Psychiatry · Psychotherapy Modalities (CBT, DBT, Psychodynamic, Behavioural Techniques)

Which psychotherapy technique is associated with 'free association', 'transference analysis', and the interpretation of 'resistance' as core mechanisms of change?

  • A Interpersonal therapy (IPT)
  • B Supportive psychotherapy
  • C Motivational interviewing
  • D Classical psychoanalysis / psychodynamic psychotherapy
Correct answer: D. Classical psychoanalysis / psychodynamic psychotherapy

Explanation

Classical psychoanalysis (Freudian) and its derivative psychodynamic psychotherapy use free association (patient says whatever comes to mind), analysis of transference (patient's feelings toward the therapist reflecting early relationships), and interpretation of resistance (unconscious mechanisms blocking insight) as primary change mechanisms. Supportive therapy aims to reinforce adaptive defences rather than interpret them. IPT focuses on current interpersonal role disputes, grief, and transitions. Motivational interviewing uses OARS techniques to resolve ambivalence toward behaviour change.

Reference: Kaplan & Sadock's Synopsis of Psychiatry, 11th ed.

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