THERAPEUTIC MODELS


PSYCHOANALYTIC PSYCHOTHERAPY


Psychoanalytic or psychodynamic psychotherapy is heavily influenced by psychoanalysis and analytical psychology. By means of illuminating one’s awareness of their inner world, this therapeutic model aims to help individuals with acute psychological disorders. Reasons as to why an individual may seek out psychoanalytic psychotherapy help include:

 

  • Eating disorders

  • Psycho-somatic conditions

  • Obsessional behaviour

  • Phobias

  • Underlying feelings of depression or anxiety

  • Difficulties in concentrating

  • Dissatisfaction at work

  • Inability to form satisfactory relationships

  • School or work phobias

  • Sleeping disorders

 

Issues stemming from both past and present complex, deep-seated and often unconsciously based emotional and relationship problems are explored in efforts to diminish symptoms and offer relief. The objective of psychoanalytic psychotherapy is to restore meaning and fulfillment in one’s life, their sense of well being and ability to manage their lives more effectively.


There is special emphasis on the relationship with the therapist in psychodynamic psychotherapy. The therapist provides a comforting, confidential and private environment in order to facilitate a process where unconscious patterns of the client’s inner world become reflected in the client’s relationship with the therapist – this is generally called transference. This process assists clients in identifying patterns and, in becoming conscious of them, to develop the capacity to understand and change them. 


Considering her eclectic and interdisciplinary background, Mozafari uses a variety of therapeutic models. During the assessment, planning, intervention, review and evaluation of any given case, Mozafari uses, but is not limited by, the following models:


THE PSYCHODYNAMIC APPROACH


The psychodynamic approaches and perspectives are adaptations of psychoanalytic theory in therapy. As a result, the psychodynamic approach used by Mozafari zeroes in on interactive psychological forces that affect personality and underlying motives of human behavior. An example of the incorporation of psychodynamic theory can be seen in the psychosocial approach known as “person-in-situation”. Combining the client’s internal strength and the resources in the environment, Mozafari works with the client to determine appropriate treatment objectives and procedures to improve both the client’s personal and interpersonal functioning.


THE PROBLEM SOLVING SOCIAL CASEWORK APPROACH


This approach examines the “4 Ps”: person, problem, place and process. Mozafari examines the client or ‘person’ and intends to investigate the various dimensions of the whole person (e.g. physical, emotional, social, economic, and spiritual) related to or affected by his/her problem, concern or situation. The ‘problem’, or the client’s concern, will be examined by looking at its cause, intensity, frequency and duration. The ‘place’ is where the work is being done; Mozafari recognizes the importance that a client assigns to his or her involvement with a practitioner or agency. Therefore, a referral to another practitioner or agency will be made if the alternatives can address the client’s problems more effectively. The ‘process’ looks into what types of helping approach, method or technique the client finds acceptable. The client’s problems and the strenuous factors in their environment are assessed in order to find ways to increase coping capacity and overcoming barriers to solve problems. This approach does not place great emphasis on tasks accomplished, but rather concerns itself with seeing human life as a process of resolving life’s issues.


THE CRISIS INTERVENTION APPROACH


This approach assesses a client’s emotional responses to crises. It is a short-term model of practice that is designed to assist victims and survivors to return to their pre-crisis level of functioning. By establishing a rapport and a healthy interpersonal connection, Mozafari first attends to the client’s safety and feelings while identifying major problems and taking possible alternatives into consideration. In partnership with the client, an action plan with practical tasks will be developed and this will assist the client to readjust and interrupt events that disrupt normal functioning.


THE TASK-CENTERED APPROACH


This approach focuses on practical tasks that improve people’s capacities to deal with life’s difficulties pragmatically, with defined goals, tasks and time limits. Mozafari seeks to help clients resolve problems and develop the capacity to solve future problems through proper assistance. This approach draws attention to the problem at hand by clearly defining it and presenting it with a resolution that arises through actions. It is an exercise in empowering the individual by means of drawing attention to the client’s abilities and capacity to expose and address their own problems.


THE CLIENT-CENTERED APPROACH


Mozafari places great emphasis on the client as an active participant; it is of great importance to respect the client’s subjective experiences and maintain a level of openness and respect for the views that the client holds. Through this approach, empathy and understanding become key ingredients in neutralizing the client’s powerlessness. This sense of empowerment will help clients gain (and regain) control and influence over the course of their daily lives. Additionally, it is important to Mozafari that a client’s story should be told and heard. As a result, a focus on the client’s meanings, words and events will establish a collaborative relationship with the client.  This approach, in tandem with a supportive environment, presents self-actualization as a goal of human existence that can be reached by allowing the client to grow and develop in and through therapy.  

 

SPECIALIZATIONS


DEPRESSION


Living with depression is a stressful and painful experience. This pain generally stems from an imbalance between the client’s perceived life demands and self-perceived abilities to meet the pressing requirements of one’s life (e.g. job, intimate relationship(s), dealing with loss, and so on). These imbalances create life stressors in several interrelated areas in one’s life: life transitions, traumatic events, environmental pressures, and dysfunctional interpersonal processes.


TRANSGENERATIONAL TRAUMA


Transgenerational trauma transmission is a relatively recent focus in the field of traumatic stress. This form of trauma suggests what happens in one generation will affect the next. Transgenerational trauma transmission is a form of contagion, which means observable patterns within the family can be seen through repetition. This phenomenon first became apparent in a number of children descended from survivors of the Shoah in Canada, the United States and Israel. Additional research from the human migration literature showed that this phenomenon exists in many others (for example, Aboriginal peoples in Canada, the persecution of the Baha’is in Iran, apartheid in South Africa, and so forth). Children of these traumatized populations seem to have consciously or unconsciously absorbed their parents’ experiences and integrated them into their psyche. Mozafari, as a survivor of this trauma, specializes in exploring this phenomenon with those who struggle with it.


ADDICTION


Addiction is a strong psychological or physiological dependence on a substance or a particular behavior. Individuals who struggle with addictions either rely on the substance or continue to perform behavior even when it inflicts harm unto them or people close to them (i.e. family, close friends, co-workers, and spouses). Those who struggle with such issues may be addicted to both legal and illegal drugs, including alcohol and tobacco, or to behaviors such as gambling. Environmental factors can also act as a contributor to addiction. The recovery process can be a tedious, long and challenging process and relapses are not uncommon.
In addition to treating clients who suffer from substance dependency, Mozafari also treats those who are affected by loved ones who battle addiction.


STRESS AND ANXIETY MANAGEMENT


There is a wide range of stress and anxiety disorders. Mozafari understands that stress is a major concept that plays a fundamental role in understanding many forms of human adaptation. Stress represents any situation in which environmental demands, internal demands, or both tax or exceed the adaptive resources of the client. Stress responses vary according to the following conditions: 1) physiological reactions, such as ulcers and high blood pressure, 2) psychological reactions, such as avoidance of stressful event in the future, and 3) serious mental conditions, such as anxiety disorders, learned helplessness and dissociative disorders. 


ANTI-DISCRIMINATORY (ADP) AND ANTI-OPPRESSIVE PRACTICE (AOP)


Mozafari works with a variety of clients. Therefore, she often refers to ADP and AOP to treat clients. More specifically, ADP seeks to reduce and undermine sexism, racism, ageism, able-bodyism, classism, heterosexism (i.e. homophobia), Anti-Semitism and other forms of discrimination or oppression that one encounters in their day-to-day lives. ADP is known as a form of emancipatory practice. AOP addresses wider structural issues and inequalities such as: the way the worlds of work and schooling seem to favor the division between male and female roles or the way poverty diminishes life opportunities and (mental) health. Mozafari implements this practice to provide a safe, open and prejudice free environment for all her clients.


CROSS-CULTURAL PRACTICE


Toronto, with its increasing diversity, sets many challenges for mental health practitioners. Cross-cultural communication requires an understanding of both worldviews as well as paying special attention to misunderstandings and miscommunications. Mozafari is sensitive to the client’s culture and the impact that difference can have on an individual. Therefore, she is constantly examining her own values, cultural background and life experience, and assesses the impact of these factors on the client’s worldview. Her high level of self-awareness allows her to consider the experiences of her clients from other cultures and aims to understand how this will impact her work with the client. Mozafari’s background in researching and reexamining different therapeutic models, takes into consideration the history, values and beliefs of any given ethnic group undergoing treatment. When working with older clients, Mozafari regards respect as a critical component of a therapeutic relationship and will accommodate to his or her pace if necessary, including individual sensory or cognitive limitations.