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Countertransference

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https://www.readbyqxmd.com/read/29781893/countertransference-and-psychological-assessment-direct-and-indirect-exposure
#1
Olivier Laverdière, Thalie Beaulieu-Tremblay, Jean Descôteaux, Valérie Simard
Countertransference (CT) is usually conceptualized as emerging in the course of psychotherapy. This study explores whether CT manifests itself in the context of assessment and if the modality of exposure to participants (interviewer and observer) affects the intensity and nature of CT. Evaluators either led (direct exposure) or observed (indirect exposure) a 6-hour interview with a subject focusing on attachment and personality. Interviewers and evaluators then completed a measure of CT, the Therapist Response Questionnaire for a total of 43 subjects...
May 17, 2018: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/29750353/who-is-my-jung-memories-reflections-prospects
#2
Martin Stone
The author describes his personal and professional journey in relation to the subject of the AJA 40th anniversary conference, 'Who is my Jung?' The first part of the paper covers his early life and his attempt to bring together two opposing parts within him: valuation of a scientific approach, and an interest in the inner world, dreams and the paranormal. Discussion of his professional life follows, including his relationship with Gerhard Adler, past problems and splits within the Jungian community and the author's attempts to heal these...
June 2018: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/29674979/emotional-responses-to-suicidal-patients-factor-structure-construct-and-predictive-validity-of-the-therapist-response-questionnaire-suicide-form
#3
Shira Barzilay, Zimri S Yaseen, Mariah Hawes, Bernard Gorman, Rachel Altman, Adriana Foster, Alan Apter, Paul Rosenfield, Igor Galynker
Background: Mental health professionals have a pivotal role in suicide prevention. However, they also often have intense emotional responses, or countertransference, during encounters with suicidal patients. Previous studies of the Therapist Response Questionnaire-Suicide Form (TRQ-SF), a brief novel measure aimed at probing a distinct set of suicide-related emotional responses to patients found it to be predictive of near-term suicidal behavior among high suicide-risk inpatients. The purpose of this study was to validate the TRQ-SF in a general outpatient clinic setting...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29574047/psychoanalysis-in-modern-mental-health-practice
#4
REVIEW
Jessica Yakeley
Like any discipline, psychoanalysis has evolved considerably since its inception by Freud over a century ago, and a multitude of different psychoanalytic traditions and schools of theory and practice now exist. However, some of Freud's original ideas, such as the dynamic unconscious, a developmental approach, defence mechanisms, and transference and countertransference remain essential tenets of psychoanalytic thinking to this day. This Review outlines several areas within modern mental health practice in which contemporary adaptations and applications of these psychoanalytic concepts might offer helpful insights and improvements in patient care and management, and concludes with an overview of evidence-based psychoanalytically informed treatments and the links between psychoanalysis, attachment research, and neuroscience...
March 21, 2018: Lancet Psychiatry
https://www.readbyqxmd.com/read/29543573/clinical-considerations-in-treating-bdsm-practitioners-a-review
#5
Cara R Dunkley, Lori A Brotto
BDSM is an overlapping acronym referring to the practices of Bondage and Discipline, Dominance and Submission, and Sadism and Masochism. This paper reviews the psychological literature on BDSM practitioners, and discusses issues concerning BDSM that are relevant to clinicians and sexual health care providers. The literature concerning the psychological health of BDSM practitioners and clinical issues in treating BDSM practitioners was exhaustively reviewed. BDSM practitioners differ minimally from the general population in terms of psychopathology...
March 15, 2018: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/29543097/when-fathering-fails-violence-narcissism-and-the-father-function-in-ancient-tales-and-clinical-analysis
#6
Michael J Diamond
Manifestations of failures in both symbolic and actual flesh-and-blood fathering reveal the inescapable role played by the father's unconscious transmissions in the ever present triadic matrix. Perelberg's crucial distinction between the murdered narcissistic father and the dead symbolic father suggests the problematic internalizations that fail to uphold the paternal law required for oedipal resolution. Three father-child narratives derived from classical literature and mythology are presented in order to elucidate significant unconscious paternal fantasies pertaining to lethal rivalry and neglect of the child's otherness...
February 2018: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/29422684/somatic-countertransference-as-evidence-of-adhesive-identification-in-a-severely-traumatized-woman
#7
Judy K Eekhoff
This paper discusses the use of somatic countertransference as a means of learning about the patient, about projective and adhesive identification and about the object relating nature of the most traumatized and withdrawn part of the personality. It assumes an elemental knowledge of British Object Relations and uses clinical material to illustrate the hypotheses that somatic countertransference is an indicator of a very elemental communication occurring from the aspect of the psyche that is united in a body mind or mind body...
March 2018: American Journal of Psychoanalysis
https://www.readbyqxmd.com/read/29399956/mentalizing-countertransference-a-model-for-research-on-the-elaboration-of-countertransference-experience-in-psychotherapy
#8
João F Barreto, Paula Mena Matos
As a construct, the elaboration of countertransference experience (ECE) is intended to depict the implicit and explicit psychological work to which therapists submit their experiences with clients. Through ECE, defined as a mentalizing process of a particular kind, therapists' experiences are presumed to acquire and increase in mental quality and become available for meaning-making and judicious clinical use. In this paper, we claim that such an ongoing process facilitates engagement with common therapeutic factors, such as the therapeutic alliance and countertransference management, enhancing therapist responsiveness in psychotherapy...
February 4, 2018: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/29364370/munchausen-syndrome-and-munchausen-syndrome-by-proxy-a-narrative-review
#9
REVIEW
Daniel de Sousa Filho, Elton Yoji Kanomata, Ricardo Jonathan Feldman, Alfredo Maluf Neto
The Munchausen syndrome and Munchausen syndrome by proxy are factitious disorders characterized by fabrication or induction of signs or symptoms of a disease, as well as alteration of laboratory tests. People with this syndrome pretend that they are sick and tend to seek treatment, without secondary gains, at different care facilities. Both syndromes are well-recognized conditions described in the literature since 1951. They are frequently observed by health teams in clinics, hospital wards and emergency rooms...
October 2017: Einstein
https://www.readbyqxmd.com/read/29314030/residues-in-the-analyst-of-the-patient-s-symbiotic-connection-at-a-somatic-level-unrepresented-states-in-the-patient-and-analyst
#10
Geraldine Godsil
This paper discusses the residues of a somatic countertransference that revealed its meaning several years after apparently successful analytic work had ended. Psychoanalytic and Jungian analytic ideas on primitive communication, dissociation and enactment are explored in the working through of a shared respiratory symptom between patient and analyst. Growth in the analyst was necessary so that the patient's communication at a somatic level could be understood. Bleger's concept that both the patient's and analyst's body are part of the setting was central in the working through...
February 2018: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/29297786/harm-in-hypnosis-three-understandings-from-psychoanalysis-that-can-help
#11
Mary J Peebles
Over 50 years of empirical data demonstrate unequivocally that psychotherapy can cause harm as well as good. Two therapist factors increasing harm risk are inadequate assessment of patients' vulnerabilities and certain attitudes/affects. Adding hypnosis as a technique within psychotherapy heightens risk for harm because: (a) trance can unexpectedly expose patient vulnerabilities (through loosening reality orientation, lessening structure, generating unfamiliar sensations and perceptions, and intensifying access to interior information such as emotions and imagery); and (b) trance can unexpectedly increase porousness to therapist's attitudes/affects (through heightening mental receptivity to the internal states of others)...
January 2018: American Journal of Clinical Hypnosis
https://www.readbyqxmd.com/read/29297782/hypnosis-and-psychoanalysis-toward-undoing-freud-s-primal-category-mistake
#12
John A O'Neil
Hypnosis predates psychoanalysis, when autohypnotic pathologies were identified through the lens of hypnosis, and labeled "hypnoid hysteria" in the language of the day. The broad spectrum of disorders then subsumed under that term is still reflected in ICD-10's subset, "F44-Dissociative (Conversion) Disorders." Freud initially embraced both hypnoid hysteria and hypnosis, but came to abandon hypnosis and, by extension, hypnoid hysteria as well. Since that fateful decision, which I term herein Freud's "Inaugural Category Mistake," references to both hypnosis and hypnoid pathology largely vanished from the psychoanalytic mainstream, thereby neglecting conditions afflicting a significant portion of the mentally ill, and needlessly restricting the therapeutic repertoire of psychoanalysis...
January 2018: American Journal of Clinical Hypnosis
https://www.readbyqxmd.com/read/29164726/functional-connectivity-changes-following-interpersonal-reactivity
#13
A L Krause, L Colic, V Borchardt, M Li, B Strauss, A Buchheim, D Wildgruber, P Fonagy, T Nolte, M Walter
Attachment experiences substantially influence emotional and cognitive development. Narratives comprising attachment-dependent content were proposed to modulate activation of cognitive-emotional schemata in listeners. We studied the effects after listening to prototypical attachment narratives on wellbeing and countertransference-reactions in 149 healthy participants. Neural correlates of these cognitive-emotional schema activations were investigated in a 7 Tesla rest-task-rest fMRI-study (23 healthy males) using functional connectivity (FC) analysis of the social approach network (seed regions: left and right Caudate Nucleus, CN)...
February 2018: Human Brain Mapping
https://www.readbyqxmd.com/read/29120667/sexual-functioning-and-disordered-eating-a-new-perspective
#14
Annette S Kluck, Sheila Garos, Lucas Shaw
Fears about sexual maturity and intimacy were among early explanations for the etiology of eating disorders and related concerns, and research with clinical samples revealed a relationship between eating disorders and atypical sexual experiences. In contrast, feminist scholars offer explanations for both eating disorders and sexual dysfunction that emphasize societal pressures. As an alternative approach to understanding these difficulties, the authors empirically explored the relationship between the cognitive and affective aspects of sexuality and disordered eating among a nonclinical sample of 167 university women...
2018: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/29044599/feedback-informed-treatment-an-empirically-supported-case-study-of-psychodynamic-treatment
#15
Stephanie Winkeljohn Black, Jesse Owen, Norah Chapman, Kelly Lavin, Joanna M Drinane, Patty Kuo
The use of client feedback, via self-report measures of psychological functioning and working alliance, is an effective way to improve therapy outcomes. Despite this progress, there are many questions about the mechanisms of change for these systems. The current study employed a case study approach to examine the effectiveness of feedback informed treatment within a psychodynamic therapy. We examined the case based on therapy outcomes, alliance processes, and verbatim dialogue of in-session exchanges. We also conducted a semistructured interview with the therapist to understand how she used and interpreted the feedback within her psychodynamic approach...
November 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28994481/unconscious-choice-the-dissociation-of-creative-animus-among-writers-and-psychotherapists
#16
Alison Clark
The paper argues that writers and psychotherapists are drawn to their work through the desire to remedy an unconscious sense of lack brought about by early relational trauma. Often, because of its origins in psychic pain, the connection between these individuals' beginnings and their profession remains largely dissociated. The theme is developed with reference to the idea of the wounded healer taken up by Jung. It is proposed that the original wound is also the crack that lets the light in: a dissociated tough spirit that can be channelled into discriminating countertransference and strong writing...
November 2017: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/28994466/chilled-to-the-bone-embodied-countertransference-and-unspoken-traumatic-memories
#17
Luisa Zoppi
Starting from a deeply challenging experience of early embodied countertransference in a first encounter with a new patient, the author explores the issues it raised. Such moments highlight projective identification as well as what Stone (2006) has described as 'embodied resonance in the countertransference'. In these powerful experiences linear time and subject boundaries are altered, and this leads to central questions about analytic work. As well as discussing the uncanny experience at the very beginning of an analytic encounter and its challenges for the analytic field, the author considers 'the time horizon of analytic process' (Hogenson ), the relationship between 'moments of complexity and analytic boundaries' (Cambray ) and the role of mirror neurons in intersubjective experience...
November 2017: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/28967766/parenthood-after-reproductive-loss-how-psychotherapy-can-help-with-postpartum-adjustment-and-parent-infant-attachment
#18
David J Diamond, Martha O Diamond
Parenting after pregnancy loss is often complicated for people who have not effectively grieved the loss and worked through the trauma. Reproductive losses can trigger shame and self-doubt, damage the sense of self-as-parent, and inflict narcissistic injuries, which, in turn, may impede the resolution of grief. If not addressed, these unresolved feelings may be projected onto subsequent children, potentially disrupting attachment relationships and the child's sense of self. The reproductive story, a lifelong internal narrative that comprises the thoughts, feelings, and hopes about how parenting and adulthood will unfold, and forms the core of parental identity, can be used as a tool in helping parents understand the depth of their feelings, integrate current and past losses into the self, and resolve grief...
December 2017: Psychotherapy
https://www.readbyqxmd.com/read/28922009/the-development-and-initial-validation-of-the-countertransference-management-scale
#19
Andrés E Pérez-Rojas, Beatriz Palma, Avantika Bhatia, John Jackson, Earta Norwood, Jeffrey A Hayes, Charles J Gelso
Countertransference is an important aspect of the therapeutic relationship that exists in therapies of all theoretical orientations, and depending on how it is managed, it can either help or hinder treatment. Management of countertransference has been measured almost exclusively with the Countertransference Factors Inventory (Van Wagoner, Gelso, Hayes, & Diemer, 1991) and its variations, all of which focus on 5 therapist qualities theorized to facilitate management: self-insight, conceptualizing ability, empathy, self-integration, and anxiety management...
September 2017: Psychotherapy
https://www.readbyqxmd.com/read/28904511/the-fantasmatic-and-imaginary-child-of-the-pregnant-woman
#20
Simone Setterberg
BACKGROUND: Pregnancy is a period of transition, which makes women more vulnerable and in unfavorable conditions may lead to psychopathology in both mother and infant. It is essential to outline factors adversely affecting the resolution of this period. Early interventions and why they matter: Interventions during pregnancy can provide important improvement in the outcome for both maternal and infant mental health. AIM: The aim of the study is to evaluate the risk factors of antenatal anxiety and depression focusing particularly on maternal representations of the relationship towards the fetus and her own parents during pregnancy and the early postpartum period...
June 25, 2017: Shanghai Archives of Psychiatry
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