Therapist Uncensored Podcast

Challenging Defenses: An Introduction to Experiential Dynamic Therapies (EDTS): (246)

Sep 25, 2024
Margaret Martin, an expert in Experiential Dynamic Therapies, and Dr. Deb Pollack, who specializes in mental health therapy science, dive into the intricacies of recognizing and challenging psychological defenses. They discuss the importance of distinguishing between ego-syntonic and ego-dystonic defenses for emotional healing. The pair emphasizes how turning against these defenses can facilitate change, explore advanced therapeutic models, and highlight the transformative journey clients experience by confronting their past traumas.
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ANECDOTE

AEDP Origin Story

  • Diana Fosha developed AEDP after training with Davenloo and created a widely known branch.
  • AEDP is one of several second-generation therapies branching from ISTDP's core principles.
INSIGHT

From 'This Is Me' To 'I Can Change'

  • Egosyntonic defenses feel right and hide their harm; egodystonic defenses feel wrong and cause distress.
  • Moving a defense from egosyntonic to egodystonic creates the space needed for real change.
ADVICE

Match Challenge To Capacity

  • Test whether a client is highly resistant before using intensive challenges.
  • Build anxiety tolerance first when capacity is low, then apply stronger interventions.
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