Object Relations Treatment Plan #1
Early Phase
Goals | Interventions |
---|---|
Provide a safe holding environment | Establish and model boundaries |
Establish a therapeutic alliance | Use empathic/attentive listening/statements |
Establish boundaries | Listen with “evenly suspended” attention |
Explore presenting problem to establish client goals | Take a psychosocial history |
Symptom identification and reduction | Assessment |
Identify early conflicts that are recapitulated in the current family situation | Clarify and amplify issues |
Begin to put language to feelings | |
Provide psychoeducation and normalization to promote symptom reduction | |
Use of referrals to reduce symptoms | |
Reframe role of identified patient |
Middle Phase
GOALS | INTERVENTIONS |
---|---|
Promote insight (e.g. into split-off or disowned parts of self) | Clarification and amplification |
Uncover unconscious wishes and desires | Interpretations (e.g. linking past to the present, reframing) |
Discover resistance / defense mechanisms | Identify and educate about defences |
Develop ability to distinguish past relational dynamics from present relational dynamics | Explore intention of resistance / defences |
Increase individuation and separation (reduction of pathological attachments) | Interrupt and explore the projection process and acting out behaviors |
Promote reintegration of split-off parts of self | Identify and increase tolerance for split-off parts and feelings |
Promote development of a cohesive, true self | Continue psychoeducation when relevant |
Reparent | Provide corrective emotional experience |
Use of objective countertransference | |
Interpret and explore transference |
Late Phase
GOALS | INTERVENTIONS |
---|---|
Resolve idealized transference | Review and consolidate self-soothing and other coping mechanisms |
Work through termination issues: | Interpret and work through abandonment / loss issues |
– loss of therapy | Interpret and work through regression |
– loss of therapist and therapeutic relationship | Provide corrective emotional experiences |
– attending to regression | |
– reparenting |
Object Relations Treatment Plan #2
Early Phase
GOALS | INTERVENTIONS |
---|---|
Establish a holding environment | Making empathic statements |
Utilizing active listening | |
Giving uninterrupted attention | |
Modulating feelings | |
Showing interest in responses | |
Structuring sessions | |
Setting limits | |
Improving communication | Confronting and intervening |
Modeling how to speak from “I” position | |
Pointing out that blaming is projecting | |
Role playing |
Middle Phase
GOALS | INTERVENTIONS |
---|---|
Promote insight and growth | Providing a holding environment to provide an experience of re-parenting |
Clarifying client statements | |
Seeing and understanding the client’s experience and providing interpretations | |
Confronting and exploring any resistance | |
Help client recognize and integrate split off parts of personality | Encouraging expression of feelings |
Confronting acting out behaviors | |
Identifying and empathizing with all good/all bad feeling states | |
Utilizing transference/countertransference/projective identifications to work through splits | |
Empathically confronting issues | |
Uncovering and interrupting projective identification process | Observing interactions and identifying projections that are present |
Reframing to provide meaning and understanding of the projective identifications present in interactions with others |
|
Confronting dysfunctional relational patterns and suggesting changes |
Late Phase
GOALS | INTERVENTIONS |
---|---|
Increase individuation | Clarifying self and other boundaries |
Clarifying individual needs of family members | |
Supporting self-esteem while confronting grandiosity | |
Work through termination issues | Confronting and working through feelings |
Interpret and work through abandonment issues |