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Countertransference

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https://www.readbyqxmd.com/read/27903132/a-trans-theoretical-training-designed-to-promote-understanding-and-management-of-countertransference-for-trainee-therapists
#1
Claire Cartwright, Carrie Barber, Sue Cowie, Neil Thompson
OBJECTIVE: There is evidence that awareness of countertransference (CT) in combination with a conceptualization of CT facilitates its management. This study examines the impact of a trans-theoretical training designed to make the construct of CT accessible to trainee therapists in programs oriented towards cognitive-behavioral therapy. The training aimed to enhance trainees' awareness, understanding, and management of CT. METHOD: Academics at five New Zealand universities introduced the training into their curriculum...
November 30, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27893346/the-preoedipal-and-oedipal-structure-of-termination-an-in-depth-case-study
#2
Trevor Lubbe
Much has been written about the Oedipus complex as a central organizing focus for the understanding of early developmental attainments as well as for the structuring of the personality, but nowhere are triangular forces more vitally active, clinically, than in the termination phase. The decision to end, once agreed upon, typically sets in motion a symmetrical process in which two dynamics occur concurrently. First, what drives the termination is a mourning process in which the primary task is to relinquish the analyst as a transference object and to establish the analyst as an internal object...
December 2016: Psychoanalytic Review
https://www.readbyqxmd.com/read/27893345/quo-vadis-the-future-of-psychoanalysis
#3
Mauricio Cortina
Although contemporary psychoanalysis is split into different schools and traditions, there is growing support for some of the main tenets of contemporary psychodynamic thinking from attachment theory, infant research, developmental psychopathology, new models of motivation, the neuroscience of emotions and emotional regulation, and the discovery of different implicit and explicit memory systems. These tenets, which psychodynamic clinicians of all stripes encounter in their daily work with clients, are the following: (1) that large footprints are left over from infancy and childhood which involved insensitive, intrusive, frightening, or shaming care; (2) the carryover of these relational experiences into adulthood are expressed as unconscious expectations and attributions we make of others (transference and countertransference; (3) defensive processes and emotional regulation and deregulatory patterns develop to cope with these unhealthy relations...
December 2016: Psychoanalytic Review
https://www.readbyqxmd.com/read/27849452/spirituality-and-countertransference-individual-and-systemic-considerations
#4
Ted Bowman
Spirituality is now routinely included in the arc of palliative or holistic care. In spite of this recognition, its importance can be compromised unless countertransference in its many forms gains more attention. In this article, individual and systemic considerations related to the intersection of spiritualty and countertransference in hospice and palliative care will be addressed, with particular emphasis on practitioner implications. A framework, developed by Kenneth Pargament will be extended to highlight perceptions that can exacerbate countertransference and spirituality...
November 16, 2016: Death Studies
https://www.readbyqxmd.com/read/27697894/finding-control-cases-and-maintaining-immersion-challenges-and-opportunities
#5
Lena Theodorou Ehrlich
Given that surveys, as well as frequent observations by institute faculty, indicate that many candidates have difficulty finding control cases and maintaining immersion and that many graduate analysts face similar challenges, it would seem that psychoanalytic training does not prepare candidates adequately for finding patients and practicing analysis while in training and, for many, after they have graduated. Although external challenges are formidable, it is by identifying and making use of internal challenges to finding cases that candidates can develop an analytic mind: the identity, approach, and skills necessary not only to graduate but to have the choice to practice clinical psychoanalysis post-graduation...
October 3, 2016: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/27644338/relaxation-in-technique-leading-to-new-beginnings
#6
Endre Koritar
This paper explores how standard analytic technique may result in a repetition of past traumatic experiences in the transference and countertransference analytic situation. Relaxation and elasticity of technique can lead to re-integration of previously fragmented ego functions, and in remembering and re-experiencing of previously repressed symbolic representations of fragmenting past traumatic experiences, resulting in neocatharsis and working through, thus healing wounds and scars sustained in self development...
September 19, 2016: American Journal of Psychoanalysis
https://www.readbyqxmd.com/read/27631861/complex-contexts-and-relationships-affect-clinical-decisions-in-group-therapy
#7
Giorgio A Tasca, Nancy Mcquaid, Louise Balfour
Clinical errors tend to be underreported even though examining them can provide important training and professional development opportunities. The group therapy context may be prone to clinician errors because of the added complexity within which therapists work and patients receive treatment. We discuss clinical errors that occurred within a group therapy in which a patient for whom group was not appropriate was admitted to the treatment and then was not removed by the clinicians. This was countertherapeutic for both patient and group...
September 2016: Psychotherapy
https://www.readbyqxmd.com/read/27631859/when-countertransference-reactions-go-unexamined-due-to-predetermined-clinical-tasks-how-fear-of-love-can-keep-us-from-listening
#8
Shweta Sharma, J Christopher Fowler
The psychotherapeutic work is characterized by processes that are involved in the development of the alliance, as well as processes that lead to the ruptures in the alliance (error) and its repair. The purpose of this article is to highlight the clinical error that occurs when a clinician fails to adequately respond to a patient's emotional signals due to countertransference reactions that results in an overemphasis on predetermined tasks the clinician "naturally" deems as necessary. A clinical vignette is presented to illustrate the error and 3 alternative approaches to the error are discussed...
September 2016: Psychotherapy
https://www.readbyqxmd.com/read/27631858/what-is-the-right-time-for-supportive-versus-expressive-interventions-in-supervision-an-illustration-based-on-a-clinical-mistake
#9
Liat Leibovich, Sigal Zilcha-Mano
Although supportive-expressive (SE) psychotherapy is one of the most studied psychodynamic therapies today, little is known empirically about effective strategies in SE supervision, or in psychodynamic supervision in general (Diener & Mesrie, 2015; Watkins, 2011). One of the important questions in SE psychotherapy is how to decide when to use supportive and when to use expressive interventions. As a parallel process, this type of decision is relevant also to SE supervision. The present case study focuses on the decision-making process in an SE supervision session: when should supervisors use supportive as opposed to expressive strategies with their supervisees? Our aim is to develop decision rules that reliably support supervisors' decisions...
September 2016: Psychotherapy
https://www.readbyqxmd.com/read/27564323/therapeutic-assessment-of-a-violent-criminal-offender-managing-the-cultural-narrative-of-evil
#10
Lionel Chudzik
Therapeutic Assessment (TA) emphasizes the importance of the clinical relationship and the core values of collaboration, respect, humility, compassion, and curiosity, which guide all aspects of the endeavor (Finn, 2007 ). Those values are not easy to apply with violent offenders. However, this article explains how TA can significantly contribute to the treatment of those clients by helping the therapist avoid common cultural narratives about evil. We see that these culturally based myths permit us to explain violent behaviors, but also prevent us from treating them because they lead us to a circular countertransference-transference process...
November 2016: Journal of Personality Assessment
https://www.readbyqxmd.com/read/27543939/negative-hallucinations-dreams-and-hallucinations-the-framing-structure-and-its-representation-in-the-analytic-setting
#11
Rosine Jozef Perelberg
This paper explores the meaning of a patient's hallucinatory experiences in the course of a five times a week analysis. I will locate my understanding within the context of André Green's ideas on the role of the framing structure and the negative hallucination in the structuring of the mind. The understanding of the transference and countertransference was crucial in the creation of meaning and enabling the transformations that took place in the analytic process. Through a detailed analysis of a clinical example the author examines Bion's distinction between hysterical hallucinations and psychotic hallucinations and formulates her own hypothesis about the distinctions between the two...
August 20, 2016: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/27543849/supervisory-countertransferences-and-impingements-in-evaluating-readiness-for-graduation-always-present-routinely-under-recognized
#12
Lena Theodorou Ehrlich, Nancy Mann Kulish, Margaret Ann Fitzpatrick Hanly, Marianne Robinson, Arden Rothstein
Utilizing detailed, in-depth material from supervisory hours from around the world (explored in End of Training Evaluation groups), this paper shows that supervisors are subject to multiple, diverse and, at times, ongoing intense countertransferences and impingements on their ability to evaluate candidates' progress. Multiple external and internal sources of these impingements are explored. It is suggested that supervisory countertransferences and their manifestation in parallel enactments remain under-recognized, their impact underappreciated, and the information they contain underutilized...
August 20, 2016: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/27530166/race-religion-and-a-cat-in-the-clinical-hour
#13
Gretchen Heyer
Racial and religious identities are complex, often mired in dynamics of 'othering'. Such dynamics easily become a means of distancing the pain, fear and rage of intergenerational traumas, thus undermining ways race and religion can be powerful vehicles for the transference and countertransference. Drawing from a history of race in America as well as Jung's anxiety when meeting the stranger within himself, this paper focuses on 17 years of work between a black female patient and white female clinician (me)...
September 2016: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/27512329/in-the-blink-of-an-eye-instant-countertransference-and-its-application-in-modern-healthcare
#14
Nidal Moukaddam, Veronica Tucci, Sagar Galwankar, Asim Shah
No abstract text is available yet for this article.
July 2016: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/27469203/opening-to-the-otherwise-the-discipline-of-listening-and-the-necessity-of-free-association-for-psychoanalytic-praxis
#15
Barnaby B Barratt
It is argued that only free-association methodically opens the discourse of self-consciousness (the representations available to reflective awareness) to the voicing of the repressed. The method is key to Freud's originality and the sine qua non of any genuinely psychoanalytic process. Clinical procedures which do not prioritize a steadfast and ongoing commitment to this method (instead emphasizing either interpretative formulations, as decisive acts that appear to fix and finalize the meaning of a particular lived experience, or the vicissitudes of transference-countertransference in the immediate treatment situation) all too readily entrap the treatment, limiting its capacity to divulge the power of unconscious processes...
July 29, 2016: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/27437625/metapsychology-or-metapsychologies-some-comments-on-paul-denis-s-paper-the-drive-revisited-mastery-and-satisfaction
#16
Gabriel Sapisochin
In this commentary on Paul Denis's paper 'The drive revisited: mastery and satisfaction', the author defends the idea of a plurality of metapsychologies that must be contrasted with and distinguished from each other while avoiding incompatible translations between models. In this connection he presents various theoretical approaches to aggression and the death drive, and demonstrates the differences between the drive model and the model underlying the theory of internalized object relations. The author holds that the concept of the internal object differs from Freud's notion of the representation (Vorstellung)...
June 2016: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/27428581/my-father-myself
#17
Ilany Kogan
This essay presents material from the second analysis of an offspring of two Holocaust survivors, each of whom lost a child during the war. The first analysis (Kogan ) focused primarily on the patient's relationship with her mother. This second analysis revolves around the elaboration of the complex and painful father-daughter relationship, centering on the events surrounding the death of the patient's father. The discussion includes an exploration of the father's deferred action on account of his Holocaust trauma, which he passed on to the next generation; the break in the idealized paternal representation; and the daughter's identification with her father's disavowed aggressive aspects...
July 2016: Psychoanalytic Quarterly
https://www.readbyqxmd.com/read/27374132/the-psychoanalyst-s-normal-and-pathological-superegos
#18
Vic Sedlak
The first section of the paper explores a number of differing views regarding the concept of the superego, essentially in terms of its formation and its functions. Two broad theories of superego development, both of which were introduced by Freud, are described. The first takes the superego to be principally oedipal in origin; the second traces the superego to an earlier period. The controversy about the usefulness of the concept of the death instinct is also implicated in the different views. It is then suggested that it is worthwhile to distinguish between a normal superego and a pathological superego and that these two distinct models of the superego are implicit in the work of both Freud and Klein...
July 4, 2016: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/27338007/sibling-rivalry-separation-and-change-in-austen-s-sense-and-sensibility
#19
Margaret Ann Fitzpatrick Hanly
The paper explores a process of growth represented in the interplay of Jane Austen's characterizations of Marianne and Elinor Dashwood in Sense and Sensibility, approaching the text through the lens of psychoanalytic theories on oedipal sibling rivalry, separation, and processes of change. A close reading of Sense and Sensibility tracks Marianne Dashwood's repudiation of any 'second attachment' as the surface of an unconscious fantasy, denying a rival for the mother's love. A psychoanalytic view contrasts Marianne's lack of separation from her mother, her use of denial and projection, and her near death after losing the man she loves, with her older sister Elinor Dashwood's capacities for depression, reflection, and greater acceptance of loss and separation...
August 2016: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/27294316/family-traditions-cultural-values-and-the-clinician-s-countertransference-therapeutic-assessment-of-a-young-sicilian-woman
#20
Francesca Fantini
Despite recent advances in models and instruments to understand the role of a client's cultural background, clinical psychologists are not immune to implicit cultural biases that are potentially damaging to the therapeutic alliance. In this article, I present a Therapeutic Assessment with a young Sicilian woman conducted in a university-based student clinic in Italy. During the assessment, I assumed that because we were both Italians, my client shared my perspective (northern Italian) about family and individual values, which resulted in a therapeutic impasse when I responded on the basis of my individual and culturally shaped view of interpersonal and family relationships without appreciating important differences between my own and my client's microcultures...
November 2016: Journal of Personality Assessment
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