How to Practice Brief Psychodynamic Psychotherapy, Howard Book (1998)
Goal (descriptively): symptom relief and limited but meaningful character change. Core-Conflictual Relationship Theme (CCRT) is a sentence that consists of three components: (1) the patient’s wish in the context of a relationship (W), (2) an actual or anticipated response from the other (RO), and (3) a subsequent response from the self (RS). The RS has two components: a behavioral response and an affective response (or what the patient did and how the patient felt). Example: Mr. Black gets upset when he’s driving and someone in a Porsche cuts him off. However, Mr. Black doesn’t say anything out of fear that the driver might be a drug dealer and will pll out a gun. W: to speak up forcefully when mistreated. RO: a violent retaliation against him. RS: to remain silent and passive (action) while feeling deflated and ashamed (affect). Goal (dynamically): to help the patient actualize his/her wish. Example: The goal for Mr. Black is for him to speak up in situations in which he feels unfa