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Psychodynamic therapy, rooted in the work of Sigmund Freud, posits that unconscious motivations and early childhood experiences shape personality and behavior. Psychological defenses are seen as unconscious coping mechanisms for conflicts between desires and reality, with emotional problems stemming from these unresolved conflicts.

A core principle of psychodynamic therapies is that insight is crucial for lasting change. This involves understanding the origin of a problem and its underlying purpose. Classic forms include psychoanalysis, where patients engage in free association, and the therapist offers interpretations. Shorter, dynamic psychotherapy also aims for insight but is typically more accessible and less costly. Both approaches emphasize the therapeutic relationship and the patient's capacity for self-understanding to alleviate symptoms and foster personality growth.

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