the patient s impact on the analyst

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The Patient S Impact On The Analyst

Author : Judy L. Kantrowitz
ISBN : 9781134892297
Genre : Psychology
File Size : 25. 83 MB
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The question of how psychoanalysts are affected by their patients is of perennial interest. Edward Glover posed the question in an informal survey in 1940, but little came of his efforts. Now, more than half a century later, Judy Kantrowitz rigorously explores this issue on the basis of a unique research project that obtained data from 399 fully trained analysts. These survey responses included 194 reported clinical examples and 26 extended case commentaries on analyst change. Kantrowitz begins The Patient's Impact on the Analyst by documenting how the process of analysis fosters an interactional process out of which patient and analyst alike experience therapeutic effects. Then, drawing on the clinical examples provided by her survey respondents, she offers a detailed exploration of the ways in which clinically triggered self-reflection represents a continuation of the analyst's own personal understanding and growth. Finally, she incorporates these research findings into theoretical reflections on how analysts obtain and integrate self-knowledge in the course of their ongoing clinical work. This book is a pioneering effort to understand the therapeutic process from the perspective of its impact on the analyst. It provides an enlarged framework of comprehension for recent discussions of self-analysis, countertransference, interaction, and mutuality in the analytic process. Combining a wealth of experiential insight with thoughtful commentary and synthesis, it will sharpen analysts' awareness of how they work and how they are affected by their work.

A Meeting Of Minds

Author : Lewis Aron
ISBN : 9781135061050
Genre : Psychology
File Size : 23. 50 MB
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In this richly nuanced assessment of the various dimensions of mutuality in psychoanalysis, Aron shows that the relational approach to psychoanalysis is a powerful guide to issues of technique and therapeutic strategy. From his reappraisal of the concepts of interaction and enactment, to his examination of the issue of analyst self-disclosure, to his concluding remarks on the relational import of the analyst's ethics and values, Aron squarely accepts the clinical responsibilities attendant to a postmodern critique of psychoanalytic foundations.

Writing About Patients

Author : Judy Leopold Kantrowitz
ISBN : 1590511441
Genre : Psychology
File Size : 72. 45 MB
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An important new study of the clinical conundrum surrounding the publication of patient material. The publication, presentation, and discussion of case studies are essential to the dialogue of psychoanalysis. However, presenting patient material to the public by either disguising the patient's identity or asking for the patient's consent presents a clinical dilemma. In a series of interviews, Judy Leopold Kantrowitz asks 141 analysts not only to describe their thoughts about disguising a patient versus asking a patient's consent to appear in a paper, but also their perceptions of the clinical ramifications of a patient reading the material, whether by accident or design. In first-hand accounts, both analysts-as-patients and patients who are not themselves analysts relate the experience of reading about themselves, and reflect on the impact that reading had on their view of their analysts, themselves, and the analytic work. Ethical concerns about confidentiality and decision making are examined both in theory and in the context of their clinical effect. Throughout the book, Kantrowitz examines the conscious and unconscious motives for analysts in writing about a patient, ultimately demonstrating that the conflict between the need to preserve patient privacy and the need for a literature including clinical material is not easily resolved.

Affect Intolerance In Patient And Analyst

Author : Stanley J. Coen
ISBN : 0765703645
Genre : Psychology
File Size : 74. 49 MB
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The ability of psychotherapists to tolerate their own feelings in the clinical situation determines how their patients experience and tolerate their own intense and often distressing affect. Dr. Stanley J. Coen draws on his own struggles with the most difficult and challenging patients in his practice, and finds that affect intolerance, in both patient and therapist, can be mitigated and understood when therapists broaden their emotional range, enabling them to engage in emotionally richer interactions with the patient. The more of their own feelings and wishes that clinicians can take responsibility for, the more they can tolerate, contain, and eventually interpret what patients find emotionally unbearable. Dr. Coen describes, in detail, how he works with difficult patients, trying to engage them as deeply and fully as both they and he can tolerate. Coen focuses on the pragmatic use of affect tolerance in the clinical situation. Real change through treatment requires mobilization of intense feeling, including hate and love. Therapists, too, must contend with their own emotional inhibitions and stalemates, and he suggests collaborative ways to help them. He encourages therapists to broaden their perspectives, consult with colleagues, listen to others, write about their difficulties, work in peer supervision, and perhaps even go back to treatment themselves. He counsels them to study one another s difficult cases in a spirit of collegiality to learn what is most effective for patients. Coen shares his own experiences in troublesome clinical situations to help other therapists identify similar difficulties. He shows how all therapists can be prepared to catch their own vulnerabilities and discomforts with their patients passions, and how they can then subject their feelings to self-scrutiny. By seeking to understand and confront their struggles with the feelings that their patients arouse, therapists can more fully help their patients work out their conflicts and to expand their emotional depth. A"

In Pursuit Of Psychic Change

Author : Edith Hargreaves
ISBN : 9781135447380
Genre : Psychology
File Size : 53. 19 MB
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The members of the Betty Joseph Workshop have provided major contributions to psychoanalytic thinking since the meeting's inception in 1962. This book is a celebration of Betty Joseph's work, and the work of a group of analysts who have joined her to discuss obstacles to psychic change in psychoanalytic treatment. A prestigious line up of contributors present clinical material for discussion on a range of topics including: Supporting psychic change Complacency in analysis and everyday life Containment, enactment and communication. The history of psychoanalysis is one of an ongoing struggle to reach a new understanding of the human psyche and develop more effective methods of treatment. In Pursuit of Psychic Change reflects this tradition - discussions of each contribution by other members of the group provide an in-depth exploration of the merits and limitations of a developing analytic technique, in the hope of achieving true psychic change. All psychoanalysts will benefit from the insights provided into the original and stimulating work of the members of the Betty Joseph Workshop.

Emotional Communication

Author : Paul Geltner
ISBN : 9780415525169
Genre : Psychology
File Size : 23. 81 MB
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What role does animal like and infantile communication play in life and in psychoanalysis? How are painful childhood experiences recreated with people who are nothing like the original family? What are the roles of loving and horrible feelings in psychoanalytic cure? In Emotional Communication, Paul Geltner places the pre-linguistic type of communication that is shared with infants and animals at the core of the psychoanalytic relationship. He shows how emotional communication intertwines with language, permeating every moment of human interaction, and becoming a primary way that people involuntarily recreate painful childhood relationships in current life. Emotional Communication integrates observations from a number of psychoanalytic schools in a cohesive but non-eclectic model. Geltner expands psychoanalytic technique beyond the traditional focus on interpretation and the contemporary focus on authenticity to include the use feelings that precisely address the client's repetitive patterns of misery. The author breaks down analytic interventions into their cognitive and emotional components, describing how each engages a different part of the client's mind and serves a different function. He explains the role of emotional communication in psychoanalytic technique both in classical interpretations and in non-interpretive interventions that use the analyst's feelings to amplify the therapeutic power of the psychoanalytic relationship. Offering a clear alternative to both Classical and contemporary Relational and Intersubjective approaches to understanding and treating clients in psychoanalysis, Paul Geltner presents a theory of communication and maturation that will interest psychoanalysts, psychotherapists, and those concerned with the subtleties of human relatedness.

Jungian Psychoanalysis

Author : Murray Stein
ISBN : 9780812697216
Genre : Psychology
File Size : 61. 30 MB
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Written by 40 of the most notable Jungian psychoanalysts — spanning 11 countries, and boasting decades of study and expertise — Jungian Psychoanalysis represents the pinnacle of Jungian thought. This handbook brings up to date the perspectives in the field of clinically applied analytical psychology, centering on five areas of interest: the fundamental goals of Jungian psychoanalysis, the methods of treatment used in pursuit of these goals, reflections on the analytic process, the training of future analysts, and special issues, such as working with trauma victims, handicapped patients, or children and adolescents, and emergent religious and spiritual issues. Discussing not only the history of Jungian analysis but its present and future applications, this book marks a major contribution to the worldwide study of psychoanalysis.

Further Learning From The Patient

Author : Patrick Casement
ISBN : 9781317974727
Genre : Psychology
File Size : 76. 83 MB
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In Further Learning from the Patient, Patrick Casement stresses the value of 'internal supervision' which monitors clinical work from the patient's point of view as well as the therapist's. This follow-up book to On Learning from the Patient shows that this process can teach the therapist important new things, and, by developing original concepts and using many illustrative examples, Casement enables the trainee and practising analyst to clarify and deepen their clinical understanding of the processes involved in analysis and psychotherapy. This Classic Edition includes a new introduction to t.

Coparticipant Psychoanalysis

Author : John Fiscalini
ISBN : 9780231507264
Genre : Psychology
File Size : 45. 18 MB
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Traditionally, two clinical models have been dominant in psychoanalysis: the classical paradigm, which views the analyst as an objective mirror, and the participant-observation paradigm, which views the analyst as an intersubjective participant-observer. According to John Fiscalini, an evolutionary shift in psychoanalytic consciousness has been taking place, giving rise to coparticipant inquiry, a third paradigm that represents a dramatic shift in analytic clinical theory and that has profound clinical implications. Coparticipant inquiry integrates the individualistic focus of the classical tradition and the social focus of the participant-observer perspective. It is marked by a radical emphasis on analysts' and patients' analytic equality, emotional reciprocity, psychic symmetry, and relational mutuality. Unlike the previous two paradigms, coparticipant inquiry suggests that we are all inherently communal beings and, yet, are simultaneously innately self-fulfilling, unique individuals. The book looks closely at the therapeutic dialectics of the personal and interpersonal selves and discusses narcissism—the perversion of the self—within its clinical role as the neurosis that contextualizes all other neuroses. Thus the goal of this book is to define coparticipant inquiry; articulate its major principles; analyze its implications for a theory of the self and the treatment of narcissism; and discuss the therapeutic potential of the coparticipant field and the coparticipant nature of transference, resistance, therapeutic action, and analytic vitality. Fiscalini explores "analytic space," which marks the psychic limit of coparticipant activity; the "living through process," which, he suggests, subtends all analytic change; and "openness to singularity," which is essential to analytic vitality. Coparticipant Psychoanalysis brings crucial insights to clinical theory and practice and is an invaluable resource for psychoanalysts and therapists, as well as students and practitioners of psychology, psychiatry, and social work.

Coasting In The Countertransference

Author : Irwin Hirsch
ISBN : 9781135469443
Genre : Psychology
File Size : 38. 59 MB
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Winner of the 2009 Goethe Award for Psychoanalytic Scholarship! Irwin Hirsch, author of Coasting in the Countertransference, asserts that countertransference experience always has the potential to be used productively to benefit patients. However, he also observes that it is not unusual for analysts to 'coast' in their countertransferences, and to not use this experience to help treatment progress toward reaching patients' and analysts' stated analytic goals. He believes that it is quite common that analysts who have some conscious awareness of a problematic aspect of countertransference participation, or of a mutual enactment, nevertheless do nothing to change that participation and to use their awareness to move the therapy forward. Instead, analysts may prefer to maintain what has developed into perhaps a mutually comfortable equilibrium in the treatment, possibly rationalizing that the patient is not yet ready to deal with any potential disruption that a more active use of countertransference might precipitate. This 'coasting' is emblematic of what Hirsch believes to be an ever present (and rarely addressed) conflict between analysts’ self-interest and pursuit of comfortable equilibrium, and what may be ideal for patients’ achievement of analytic aims. The acknowledgment of the power of analysts’ self-interest further highlights the contemporary view of a truly two-person psychology conception of psychoanalytic praxis. Analysts’ embrace of their selfish pursuit of comfortable equilibrium reflects both an acknowledgment of the analyst as a flawed other, and a potential willingness to abandon elements of self-interest for the greater good of the therapeutic project.

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