A grounded theory exploration of therapists’ experiences of somatic phenomena in the countertransference

Somatic phenomena in the countertransference have historically received minimal attention despite evidence of their occurrence in the therapeutic encounter. In the field of Counselling Psychology, there seems to be an apparent gap in the academic coverage and clinical utilisation of therapists’ somatic states. The purpose of this study was to explore therapists’ somatic experiences in the countertransference using a grounded theory methodology, based on a sample of 12 participants that was composed of psychotherapists, counselling and clinical psychologists. The results indicated that therapists made sense of their somatic experiences through a developmental process of ‘relating to the body’ that combined stages of defensive operations, intellectual reflections, attributions of somatic ownership and recognitions of various working patterns in the management of somatic experiences. This study addresses the factors that constituted therapists’ processing of the experience, and the findings suggest that therapeutic work may be affected when psychosomatic phenomena as such become undermined and ignored.     

Towards an understanding of the psychodynamic processes of the body

Abstract

Counselling clients frequently mention bodily symptoms, yet, within the therapy world, the body largely remains off-limits. This, in some part, is undoubtedly due to the prevailing issues around the touch taboo. However, the symptoms emanating from the body may well have profound psychodynamic meaning. This paper sets out to describe a psychodynamic perspective for how these symptoms may arise. Notions such as libido and preverbal theories, along with primal defence mechanisms, are used to show how the body becomes involved in unconscious processes. A case study is presented as illustrative of some of the psychodynamic concepts that may be implicated. It is argued that bodywork may help in providing a preverbal supportive environment from which a therapeutic alliance may develop, thus allowing for a verbalization of unconscious conflict.     

Becoming Paladin: The Bodily Ground of World Becoming

In this article I will suggest that futures are made as embodied enactments of individuals and collectives. Values and identities are shaped as postures, gestures, movements, and expressions that are in themselves sites of personal and communal meaning. Bodily organizations are ground for senses of self, and the recognition, and reaction to, the otherness of others. Bodily organizations are shaped in encounters in families and social and cultural institutions that they in turn shape. Kinds of bodies and kinds of bodily enactments are cultivated in different communities. They can be sources of conflict or sources of transindividual and transcultural becoming. In this article I look at some ways bodily meanings are developed in both families and communities. I use the image of Paladin, a fictional television gunslinger character in the 1950s, among others, to describe processes of embodied self-formation that are derived from the media and other extra-familial sources. I look at the polycultural organization of individual psyches in our era, as well as somatically based community conflict and collaboration. I briefly describe how practiced experiences of somatic organization can be used as tools for personal and communal exploration of new possibility.     

Changes at work and employee reactions: organizational elements, job insecurity, and short-term stress as predictors for employee health and safety

The objective was to identify focus areas for possible reduction of job insecurity and its outcomes. A model was specified and tested as a prediction model for health and safety. First, a parsimonious model was specified. The model consisted of perceived job insecurity (as a stressor), organizational factors (information quality, leadership style, work task administration), and short-term stress reactions (job dissatisfaction, reduced work motivation). Second, the model was tested as a prediction model in three separate path analyses, in order to examine the model's contribution in explaining (1) physical health complaints, (2) mental health complaints, and (3) risk taking behavior. A quota sample of Norwegian employees ( N = 1,002) was obtained by means of a self-completion questionnaire survey. The results of the structural equation modeling (path analyses) supported the hypothesized model. Mental health complaints and employee risk taking behavior were significantly predicted (not physical health complaints).     

Work and nonwork stressors,negative affective states,and pain complaints among firefighters and paramedics

Prior research has suggested that occupational stressors may contribute to the etiology, progression, and chronicity of pain problems in workers. This study used anonymous survey methods to assess the prevalence and frequency of self-reported pain symptoms and their relationships to demographic variables, sources of occupational stressors, nonwork stressors and affective distress in a large sample (N2000) of employed career public sector firefighters and paramedics. The findings were consistent with those of previous studies of high strain workers. More than 95% of the firefighter/paramedic sample reported at least one pain complaint (using a 1 week assessment time frame). A hierarchical multiple regression analysis entering demographic, occupational, and nonwork stressors, as well as measures of negative affective states targeting total pain scores, yielded significant relationships. Five occupational stressors were associated with respondent pain complaints. The results also suggest that negative affective states mediated the relationships between work and nonwork variables, and pain complaint outcomes. The implications of these findings for the development of preventive interventions for firefighters and paramedics as well as other emergency service workers are considered.     

Fabricated bodies: A model for the somatic false self

This paper draws attention to a particular use of the body, one in which basic psychical security is achieved through a radical detachment from body vitality, necessitating the creation of a coercive regime of psychosomatic control and autostimulation for purposes of artificial enlivenment of the self. When the personality is organized predominantly along the lines of a systematic dissociation (and then pseudo-integration) of the mental and the somatic realms of psychical life, the psyche-soma undergoes a far-reaching transmutation: the desiring body is eclipsed and replaced with a fabricated body. Clinical observation of this set-up is obscured by the fact that, in these cases, the body is deployed in a 'realistic' manner, rather than in a recognizably symptomatic way. It is, indeed, the hallmark of a successful somatic false-self organization that the colonization of the body is disguised as natural, ego-syntonic and compatible with social norms. The treatment approach requires a broadening of analytic attention to apprehend shifts in states of consciousness and psychophysical cues.     

Psychosomatic complaints in adolescence: Untangling the relationship between offline and online peer victimization,psychosomatic complaints and social support

Offline peer victimization has been linked to psychosomatic complaints. As peer victimization is no longer limited to adolescents’ offline relationships, it is crucial that we investigate whether online peer victimization has similar negative consequences. To date, no study systematically investigated the unique contribution of online vs. offline peer victimization on psychosomatic complaints, and the possible protective effect of social support. The current study disentangled offline and online peer victimization by distinguishing four victim types: non-victims, offline, online, and dual victims (N = 897, 9-to-18-year-olds). In addition, we assessed perceived social support from teachers, parents, friends and classmates. A main effect was found for victim type on psychosomatic complaints. Victims (offline or dual) reported more psychosomatic complaints than non-victims. Notably, online victims reported similar levels of psychosomatic complaints compared to non-victims. Furthermore, although social support from parents and classmates was related to fewer psychosomatic complaints, only limited support was found for a buffering effect of social support.     

Stress in Relation to Anxiety and Depression Among Racial/Ethnic Minority Women: The Differential Impact of Cultural Mismatch on Somatic and Cognitive Symptoms

The study examined the interactive effects of stress and cultural mismatch, as evidenced by low independent self‐construal, in relation to cognitive/somatic symptoms of anxiety and depression among racial/ethnic minority women. Results showed that stress and independent self‐construal work synergistically to differentially affect cognitive, rather than somatic, symptoms of anxiety and depression. Findings highlight the importance of investigating the interplay between stress and contextual factors to improve current treatment models for marginalized groups. El estudio examinó los efectos interactivos del estrés y la discordancia cultural, probados por un bajo autoconcepto independiente, en relación con los síntomas cognitivos/somáticos de la ansiedad y la depresión entre mujeres de minorías raciales/étnicas. Los resultados mostraron que el estrés y el autoconcepto independiente trabajan en sinergia para afectar diferencialmente a los síntomas cognitivos, no así a los somáticos, de la ansiedad y la depresión. Los hallazgos subrayan la importancia de investigar la interacción entre el estrés y los factores contextuales para mejorar los modelos de tratamiento actuales para grupos marginalizados.     

HYPOCHONDRIA: A REVIEW OF ITS PLACE IN PSYCHOANALYTIC THEORY

After identifying Freud's fundamental contributions to the concept of hypochondria, the author undertakes a brief review of the term's trajectory within the Anglophone and Francophone psychoanalytic literature. Notions of defense, anxiety, and representation as they relate to corporeal experience are discussed. The author illustrates these main axes with which to read hypochondria with clinical material drawn from the analysis of a woman in whom somatic manifestations were especially pervasive.