BRIEF PSYCHOANALYTIC THERAPY- inspired by S. Freud, S. Ferenczi, M. Balint, E. Gilliéron.
Cecilia Commo's psychotherapeutic practice is essentially oriented towards the relief of psychological suffering in order to achieve a better well-being. Her clinical approach focuses on the psychological conflicts that animate a person (the world of fantasies/unconscious) but also on the links that this person establishes with others, those around him (the real/conscious world). It is a quest where the whole person is considered and not only the relationship he or she has with his or her unconscious and repetitive automatisms. The relationship that Cécilia Commo then establishes with her patient is marked by a warm kindness and an understanding listening without any judgment.
This relational and restorative dimension, which generates empathy, provides the person who consults with support and encouragement that is part of the therapy. Certainly Freudian orthodoxy is shaken up when we talk about introducing empathy into the analytical relationship between the therapist and his patient (a notion introduced by Sandor Ferenczi for whom care, healing and therefore therapy have always been fundamental) but "the psychoanalyst cannot be part of the pure application of a rule without becoming its cold and deadly technician". (B. Defrenet).
Individual therapy is a form of therapy in which you are treated on a one-on-one basis with your therapist. . The sessions are more spaced (1 per week, exceptionally 2) than in a traditional psychoanalysis (standard cure), the therapy is shorter (between 3 and 12 months), the financial burden is lower.
It is perfectly obvious that a person who consults often waits for support, but he or she also wants to perceive a change in his or her daily life: he or she wants to feel that his or her therapy is helping him or her to get better.
The entire approach must therefore be considered in two stages:
- Why this behaviour?
- How can I modify this behaviour to feel relief?
It is indeed important to feel that at each session, a step forward has been taken, a problem raised, a question asked. Because the psychotherapy work does not stop at the consultation between the practitioner and the patient, it continues slowly in the patient's mind until the next session.
Concretely, a brief psychoanalytic psychotherapy begins with one or two preliminary sessions designed to place the person's request in a psychodynamic perspective by investigating several fields (medical, personal, professional, social, relational, etc...) and to set up the conditions for a psychotherapeutic process (construct a psychodynamic hypothesis, transmit this hypothesis to the patient, lead and evaluate the change process). In short: understand what worries or hurts, make a hypothesis about the conflict at play and share this hypothesis with the patient. From there, decide on the treatment, its objectives, its purpose in agreement with the person.
The psychoanalytical field has extended its scope with the emergence of broad psychodynamic conceptions such as those underlying the psychodynamic psychotherapy of couples in which the aim is to understand and improve the psychic and interpersonal functioning at work in each of the two persons constituting the couple. By extension, we postulate the existence of a "psychic apparatus of the couple".
Psychodynamic couple therapies are emotionally focused and/or oriented towards awareness (called insight).
When they are oriented towards insight, they focus on the conflicting emotional processes concerning each of the partners, the interactions between them and the system called "couple" in a broader sense.
These couple therapies integrate individual, marital and family functioning with regard to psychological maturation, understanding, inappropriate contractual expectations, irrational role assignments, and relational rules that do not or no longer work.
Among other objectives, these include unbinding neurotic conflicts, mourning the ideal couple, analysing behaviour, crises and lifestyle habits and allowing crises to be overcome by creating a "new" couple capable of reinventing themselves.
The couple constitutes a magnifying mirror that widens the neurotic features of each other and accentuates personal difficulties, so it is important and vital for the harmony of a couple, that interactions, emotional processes, intrapsychic and interpersonal conflicts, among others, are highlighted.
Sexology or Sex Therapy?
Both ! Or not.
Depending on the problem exposed, the approach will be different. Sexology remains factual and "pragmatic": it concerns disorders of ejaculation, erection, bodily landmarks of the genitals, etc.
But it is not excluded to combine these two approaches and to move away from a factual approach for a deeper and psychic approach. For a few years now, I have noticed that my patients come not because they want sex but because they want to want sex, which is totally different. Sex therapy is therefore interested in movements that suffocate this desire and prevent sexuality from revealing itself in a fulfilling way. If sexology is interested in function, sex therapy focuses on the relationship, pleasurable sex life and emotional intimacy.
SEXOTHERAPY - Claude Crépault orientation
Sexoanalysis is a sexotherapeutic method, born from the desire to understand the "sexual's object" in its concrete and conscious manifestations but also symbolic and unconscious. Sexoanalysis indeed postulates that there is an autonomous sexual unconscious and that sexual disorders are inseparable from the unconscious mechanisms that articulate it. Although having more affinities with psychoanalysis, sexoanalysis recognizes the relevance of certain behaviorist principles; consequently, it lies at the border between these two currents.
The objective of sexoanalysis is to bring the person to the understanding and the correction of his sexual disorder from a work on his imagination. The idea being that this therapeutic work will help the person to overcome the sexual and non-sexual anxieties which are the basis of their sexual disorder.
But what do we mean by the term “sexual disorders” or “sexual disorders”?
Lack of sexual desire, disgust with sexuality, erectile difficulties, ejaculatory problems, lack of sexual arousal, clitoral anorgasmia, vaginal anorgasmia, sexual pain with or without penetration, fixation on sexuality , pornography addiction, sexual compulsion, having experienced a sexual assault, paraphilia, among others ...
The sexoanalytical framework consists of individual face-to-face interviews. The therapist is active and asks questions, his goal being to trace the flaws in the patient's sexual progression in order to understand the meaning of the resulting sexual disorders. The rhythm of the sessions is usually limited to one per week or one every two weeks. The sexoanalysis can be considered as a medium term therapy.
Orientations Carl Rogers, Irvin Yalom
The support counseling is intended to be a problem-solving approach for anyone facing a a predicament in his daily life.
This therapeutic approach has been strongly influenced by Carl Rogers and his Person-Centred Approach.
Unlike psychoanalysis, the support counselling is not part of an interpretive process. This is psychological support and assistance that does not require therapeutic work involving personality structures.
Personal counseling is a non-medical, non-analytical approach. The person and his or her therapist are partners in the search for a solution.
In Cecilia Commo's therapeutic practice, the support talks have a so-called remedial function, i.e. it must remedy a specific problem of couple, life or family.
It is a short-term approach focused on solving a situational difficulty such as overcoming and recovering from infidelity, often experienced as a real earthquake within a couple's relationship.