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KMID : 0385320010120010103
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Journal of Korean Psychoanalytic Society
2001 Volume.12 No. 1 p.103 ~ p.107
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Clinical Discussion in Terms of Supportive Psychotherapy
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Lee Moo-Suk
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Abstract
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The patient was a 26 year old female. She has had a difficult life with many symptoms. She complained of,’I feel empty, sometimes I thought that I would rather kill myself.’ She has a history of suicidal attempts, and she has sex in order to avoid feeling empty. She was also rejected and ignored as a child, and she visited Dr. Park in order to understand the origin of her problem. Dr. Park treated her using psychotherapy twice a week for 50 sessions. Psychodynamically, her central conflict arose from an infantile dependency need in her unconscious. She was a lonely girl and needed someone to be with her. The motivation of her sexual relationship with men is not for sexual pleasure, but for resolution of emptiness. Supportive psychotherapy is like maternal caring of a hurt child. There are two factors in psychoanalytic psychotherapy, which are paternal and maternal factors. Neutrality, keeping time, and the rule of therapy all belong to the paternal factors. Conversely, empathic responses, concern for the patient, waiting on the patient whenever the patient visits at an appointed time are maternal. The therapeutic effect of supportive psychotherapy comes from maternal factors De Jonghe F, Rijnierse P and Janssen R, 1992).Although the paternal factors prevent dependency of the patient and contamination of transferences, therapeutic action comes from maternal factors. Paternal factors belong to ’reason,’while maternal factors belong to ’pathos’(emotion). In this sense, analytic interpretation resembles behavior of reason. In some situations, it acts as a powerful support mechanism and reassurance(Loewald 1960, Kohut 1984, Gray 1990, 이무석,2001). So it can make one very much comfused when one dichotomizes supportive and analytic psychotherapy. For the psychotherapy of the female patient, Dr. Park tried to treat her by psygnoanalytic psychotherapy in the beginning. But he changed his method of treatment as a supportive one since the patient displayed a vulnerable personality. As a result, the patient improved in her occupational functioning and interpersonal relationship. The attitude of the therapist was spontaneous and empathic, and it made the patient feel as comfortable as being with a caring mother.
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KEYWORD
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Depression, Support
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