The Psychodynamic “Stance”

Abstract

The psychodynamic stance (as known as the psychodynamic sensibility) is a collection of essential values and theoretical assumptions that support a therapist’s moment-to-moment practice. This chapter describes 13 components of the psychodynamic stance and situates them in historical and theoretical contexts. Several of these components are fairly unique and serve to distinguish psychodynamic therapy from other approaches. It is argued that the process of articulating one’s stance facilitates the selection and use of specific psychodynamic techniques. Further, when unexpected clinical events occur, a therapist’s stance can serve as a useful guide for difficult decisions. Throughout the chapter, the common mistakes of beginning therapists (e.g., intervening too quickly, placing their values on the patient) are explored and suggestions are provided.