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Mentalization, insightfulness, and therapeutic action The importance of mental organization 总被引:1,自引:1,他引:0
ALAN SUGARMAN 《The International journal of psycho-analysis》2006,87(4):965-987
Continuing debates over the relative importance of the role of interpretation leading to insight versus the relationship with the analyst as contributing to structural change are based on traditional defi nitions of insight as gaining knowledge of unconscious content. This defi nition inevitably privileges verbal interpretation as self‐knowledge becomes equated with understanding the contents of the mind. It is suggested that a way out of this debate is to redefi ne insight as a process, one that is called insightfulness. This term builds on concepts such as mentalization, or theory of mind, and suggests that patients present with diffi culties being able to fully mentalize. Awareness of repudiated content will usually accompany the attainment of insightfulness. But the point of insightfulness is to regain access to inhibited or repudiated mentalization, not to specifi c content, per se. Emphasizing the process of insightfulness integrates the importance of the relationship with the analyst with the facilitation of insightfulness. A variety of interventions help patients gain the capacity to refl ect upon and become aware of the intricate workings of their minds, of which verbal interpretation is only one. For example, often it seems less important to focus on a particular confl ict than to show interest in our patients’ minds. Furthermore, analysands develop insightfulness by becoming interested in and observing our minds in action. Because the mind originates in bodily experience, mental functioning will always fl uctuate between action modes of experiencing and expressing and verbal, symbolic modes. The analyst's role becomes making the patient aware of regressions to action modes, understanding the reasons for doing so, and subordinating this tendency to the verbal, symbolic mode. All mental functions work better and facilitate greater self‐regulation when they work in abstract, symbolic ways. Psychopathology can be understood as failing to develop or losing the symbolic level of organization, either in circumscribed areas or more ubiquitously. And mutative action occurs through helping our patients attain or regain the symbolic level in regard to all mental functions. Such work is best accomplished in the transference. The concept of transference of defense is expanded to all mental structure, so that transference is seen as the interpersonalization of mental structure. That is, patients transfer their mental structure, including their various levels of mentalizing, into the analytic interaction. The analyst observes all levels of the patient's mental functioning and intervenes to raise them to a symbolic one. At times, this will require action interpretations, allowing oneself to be pulled into an enactment with the patient that is then reprocessed at a verbal, symbolic level. Such actions are not corrective emotional experiences but are interpretations and confrontations of the patient's transferred mental organization at a level affectively and cognitively consistent with the level of communication. Nonetheless, the goal becomes raising the communication to a symbolic level as being able to refl ect symbolically on all aspects of one's mind with a minimum of restriction is the greatest guarantee of mental health. 相似文献
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Mentalization in children and mothers in the context of trauma: An initial study of the validity of the Child Reflective Functioning Scale 下载免费PDF全文
Karin Ensink Lina Normandin Mary Target Peter Fonagy Stéphane Sabourin Nicolas Berthelot 《The British journal of developmental psychology》2015,33(2):203-217
This study examined the validity of the Child Reflective Functioning Scale (CRFS: Ensink, Target, & Oandason, 2013, Child reflective functioning scale scoring manual: for application to the Child Attachment Interview. London, UK: Anna Freud Centre – University College London), a measure designed to assess reflective functioning (RF) or mentalization during middle childhood. Participants were 94 mother–child dyads divided into two subgroups; 46 dyads where children had histories of intrafamilial (n = 22 dyads) or extrafamilial (n = 24 dyads) sexual abuse, and a community control group composed of 48 mother–child dyads. RF of children and their mothers was assessed using videotaped and transcribed data gathered using the Child Attachment Interview and the Parent Development Interview (PDI: Slade, Aber, Bresi, Berger, & Kaplan, 2004, The parent development interview‐Revised. New York, NY: The City University of New York). The findings indicate that the CRFS proved reliable, with excellent intraclass correlation coefficients for general RF, as well as RF regarding self and others. Significant differences in RF were found between sexually abused children and the control group, and also between children who had experienced intrafamilial and extrafamilial sexual abuse. This provides support for the discriminant validity of the CRFS. Furthermore, maternal RF was associated with child RF. Both abuse and maternal RF made significant contributions to predicting children's RF regarding themselves, but child sexual abuse was the only variable that made a significant contribution to explaining variance in children's RF regarding others. 相似文献
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Dorit Ashur 《The International journal of psycho-analysis》2009,90(3):595-612
Freud 's declared position regarding the management of 'transference love' advocated 'abstinence', objectivity and even 'emotional coldness in the analyst'. However, his essay on Jensen's Gradiva reveals an identification with an involved and responsive 'maternal' analytic position associated with theorists such as Ferenczi, Balint and Winnicott. These theorists attribute the origins of transference love to the pre-oedipal stage, shaping their analytic model on the basis of the early relationship with the mother. Freud generally had difficulty identifying with such a position, since it entailed addressing his own inner feminine aspects. Yet a literary analysis of his 'Gradiva' reveals this stance in his textual performance, i.e. in the ways in which he reads and retells Jensen's story. Freud 's narration not only expresses identification with Zoe, the female protagonist, but also idealizes her 'therapeutic' conduct, which is closer in spirit to that of object-relations theorists. His subtext even implies, however unintended, that an ideal treatment of transference love culminates in a psychical 'marriage' bond between the analytic couple, a metaphor used by Winnicott to describe the essence of the mother–baby (analyst/patient) bond. Freud 's reading process is itself analogous to Zoe's 'therapeutic' conduct, in that both perform a creative and involved interaction with the text/patient. 相似文献
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阅读疗法:概念、机理及运用中应把握的几个问题 总被引:16,自引:0,他引:16
阅读疗法是指人们通过默读或朗读书面文本或电子文本,提高人的心理素质的一种心理治疗方法,它具有治疗、预防、发展三种功能。阅读通过从外界摄入"负熵",提高人的认知能力,使人获得高峰体验,改变人的气质多种途径来实现其心理治疗上的目的。运用好阅读疗法,必须注意把握好阅读材料、时机、方法、习惯等几个环节。 相似文献
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Katherine Thomson‐Jones 《Metaphilosophy》2012,43(3):275-293
Those who have views about the relation between aesthetic and ethical value often also have views about the nature of art criticism. Yet no one has paid much attention to the compatibility of views in one debate with views in the other. This is worrying in light of a tension between two popular kinds of view: namely, between critical pluralism and any view in the art and ethics debate that presupposes an invariant relation between aesthetic value and ethical value. Specifically, the tension with invariance arises insofar as critical pluralism accommodates the aesthetic value of interpretive richness, including the aesthetic value of ethically conflicted interpretive richness. Given this tension, a shift of focus is needed in the art and ethics debate; from specifying the criteria for the aesthetic relevance of a work's ethical qualities to defending the fundamental nature of the aesthetic‐ethical value relation. 相似文献
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Iryna Semkiv 《The Journal of analytical psychology》2024,69(2):281-297
For most residents of Europe, war is a new experience in which they find themselves both as witnesses and participants. In this paper the war in Ukraine serves as an illustration and case example. Like any unfamiliar experience, war elicits profound emotional responses which can be so overwhelming that an individual may be unable to fully process them and to create mental representations of the reality of war. When the psyche becomes entrapped in an unprocessed state, without the capacity to derive meaning from it, this results in the “fossilization” of the psyche akin to what McGinley and Segal describes as a totalitarian state of mind. Subjectivity and individual differences come under collective or personal attack, or both. This state of being prioritizes the needs of the collective psyche over the individual psyche. The image of Gorgon Medusa, who transformed living people into “fossilized” ones, is presented as a metaphor of total identification with the collective dimension. In contrast, the psyche can reveal a creative approach to resolving war-induced trauma. This is depicted in the concept of the Alchemical Stone and its creation, which symbolizes a harmonious connection between the external and internal realms, the subjective and objective experiences, and the real and the imaginal dimension. 相似文献
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Kevin Williams 《Journal of Beliefs & Values》2013,34(2):245-255
Divided into four parts, the article explores the relationship between literature and faith. The first part examines the connection between literature and the pursuit of truth and the second shows that literature can offer a challenging encounter with different beliefs. Part three examines some examples of the imagination at work in illuminating faith and the final section considers the educational challenge for teachers in enabling students to respond in an informed and sensitive way to literary encounters with faith. 相似文献
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Paul Lippmann Ph.D. 《Psychoanalytic Dialogues》2013,23(1):51-59
The question of how gender and trauma may impact one another is explored through detailed clinical material from the author’s work with a patient contemplating, and then beginning, a transition from female to male. The author explores what happens when a mind is colonized rather than mentalized. The term colonize is used to describe the unconscious use of a child’s mind to store unprocessed trauma from an earlier generation. The author describes destabilizing feelings of uncertainty, shame, and anxiety in both patient and analyst at various points in the treatment. 相似文献
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This study assessed the reading, language, and memory skills of 56 bilingual Arab-Canadian children age's 9-14. English was their main instructional language, and Arabic was the language spoken at home. All children attended a Heritage Language Program in Toronto where they were taught to read and write Arabic. The children were administered word and pseudo-word reading, language, and working memory tests in English and Arabic. The majority of the children showed at least adequate proficiency in both languages. There was a significant relationship between the acquisition of word and pseudo-word reading working memory, and syntactic awareness skills in the two languages. The poor readers in Arabic had lower scores on all linguistic tasks, except the visual task. There were no significant differences between bilingual English Arabic children and monolingual English-speaking children on the reading, language, and memory tasks. However, bilingual English Arabic children who had reading problems in English had higher scores on English pseudo-word reading and spelling tasks than monolingual English-speaking children with reading disabilities, probably because of positive transfer from the regular nature of Arabic orthography. In this case, bilingualism does not appear to have negative consequences for the development of language reading skills in both languages—Arabic and English—despite the different nature of the two orthographies. 相似文献
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Rémy Amouroux 《The International journal of psycho-analysis》2010,91(4):879-894
Marie Bonaparte (1882–1962) played a critical role in the development of psychoanalysis in France. Her clinical activity is not well known yet she was one of the first female French psychoanalysts. The journalist–writers Alice and Valerio Jahier were Bonaparte’s first two patients. She conducted this dual analysis with Rudolph Loewenstein (1898–1976). Alice and Valerio exchanged analysts on several occasions. During his analysis, Valerio began corresponding with Italo Svevo (1861–1928), the author of La Coscienza di Zeno, who imparted his doubts on the therapeutic merits of psychoanalysis. Valerio described his difficult analysis in his letters to Svevo. Bonaparte consulted Freud on the subject, but was not able to prevent Valerio’s suicide in 1939. The Princess of Greece encouraged Alice in her vocation as a writer and enabled her to benefit from her connections in literary circles. On the margins of this unpublished story of the two analyses, which is based on archived documents recently made available, we discover the importance of the links which were formed – around Marie Bonaparte – between psychoanalysis and literature. In addition to Italo Svevo, we come across the acerbic writer, Maurice Sachs, as well as the famous novelist, Stefan Zweig. 相似文献
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对196名小学二年级儿童进行为期三年的追踪测查,使用交叉滞后模型检验了儿童字词阅读流畅性和篇章朗读流畅性等不同层面口语流畅性与阅读理解的关系。在控制了一般认知能力、汉字识别、口语词汇知识、快速命名和自回归效应之后发现:(1)模型比较的结果支持字词阅读流畅性对阅读理解作用的单向预测模型,儿童二年级时字词阅读流畅性对三年级的阅读理解,以及三年级时字词阅读流畅性对四年级的阅读理解均有显著预测作用;(2)模型比较的结果支持篇章朗读流畅性与阅读理解的双向预测模型,前一个测量时间点的篇章朗读流畅性可以稳定地预测后一个测量时间点的阅读理解,同时,前一个测量时间点的阅读理解也可以稳定地预测后一个测量时间点的篇章朗读流畅性。结果表明在排除了自回归效应和其他变量的作用后,只存在字词阅读流畅性对阅读理解的单向预测关系,而篇章朗读流畅性与阅读理解之间存在双向预测关系,这一发现支持了认知资源和自动化理论,并对阅读的交互-补偿模型进行了一定的补充。 相似文献
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采用问卷调查法对107名重点与非重点学校的小学、初中学生课外阅读时间、阅读时间分配进行了调查,并考察了它们与阅读成绩的关系。结果发现:(1)小学生与初中生课外平均每周阅读时间无显著差异,但其时间的分配有差异,小学生主要阅读文学类书籍,而初中生除了主要阅读文学类书籍外,增加了阅读娱乐类书籍的时间;(2)整体上看,中小学生课外阅读时间与阅读成绩存在显著相关,其中文学类书籍课外阅读时间与阅读成绩有显著正相关,娱乐类书籍课外阅读时间与重点学校学生的阅读成绩以及男生的阅读成绩有显著的负相关。 相似文献
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M. Cecil Smith 《Journal of Adult Development》1995,2(4):241-256
Reading is assumed to play an important role in the development of literate persons in that it is consciousness-altering activity. The manner by which reading contributes to development is unclear, however, and has been debated by social scientists for some years. Despite the importance of reading in adult life, only recently have researchers devoted significant attention to what and how well adults read. Less scrutiny has been directed toward understanding what sorts of benefits may be gained from reading in adult life and how reading contributes to adult development. This paper describes adults' reading practices across a variety of social contexts, the types of skills employed in these practices, and how reading may contribute to adult cognitive development. Implications deriving from a better understanding of adult reading practices and skills across the life span are discussed. 相似文献
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阅读理解的风景模型:整合的观点 总被引:1,自引:0,他引:1
阅读理解是构建篇章有效而连贯的心理表征的过程,研究者提出了许多模型,分别去解释阅读结果的心理表征和阅读的加工过程.风景模型则同时考虑了阅读的加工过程与心理表征,并描述了二者之间的动态、交互作用,整合了以往的理论模型.大量实验证据验证了风景模型的心理真实性,并发现它可以应用到各种阅读情景中. 相似文献