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Biomedical subjects

R Ganzarain

Publications and source records attributed to R Ganzarain.

12 recordsLinked to original sources
PubMed1992

Introduction to object relations group psychotherapy.

The author shows how object relations group therapy focuses on primitive defense mechanisms that shape the group-entity image or "basic assumptions group." Such primitive defense mechanisms as splitting, projective identification, omnipotent denial, projection, and introjection are the mental resources to protect the endangered self and the threatened objects from the fantasized imminent destruction. Object relations group psychotherapy addresses those defenses and the underlying psychotic anxieties, offering members opportunities to search for other ways to respond to their primitive fears. The author introduces two extensive clinical vignettes to illustrate how object relations group methods are different from other group-centered psychoanalytic techniques. He concludes by commenting on future theoretical refinements and on the problems in the professional practice of this modality.

Humans↗
PubMed1991

Extra-analytic contacts: fantasy and reality.

E-A.C. are avoided in our practice and literature. However, they often blur the distinction between transferential illusion and reality, more so in training analyses. E-A.C. excite the patient's curiosity, exhibitionism and 'primal scene' fantasies with their concomitant anxieties. Such fears lead patients to phobically avoid analysing these encounters, whose effects analysts may also dread. However, calling attention to the avoidance may promote significant analytic developments. Illusion on the psychoanalytic stage is a regressive force which brings out significant affects and internalized relationships. Affects focus the patient's attention. E-A.C. occur in a 'transitional space' where fantasy and reality become both confused and differentiated, allowing for playfulness, creativity and emotional growth. The reality elements within psychoanalysis are reviewed: the patients' actual experience, the contract, the setting and the analyst's personality. The setting becomes the container of a mute symbiotic transference that may turn persecutory when the analytic routine is altered by an E-A.C. Hence, patients and analysts alike become anxious after an E-A.C. E-A.C. reminds us that analysis--like life!--is a constant dynamic interplay between fantasy and reality.

Fantasy↗
PubMed1990

Incest perpetrators in group therapy: a psychodynamic perspective.

Patients who have been sexually abusive toward children in their family often have guarded prognoses. However, the legal system's promotion and support of treatment elicits cautious optimism; even limited progress can make a significant difference in the lives of these persons and their families. The authors report on their work with incest perpetrators in a psychoanalytically oriented psychotherapy group with 20 incest offenders (selected after evaluation of 50), describing major obstacles (i.e., patients' lack of motivation and countertransference) and frequent clinical issues (i.e., perversion, psychopathic tendencies, low self-esteem, and substance abuse).

Adult↗