A socioeconomic dimension of the therapeutic relationship the analyst's perspective

Abstract

Gojman de Millan S. A Socioeconomic Dimension Of Therapeutic Relationship. The Analyst's Perspective. Int Forum Psychoanal 1997;6:241—249. Stockholm. ISSN 0808-706X.

Two clinical vignettes are described. I wish to show how much an open recognition of the social conditions of both participants in a treatment process may enrich the analyst's understanding of the transference-countertransference dynamics. I claim that although analysts intuitively integrate this aspect of the therapeutic relationship they commonly do it without a specific formulation.

In an explicit and systematic manner, Fromm emphasized the social dimensions of human experience. His background knowledge of the social sciences framed his therapeutic practice. The clinical implications which derive from this perspective will be illustrated.

The clinical material which I present shows how today's psychoanalytic attention to the dynamic interaction between analyst and patient while it enables us to deal with the complexity and different layers of the treatment process can also include the social dimension. The benefits and difficulties of developing our consciousness about our own social roles and our involvement in the social milieu deserve our careful and critical attention.     

Living liver donation: Attitudes of the general public and general practitioners in Scotland

In April 2006, the Scottish Liver Transplant Unit in Edinburgh became the first NHS transplant unit in the UK to offer adult-to-adult living donor liver transplantation (LDLT). This procedure allows a healthy individual to donate part of their liver to someone with end-stage liver disease. With donations from the deceased in short supply, this procedure has the capacity to save lives. The aim of this study was to explore the attitudes of the general public and general practitioners (GPs) towards LDLT, before its implementation. A total of 1041 members of the Scottish general public and 155 GPs working in Scotland completed a short questionnaire devised for this study. The majority of participants supported the option of LDLT, but frequency counts showed that only 34% of the general public wish to donate their organs following death compared to 85% of GPs. With regards to an acceptable risk of death before volunteering to donate, 25% of GPs would accept a 1 in 20 risk of death, whereas 50% of the general public either could not make a decision or selected ‘No risk’. The question of how well people understand the concept of risk was again highlighted in this study.     

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The association between global functionality and religiosity among patients from developing and predominantly Catholic countries warrants attention. To compare religiosity and psychosocial functioning in Mexican schizophrenia patients with and without a history of religious delusions, seventy-four patients with paranoid schizophrenia were recruited. Patients with a history of religious delusions had more psychiatric hospitalizations and poorer psychosocial functioning compared with those without a history of religious delusions. No differences emerged between groups in the total scores of religiosity scales. A history of religious delusions rather than religiosity itself may have an influence on psychosocial functioning among Mexican patients with schizophrenia.     

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The Psychological Record - In recent years, behavior analysts have given an increasing amount of attention to the topic of perspective taking. However, the construct of perspective taking refers to...     

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