Psychodynamics and cyclic intervention

When a human experiences “mental pain”, they can adopt a “defence” to avoid this pain. This can lead to “damaging consequences” and set up a vicious circle.

(Malan, 1979: Paraphrase of his summary points 1 and 7 on page 15).

I see this as a self-reinforcing feedback cycle linking dread (mental pain), defence, and damage:

This diagram shows a psychodynamic defence as a vicious cycle linking (1) dread, (2) the defence against the dread, and (3) the damage resulting from the defence.

Diagram: The feedback cycle amplifying (1) a dread, (2) defence against the dread, & (3) the damage caused by the defence

Over a period in which this amplifying feedback cycle is dominant:

  • A stronger dread increases the use of a defence against the dread.
  • This defence increases the damage it causes.
  • This damage strengthens the dread, and the cycle repeats.

The dread, gambling, and damage cycle

Consider gambling as an example of a defence. (I discuss this assumption below.)

Increased GamblingIncreased Gambling Damage

Increased Dread

Diagram: The feedback cycle amplifying (1) dread, (2) gambling, and (3) damage.

In this amplifying feedback cycle:

  • Increased dread tends to increase gambling to defend against the dread.
  • Then, increased gambling tends to increase the damage done, e.g., lost money and damaged relationships.
  • Then, increased damage tends to increase the dread, and the cycle repeats.

There are two equivalent ways of describing a feedback cycle. The description of the top cycle on this page considers the cycle over a period during which it was dominant. The description of the above gambling cycle presents each link as a tendency. See my page on audio feedback and systems theory.

This gambling cycle is another intermittent cycle:

  • People cannot gamble all the time; it’s an intermittent activity. People gamble when they have the impulse, time, and money. Life often delays gambling, e.g., family involvement, work, sleep, and attempts to quit.
  • The gambling damage also occurs intermittently, during and after gambling. A single gambling episode can cause damage several times. A gambler can lose money (damage) and the next day miss paying the rent (damage). Then, two weeks later, the gambler’s partner discovers that the gambler has not paid the rent (more damage). Each damaging event can send multiple pulses of activity around the cycle, reinforcing the dread and increasing the pressure to gamble.
  • Gambling is also intermittent because when it is unconstrained, it eventually exhausts some resource and limits itself, e.g., the gambler runs out of money or loses their freedom through imprisonment. (All unconstrained amplifying feedback cycles will eventually exhaust some resource and pause.)

The Intermittency slows the rate of amplification. Many other cycles are intermittent, e.g., the Arctic ice-albedo cycle and the evolutionary natural selection cycle.



The Cyclic intervention

The cyclic intervention that I used in the counselling session with client Zed followed this form, when you take Zed’s dread to be his need for respect, and his defence to be gambling.

In a counselling session with client Zed, I identified a vicious cycle that drove his gambling. It was a revelation to him. (Zed is a fictional client.)

You gamble more to feel respected – that’s when you are winning.Damage: You lose more money & respect
You need more respect.

As we talked, I wrote keywords that he used on a whiteboard diagram under three headings: (1) what he liked about gambling, (2) what he disliked, and (3) other issues in his life. The above vicious cycle emerged from this larger diagram. I summed it up, saying to him, “There is a cycle here: (1) the more you gamble to feel respected, while on winning streaks, (2) the more money you lose and the less respect you get at home and at work, so (3) the more you need respect, and (4) this throws you back to gamble more. This vicious cycle is making your life difficult.”

The process of generating and explaining the cyclic intervention is critical; the page describing the example counselling session details this process.


Psychodynamics

The book “Individual Therapy and the Science of Psychodynamics” (Malan, 1979, p.15) identifies central aspects of psychodynamic therapy:

  • People’s consciousness of their defence mechanisms ranges from nearly fully conscious to totally unconscious. (Malan, p.15)
  • People use defence mechanisms to avoid what they dread. (Weinberg, 1995, uses the term dread.) There are three parts to these mechanisms:
    • A hidden feeling, unacceptable impulse, mental pain, or mental conflict. (Dread)
    • Anxiety: The feared consequences of expressing the hidden feelings.
    • Defence: the way a person avoids their dread.
  • The therapist analyses the client’s situation, identifies the client’s defence mechanism, and presents this analysis to the client via interpretations.
  • One form of interpretation is to draw a link between two of the three parts of a defence mechanism: dread, anxiety, and defence. (Malan, p.80)
  • Therapy aims to connect the patient with “as much of his true feelings as he can bear” (Malan, p.74).

Note: You can read about psychoanalyst David H Malan on Wikipedia.


Gambling as a defence

Gambling can act as a defence by recruiting recognised psychodynamic defences, including:

  • Denial: Refusing to accept reality, e.g., denying the damage caused by gambling to their financial situation and their relationships.
  • Fantasy: Retreating into far-fetched scenarios to escape reality, e.g., Zed’s conviction that he gained respect through his gambling.
  • Repression: The exclusion of distressing thoughts, feelings or conflicts from conscious awareness,
  • Passive aggression: Indirect expression of hostility, e.g. a gambler losing food money to express anger towards a partner.
  • Acting out: Expressing feelings through impulsive actions instead of words.
  • Avoidance: Avoiding people, places, or situations linked to uncomfortable thoughts or feelings, e.g., avoiding home problems by taking time out at a gambling venue.

Some clients with gambling problems also become involved with alcohol, drugs, or criminal activity. Like gambling, these behaviours can also serve as defences against dread.


A defence as an illusory solution to a dread

Zed’s defence of gambling offered him an illusory solution to his dread: his mental pain of needing respect. When he was on a winning streak, he felt like a respected, socially successful professional gambler. He was so convinced of this that he had his symbols for gambling and respect engraved on his belt, and his face lit up with excitement when he talked about gambling.


A defence as a distraction from a dread

Zed’s gambling also shielded him from his dread in a second way: distraction. His gambling distracted him from his awareness of his dread by capturing his full attention while he:

  • gambled, e.g., deciding what horse to back and urging on his horse while it raced, and
  • dealt with gambling crises, e.g., coping with having no money, trying to repay debts, and stealing to fund his gambling.

My intervention linked defence and dread.

A psychodynamic intervention can link two of the three elements of Malan’s triangle of conflict, which consists of (1) hidden feelings (dread), (2) defence, and (3) anxiety, where anxiety is the “feared consequences of expressing these hidden feelings”. (Malan, p. 15, p. 18).

I have never thought of my counselling as psychodynamic therapy. Nevertheless, my cyclic intervention had one feature of a psychodynamic intervention; it linked Zed’s defence (his gambling) and his dread (his conscious mental pain of needing respect). It linked these in a way that was a revelation to the client.


Zed’s consciousness of his defence

People’s consciousness of a defence mechanism can range from nearly fully conscious to totally unconscious (Malan, p. 15).

Zed’s design on his belt showed he was fully conscious of (1) his gambling, (2) his desire for respect and (3) his conviction that gambling won him respect. He was not conscious of two aspects of his gambling. He seemed to overlook how his gambling lost him respect at home and at work. Also, he found it a revelation that his gambling established a vicious cycle that escalated his gambling.


Rapport

Rapport refers to the degree of emotional connection between the patient and therapist. An increase in rapport shows that the therapist’s interpretation is appropriate, and vice versa (Malan, p. 20).

Initially, Zed seemed reluctant to be in my office. His surprising, positive response to the intervention showed that it deepened our rapport and that Zed came to value the session.


Multiple dreads

A person often has multiple hidden feelings (Malan, p. 84).

During the counselling session, I wondered about another dread that could be fuelling Zed’s gambling. During the counselling session, Zed said his mother had been suggesting that he see a doctor about his head injury, and I could see that he was fully against that idea. I wondered whether he was frightened the doctor might say there was something wrong with his head.

More Defence: Zed gambles more for the wins, to feel like a smart professional gamblerMore Damage: Zed knows he’s losing money and feels crazy.



More Dread: Something is wrong with my head.

Diagram: A possible feedback cycle for client Zed amplifying (1) his dread of something being wrong with his head, (2) his gambling to feel smart, and (3) the resulting damage.

In this possible cycle:

  • Zed feared that something was wrong with his mind. To counter that fear, he gambled more, chasing winning streaks so he could feel intelligent and in control, like a skilled professional, to demonstrate that there was nothing wrong with him.
  • This gambling led to greater damage: he lost more money and got into more conflict with his mother, who was telling him he was “crazy” and needed to see a doctor.
  • These consequences reinforced his fear that something was wrong with his head, and then the cycle repeats.

I did not mention this in the session because I thought it might have alienated Zed, but this could have been another amplifying feedback cycle that drove his gambling.


Anxiety

One of the main tasks of a psychotherapist is to understand the patient’s defence mechanisms in terms of (1) their defences, (2) anxiety, and (3) hidden feelings [dread], and to reveal this to the patient through interpretations.

Anxiety is a key concept for Malan. He describes anxiety as the feared consequences of expressing a hidden feeling (Malan, p. 15).

I want to discuss this with someone.


When a hidden feeling is unconscious, how can a person be aware of and fear the consequences of expressing it?

Perhaps anxiety appears as a protective warning when a person is on emotionally dangerous ground, even while they are unconscious of both the hidden feeling and the feared consequences. The expectation of danger is unconscious, learned early in life, and triggered automatically. Anxiety is the conscious experience of an unconscious prediction of danger.


Another way of thinking about anxiety is in relation to fear. Fear is a useful response to a recognised threat. Anxiety, by contrast, involves similar physical arousal but without an identified threat. (Anxiety can also arise when a threat is possible or anticipated.)

Here are two ways of incorporating anxiety into this framework.


*** The vicious defence cycle produces anxiety.

The first way uses the already described vicious cycle linking dread, defence, and damage, and considers that anxiety is a response to this cycle.

Greater reliance on a defence Create more damage

Strengthened Dread.

Diagram: The feedback cycle amplifying (1) dread, (2) use of a defence, and (3) the resulting damage.

A self-reinforcing cycle, linking dread, defensive behaviour, and damage, can come to dominate a person’s life. While this is happening, a real but unrecognised threat exists. They are unaware of: (1) the underlying dread, (2) the defensive function of their behaviour, and (3) the vicious cycle driving their damaging behaviour and increasing life difficulties. As the damage accumulates with no seeming threat, the result is a free-floating fear response. The vicious cycle transforms dread into diffuse anxiety.

Here, anxiety is not part of the vicious cycle, but the cycle generates anxiety.


*** Include “anxiety” in the vicious cycle.

Proposing that dread leads to anxiety seems consistent with Malan’s description of anxiety as “the feared consequences of expressing a hidden feeling [dread]”, and suggests the following cycle.

Greater reliance on a defence
Increased AncxietyCreate more Damage


Strengthened Dread

Diagram: The feedback cycle amplifying (1) a dread, (2) defence against the dread, & (3) the resulting damage.

While this cycle is dominant: (1) increased dread (2) increases anxiety, which (3) increases use of the defence, to temporarily reduce the anxiety, which (4) increases the damage caused by the defence, which (4) increases the dread, and then (5) the cycle repeats.

My concern about his cycle is that the purpose of the defence is to suppress consciousness of the dread, so the strongest causal link is between dread and the defence.


Psychodynamic defences as vicious cycles

Standard psychodynamic defences can form a vicious cycle. Here are two examples.

Denial

The defence of denial readily forms a vicious cycle.

More GamblingMore Gambling Shocks

Defence: More Denial

Diagram: The feedback cycle amplifying a, b and c: symmetric three nodes with my arrows

Over a period in which this amplifying feedback cycle is dominant:

  • An increase in a problematic behaviour, say gambling, causes greater damage to the extent that it shocks the gambler.
  • These shocks can briefly pause the gambling; however, when the person resumes gambling, they increase their ability to deny the impact of these shocks.
  • This denial enables them to increase their gambling, and the cycle repeats.

Projection

The defence of projection can also generate a vicious self-reinforcing cycle. Projection occurs when a person experiences an impulse, feeling, or trait that they find unacceptable, disowns it, and attributes it to someone else. Consider the hypothetical example of Peter, who projects his hostility towards others.

Projection: Others are hostile towards me. Withdrawal. Suspicion.Damaged relationships: Peter saw others’ responses to him as undeserved hostility.



Dread: He cannot accept his hostility toward others.

Diagram: The feedback cycle amplifying Peter’s dread, projection, and the resulting damage.

Peter’s dread is that he cannot accept his own feelings of hostility toward others. For him, hostility is wrong and dangerous. Over a period in which this amplifying feedback cycle is dominant:

  • An increase in his dread leads him to increasingly project his hostility onto others, perceiving others as hostile toward him. He becomes more hypervigilant, suspicious, and emotionally guarded, scanning for signs of threat. Increasingly, when he anticipates hostility, he withdraws pre-emptively to protect himself.
  • His behaviour increasingly damages his relationships with others. Others grow irritated by his guardedness and distance and respond with annoyance, withdrawal, or rejection. He interprets their reactions as unprovoked hostility directed at him, which, for him, confirms the terrible nature of hostility.
  • This confirmation increases the dread of his own hostility, and the cycle repeats.

Over time, the defence that initially kept Peter from understanding his own hostility increases both his hostility and others’ hostility towards him.


Wind up

As a counsellor, I found it clinically useful to help clients recognise that their gambling is not crazy, but a misguided attempt to solve a problem that, perversely, intensifies the problem. In systems terms, I reframe their problem gambling as an amplifying feedback cycle linking (1) a dread, (2) their gambling, and (3) the resulting damage, which (4) deepens the dread.

David Malan asserts that a psychodynamic defence can form a vicious cycle. When gambling is conceptualised as such a defence, the above gambling cycle suggests a link between (1) a dread or unacceptable feeling, (2) a defence, which produces (3) damage, which (4) intensifies the dread. The defence does not resolve the underlying conflict; it sustains and escalates it. This generalisation reformulates a key aspect of Malan’s psychodynamics in terms of systems theory.

Conceptualising gambling in this way has practical value. It offers:

  • A readily understandable and non-judgemental way for a client to understand a problem that is overwhelming them
  • A tested way of assisting clients
  • A constructive framework for counsellors, helping them uncover the dynamics driving the client’s presenting problem, which can increase rapport
  • An analysis that seems consistent with psychodynamic theory.

I developed a method of counselling that involved identifying vicious cycles that came to dominate my client’s lives. This method suited my work with problem gamblers, as demonstrated by the counselling session with client Zed. I have presented three examples of classic psychodynamic defences and how they can form similar vicious cycles. These defences were denial, projection, and fantasy/illusory solutions, and other defences can also generate vicious cycles. These examples suggest that amplifying feedback cycles may be a general feature of psychodynamic defences. If so, the systems perspective outlined here may be useful far beyond problem gambling, offering a useful bridge between systems theory and psychodynamic practice.


The introduction to my counselling pages includes:

  • Links to the other counselling pages, which include pages describing how this approach relates to other counselling practices and theories, are at the top of the introduction page
  • References for all the counselling pages are at the end of the introduction page.

Loaded 6 Dec 2025; Updated 14 June 2026.