In Adaptive Psychotherapy attention is focused on specific maladaptations; major intrapsychic alterations of character are not a goal of treatment.With infantile and schizoid personality disorders, those aspects of the patient’s behavior that defend him against overt psychosis and keep him in an acceptable role in society are strengthened and rewarded.No attempt is made to change the basic character disorder and its defenses.
In certain cases regressive adaptation is considered a goal of treatment. When progressive adaptation (ego growth and development) is considered temporarily or permanently impossible, transference cures and flights into health are encouraged. In this regard, primitive and infantile transferences are accepted and supported when the contribute in a positive way to the patient’s ties to the institution or enable him to accept the therapist’s interventions. Another goal of Adaptive Psychotherapy is reality education, which emphasizes sharpening objectivity, the reduction of omnipotent fears,and the correction of referential distortion when it is disabling.
Adaptive Psychotherapy emphasizes the use of the natural personality and adaptive features of the therapist as an ally to the patient’s adaptive possibilities. Training in Adaptive Psychotherapy can help the psychotherapist to develop a useful repertoire of characteristics that can be valuable in assisting certain patients toward a more successful adaptation.
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