What is Psychotherapy: Psychotherapy is a professional
endeavor that utilizes an interpersonal relationship to
enable clients to gain an understanding of themselves and
to make changes in their lives. In this professional relationship
clients can explore difficult, and often painful, emotions
and experiences. These may include feelings of anxiety,
depression, trauma, or perhaps the loss of meaning of ones
life. It is a process which seeks to help the client gain
an increased capacity for choice, through which the individual
becomes more autonomous and self determined. The therapist
utilizes knowledge of attachment, development and empirical
research as she conceptualizes the presenting problems,
plans treatment and implements therapeutic interventions.
An overview (Egan 1998):
| STAGE
1 |
 |
STAGE
2 |
|
STAGE
3 |
| Current
Scenario |
|
Preferred
Scenario |
|
Action
Strategies |
1a
- The story
(What's going on?) |
|
2a
- Possibilities
(Ideally ,what do I want instead?) |
|
3a
- Possible actions
(How many ways are there?) |
 |
|
 |
|
 |
1b
- Blind spots
(What's really going on?) |
|
2b
- Change Agenda (SMART goals) |
|
3b
- Best fit strategies
(What will work for me?) |
 |
|
 |
|
 |
| 1c
- Leverage (Focussing/prioritizing) |
|
2c
- Commitment
(Check goals are right) |
|
3c
- Plan
(What next and when?) |
| Action
Leading to Valued Outcomes |
In the diagram of the whole model
- Top row: la, 2a, 3a expansive, exploratory and creative
- Middle row: 1b, 2b, 3b.... challenging, reality testing,
and selecting
- Bottom row: 1c, 2c, 3c.... focussing, committing, moving
forward
For clients where Axis II disorders and Dissociative Identity
issues are being treated, the therapist offers a 'constant
and reliable object' that the client can use as he or she
explores and heals 'self'. The therapist assists the client
in establishing a positive, nurturing introject (Horner,
1989). What this means is that often, these disorders emerge
from childhood trauma where the psyche is damaged through
an 'attachment to a perpetrator' (Ross, 2000, p.261-271),
an attachment to someone trusted who emotionally interferes
with healthy development. Humans are genetically designed
to form attachments. The developing psyche of an infant,
toddler or child relies on the health of the psyches of
those attached to for normal, healthy development. Attachment
figures become introjects in the developing psyche. These
introjects (schemas) often lie at the core of these disorders.
The therapist offers a new, healthy schema through the therapeutic
relationship.

Object Relations & The Developing Ego by Althea Horner
(1989).
The Skilled Helper by Gerard Egan (1998).
The Trauma Model by Colin A. Ross (2000).