National Counselor Exam (NCE)

What is the term for the process of speaking freely about dreams, fantasies, or memories in psychodynamic therapy?

1. Active listening

2. Free association

3. Cognitive restructuring

4. Systematic desensitization

The correct answer is: Free association

Free association is the term used in psychodynamic therapy to describe the process of clients speaking freely and spontaneously about their thoughts, feelings, dreams, fantasies, or memories. This technique is fundamental in helping therapists explore the unconscious mind of their clients. By encouraging clients to express whatever comes to mind without censorship, the therapist can identify themes, conflicts, and patterns that may be influencing the client’s behavior and emotional states. This method aligns with the psychodynamic approach's emphasis on bringing unconscious thoughts to the surface to facilitate insight and healing. In doing so, clients can uncover repressed feelings and thoughts that may be impacting their present functioning. This practice allows for a more profound understanding of the self and can pave the way for meaningful therapeutic progress. The other options, while relevant to various therapeutic approaches, do not represent the same process. Active listening refers to the therapist's engagement in understanding the client's message and is more about the communicative process than free expression. Cognitive restructuring involves changing negative thought patterns and is a cognitive-behavioral technique. Systematic desensitization is a behavioral therapy technique used primarily for phobias and anxiety disorders, focusing on gradual exposure to fears. Thus, free association is distinctively connected to the exploration of unconscious processes in psych