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Countertransference

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https://www.readbyqxmd.com/read/29120667/listening-to-a-patient-an-exploratory-experimental-investigation-into-the-effects-of-vocalization-and-therapist-gender-on-interpreting-clinical-material
#1
Barry Dauphin, Stacey Halverson, Sarah Pouliot, Linda Slowik
Carefully listening to the patient is of paramount importance for psychoanalysis and psychoanalytic psychotherapy. The present study explored whether patient vocalization as well as the gender of the analyst play significant roles in clinical listening. Fifty-one psychoanalysts and psychoanalytic therapists were randomly assigned to listen to one of two dramatized psychoanalytic sessions. The content of the sessions was the same for both versions, but the sessions were dramatized differently. Some differences emerged between the versions, especially on ratings of reality testing, impulse control, pressured speech, patient was confusing, and awareness of imagery...
November 9, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/29044599/feedback-informed-treatment-an-empirically-supported-case-study-of-psychodynamic-treatment
#2
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
#3
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
#4
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
#5
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...
October 2, 2017: Psychotherapy
https://www.readbyqxmd.com/read/28922009/the-development-and-initial-validation-of-the-countertransference-management-scale
#6
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
#7
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
https://www.readbyqxmd.com/read/28899184/the-broken-self-injured-states-in-the-transference-countertransference-matrix
#8
Barbara Reichenthal
Themes of injury and injuredness reverberate throughout the treatment of patients categorized as having disorders of the self. Aspects of the various identifications that these patients may make with clinicians who are visibly physically handicapped from the outset of treatment are explored. Vignettes from psychoanalytically informed psychotherapies conducted at frequencies of up to three times weekly reveal how these identifications are used to externalize a sense of internal psychic impairment and to shed defective introjects in an attempt to preserve a faltering self...
June 2017: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/28899139/moving-from-within-the-maternal-the-choreography-of-analytic-eroticism
#9
Dianne Elise
With Kristeva's concept of maternal eroticism (2014) as starting point, the "multiverse" of mother/child erotic sensibilities-the dance of the semiotic chora-is explored and a parallel engagement proposed within the analytic dyad. The dance of psychoanalysis is not the creative product of the patient's mind alone. Clinical work invites, requires, a choreographic engagement by the clinician in interplay with the patient. The clinician's analytic activity is thus akin to choreography: the structuring of a dance, or of a session, expresses an inner impulse brought into narrative form...
February 2017: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/28899111/reconstruction-in-a-two-person-world-may-be-more-about-the-present-than-the-past-freud-and-the-wolf-man-an-illustration
#10
Richard M Gottlieb
The psychoanalytic process of reconstruction has yet to be examined from the perspective of today's two-person psychologies. Earlier writers on the subject have implicated the analyst and his emotional involvement as influences that may distort the valid recovery of memories, while others have written that the transference and the reconstructed past are interdependent. By contrast with both views, it is suggested here that the reconstructed product itself may reflect the transference-countertransference engagement of the dyad: in some instances, and to some extent in all instances, the scene or story of the presumed past will be a version of the current analytic relationship...
April 2017: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/28890703/observations-on-working-psychoanalytically-with-a-profoundly-amnesic-patient
#11
Paul A Moore, Christian E Salas, Suvi Dockree, Oliver H Turnbull
Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature - a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28836804/patient-swap-200-personality-dimensions-and-ffm-traits-do-they-predict-therapist-responses
#12
Annalisa Tanzilli, Vittorio Lingiardi, Mark Hilsenroth
The main aim of this study was to examine the relationship between therapists' emotional responses and patients' personality evaluated by 3 dimensional diagnostic approaches empirically derived from the Shedler-Westen Assessment Procedure-200 (SWAP-200; Westen & Shedler, 1999a, 1999b): Two of these rely on the 5-factor model (FFM) domains, that were assessed with different SWAP-200 FFM versions developed by Shedler and Westen (SW-FFM scales; 2004) and McCrae, Löckenhoff, and Costa (MLC-FFM scales; 2005); the third approach is based on a multifaceted model of personality syndromes (SWAP personality dimension scales; see Shedler & Westen, 2004)...
August 24, 2017: Personality Disorders
https://www.readbyqxmd.com/read/28671276/love-and-melancholia-in-the-analysis-of-women-by-women
#13
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
#14
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
#15
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
#16
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...
September 2017: Psychosomatics
https://www.readbyqxmd.com/read/28581327/countertransference-when-working-with-narcissistic-personality-disorder-an-empirical-investigation
#17
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
#18
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
#19
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...
June 2017: American Journal of Psychoanalysis
https://www.readbyqxmd.com/read/28553900/how-should-clinicians-respond-to-transference-reactions-with-cancer-patients
#20
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
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