The Effect of Psychotherapy: Does It Represent Itself in Emotional Growth? / 신경정신의학

ABSTRACT

The author reviewed the relationship between psychotherapy and ego growth from psychoanalytic point of view. The effect of psychotherapy represents itself in ego growth. To illustrate this claim, the author reviewed Freud's concept on the effect of psychotherapy first and the concepts discussed in literatures after Freud. The main stance of this paper is that the effect of psychotherapy manifests itself in ego growth through therapeutic relationships. The author deduced that since the major part of the therapeutic process takes place unconsciously, one is unaware of his/her ego growth. Through psychotherapy, the immature part of the personality, which stoped growing in the course of development, starts to grow. It may be the ego growth either through gaining insight or the growth derived from the therapeutic relationship with the analyst. Mental illness can be looked upon as the loss of human nature, and the remedy lies in recovering the human nature. The lost human nature is recovered when one is in a therapeutic environment, that is very much maternal in nature. Psychotherapy may result in some changes in brain physiology or neurochemistry. It may take some time to bring about anatomical changes of the brain. If this assumption is correct that psychotherapy inflicts anatomical changes of the brain for it's positive effects, it should be accomplished through a long period of working-through of the problem. Some studies on this theme of neurophysiology and anatomical research are already in process and I hope to be able to explain the processes of psychotherapy in the near future.