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MACP Program, Faculty of Behavioural Sciences, Yorkville University

PSYC 6143 – Counselling Methodologies: Humanist/Psychodynamic Modalities

One of the modern psychodynamic theories, known as object relations theory, is a branch

of psychodynamic theory that centers on the internalized relationships and representations of

relationships that individuals develop with themselves and others. Object relations theory
emphasizes internal objects, which are mental representations of the self and others based on

early experiences. These internal objects can be positive, like a caring mother, or negative, like

an abusive caregiver, influencing self-esteem and relationship dynamics. These internalized

objects shape perceptions and expectations of others, leading to behavioral patterns reflecting

these internalized objects. The therapeutic relationship is crucial in object relations theory,

providing a space to explore and resolve internalized objects, address unresolved conflicts, and

develop healthier interpersonal relationships (Flanagan, 2008). One criticism of object relations

theory is its perceived overemphasis on early experiences and internal dynamics, which could

lead to a neglect of external factors like social context and cultural norms in shaping

development and relationships. Critics also contend that the theory's focus on internalized objects

might oversimplify the intricate nature of human relationships and individual experiences.

Immigrant, indigenous, and transgender communities often face distinct psychological

challenges as their identities intersect with broader societal norms and systems. For instance,

immigrants may experience conflicts related to their cultural identity, navigating a balance

between their heritage and the dominant culture of their new environment. Similarly, as noted by

Baskin (2005), Indigenous peoples frequently confront systemic oppression, marginalization, and

intergenerational trauma stemming from historical colonization. These factors can contribute to

various psychological issues, including but not limited to, low self-esteem, depression, anxiety,

and substance abuse. Furthermore, transgender individuals may encounter barriers in affirming

their gender identity, particularly within societal contexts that may not acknowledge or

understand their identity (Bhugra & Becker, 2005). The loss of traditional practices and cultural

disconnection can also exacerbate emotional challenges. Discrimination and stigma against

sexual minorities are pervasive, significantly impacting mental health. Research by Lambe and
O'Shaughnessy (2017) demonstrated a strong association between perceived discrimination,

internalized negative beliefs about bisexuality, lower self-esteem, and higher levels of

depression, with internalized negative beliefs emerging as a particularly potent predictor.

Addressing discrimination and stigma against sexual minorities necessitates a multifaceted

approach encompassing legal protections, education, and advocacy. In therapeutic settings,

establishing a safe and affirming environment is paramount for sexual minorities to explore their

identities, address the impacts of discrimination and stigma, and cultivate effective coping

strategies (Slay-Westbrook, 2017).

In applying contemporary psychodynamic theory to diverse populations, particularly

immigrants or refugees, a nuanced understanding of psychodynamic principles and their

adaptation to various cultural contexts is essential. Central to this approach is the concept of

transference, wherein individuals project feelings and attitudes from past relationships onto the

therapist. This concept becomes particularly salient in working with immigrants or refugees,

whose prior experiences may significantly shape their perceptions and interactions within

therapy (Maniacci & Sackett-Maniacci, 2019). Immigrants often experience considerable stress

as they navigate the complexities of adapting to a new culture while endeavoring to preserve

aspects of their original cultural identity, leading to feelings of confusion, identity conflict, and

isolation (Oh, Koeske & Sales, 2002). Additionally, as noted by Esses (2021), immigrants

frequently encounter discrimination and prejudice based on their ethnicity, nationality, or

immigration status, resulting in experiences of exclusion, diminished self-worth, and

psychological distress. It is imperative in counseling to acknowledge that immigrant clients

originate from cultures with distinct norms, values, and communication styles. Furthermore,

immigrant families frequently grapple with challenges arising from the acculturation process and
cultural disparities, significantly impacting family dynamics and relationships (Liu et al., 2017).

Consequently, these challenges often manifest as conflicts and stress within the family unit. The

complexities of the challenges faced by immigrants underscore the necessity for mental health

practitioners to approach them with cultural sensitivity. As highlighted by Slay-Westbrook

(2017), providing support and guidance to help immigrants navigate these challenges can

significantly enhance their mental health and overall quality of life.

Therapists must also remain attuned to the cultural norms and values of the client's

background, as these factors can influence the expression and understanding of symptoms. For

instance, in some cultures, there may be a stigma associated with mental health issues, impacting

the client's willingness to seek help or discuss their symptoms openly. In conclusion, a

comprehensive understanding of the social, political, and cultural factors shaping the

psychological experiences of immigrants and refugees underscores the importance of culturally

informed psychoanalytic perspectives in therapy (Tummala-Narra, 2019).

Reference

Baskin, C. (2006). Systemic oppression, violence, and healing in Aboriginal families and

communities. Cruel but not unusual: Violence in Canadian families, 15-48.


Bhugra, D., & Becker, M. A. (2005). Migration, cultural bereavement and cultural

identity. World psychiatry, 4(1), 18.

Esses, V. M. (2021). Prejudice and discrimination toward immigrants. Annual Review of

Psychology, 72, 503-531.

Flanagan, L. M. (2008). Object relations theory. Inside out and outside in: Psychodynamic

clinical theory and psychopathology in contemporary multicultural contexts, 2, 121-160.

Lambe, J., Cerezo, A., & O'Shaughnessy, T. (2017). Minority stress, community involvement,

and mental health among bisexual women. Psychology of sexual orientation and gender

diversity, 4(2), 218.

Liu, J., Dong, X., Nguyen, D., & Lai, D. W. (2017). Family relationships and depressive

symptoms among Chinese older immigrants in the United States. Journals of

Gerontology Series A: Biomedical Sciences and Medical Sciences, 72(suppl_1), S113-

S118.

Maniacci, M. & Sackett-Maniacci, L. (2019). Adlerian Psychotherapy. In D. Wedding & R. J.

Corsini (Eds.), Current psychotherapies (11th ed. pp. 59-100). Boston, MA: Cengage.

Oh, Y., Koeske, G. F., & Sales, E. (2002). Acculturation, stress, and depressive symptoms among

Korean immigrants in the United States. The Journal of social psychology, 142(4), 511-

526.

Slay-Westbrook, S. (2017) Respect-Focused Therapy: Honoring clients through the therapeutic

relationship and process. Routledge.

Tummala-Narra, P. (2019). Working with immigrants and refugees in psychodynamic

psychotherapy. In Contemporary Psychodynamic Psychotherapy (pp. 281-294).

Academic Press.

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