12/10/2025
PSYCHODYNAMIC PSYCHOTHERAPY: THE GOLDEN ROAD.
By Dr Marcel de Roos, Psychologist PhD, the Netherlands
www.marcelderoos.com
Our existence as human beings is about trying to live with a constant stream of feelings, numerous thoughts and physical sensations. On top of that, we are able to reflect on our past, present and future. But our past can be an interference that impedes a functional life, and some people are even not aware that they are hindered by unsolved aspects of their past.
Psychodynamic psychotherapy explores such obstacles and tries to assist people to regain their freedom and their meaningfulness. It gives few answers but asks a lot of questions. Psychodynamic psychotherapy is not an American-like gospel, centred on the cult of positive thinking, nor a superficial and here-and-now cognitive behaviour therapy variant. It’s a way of thinking and questioning where positive thinking fails, why are my intentions and resolutions unsuccessful, why am I making promises that invariably nose-dive and result in depressed feelings and self-blame?
Psychodynamic psychotherapy has a rich history, starting of course with Sigmund Freud, but there are many others (like the esoteric Carl Jung, the social ethical Alfred Adler, the philosophical Jacques Lacan, etc.) who started in the Freudian parent church, but later developed their own theories. Nowadays, there are multiple major psychodynamic approaches, plus there is an amalgamation with knowledge from other sciences like memory research, neurobiological explanations and biological attachment theories.
Psychodynamic psychotherapy is not about giving “logical advice”, or about “changing your irrational thoughts”. A stressed, tense and perfectionistic person already knows the advice that a friend or relative would give: stop stressing, relax more, stop having high demands for yourself, and allow yourself to make mistakes. A psychodynamic therapist isn’t looking for solutions, but poses a lot of questions, and realises that rational answers don’t explain the root causes of behaviour. It’s much more important which emotions (often from our past!) play a role because these influence behaviour.
Previous experiences in our past generate an emotional basis for present cognitive beliefs. During childhood and puberty, the relationships with father, mother, siblings, and other important contributors have a significant impact on how we develop our personalities. The psychodynamic therapist looks for the individual significance that someone gives to his behaviour or emotions, by repeatedly questioning what the client tells and give another interpretation of something apparently self-evident for the client.
Guilt and shame are very strong emotions, which very often play an important role in our present behaviour. Shame is about who you ARE, guilt is about what you DO. Shame has to do with your identity, with who you are. Guilt has to do with what you think, feel or do. A strong tendency to feel guilty feeds your inner critic by keeping yourself responsible. Guilt is less damaging than shame, with guilt you feel bad about what you have done, but not about yourself. A strong tendency to feel ashamed feeds your inner critic with self-devaluation. When you always attribute an incident to your personal weaknesses or shortcoming then it can become a negative self-fulfilling prophecy. It's a well-known fact that a high level of shame and depression are related.
By taking ownership of your strong negative feelings about yourself, you can slowly go deeper and realise WHY these feelings are there and what really causes them to manifest themselves. The deeper cause of shame often lies in the childhood family situation where experiences of one or both parents being condescending, scornful, abusive or negative towards you. It’s important to make the emotional link between present emotions and where they are rooted. Allowing yourself to feel these emotions is the first step to recovery.
Marcel de Roos psychologist with practice in Colombo Sri Lanka (corporate) coaching online counselling.