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In the brief essays that follow, failing narcissistic defenses are associated with two tragic events: the murder of a young woman by her ex-boyfriend that became a national media event, and the portrayal in a major motion picture of the gradual disintegration of a marriage that ended in the wife's death.  相似文献   

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A 5-year old subject was treated for molestation-induced behavior problems consisting of excessive verbal ruminations and concamitant negative emotional responding. Treatment invovled utilization of a modified operant DRO procedure using the subject's mother as primary behavior change agent. Data based observations predicated on home-environment and generalization probe sources demonstrated dramatic reductions in problem behaviors targeted for intervention. Treatment gains remained stable over a 12-month period as indicated by extended follow-up assessment queries.  相似文献   

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《Psychoanalytic Inquiry》2013,33(2):239-253
Holly Levenkron's work with her patient, Ali, beautifully illustrates one way that a creative analyst makes superb use of her own experience to communicate and negotiate with great affective honesty. Holly's analytic style emphasizes the effective use of a particular kind of self-disclosure and a way of thinking about intersubjectivity and enactment associated with the contemporary Relational movement. Yet, it may be Holly's personal willingness to allow the analytic relationship to profoundly destabilize and influence her that most engages Ali in their work.

An imaginary analytic scenario is described with an analyst, Dr. X, who like Holly is destabilized by Ali but whose thinking about intersubjectivity and enactment emphasizes an empathic immersion in Ali's experience of the analytic relationship. In contrast to Holly, Dr. X focuses primarily on grasping and interpreting the adaptive strivings that animate Ali's differently organized subjective world.

The underlying capacity to acknowledge and use the analyst's own version of the patient's issues may also characterize analyses such as that of the hypothetical Dr. X—in style that are more explicitly “interpretive” (less confrontative) than Holly's work. These two contrasting approaches highlight the wide range of ways to think about intersubjectivity, enactment, and affective honesty in the analytic process.  相似文献   

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