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Progress in Psychotherapy: The Perspective of Control-Mastery Theory
Martina Rodomonti, Eleonora Fiorenza, Francesco Gazzillo
1Department of Dynamic and Clinical Psychology, "Sapienza" University of Rome.
Patients actively collaborate in psychotherapy, unconsciously working to overcome challenges and achieve healing. Control-Mastery Theory (CMT) reframes the therapeutic relationship as a partnership focused on adaptive goals and mastering trauma.
Area of Science:
- Psychology
- Psychotherapy Research
- Psychoanalytic Theory
Background:
- Classical psychoanalysis viewed patient resistance as opposing therapy.
- Evolving perspectives recognize patient collaboration, both conscious and unconscious.
- The concept of resistance has been modified over time.
Purpose of the Study:
- To explore novel understandings of psychotherapy progress.
- To reframe the therapeutic relationship through Control-Mastery Theory (CMT).
- To highlight the patient's proactive role in treatment.
Main Methods:
- Theoretical exploration and conceptual reframing.
- Analysis of the patient's contribution to the therapeutic alliance.
- Application of Control-Mastery Theory principles.
Main Results:
- Patients are motivated by adaptive goals and trauma mastery.
- Patients actively test and disprove pathogenic beliefs in therapy.
- Patients unconsciously coach therapists to facilitate healing.
Conclusions:
- Psychotherapy progress involves patient's unconscious proactive engagement.
- Control-Mastery Theory offers a framework for understanding patient-therapist collaboration.
- Patients play a vital role in disproving maladaptive patterns and achieving therapeutic goals.
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