Psychotherapists' dreams about their patients

Abstract This study examines therapists’ dreams about their patients from the Jungian and the relational perspectives. Few clinical and empirical references to this subject are to be found in the literature. In the present study 31 dreams were collected from 22 therapists. Dreams were collected using anonymous self‐report inventory. The research focused on three theoretical research questions: 1. What themes appear in the manifest content of therapists’ dreams about their patients? 2. What contributions are made by Jungian interpretation of therapists’ dreams about their patients? 3. To what extent are masochistic contents present in the manifest content of therapists’ dreams about their patients? The first question was addressed using categorical content analysis of a) themes common to different dreams and b) pre‐determined themes for all dreams. The third research question was addressed using Beck's (1967) ‘Masochistic Dream’ measure. Results: Among the themes common to different dreams were: therapist‐patient role reversal; therapist and/or patient attends and remains in meeting, departs/doesn’t depart; cancellation of therapy session; sexuality between therapist and patient; aggression; presence vs. absence; non‐verbal relationship and communication; time; driving vs. stopping. With regard to pre‐determined themes it was found that in 20 of the 31 dreams, the therapist had a negative experience and was characterized as vulnerable. Likewise it was found that 26 out of 31 dreams took place in either a) a street, a road, a route, a corridor; b) en route to somewhere; c) a therapy room and/or building; d) a house. With regard to the contribution of Jungian interpretations of the dreams it was found that 17 of the dreams had diagnostic and prognostic elements, 4 of which were initial dreams, 9 of them were compensatory dreams and in 14 it was found that the patient represents the shadow of the therapist. With regard to the third question it was found that 18 of the 31 dreams met Beck's (1967) criteria for masochistic dreams. The theoretical discussion examines the findings from a Jungian perspective, with an emphasis on also understanding the dream in terms of its expression of relational aspects of the therapist‐patient relationship. The findings affirm the presence of the ‘wounded healer’ archetypes in therapists’ dreams about their patients. The results of the study indicate that therapists’ dreams about their patients can be a valuable tool for deepening understanding of the therapeutic relationship and process.     

A Community of Psychotherapists

Services for chronic mental patients in this era of deinstitutionalization present a major challenge to clinicians and planners alike. The complexity of these patients' clinical and other programmatic needs requires that an array of viable comprehensive services be made available to them. Following certain established principles of service planning will help facilitate patients' longitudinal, psychological, financial, and geographical access to care.     

Psychotherapists and the mystical process

Spirituality is an often overlooked element in the therapeutic experience. The purpose of this paper is to document a well-recognized definition and framework for the mystical process. The author suggests some similarities between the mystical and psychotherapeutic processes. He asserts that psychotherapists who can recognize elements of the mystical process among their clients can serve as spiritual guides in psychotherapy.     

Vicissitudes of Student Group Psychotherapists

Abstract

This article describes the main processes and themes in consciousness-raising gender conflict groups for undergraduate students who study in parallel a course on gender and psychology. The main theme of the course is that gender is a classification system that influences individuals, interactions between individuals, and social institutions. The aim of the groups is to provide students with a safe environment to discuss their thoughts and feelings following the encounter of these ideas. Group leading is based on a combination of principles derived from consciousness-raising groups from the 1970s and a model for working with groups in conflict.     

Frequency of dream recall by children and their mothers

The present study investigated frequency of dream recall in children and their mothers. Overall, 88 mothers (M age: 38.7 yr., SD=5.0) and their children (45 girls, 43 boys; M age: 9.9 yr., SD= 1.3) participated. A small but significant positive Pearson correlation of .19 between the frequency of dreams reported by mothers and by their children is consistent with Cohen's 1973 hypothesis of a socialization effect on the frequency of dream recall.     

Danger! Psychotherapists at work

The rapid growth of psychotherapeutic movements in recent years has led to a free market. Vast numbers of psychotherapists of different theoretical persuasions are now on offer. While such a choice has its obvious advantages, it creates bewildering confusions in the minds of potential clients. How can the clients tell which psychotherapist or psychotherapeutic entepise to opt for? How can they know whether they have made an appropriate choice? How do they know which therapy works best under which conditions? Are there a set of criteria laid down which might guide the client in making a judicious choice? Can they be assured that after a senes of agreed sessions, they will get better? These are extremely serious issues. The paper discusses the practical and ethical implications underlying these issues and offers specific suggestions and guidelines as to how the clients might safeguard their own interests when it comes to choosing an appropriate psychotherapist.     

Psychoanalytic dream theory and recent neurobiological findings about REM sleep

I have reviewed Hobson and McCarley's activation-synthesis hypothesis of dreaming which attempts to show that the instigation and certain formal aspects of dreaming are physiologically determined by a brainstem neuronal mechanism, their reasons for suggesting major revisions in psychoanalytic dream theory, and neurophysiological data that are inconsistent with their hypothesis. I then discussed the concept of mind-body isomorphism pointing out that they use this concept inconsistently, that despite their denials they regularly view physiology as primary and psychological processes as secondary, and that they frequently make the error of mixing the languages of physiology and psychology in their explanatory statements. Finally, in order to evaluate Hobson and McCarley's claim that their findings require revision of psychoanalytic dream theory, I examined their discussions of chase dreams, flying dreams, sexual dreams, the formal characteristics of dreams, the forgetting of dreams, and the instigation of dreams. I concluded that although their fascinating physiological findings may be central to understanding the neurobiology of REM sleep, they do not alter the meaning and interpretation of dreams gleaned through psychoanalytic study.     

Lay Perceptions of Psychotherapists in South Africa

The study investigated South African layperson perceptions of psychotherapists. Participants were 10 males and 25 females (Whites = 23, Blacks = 10, Coloreds = 2; age range 20 to 59). Semi structured interviews were used to study expectations, attitudes and stereotypical beliefs and behavior towards psychotherapists. Laypersons perceived psychotherapists negatively, and would personally not want any assistance from psychotherapists.     

A significant "dream within a dream"

This brief clinical note is an attempt to clarify Freud's remarks regarding the significance of real occurrences of the "dream within a dream". There is affirmation of the reality of an actual event in the manifest dream (the "tickling" in adolescence). Certain representations regarding real events are alluded to in the manifest dream and are confirmed by the latent dream thoughts (the underlying homosexual theme involving the patient's mother and herself). Within the ongoing transference neurosis, a new understanding led this patient to experience intense sexual affects which were recalled for the first time during the course of an analytic session. The analyst's attention to this "dream within a dream" led to a facilitating active interpretation of the repressed sexual feelings. At the same time it was possible to observe a developmental arrest which had interfered with the consolidation of the patient's adolescent maturation begin to be undone by interpretation. The process of disengaging the patient from her unconscious bond with her mother (the undoing of the negative oedipal involvement) had been set in motion. The "dream within a dream" seems to represent a special defensive effort of the dream work to encapsulate the memory of one or more related actual events and the intense affects associated with them--affects whose pressure for discharge threaten to arouse the sleeper. The form the dream assumes is related to its hidden sexual origins and engages the active participation of both patient and analyst.     

Models of Therapy Used by Feminist Nurse Psychotherapists

No abstract available for this article.     

Personality,dream content and dream coping style

One hundred and thirty Ss completed the Eysenck Personality Questionnaire and a Dream Analysis Questionnaire (DAQ), based on retrospective recall. Differential dream content was self-rated on three parameters: frequency, duration and intensity. Factor analyses identified three specific dimensions of dreaming: ‘Personal Avoidance’, ‘Eroticism’ and ‘Adventuresomeness’. It was clear that, on the frequency and image-intensity categories, dream content related overwhelmingly to Neuroticism. Personality , as measured, was clearly related to the salience (e.g. clarity of imagery, emotionality) of dreams. Given the specificity of dream content, the results suggest the presence of a person-specific coping style, primarily affective in nature. The findings are discussed in light of the continuum or parallel model of the dream-waking cycle. Implications for the cognitive modification of aberrant dream images or fantasy processes are briefly reviewed.     

boy's dream

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