Guided Enactments in Psychoanalytic Psychotherapy

Guided Enactments in Psychoanalytic Psychotherapy PDF

Author: Sebastiano Santostefano

Publisher: Lexington Books

Published: 2017-07-31

Total Pages: 161

ISBN-13: 1498561012

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Thirty five percent of persons who are provided psychotherapy do not benefit from treatment, or drop out of therapy prematurely because they fail to establish a working alliance with the therapist. To address this issue the volume presents a matrix of concepts and research illustrating how traumatic experiences during childhood result in the person developing rigid cognitive functions, emotional expressions and behaviors, interfering with the person participating constructively in relationships. Based on this research, the psychotherapy conducted with an adult, an adolescent, and a child are described to illustrate why and when the therapist should engage and participate with the patient in various body activities to stimulate particular meanings and emotions that promote flexibility in the patient’s cognition, emotions, and behaviors. These cases illustrate how cultivating this flexibility enables the patient to establish a working alliance with the therapist and resolve past traumatic experiences. The volume also describes a therapeutic model of techniques a therapist should follow when adult and adolescent patients fail to establish a working alliance, do not benefit from discussing and free associating, and when child patients do not benefit from play therapy.

Therapeutic Action

Therapeutic Action PDF

Author: Enrico E. Jones

Publisher: Rowman & Littlefield

Published: 2000

Total Pages: 408

ISBN-13: 0765702436

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TABLE OF CONTENTS: 1. Modes of therapeutic action 2. Intervention as assessment 3. Creating opportunities for self reflection 4. Bringing defenses and unconscious mental content into awareness 5. Interaction structures in the transference countertransference 6. Supportive approaches: The uses and limitations of being helpful 7. Studying psychoanalytic therapy 8. Case studies.

Enactment in Psychoanalysis

Enactment in Psychoanalysis PDF

Author: Efrat Ginot

Publisher: Collection Borders of Psychoan

Published: 2019

Total Pages: 326

ISBN-13: 9788897479154

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The book is dedicated to Jeremy Safran, whose recent tragic loss drove the editor as well as the publisher to gather these contributions about enactment, a topic to whom Safran devoted many papers of his. The collection Borders of Psychoanalysis includes books that investigate an area of research that our publishing house wants to cover since its foundation: that of the dialogue of contemporary psychoanalysis with 'confining' disciplines (for example, neuroscience, infant research, cultural anthropology), often with epistemologies that for origin and history appear to be incomparable to it. As Safran wrote, though problematic and source of confusion among different psychoanalytic approaches, this epistemological status of psychoanalysis, related to its condition of 'liminality', is a meaningful source of vitality for the discipline (Safran, 2012). The book explores the subject of enactment in relation to boundaries in psychoanalysis, referring to a series of viewpoints that lead to many crucial areas. From an intra-psychic point of view, enactment can be studied at the between internal and external (world), psyche and soma, psychic apparatuses (first topic) and 'provinces' (second topic), primary and secondary process, perception and representation, representation and affect, Ego and object, subject and object (included the concept of 'transitional space' by Winnicott). At this level we have to consider that many authors who have take into account very profoundly enactment are those who questioned the linearity of classical Freudian topics (the continuity between unconscious, preconscious and conscious, interrupted only by repression and negation), considering dissociation as a key mechanism apter in order to reflect and account for a discontinuous model of psyche (Bromberg, 2014). From an inter-psychic point of view, enactment can be explored in relation to the concept of intersubjectivity and 'the third' (Aron, 2006; Benjamin, 2004) to indicate the functioning that affects the entire analytic pair at work. At this level we can place all the theories on boundaries of the analytic setting and the whole clinics of their violations. From an intra-disciplinary point of view (inside of psychoanalysis), enactment can be considered according to different currents of contemporary psychoanalytic thought. From an inter-disciplinary point of view, enactment can be viewed as a 'bridge' concept between psychoanalysis and the other 'confining' disciplines, especially psychiatry but also infant research and neuroscience. Moreover, it is to be added an inter-cultural point of view, from which enactment can be considered as a transitional concept allowing to enlight cultural counter-transference phenomena in transcultural clinical setting. Finally, from a trans-generational point of view, studies on the transmission of traumatic conditions across generations (Bohleber, 2007; Faimberg, 2005) can demonstrate that enactments may cross disregard the boundaries between generations that are also places of links and largely unconscious narcissistic pacts (Aulagnier, 1975; Kaës, 2005).

Craft and Spirit

Craft and Spirit PDF

Author: Joseph D. Lichtenberg

Publisher: Routledge

Published: 2013-09-05

Total Pages: 266

ISBN-13: 1134913850

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In Craft and Spirit, Joseph Lichtenberg writes of the craft of exploratory psychotherapy, by which he means the creative skill — even artistry — that mobilizes the spirit of inquiry in therapist and patient and sustains it over the course of psychotherapy. He expatiates on this craft as it pertains to patients of our time — patients who typically bring to therapy backgrounds of insecure attachment and serious concerns about safety and retraumatization. In each of ten chapters, Lichtenberg formulates a different guideline for technique, keyed to the broad domain of exploratory psychotherapies and are accompanied by numerous clinical illustrations. These guidelines seek to foster greater therapist involvement without compromising an openness to psychological exploration. They seek to sensitize therapists to the two interlacing tracks of communication that unfold in treatment: those of verbal exchange and of enactive messages. And they help guide therapist attention among interpenetrating domains of the patient’s subjectivity, the therapist’s subjectivity, and the intersubjective realm that emerges from their collaborative experience. Fusing the humanist tradition of therapeutic inquiry with knowledge gained from recent infancy and child research, Lichtenberg develops guidelines suitable to exploratory therapy with patients who communicate not only verbally but also through diverse affect states and altered cognitions. Consistently illuminating on the parallels and disjunctions between caregiver–child and therapist–patient relationships, Lichtenberg is clear about the adult-to-adult dimension of exploratory work in which “provision” is necessarily subordinate to “inquiry.” Craft and Spirit is aimed equally at prospective patients, therapists, and analysts, all of whom will be edified by this masterful demonstration of the ways in which a spirit of inquiry imbues the craft of psychotherapy, in Lichtenberg’s words, “with its liveliness of sustained purpose.”

Finding Unconscious Fantasy in Narrative, Trauma, and Body Pain

Finding Unconscious Fantasy in Narrative, Trauma, and Body Pain PDF

Author: Paula L. Ellman

Publisher: Routledge

Published: 2017-06-26

Total Pages: 402

ISBN-13: 1317355695

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Finding Unconscious Fantasy in Narrative, Trauma, and Body Pain: A Clinical Guide demonstrates that the concept of the unconscious is profoundly relevant for understanding the mind, psychic pain, and traumatic human suffering. Editors Paula L. Ellman and Nancy R. Goodman established this book to discover how symbolization takes place through the "finding of unconscious fantasy" in ways that mend the historic split between trauma and fantasy. Cases present the dramatic encounters between patient and therapist when confronting discovery of the unconscious in the presence of trauma and body pain, along with narrative. Unconscious fantasy has a central role in both clinical and theoretical psychoanalysis. This volume is a guide to the workings of the dyad and the therapeutic action of "finding" unconscious meanings. Staying close to the clinical engagement of analyst and patient shows the transformative nature of the "finding" process as the dyad works with all aspects of the unconscious mind. Finding Unconscious Fantasy in Narrative, Trauma, and Body Pain: A Clinical Guide uses the immediacy of clinical material to show how trauma becomes known in the "here and now" of enactment processes and accompanies the more symbolized narratives of transference and countertransference. This book features contributions from a rich variety of theoretical traditions illustrating working models including Klein, Arlow, and Bion and from leaders in the fields of narrative, trauma, and psychosomatics. Whether working with narrative, trauma or body pain, unconscious fantasy may seem out of reach. Attending to the analyst/ patient process of finding the derivatives of unconscious fantasy offers a potent roadmap for the way psychoanalytic engagement uncovers deep layers of the mind. In focusing on the places of trauma and psychosomatic concreteness, along with narrative, Finding Unconscious Fantasy in Narrative, Trauma, and Body Pain: A Clinical Guide shows the vitality of "finding" unconscious fantasy and its effect in initiating a symbolizing process. Chapters in this book bring to life the sufferings and capacities of individual patients with actual verbatim process material demonstrating how therapists and patients discover and uncover the derivatives of unconscious fantasy. Finding the unconscious meanings in states of trauma, body expressions, and transference/countertransference enactments becomes part of the therapeutic dialogue between therapists and patients unraveling symptoms and allowing transformations. Learning how therapeutic work progresses to uncover unconscious fantasy will benefit all therapists and students of psychoanalysis and psychoanalytic psychotherapy interested to know more about the psychoanalytic dialogue.

Core Competencies of Relational Psychoanalysis

Core Competencies of Relational Psychoanalysis PDF

Author: Roy E. Barsness

Publisher: Routledge

Published: 2017-07-20

Total Pages: 338

ISBN-13: 1315437759

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Core Competencies of Relational Psychoanalysis provides a concise and clearly presented handbook for those who wish to study, practice, and teach the core competencies of Relational Psychoanalysis, offering primary skills in a straightforward and useable format. Roy E. Barsness offers his own research on technique and grounds these methods with superb contributions from several master clinicians, expanding the seven primary competencies: therapeutic intent, therapeutic stance/attitude; analytic listening/attunement; working within the relational dynamic, the use of patterning and linking; the importance of working through the inevitable enactments and ruptures inherent in the work; and the use of courageous speech through disciplined spontaneity. In addition, this book presents a history of Relational Psychoanalysis, offers a study on the efficacy of Relational Psychoanalysis, proposes a new relational ethic and attends to the the importance of self-care in working within the intensity of such a model. A critique of the model is offered, issues of race and culture and gender and sexuality are addressed, as well as current research on neurobiology and its impact in the development of the model. The reader will find the writings easy to understand and accessible, and immediately applicable within the therapeutic setting. The practical emphasis of this text will also offer non-analytic clinicians a window into the mind of the analyst, while increasing the settings and populations in which this model can be applied and facilitate integration with other therapeutic orientations. Core Competencies of Relational Psychoanalysis is inspired by Barsness’ students; he was motivated to create a primary text that could assist them in understanding the often complex and abstract models of Relational Psychoanalysis. Relevant for graduate students and novice therapists as well as experienced clinicians, supervisors, and professors, this textbook offers a foundational curriculum for the study of Relational Psychoanalysis, presents analytic technique with as clear a frame and purpose as evidenced based models, and serves as a gateway into further study in Relational Psychoanalyses.

Vitalization in Psychoanalysis

Vitalization in Psychoanalysis PDF

Author: Amy Schwartz Cooney

Publisher: Routledge

Published: 2021-03-17

Total Pages: 355

ISBN-13: 100036075X

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In Vitalization in Psychoanalysis, Schwartz Cooney and Sopher develop and explore the concept of vitalization, generating new ways of approaching and conceptualizing the psychoanalytic project. Vitalization refers to the process between two people that ignites new experiences and brings withdrawn aspects of the self to life. This book focuses on how psychoanalysis can be a uniquely creative encounter that can aid this enlivening internal process, offering a vibrant new take on the psychotherapeutic project. There is a long tradition in psychoanalysis that addresses the ways that the unique subjectivities of each member of the therapeutic dyad contribute to the repetition of entrenched patterns of relating, and how the processing of enactments can be reparative. But this overlap in subjectivities can also bring to life undeveloped experiences. This focus on generativity and progressive action represents a significant, cutting-edge turn in psychoanalysis. Vitalization in Psychoanalysis represents a deep meditation on this transformational moment in the history of psychoanalytic thought. Pulling together work from major writers on vitalization from all the main psychoanalytic schools of thought, and covering development, theory and clinical practice, this book will be an invaluable guide for clinicians of all backgrounds, as well of students of psychotherapy and psychoanalysis.

Supervision in Psychoanalysis and Psychotherapy

Supervision in Psychoanalysis and Psychotherapy PDF

Author: Diana Shmukler

Publisher: Taylor & Francis

Published: 2016-09-13

Total Pages: 159

ISBN-13: 1317330021

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Supervision in Psychoanalysis and Psychotherapy demonstrates why supervision is an essential component of any psychoanalytic or therapeutic work. Drawing on Winnicott and rich clinical material, and featuring work with Patrick Casement, this book provides new guidance on psychodynamic supervision and explores how its skilful use can have a significant effect on the outcome of such work, enabling the practitioner to rethink their theoretical approach, and thereby view issues differently in the clinical setting. Built around the case study of a challenging but successful long term individual therapy, Supervision in Psychoanalysis and Psychotherapy examines how clinicians can become ‘stuck’ in their work with certain patients, struggling to find a way to get through to them. Diana Shmukler brings together a fascinating combination of various perspectives, detailing the patient’s own words, the therapists’ views and reflections and the effect of a brief introduction to Art Therapy, whilst underlining the power and impact, both theoretically and practically, of using a different approach in supervision. Shmukler superbly integrates theory and practice, underlining the validity of a two-person psychology and the therapeutic relationship, whilst also illustrating the centrality of both participant’s commitment to, and belief in, the process of therapy. Importantly, the book provides a clinical example in which the subjectivities of all the participants are shown to be clearly central to the work. Shmukler underlines the significance of supervision to complex cases, even that of a highly experienced therapist. Supervision in Psychoanalysis and Psychotherapy will appeal to psychoanalysts and psychotherapists, students and trainees in integrative psychotherapy, counsellors and psychiatrists, as well as patients seeking help for deep seated issues.

Psychotherapy and the Everyday Life

Psychotherapy and the Everyday Life PDF

Author: Rami Aronzon

Publisher: Routledge

Published: 2018-11-09

Total Pages: 215

ISBN-13: 0429918275

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This book helps the patient of psychotherapeutic intervention to stay with the therapy beyond both the initial satisfactions and the initial frustrations that the process entails. It serves as a guide for patients of psychoanalytic or psychodynamic psychotherapy.