciplines have additional definitions): * ...
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Subjectivity
The distinction between subjectivity and objectivity is a basic idea of philosophy, particularly epistemology and metaphysics. Various understandings of this distinction have evolved through the work of countless philosophers over centuries. One basic distinction is: *Something is subjective if it is dependent on a mind (biases, perception, emotions, opinions, imagination, or conscious experience). Solomon, Robert C.br>"Subjectivity" in Honderich, Ted. '' Oxford Companion to Philosophy'' (Oxford University Press, 2005), p.900. If a claim is true exclusively when considering the claim from the viewpoint of a sentient being, it is subjectively true. For example, one person may consider the weather to be pleasantly warm, and another person may consider the same weather to be too hot; both views are subjective. *Something is objective if it can be confirmed independently of a mind. If a claim is true even when considering it outside the viewpoint of a sentient being, then it may be lab ...
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Existential Therapy
Existential therapy is a form of psychotherapy based on the model of human nature and experience developed by the existential tradition of European philosophy. It focuses on the psychological experience revolving around universal human truths of existence such as death, freedom, isolation and the search for the meaning of life. Existential therapists largely reject the medical model of mental illness that views mental health symptoms as the result of biological causes. Rather, symptoms such as anxiety, alienation and depression arise because of attempts to deny or avoid the givens of existence, often resulting in an existential crisis. For example, existential therapists highlight the fact that since we have the freedom to choose, there will always be uncertainty - and therefore, there will always be a level of existential anxiety present in our lives. Existential therapists also draw heavily from the methods of phenomenology, a philosophical approach developed by Edmun ...
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Agency (psychology)
In psychology, agency signifies the concept of a person's ability to initiate and control their actions, and the feeling they have of being in charge of their actions. The topic of agency can be divided into two topical domains. The first half of the topic of agency deals with the behavioral sense, or outward expressive evidence thereof. In behavioral psychology, agents are goal-directed entities that can monitor their environment to select and perform efficient means-end actions that are available in a given situation to achieve an intended goal. Behavioral agency, therefore, implies the ability to perceive and change the environment of the agent. Crucially, it also entails intentionality to represent the goal state in the future, equifinal variability to be able to achieve the intended goal state with different actions in different contexts, and rationality of actions in relation to their goal to produce the most efficient action available. Cognitive scientists and Behavioral psy ...
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John Christopher Muran
John Christopher Muran (born December 4, 1961, in New York) is an American clinical psychologist and psychotherapy researcher. Education John Christopher Muran graduated cum laude from The Hotchkiss School in 1980 and Hamilton College in 1984. He completed a doctorate in combined professional-scientific psychology at Hofstra University in 1989. He also completed postdoctoral training in cognitive therapy at the Clarke Institute of Psychiatry (University of Toronto) in 1990 and in psychoanalysis at the New York University Postdoctoral Program in 1998. Career He is Dean at the Gordon F. Derner School of Psychology, Adelphi University, where he holds the appointment of full professor and served as training director for the doctoral program in clinical psychology (2009-2021). He is also Principal Investigator of the Psychotherapy Research Program at Mount Sinai Beth Israel (since 1990), which has been supported by grants from the National Institute of Mental Health, and is on facul ...
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