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Q.What are the different types of psychotherapy? On what basis are they classified?

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Psychotherapies fall into three broad groups — psychodynamic, behaviour, and existential (humanistic-existential) — classified according to parameters such as the cause of the problem, how that cause arose, the chief method of treatment, and the nature of the therapist–client relationship.

The three broad types

Though all psychotherapies aim to remove distress and foster effective behaviour, they differ greatly in concepts, methods and techniques. They may be classified into three broad groups:

  • Psychodynamic therapy — emerged first, chronologically.
  • Behaviour therapy — emerged next.
  • Existential (humanistic-existential) therapies — also called the third force, emerged last.

The parameters (basis) of classification

The classification rests on the following parameters:

  1. What is the cause that led to the problem?
  • Psychodynamic: intrapsychic conflicts — conflicts present within the psyche.
  • Behaviour: faulty learning of behaviours and cognitions.
  • Existential: questions about the meaning of one's life and existence.
  1. How did the cause come into existence?
  • Psychodynamic: unfulfilled desires of childhood and unresolved childhood fears.
  • Behaviour: faulty conditioning patterns, faulty learning, and faulty thinking and beliefs leading to maladaptive behaviours.
  • Existential: the present — current feelings of loneliness, alienation, and a sense of futility of one's existence.
  1. What is the chief method of treatment?
  • Psychodynamic: free association and reporting of dreams; this material is interpreted to the client to help confront and resolve conflicts.
  • Behaviour: identifying faulty conditioning patterns and setting up alternate behavioural contingencies; cognitive methods challenge faulty thinking.
  • Existential: providing a positive, accepting and non-judgmental environment in which the client talks and the therapist acts as a facilitator, so the client arrives at solutions through personal growth.
  1. What is the nature of the therapeutic relationship?
  • Psychodynamic: the therapist understands the client's conflicts better and interprets thoughts and feelings.
  • Behaviour: the therapist discerns and finds the correct, adaptive behaviour and thought patterns. (Both psychodynamic and behaviour therapies assume the therapist is capable of arriving at solutions.)
  • Existential: the therapist merely provides a warm, empathic relationship in which the client feels secure to explore causes by herself/himself.

Other distinguishing parameters mentioned are the chief benefit to the client (emotional insight vs. adaptive behaviour vs. personal growth) and the duration of treatment (classical psychoanalysis may run several years; behaviour, cognitive-behaviour and existential therapies are shorter, completed in a few months).

✓Final answer

There are three broad types of psychotherapy — psychodynamic, behaviour, and existential (humanistic-existential) — which emerged in that chronological order. They are classified on the basis of parameters: what causes the problem, how that cause came into existence, the chief method of treatment, the nature of the therapeutic relationship (and further, the chief benefit to the client and the duration of treatment).

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