ABSTRACT
In contrast, those therapies that rely more on insight to promote change assume that an inherent potential for growth and adaptation has been obscured by conflict based defensive structures. In the context of an alliance, in which this understanding of psychopathology is shared with the patient and/or family, the therapist interprets, clarifies, confronts, and reconstructs to disrupt defenses, uncover conflicts and memories, and foster working through so that growth may resume. The therapeutic relationship is distorted by the transference, but that is encouraged as it affords an immediate, here and now opportunity for insight into the patient's psyche and its development. Psychoanalysis, psychoanalytic, psychodynamic, or insight-oriented psychotherapy, and some forms of group and family therapy, rely largely on insight or correction of "parataxic distortions" for their effectiveness.
