ON THE THERAPIST'S YEARNING FOR INTIMACY

From the beginning of clinical psychoanalysis, analysts have been at risk of succumbing to yearnings for intimacy and contact that are stirred up by the heat of the analytic encounter. Recently, as theoretical developments have encouraged us to create moments of meeting (Stern et al. 1998) and have urged us to tolerate the feelings stimulated by enactments, these risks have increased. The author points out that foregoing the realization of this yearning within the analytic relationship and the resultant mourning for the loss of a fantasy or illusion carries a heavy personal price tag for the therapist.     

Application of Personality Theories and Counseling Strategies to Clients With Physical Disabilities

This article describes how certain relevant theoretical concepts, intervention methods, and criteria for determining therapeutic change, which are borrowed from several personality theories and counseling approaches, can be useful in counseling people with physical disabilities. The clinical utility of each discussed personality theory is explored in the context of the efforts directed at (a) gaining insight into the psychosocial impact of physical disability, (b) counseling for personal adjustment to the disability, and (c) becoming familiar with theory-specific guidelines for assessing therapeutic changes. It is argued that counselors who serve clients with disabilities ought to choose those interventions most congruent with their own theoretical orientation, academic training, work setting, and nature of the disability condition.     

Adjusting to Disability: Behavioral Correlates and Intervention Strategies

Twelve phases of adustment to physical disability and their observable behavioral correlates are described. Intervention strategies appropriate for each phase are also suggested.