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141.
142.
The treatment of people suffering from psychosomatic disorders poses important clinical challenges to psychoanalytic practice, including early abandonment, difficulties in engagement and superficial involvement in the treatment. The lack of systematic research on the subject suggests that a better understanding of the resistances and dynamics involved in such episodes is needed. Using supervision group to study treatments and inspired by action-research paradigm, this paper presents the results of an 18-month mixed-method qualitative clinical research on treating 22 cases. Thematic analysis revealed a frequent pattern of resistance to experience emotions that presented in two states: failure of repression (thin-skin) and massive repression (thick-skin). Narcissistic dynamics in the therapeutic relationship taking the form of ‘resistance to transference’ and a tendency to action were evident in both presentations. Symmetric and complementary counter-transference reactions, which compromised treatment, were also identified. Some technical implications are highlighted, such as the need to focus in the recovery of the patient's actual emotional experience and to understand such experience in the context of the ‘here and now’ of the therapeutic encounter. These findings suggest the need for a flexible approach to therapeutic work that moves between an ‘intrapsychic’ and a ‘relational’ focus. 相似文献
143.
BERNARD PENOT 《The International journal of psycho-analysis》2005,86(2):503-515
Psychoanalytical 'teamwork' may be recommended for dealing with a particular kind of transference that characteristically occurs during the institutional treatment of young patients presenting psychotic or behavioural symptoms. In such cases, the degree of alienation is such that repetition is usually induced in other people (the therapists), fi lling in for fantasy construction that seems to be lacking in the patient's psyche. A case like that of 'Angel' can give some idea of this phenomenon, wherein several caregivers have to harbour fragmented and incompatible elements of the case's particular history, which are in need of more mental representation. Any subjective restitution and appropriation of these elements by the patient would require a sort of detour (often a trying one!) by way of the psychical space of caregivers whose initial task will be to 'work it through' among themselves. 相似文献
144.
During the treatment of violent individuals who were, incidentally, highly verbal, the authors noticed that physical assaults were often preceded by the perpetrator s use of metaphors. It was observed that the linguistic metaphors failed to function as ordinary as if devices and became concretised. When this occurred, the perpetrators resorted to a physical attack. In this paper, the authors argue that the capacity to interconnect (which is considered to be the essence of psychic work) is dependent upon what can be conceptualised as a primary mental frame or warp. Distortion of the warp will, in turn, weaken the weaving, or interconnecting function of the ego, which is considered analogous to the interconnecting in linguistic metaphors. Clinical material from the treatment of three violent men (two in psychotherapy and one in analysis) is used to illustrate the hypothesis that the concretised use of metaphor represents a restitutive, but failed attempt to maintain a psychic coherence in the face of an imminent breakdown. 相似文献
145.
ANA MARÍA VI
OLY BECEIRO 《The International journal of psycho-analysis》2005,86(6):1559-1572
The author considers the infl uences that different psychoanalytic trends have had on the thought processes of psychoanalysts in the River Plate region. She begins by giving a history of the way in which these trends were shaped by the sociocultural context of the region, and of how the dialectical relationship between these two factors produced the River Plate region's (Argentina and Uruguay) own theoretical model. The author includes a study‐albeit incomplete‐of major local developments, and attempts to defi ne the characteristics of a regional model. The model is based on the following parameters: the fundamental rules of evenly suspended attention and free association; the technical frame; links between theory and clinical practice such as transference‐countertransference, resistance, identifi cation, the analytic fi eld; the concept of psychic change and its indicators; and the interpretive instrument. The author considers the past and present infl uence of Lacanian thought on this model. She concludes by reviewing some of these theoretical and clinical concepts. 相似文献
146.
Like other core psychoanalytic constructs, the theory of therapeutic action is currently in flux, as theorists of differing persuasions propose different mechanisms. In this article, the authors attempt to integrate developments within and without psychoanalysis to provide a working model of the multifaceted processes involved in producing change in psychoanalysis and psychoanalytic psychotherapy. A theory of therapeutic action must describe both what changes (the aims of treatment) and what strategies are likely to be useful in facilitating those changes (technique). The authors believe that single-mechanism theories of therapeutic action, no matter how complex, are unlikely to prove useful at this point because of the variety of targets of change and the variety of methods useful in effecting change in those targets (such as techniques aimed at altering different kinds of conscious and unconscious processes). Interventions that facilitate change may be classified into one of three categories: those that foster insight, those that make use of various mutative aspects of the treatment relationship and a variety of secondary strategies that can be of tremendous importance. They propose that, in all forms of psychoanalytic treatment, we would be more accurate to speak of the therapeutic actions , rather than action . 相似文献
147.
Sidney H. Phillips 《The International journal of psycho-analysis》2003,84(6):1431-1450
The author asserts that earlier theoretical assumptions contribute to the conceptual confusion about homosexuality in much contemporary psychoanalytic research. Bergeret's article, recently published in this Journal , is exemplary of this confusion. The author refutes his contention that homosexuality is not 'true' sexuality but merely a defensive, narcissistic fixation away from, or a nearly psychotic denial of, heterosexuality. He then clarifies specific areas of conceptual confusion regarding homosexuality still prevalent in psychoanalytic discourse that derive from earlier theoretical premises. These areas of confusion include manifest versus latent homosexuality, narcissism and bisexuality, oedipal dynamics and development, and transference and technique. 相似文献
148.
LEANDRO STITZMAN 《The International journal of psycho-analysis》2004,85(5):1137-1155
Many senses exist for perceiving sensory experience; there are in turn others which make it possible to perceive emotional experience: intuition is one of these. The author, using W. R. Bion's work, studies intuition psychoanalytically, considering it to be a powerful ‘sense’ in clinical work. He describes the metapsychology of intuition, and proposes models that make it possible to think—from different perspectives— about how to make use of it in an analysis. To this end, he examines a series of useful processes and concepts: growth, tolerance, ‘suchness’, suffering and courage. The author defi nes the intuitive mechanism as a derivation of the renunciation of memory, desire and understanding; such a renunciation, learning from the experience of suffering the pain of facing the Truth in at‐one‐ment, makes it possible to tolerate the frustrations associated with observing the analysand ‘such‐as‐he‐is’. Finally, once immersed in the intelligence of intuition, the author considers ways in which intuition might be linked with concepts, with a view to interpreting the facts that must be transformed in the analysis. 相似文献
149.
Franco Borgogno 《International Forum of Psychoanalysis》2016,25(4):249-256
AbstractRecalling his own participation in a daily group seminar with Rosenfeld and taking this experience as his starting point, the Author describes and discusses the later Rosenfeld’s approach to working with severely disturbed narcissistic patients. Through a detailed analysis of a supervision of a session with a psychotic patient, this paper essentially highlights how important it is to construct a (cognitive and affective) basic common ground in order to subsequently proceed to interpretations of transference. In particular, the paper brings to light those elements allowing the creation of that basic cognitive-affective ground that is necessary to profitably (in a manner useful to the patient) connect the relational events narrated and acted by the patient with the hic et nunc of analytic interaction. 相似文献
150.
Maria Inês Neuenschwander Escosteguy Carneiro 《The International journal of psycho-analysis》2016,97(2):333-356
This clinical report comes from the five year, four day a week analysis of a male child. What is special is that this treatment is of a child with marked mental retardation. I have retained this nomenclature because that is how Ricardo's parents described his mental capacity. What they meant was that he was greatly impaired in his cognition and this could be seen in Ricardo's severe cognitive, social, behavioral, and relational improprieties. I have privileged the function of psychoanalytic understanding and the role of transference to bring about modifications in this child's internal world. And I have considered the patient's psychotic mental state to be in need of psychoanalytic treatment not withstanding his psychosis's connection to his cognitive handicap. I have also added information I have received after the analysis, information that demonstrates continued integration coming from the analytic process. Owing to Ricardo's limited mental capacities, this article advances clinical information that is not often found in analyses of children. There are possibly many other children like him who nonetheless would benefit from dynamic psychoanalytic understanding. On the other hand, I shall not discuss this matter theoretically, even though some theoretic considerations are necessary. Clinical practice and the transferential relation are this report's principal material. 相似文献