Argoff MD, in Pain Management Secrets (Third Edition), 2009 8 What is the relevance of psychoanalytic theory to understanding the experience of pain? Thus, as we decrease the extent to which we are driven by unconscious factors we assume a greater degree of agency.ĭennis Thornton PhD, Charles E. By becoming aware of our unconscious wishes and our defenses against them we increase the choices available to us. Freud believed we delude ourselves about reasons for our behaviors and this self-deception limits our choice.
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For Freud, a central premise was thus that we are driven by unconscious wishes that we are unaware of and this lack of awareness results in driven or self-defeating behavior. At the most basic level, there is an understanding that change generally involves making the unconscious conscious, as expressed by Freud’s oft cited axiom: “Where id has been there shall ego be.” Although Freud’s understanding of the nature of the change process evolved over the course of his lifetime, central to his mature thinking was the idea that change involves first becoming aware of our instinctual impulses and unconscious wishes, and then learning to deal with them in a mature, rational, and reflective fashion. Psychoanalytic theory postulates a multitude of different change mechanisms, and a host of new ways of conceptualizing the change process continue to emerge as psychoanalytic theories themselves evolve and proliferate.
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Gardner-Schuster, in Encyclopedia of Mental Health (Second Edition), 2016 Making the unconscious conscious