ARTICLE WITHDRAWN: The Social Determinants of Psychoanalytic Therapy

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Psychotherapeutic work with refugees: Understanding the therapist's countertransference

Abstract

Most therapists are chosen to work with refugees because they speak the language or come from the same cultural or racial background and/or have had experiences which resonate with those of the client. They are often people who can easily understand the clients' experiences, which creates interesting and potent therapeutic dynamics. They can offer a great deal of support to the person, but often with the high risk of over-identification. This paper is an attempt to examine from the therapist's perspective the complex dynamics involved in working with refugee clients. It is a collection of thoughts and feelings expressed in psychotherapeutic and supervisory work by different types of refugee mental health workers. It is an attempt to understand the therapeutic relationship further by focusing on the therapist's psychological response to the client. The paper will outline briefly some of the common themes reported by refugees, but the primary aim is to focus on the therapist's countertransference feelings. Countertransference in this context is defined as a personal psychological response, as well as consisting of socio-political components.     

无意识信息加工中的“完型”——无意识捆绑假说的新证据

采用连续闪烁范式(Continuous Flash Suppression,CFS)考察了无意识状态下完型能否发生.研究通过2(线条完整性)×2(意义破坏)×2(熟悉性)的被试内实验设计考察了8种条件下图片的突破抑制时间(Suppression Time,ST).结果发现:线条完整和意义未破坏的图片能更快地克服噪音图片的抑制进入意识;熟悉性不影响突破抑制时间.重要的是,不完整的图片也可以出现意义破坏效应.这表明即使在被抑制的状态下,不完整图形的信息也能够传达至与完型相关的高级视觉区域形成客体表征.研究为无意识捆绑假说(The Unconscious Binding Hypothesis)提供了新的实验证据.     

无意识研究新进展:无意识思维理论述评

无意识思维理论(UTT)是近期对无意识思维研究的最新成果。该文主要从无意识思维原理、容量原理、自下而上对自上而下加工原理、权重原理、规则原理、聚合对发散原理等6个方面对UTT进行了详细阐述。在此基础上,简评了UTT的理论特点及存在问题,并进一步从信息编码、目标和无意识思维加工机制等三个方面提出了今后的研究方向。     

Psychotherapeutic possibilities in patients with definitive movement disorders

Since traumas leading to severe and permanent physical handicaps affect the whole personality, the psychological approach plays a major role in the rehabilitation of patients with locomotory handicaps owing to injury. The harmful effects become apparently more easily on account of the disturbed personality development of the cripple, and the consequent mental changes complicate his or her reintegration into society. Rehabilitation measures intended to restore, as far as possible, the physical functions can only yield satisfactory results if they prepare the whole personality of the cripple--as a combined psychological and somatic entity--for life of a different quality.     

无意识的意识本性

就精神分析的无意识而言,无意识实际上是由意识创建而来的。不是无意识派生了意识,而是意识派生了无意识。无意识是意识的一种变体,它恰恰体现了意识的塑造能力和它自身的可塑性。弗洛伊德在《意识与什么是无意识》中对意识和无意识的关系问题做了集中的论述。该文借助对这篇论文的全面解析进行阐述。     

Unconscious fantasy: a reconsideration of the concept

Despite general agreement about the clinical importance of unconscious fantasy, the concept itself has remained unclear. After reviewing Freud's work on the subject, the conceptual dilemma is specified: where in current psychoanalytic theory do we place this important, dynamically repressed, structuralized mental content? Three conceptual paths have been followed in attempting to deal with this problem. The first emphasizes the structural, tripartite model, discarding topographic concepts. The second replaces the structural model with a schema model borrowed from academic psychology. The third combines the structural and topographic models. None of these approaches is entirely satisfactory and without problems. Because of their central role in mental life, unconscious fantasies deserve careful definition. They should be distinguished from conscious fantasies and daydreams as well as from the process of fantasizing. They are differentiated from other varieties of unconscious content by their enduring quality and their organized, storylike quality reflecting the distortions typical of the primary process. As dynamically unconscious templates from the childhood past, they shape subsequent compromise formations and are relatively impervious to new experience. The development of psychoanalytic theory from a macrostructural to a microstructural emphasis is discussed in relation to the unconscious fantasy concept.     

Dealing with the past: responsibility and personal history

I argue that unfortunate formative circumstances do not undermine the warrant for either responsibility or blame. I then diagnose the tendency to think that formative circumstances do matter in this way, arguing that knowledge of these circumstances can play an essential epistemic role in our interpersonal interactions.     

Now Streaming: On Unconscious Communications in the Analytic Process

ABSTRACT

In this article, I illustrate the concept of unconscious communication by means of a clinical example in which a patient was able to recover the memory of a key adolescence experience as the result of the interplay of unconscious messages transmitted between himself and his analyst. When the patient spotted the analyst driving an old, beat-up family car, this triggered an unconscious memory of this painful adolescent episode, one that epitomized and stood for his troubled and disappointing relationship with his father. This memory, which was expressed nonverbally, in turn, evoked a memory in the analyst from his own adolescence that put him in touch with the patient‘s traumatic, adolescent experience, material that had come up previously in the analysis but had not been adequately dealt with or worked through. By grasping the meaning of the interplay of these unconscious messages, the analyst was able to help the patient get in touch with, better understand, and work through, an experience that had an enduring impact on his future life.     

Dream Reflection in Logotherapy: Facilitating the Psychotherapeutic Process and Case Studies

Logotherapy or Existenzanalyse is a treatment orientation developed by the late Viennese psychiatrist, Dr. Victor Frankl. Frankl's orientation places primary emphasis upon helping the client to notice, actualize and honor the meaning and meaning potentials in his or her life. This helps the client to shrink his/her existential meaning vacuum, and the symptoms and problems that grow and flourish in this existential vacuum. In this article Frankl's treatment orientation is briefly outlined, with a focus on the use of dream reflection to facilitate the Logotherapeutic process which is illustrated through case material.     

Postmodernizing the Unconscious with the Help of Derrida and Lyotard

The American Journal of Psychoanalysis -     

Dancing With the Unconscious: The Art of Psychoanalysis

This article examines psychoanalytic work as an art and uses the metaphor of dance between two unconscious minds to describe the rich creativity of mental life. Free association, transference/countertransference, and dreamwork are each discussed for their creative dimensions and their coupling in the cure. A compelling session with dream analysis of a transsexual patient is presented verbatim (along with the author's inner thoughts) to illustrate the art of dance that takes place between analyst and analysand.