Psychoanalysis emphasizes the importance of unconscious mental processes and early child-development issues as they relate to childish impulses, childish wishes, immature desires, and the demands of reality.
Freudian psychoanalysis refers to a specific type of treatment in which the patient verbalizes thoughts, including free associations fantasies, and dreams, from which the therapist induces the unconscious conflicts causing the patient's symptoms and character problems, and interprets them for the patient to create insight for resolution of the problems.
The specifics of the therapist’s interventions typically include confronting and clarifying the patient's pathological defences, wishes and guilt. Through the analysis of conflicts, including those contributing to resistance and those involving transference onto the analyst of distorted reactions, psychoanalytic treatment can clarify how patients unconsciously are their own worst enemies: how unconscious, symbolic reactions that have been stimulated by experience are causing symptoms.