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The place of erotic transference and countertransference in clinical practice.

Patients who express intense, erotic attraction to their therapists pose special treatment challenges that may not respond well to the interpretative effects of the therapist. The wish that the therapist demonstrate love for the patient and the therapists' own erotic feelings toward such patients can create misalliances as well difficult technical moments. Furthermore, some patients expressing their love for their therapist may have physiological manifestations while others would not. At the same time, therapists may not experience erotic feelings toward the patients' expressions of love. The purpose of this paper is to try to answer the following questions: How do we conceptualize our patients' erotic manifestations? Are those expressions of Oedipal or preoedipal pathology? What are the countertransference reactions of the analyst? Two clinical examples will highlight these issues.

Child↗

Listening to Oedipus: two poems by sons about fathers.

Using the writings of Thomas Ogden, Donald Spence, Jessica Benjamin, Roy Schafer, Evelyn Schwaber, and others, the author discusses the "kinship" between poets and psychoanalysts. The author also attempts to demonstrate how reading and listening to poetry can greatly enhance analytic listening, as well as illuminate how language that is contained within a guiding structure, such as a poem or an analysis, can "surprise" us into new awareness and meaning. Two poems are chosen, in which the speakers describe their relationships with their fathers in order to evoke oedipal associations. A brief discussion follows of how contemporary analysts are using intersubjective and relational lenses in order to expand on and revise traditional oedipal metaphor and theory and capture new levels of meaning. Each poem is then analyzed to underline how the sounds and selection, as well as sense of language, reveal the speaker's inner world and process. Poetry provides a mirror for the increasing richness, scope, and dialectical play that can be found in contemporary psychoanalysis.

Famous Persons↗

Did Freud mislead patients to confabulate memories of abuse?

Freud's abandonment of the seduction theory within a year of first proposing it has been the subject of considerable recent debate and speculation. Closer examination of Freud's writings, however, shows that he had often used highly suggestive procedures to elicit the memories of childhood "seductions" from his patients. Moreover, he had not considered alternative explanations for the evidence he presented when first claiming that these recovered memories of sexual abuse were real. Nevertheless, some present-day authors have argued for the validity of recovered memories by presenting much the same type of evidence that Freud once did. Research is needed to assess the extent to which recovered memories can be clearly corroborated and to establish rules for distinguishing between real and false memories of abuse.

Adolescent↗

Oedipus.

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Blindness↗

D. H. Lawrence and self-psychology.

The work and life of D. H. Lawrence is examined as an example of Kohut's notion of the anticipatory function of art and as providing a rich source of material for examination of the respective importance in personality development of Oedipal conflict and the pre-Oedipal establishment of a sense of self. The importance of self-psychology as an expansion of psychoanalysis is noted and some of the ways Lawrence anticipated this development are described. It is also suggested that Lawrence provides convincing confirmation of a self-psychology view of creative drive, and a thesis is briefly expounded that in his major novels he was pursuing his own self-healing.

Creativity↗

Psychoanalytic group therapy in the treatment of severe psychosomatic dysfunctions--experiences since 1981.

As a gynecologist and analytical psychotherapist, I have been treating women suffering from severe psychosomatic gynecological dysfunctions in a semi-open psychoanalytic group since 1981. The duration of therapy is 2-3 years, and the success rate 85%. The subjective symptoms include chronic recurrent disorders of the urogenital tract in terms of urogenital resistance, chronic pelvic pain with no organic findings, pruritus vulvae, 'burning vulva' and premenstrual syndromes. These conditions are often associated with sexual dysfunctions, a disturbed experience of the body image and substantial relationship conflicts. All patients are suffering from a psychoneurosis on a broad structural basis, due psychogenetically to early unresolved triangulation.

Anger↗

Joan: 'it itches, it burns': psychoanalytic approach to a case of vulvar burning syndrome.

The case report of Joan, a 20-year-old girl, suffering from vulvar burning syndrome (vulvodynia), illustrates how under certain circumstances, the body expresses what the mind and words are unable to formulate. The skin and the genital sphere are areas rich in symbolic expression because of their close connection with relational and emotional life. It is up to the dermatologist and the gynecologist to detect the signs of the psychic pain behind the somatic complaint. Contrary to other cases of vulvodynia previously reported, Joan had never suffered from real sexual or physical abuse, but experienced her emotional and sexual life in a painfully conflictual way. Through Joan's psychoanalytic work, we attempt to show the benefits of such an approach in the search for a better quality of life for these patients. A close collaboration between the physician and the psychotherapist is needed to improve the treatment of pathologies involved in a chronic pain syndrome, where psychological factors may play an important part.

Adult↗

Altering the gambler's maladaptive life goals.

This paper will serve as an explanation of how clinical counselors from various schools of thought, e.g., Freudian, Transactional Analysis, and Adlerian, work with or treat the excessive gambler. Because the presentation is short, it will be impossible to thoroughly cover the three schools of thought in depth. However, because of the writer's bias, the paper will examine in some detail the way in which an Adlerian counselor or therapist encourages his maladaptive clients to act and think more constructively, i.e., give up excessive gambling.

Attention↗

The phenomenon of envy in theory and therapy.

The authors present a review of theoretical views on envy through the developmental perspective of the personality. The theoretical considerations are substantiated by examples from individual and group psychotherapy which illustrate possible approaches to such sensitive feelings as envy.

Adult↗