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Countertransference

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https://www.readbyqxmd.com/read/28671276/love-and-melancholia-in-the-analysis-of-women-by-women
#1
Rosine Jozef Perelberg
This paper suggests that in the analysis of women by women a melancholic core may be encountered at the centre of the transference/countertransference situation that is an expression of the loss of the primary maternal object that has never been mourned. The attachment to the primary, lost object may be preserved in a melancholic, invisible way, and the longing that it is connected to might only reach representation in the après coup of the analytic process. The links between this primary love, melancholia and the unrepresentable in the analysis of women will be explored...
July 3, 2017: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/28631199/practical-interventions-to-enhance-resident-ownership-of-patient-care
#2
Thomas Soeprono, Jesse Markman, Michael Grodesky, Deborah Cowley
OBJECTIVE: In the modern training environment, some question whether trainees have the opportunity to develop ownership of patient care, which includes concepts such as advocacy, autonomy, commitment, communication, follow-through, knowledge about the patient, responsibility, and teamwork. Despite descriptions of what ownership is, there is little discussion of how to foster ownership during residency. The objective of this study was to solicit psychiatry resident and faculty perspectives on ways to enhance resident ownership in training...
June 19, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28609147/transference-and-countertransference-a-review
#3
Karoline Parth, Felicitas Datz, Charles Seidman, Henriette Löffler-Stastka
Originally a psychodynamic concept, the therapeutic relationship (also therapeutic alliance, helping alliance or simply alliance) has become a pan-theoretical model for the professional relationship between a therapist and his or her client (Kivlighan, 1995). With the development of this concept in the latter half of the 20th century, psychotherapeutic theory and practice saw a paradigm shift away from strict adherence to technique with little room for responsive, individual behavior from the therapist and toward the "authentic" human relationship at the core of therapy...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28602447/teaching-psychiatric-trainees-to-think-dirty-uncovering-hidden-motivations-and-deception
#4
Scott R Beach, John B Taylor, Nicholas Kontos
BACKGROUND: Despite the prevalence with which trainees encounter patients who attempt to manipulate, deceive, or withhold information from them, trainees receive little formal training in "thinking dirty"-that is, incorporating elements of hidden patient motives into their interview, formulation, and plan. Lack of acknowledgment of these aspects of patient care can lead to resident dissatisfaction, negative countertransference reactions, and decreased empathy for patients. METHODS: In this article, the authors outline a multimodal approach used in a large psychiatry training program for teaching trainees to recognize hidden motivations and deception, which involves formal didactic teaching, process rounds, and clinical experience...
April 17, 2017: Psychosomatics
https://www.readbyqxmd.com/read/28581327/countertransference-when-working-with-narcissistic-personality-disorder-an-empirical-investigation
#5
Annalisa Tanzilli, Laura Muzi, Elsa Ronningstam, Vittorio Lingiardi
Narcissistic personality disorder (NPD) is one of the most challenging clinical syndromes to treat in psychotherapy, especially due to the difficulties of establishing a good enough therapist-patient relationship. Countertransference responses to NPD can be particularly intense, frustrating, and difficult to manage, as is often reported in the clinical literature though not clearly supported empirically. The aims of this study were to (a) investigate the relationship between patients' NPD and therapists' responses; (b) examine the associations between patient, clinician, therapy variables and clinicians' reactions during treatment of NPD patients; and (c) provide an empirically derived portrait of countertransference with NPD...
June 2017: Psychotherapy
https://www.readbyqxmd.com/read/28556496/prevalence-rates-of-borderline-symptoms-reported-by-adolescent-inpatients-with-bpd-psychiatrically-healthy-adolescents-and-adult-inpatients-with-bpd
#6
Mary C Zanarini, Christina M Temes, Laura R Magni, Garrett M Fitzmaurice, Blaise A Aguirre, Marianne Goodman
OBJECTIVE: The validity of borderline personality disorder (BPD) in children and adolescents has not been studied in a rigorous manner reflecting the criteria of Robins and Guze first detailed in 1970. This paper and the others in this series address some aspects of this multifaceted validation paradigm, which requires that a disorder has a known clinical presentation, can be delimited from other disorders, 'runs' in families, and something of its aetiology, treatment response and course is known...
May 28, 2017: Personality and Mental Health
https://www.readbyqxmd.com/read/28555085/songs-in-the-countertransference-or-gilding-the-philosophic-pill
#7
Charles A Peterson
Songs that interrupt the psychoanalytic psychotherapist's countertransference reverie are invariably relevant and potentially useful. Like any other countertransference "presence," songs accompanying the narrative may contribute to understanding both patient and analytic process. Taking their intrusive, fecund, pesky presence one step further, song lyrics may be used as metaphor-saturated interventions, helping reach the well-defended patient. Five brief vignettes illustrate the process. Because we must learn to tolerate ordinary unhappiness, Blues music, a carrier of preconscious mythic themes (love and work), may prove especially useful, helping the patient indirectly embrace everyday wisdom, endure hard times, universalize misery, and see ourselves in the roomy mirror of metaphor...
May 29, 2017: American Journal of Psychoanalysis
https://www.readbyqxmd.com/read/28553900/how-should-clinicians-respond-to-transference-reactions-with-cancer-patients
#8
Fatima Noorani, Allen R Dyer
Patients with cancer can feel particularly vulnerable and need special attention and support, so clinicians' attention to transference reactions-theirs and their patients-is especially important. Mismanaged transference reactions can undermine the therapeutic alliance in the patient-clinician relationship and negatively influence treatment outcomes. In oncology settings, real and perceived needs of patients in serious distress can occasion modification of usual outpatient protocols, particularly when flexible scheduling or home or hospital visits are warranted...
May 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28523673/the-function-of-language-in-parent-infant-psychotherapy
#9
Björn Salomonsson
Parent-infant psychotherapy, a rather new field in psychoanalysis, raises questions of how to conceptualize the clinical process. Previous publications have used semiotic concepts to account for the therapist's non-verbal communication and investigated the countertransference, including what the baby might grasp of its variations. The present paper focuses on another argument for using verbal interventions to a baby in therapy; they present him with a symbolic order that differs from that of the parent. The qualitative difference between the parent's and the analyst's address is conceptualized by Dolto's term parler vrai...
May 19, 2017: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/28509624/the-role-of-evidence-based-therapy-relationships-on-treatment-outcome-for-adults-with-trauma-a-systematic-review
#10
Amy E Ellis, Vanessa Simiola, Laura Brown, Christine Courtois, Joan M Cook
OBJECTIVE: The purpose of this paper was to systematically review and synthesize the empirical literature on the effects of evidence-based therapy relationship (EBR) variables in the psychological treatment for adults who experienced trauma-related distress. METHOD: Studies were identified using comprehensive searches of PsycINFO, Medline, Published International Literature on Traumatic Stress, and Cumulative Index to Nursing and Allied Health Literature databases...
May 16, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28505384/a-systematic-review-of-the-effect-of-therapists-internalized-models-of-relationships-on-the-quality-of-the-therapeutic-relationship
#11
REVIEW
Catherine Steel, James Macdonald, Thomas Schroder
OBJECTIVE: Previous reviews have found equivocal evidence of an association between therapists' internalized relational models and the therapeutic relationship and have neglected empirical literature based on Sullivan's notion of introject. This review expanded upon previous reviews to examine the effect of therapist internalized relational models on a broader conceptualization of the therapeutic relationship. METHOD: Systematic search processes identified 22 papers measuring therapist attachment and/or introject and therapeutic relationship: 19 on therapist attachment, 5 on introject with 2 overlapping...
May 15, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28485009/an-investigation-of-the-mechanism-underlying-teacher-aggression-testing-i-3-theory-and-the-general-aggression-model
#12
Paul Montuoro, Tim Mainhard
BACKGROUND: Considerable research has investigated the deleterious effects of teachers responding aggressively to students who misbehave, but the mechanism underlying this dysfunctional behaviour remains unknown. AIMS: This study investigated whether the mechanism underlying teacher aggression follows I(3) theory or General Aggression Model (GAM) metatheory of human aggression. I(3) theory explains exceptional, catastrophic events of human aggression, whereas the GAM explains common human aggression behaviours...
May 8, 2017: British Journal of Educational Psychology
https://www.readbyqxmd.com/read/28477036/insecure-attachments-and-their-intermingling-transferences
#13
Doris K Silverman
There are least two different but interrelated motivational systems in human beings both of which begin in infancy: the attachment system and the separate, but interacting, psychodynamic system. Each of these systems is the basis of transference. A major focus of the paper is the affect-regulating feature of the attachment system. Infants' emotional states can be well-regulated or dysregulated as they emerge in interactions with their primary caregiver. Aberrant interactions of dysregulation typically lead to the development of insecure or disorganized attachments...
May 5, 2017: American Journal of Psychoanalysis
https://www.readbyqxmd.com/read/28388222/clinician-guided-assessment-of-personality-using-the-structural-interview-and-the-structured-interview-of-personality-organization-stipo
#14
Susanne Hörz-Sagstetter, Eve Caligor, Emanuele Preti, Barry L Stern, Chiara De Panfilis, John F Clarkin
This article demonstrates the utility of a theory-guided psychodynamic approach to the assessment of personality and personality pathology based on the object relations model developed by Kernberg (1984). We describe a clinical interview, the Structural Interview (SI; Kernberg, 1984), and also a semistructured approach, the Structured Interview of Personality Organization (STIPO; Clarkin, Caligor, Stern, & Kernberg, 2004) based on this theoretical model. Both interviews focus on the assessment of consolidated identity versus identity disturbance, the use of adaptive versus lower level defensive operations, and intact versus loss of reality testing...
April 7, 2017: Journal of Personality Assessment
https://www.readbyqxmd.com/read/28342209/from-somatic-pain-to-psychic-pain-the-body-in-the-psychoanalytic-field
#15
Thomas Hartung, Michael Steinbrecher
The integration of psyche and soma begins with a baby's earliest contact with his or her parents. With the help of maternal empathy and reverie, β-elements are transformed into α-elements. While we understand this to be the case, we would like to enquire what actually happens to those parts of the affect which have not been transformed? For the most part they may be dealt with by evacuation, but they can also remain within the body, subsequently contributing to psychosomatic symptoms. This paper describes how the body serves as an intermediate store between the psychic (inner) and outer reality...
March 24, 2017: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/28277976/issues-in-consultation-for-treatments-with-distressed-activated-abuser-protector-self-states-in-dissociative-identity-disorder
#16
Richard A Chefetz
The identified "problem self-state" in a dissociative disorder consultation is like the identified patient in a family therapy; the one who is identified may have an assigned role to be blamed which serves the function of deflecting the activities of painful self-states in other family members. In consultation, the "family" includes the therapist in addition to the patient. When the state identified as a problem self-state is an abuser/protector self-state, complications often involve the profound nature of transference-countertransference enactments between patient and therapist, the delusion of separateness, chronic and acute threats of suicide, negative therapeutic reactions, and the evocation of intense negativity...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28272821/the-analyst-s-relocation-analysis-terminable-interminable-and-dislocated
#17
Daria Colombo
The analyst's relocation is relatively neglected in the literature. Yet relocation is profoundly unsettling, striking at the psychoanalytic contract in a way that illness or even severe countertransference disturbances do not, and this unsettling aspect of resettling can disturb analytic functioning. The few previous papers about relocation focus on how to best understand and manage "reality" intrusions in terms of the nature and status of the transference relationship. In this paper, an engagement with object relational ideas is the prism through which to examine the dislocations of relocation and the potential disruptions of thinking caused by the vicissitudes of moving...
January 2017: Psychoanalytic Quarterly
https://www.readbyqxmd.com/read/28272818/a-model-for-integrating-actual-neurotic-or-unrepresented-states-and-symbolized-aspects-of-intrapsychic-conflict
#18
Fredric N Busch
In psychoanalytic theory, the importance of actual neuroses-considered to be devoid of psychic content-diminished as Freud and subsequent analysts focused on unconscious intrapsychic conflict. This paper explores the relationship between actual neurotic and unrepresented states, which are believed to be best addressed through attention to countertransference, intersubjectivity, and enactments rather than interpretation of intrapsychic conflict. Models suggesting how actual neurotic states and symbolized intrapsychic conflict may interact with each other and environmental stressors are described...
January 2017: Psychoanalytic Quarterly
https://www.readbyqxmd.com/read/28251643/-telepathic-phenomena-and-separation-anxiety
#19
Berdj Papazian
By discussing a treatment characterized by its difficult ending, the author strives to show the dynamic impact of separation on phenomena that can be seen as 'telepathic'. Led to develop some inalienable attachment to her analyst in the primary transference, the analysand found herself caught up in the contradiction of her visceral dread of dependency, which compelled her to interrupt the work in progress. She then began to work out her analyst's comings and goings and to run into him in public places, as if to be assured of his immovability...
March 1, 2017: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/28248565/learning-psychodynamic-psychotherapy-in-southeast-asia
#20
Jiann Lin Loo, Jin Kiat Ang, Natasha Subhas, Brian Kong Wai Ho, Hazli Zakaria, César A Alfonso
The subjective nature of psychodynamic psychotherapy (PP) makes training and supervision more abstract compared to other forms of psychotherapy. The issues encountered in the learning and supervision process of PP of Malaysian psychiatry trainees are discussed in this article. Issues of preparation before starting PP, case selection, assessment of patients, dynamic formulations, supervision, anxieties in the therapy, countertransference, termination of therapy, the treatment alliance, transfer of care, the therapeutic setting, and bioethical considerations are explored...
2017: Psychodynamic Psychiatry
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