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231.
Sirois F 《The International journal of psycho-analysis》2008,89(4):759-771
Transference symptom is a hazy notion in Freud's writings. The notion is presented here as a particular moment in the crystallization of the transference neurosis. It results from a double cathexis of the analytic frame and the analyst resulting in a symbolic distortion that is represented plastically within the session, as occurs in dreams. The transference symptom proceeds from two different preconscious cathexes, one attached to the reality of the frame, the other to the drive linked to the analyst. A psychic space is thereby opened up for interpreting both the resistance and the unconscious derivatives of infantile conflict. The transference symptom is a compromise formation that includes the analyst and questions the countertransference stance. Three different analytic situations give rise to transference symptoms according to the relative balance between frame and process in the analytic encounter. The concept is compared with enactment. 相似文献
232.
Sirois FJ 《The International journal of psycho-analysis》2008,89(1):127-142
An initial clinical question, ‘Why does an analysand talk about his/her relationship with an aesthetic object?’ opens an investigation into the nature of aesthetic experience. Three principal aspects of the psychoanalytic approach are presented: sublimation, a Freudian concept concerning the vicissitudes of the drives; reparation, a Kleinian concept linked to depressive anxiety; and transformation, a concept of object‐relations theory about primitive ego‐states. The article discusses the psychic function of aesthetic feelings in mastering anxiety as related to ego, id and superego. The transformation of the experience of passivity is a common link underlying these aspects. Such transformation relies on tolerating ambiguous and contrary feelings within the self, fostered by contact with an aesthetic object. This balance can, however, be upset: two excessive forms of aesthetic experience ensue, namely, fascination and bewitchment. The first belongs to the experience of awe; the second can lead to claustrophobic anxiety. The initial clinical question requires an elaboration of aesthetic transference, a variant of the narcissistic transference, whereby the analysand invites the analyst to share his/her internal state as a common unspoken object. 相似文献
233.
Wakefield JC 《The International journal of psycho-analysis》2008,89(1):71-88
The ‘policeman fantasies’ in Freud ’s case of Little Hans, famous for being Freud ’s most direct evidence for specifically sexual oedipal desire by Hans for his mother, are reconsidered. The Hans case is the first recorded instance of psychoanalytic supervision, and recent studies suggest that it is common for patients in supervised treatment to experience fantasies about the supervisor. It is argued that the policeman fantasies are the first recorded instances of such transference fantasies about psychoanalytic supervision and the patient–therapist–supervisor triangle. The explanatory power of this interpretation is supported by the nuances of the features of the fantasies themselves, as well as by the context in which they occurred that might serve as ‘day residues’. Moreover, this interpretation provides an answer to the central mystery of the two fantasies, which goes unaddressed by Freud ’s oedipal interpretation: Who is the policeman? 相似文献
234.
Nell Boulton 《Psychodynamic Practice》2013,19(4):421-423
The author explores the evidence-base and selection criteria for a short-term supportive dynamic approach for patients whose psychological mindedness and quality of object relationships is low. Illustrating this approach with a case example he outlines the central features of Supportive Dynamic Therapy. He describes a psychodynamic conceptual and developmental framework that can be used to guide the therapist's interventions and responses, and modulate the patient's anxiety. A dynamic focus presented in the form of a central issue is shown to have a significant function both in containing the patient's anxiety, and in giving shape to the therapist's efforts to support the patient's ego-strengths and adaptive abilities. The therapeutic work can be seen to result in an alteration in the trajectory or reiterating pattern of the patient's life. 相似文献
235.
Prophecy Coles 《Psychodynamic Practice》2013,19(3):254-263
Sibling relationships are ambivalent. They are full of love and hate, and therefore, our most basic wish cannot simply be to get rid of our siblings. Many of the conflicts we find ourselves in, either with friends or within institutions, may need a complex and subtle understanding of sibling dynamics. The famous Controversial Discussions that nearly destroyed the Institute of Psychoanalysis in the early forties could be partly attributed to the unacknowledged and unconscious dynamics of the sibling transferences that swirled around Melanie Klein, Anna Freud and Freud. One of the tasks of therapists is to explore how we all must live within a society, with our contemporaries. This difficulty involves observing that sometimes in therapy we are part of the nursery quarrel itself, rather than superior. And so in adult sibling conflict within an institution, there may be a need for an outside moderator, like a parent, to sort out the quarrel; for when sibling passions are revived at work or in the consulting room, they can knock one sideways with the unmeditated quality of the encounter. 相似文献
236.
Effective use of psychotherapeutic treatment in interpreter-assisted settings is well established; however, there has been little discussion of the use of psychodynamically informed treatments in such settings. The literature suggests that therapy facilitated by interpreters is not conducive to psychodynamic approaches due to the presence of a third person, the perceived lack of intimacy, and the difficulties of working with translated material. However, transference, countertransference and other unconscious communications and responses necessarily occur in every therapeutic setting, including triadic therapy using interpreters. This article describes a short-term (12 session) psychodynamically oriented intervention with a 52-year-old Cantonese-speaking man suffering from depression. A female, Chinese-born interpreter assisted in every session. The integral role of supervision in supporting a containing relationship between the therapist and the patient and the difficult emotional responses experienced by the interpreter is highlighted. The article attempts to trace some of the unconscious communications that occurred during the therapy and demonstrates the feasibility of working psychodynamically in an interpreter-assisted setting. 相似文献
237.
Bríd Greally 《Psychodynamic Practice》2013,19(3):264-278
In this paper, I will attempt to discuss the future of psychoanalytic practice in the wake of the National Institute of Health and Clinical Excellence’s (NICE) embrace of ‘evidence’-based practice. In 2005, NICE, whose task is to regulate the provision of health care across the National Health Service, adopted positivistic evidence-based protocols as the sole proof of the effectiveness of psychotherapy. Despite the success over the past 40?years of psychoanalytic and humanistic therapies in primary care and psychotherapy departments of psychiatric hospitals, NICE insists on restricting therapy, to those who can claim effectiveness as a result of using the data from client questionnaires commonly described as ‘outcome measures’ and it has gone on to promoting new modalities many of which have been imported from the States. As a consequence, most of the provision of psychotherapy in the public sector currently, whether as part of the National Health Service or the voluntary sector, has embraced evidence-based practice’ and many training organisations are promoting it, which will, in time, have an effect on private practice. I use some of the threads of the work of the feminist psychoanalyst Irigaray and others to understand this turn to positivistic science and how it can be understood as an instance of the retrenchment of the ‘male imaginary’ and a re-installation of the values of detachment and mastery. I query whether there are some problems within current theory, practice and institutionalisation which interfere with the emergence of a more progressive psychoanalytic practice. 相似文献
238.
The phenomenon of an erotic transference has long been a difficult, if not mysterious, process within clinical psychoanalysis. Traditionally, the development of an erotic transference has been viewed as a negative clinical event fueled by the analyst's countertransference reaction. A much neglected dimension, the relationship between childhood seduction and the development of an erotic transference, will be introduced and examined. In three clinical cases our data suggest that actual sexual abuse in childhood is a causal factor in the manifestation of an erotic transference in the clinical interaction of an analysis. 相似文献
239.
Elisha Davar 《Psychodynamic Practice》2013,19(2):137-153
This paper explores how ‘the social unconscious’, namely the influence of society and politics, impacts upon clinical thinking and practice. The author argues that insufficient attention is paid to the influence of the psychosocial dimension and there is a methodological awkwardness in knowing how to conceptualize it. Furthermore it is argued that psychodynamic practice, with its emphasis on the exploration of the individual psyche, tends to disregard social engagement as a criterion of mental health. Three clinical examples are cited to demonstrate how the influence of politics and society can enter the psychotherapeutic dialogue. A methodology is then proposed using Bion's formulations about binocular vision, to examine the patient-therapist pair from the perspective of a small work group in society. 相似文献
240.
Thomas H. Ogden 《The International journal of psycho-analysis》2010,91(1):101-118
The author offers a close reading of portions of Fairbairn's work in which he not only explicates and clarifies Fairbairn's thinking, but generates ideas of his own by developing concepts that he believes to be implicit in, or logical extensions of, Fairbairn's work. Among the unstated or underdeveloped aspects of Fairbairn's contribution that the author discusses are (1) the idea that the formation of the internal object world is always, in part, a response to trauma (actual failure on the part of the mother to convey to her infant a sense that she loves him and accepts his love); (2) the notion that the infant's unceasing efforts to transform the internalized relationship with the unloving mother into a loving relationship – thus reversing the effect on his mother of his (imagined) 'toxic love'– is the single most important motivation sustaining the structure of the internal object world; and (3) the idea that attacks on oneself for the way one loves, while self-destructive, contain a glimmer of insight into one's own self-hatred and shame regarding one's endless, futile attempts to change oneself (or the rejecting object) into a different person. The author, using his own clinical work, illustrates the way he makes use of his understanding of the 'emotional life' of internal objects to facilitate the patient's emotional growth. 相似文献