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 |
