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Results for “Countertransference”

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At least 1,621 records · Page 90Linked to original sources
PubMed1995

Alcohol: a drug of dreams.

In this paper I have explored the way in which regressive phantasies of fusion may be brought into being by the heavy consumption of alcohol and the cerebral changes which result, which impair the individual's capacity to digest new information and experience; change therefore has to be resisted and loss and depressive anxiety cannot be experienced and worked through, hindering individuation. Two paradigms, one based on organic brain function and the other on psychodynamic understanding are brought together and shown not to be contradictory.

Alcoholism↗
PubMed1995

Fragmentation and narcissism. A revaluation.

The paper focuses on the articulation of two areas of theory: that of development of the self through fragmentation and differentiation and that of narcissism in early psychological development, and its pathology later in life. Jungian ideas concerning the self and individuation (including those developed by Fordham) are linked with psychoanalytic ideas, notably Kohut's, and related to the concepts of narcissism and ego-development. In this the focus is on a revaluation of the negative overtones of 'fragmentation' and 'narcissism' and an indication of their place in the process of individuation. It is pointed out that a varying emphasis in the analyst on what are called the biological and ethological aspects of these theories will have important implications for the treatment of patients. The theoretical position is illustrated by a lengthy clinical example involving a case of early injury to the self which suggests the pathology of narcissistic character disorder. But the case also illustrates the contribution to development of fragmentation and narcissism, which are revalued here as the 'part-for-the-whole' and as one of the 'motors' of individuation. Working within a perspective that prioritizes the importance of the drive towards relationship, it is recommended that the analyst learns to respect and value phenomenologically the contribution of fragmentation and narcissism to normal development, if true healing is to occur.

Adult↗
PubMed1996

Purposive aspects of the erotic transference.

This paper illustrates the erotic transference of a male patient towards his female analyst and the pressures and resistances within the transference and counter-transference to act out sexually. The patient's desire to act out sexually is seen both as a form of repetition compulsion within the transference and, in its purposive aspect, as an expression of the patient's need to find a loving breast and an empathic father. The patient's confused sexual identity is seen as a narcissistic defence against the experience of unbeatable frustration in the pre-Oedipal stage. Through internalizing a new primal scene, the patient is able to separate from his past and to work through the Oedipus complex within the transference.

Acting Out↗
PubMed1997

Coniunctio--in bodily and psychic modes: dissociation, devitalization and integration in a case of chronic fatigue syndrome.

Three years of analytical psychotherapy with a professional woman in mid-life, suffering from chronic fatigue syndrome (CFS), is described. Gradual recovery merged into mid-life changes; marriage, along with a new balance of maternal and paternal imagos, enabled her to trust enough to become pregnant-coniunctio in the most primal bodily and psychic modes. Her life-long, schizoid type pattern, "the pendulum of closeness and isolation', with its extreme of psycho-physical collapse and devitalization, was replayed in therapy. The analyst's symbolic attitude is emphasized, containing the patient's initial affective explosion and validating the physicality of her condition. Mirroring and steady rhythmic attunement became a new, pre-verbal, source of trust-vitalization; differentiation and separation replaced defensive splitting and dissociation. Then the overwhelmingly powerful bodily/maternal could be counterbalanced by the masculine, and a transitional space emerged for symbolic work. Both the regressive and the dynamic aspects of CFS are located in the earliest undifferentiated, archetypal, bodily/psychic modes, when the frustration of primary needs evokes the defences of the self. It is argued that our psychodynamic understanding can contribute to the stalemate in seeing chronic fatigue syndrome as either an organic illness or depression, and that a new linking of the somatic and psychic calls for a new professional collaboration.

Adult↗
PubMed2006

The transferential chimera: a clinical approach.

The author presents four quite different clinical situations which he believes show the development of an aspect of the transference as a genuinely autonomous psychical neo-reality of the transferential inter-space, which, in the words of Michel de M'Uzan, he calls the transferential chimera. Basing himself on a reading of 'The psychology of the transference', he goes on to propose a more general application of this particular transferential dynamic whose origin lies in matriarchal incest and which develops around the alchemical quaternio of the cross-projective space of the transference-counter transference and in the analytic setting. Finally, he examines the four clinical situations in the light of this application of the transference in order to propound an understanding of his reading, and proposes a hypothesis for the constitution of the transferential chimera out of the intermingling of the de-integrated parts of the self of the analyst and those of the analysand.

Adult↗
PubMed1979

The family therapy of attempted suicide.

Suicidal behavior is a multidetermined act based upon a variety of factors among which family tensions and patterns of interaction predominate. Family therapy, nevertheless, is underutilized for suicidal situations because too few practitioners possess the requisite skills in both suicidology and family treatment. This paper attempts to integrate the two fields, describes some assessment procedures, and presents an account of the method of family therapy utilized by the author with suicidal persons. The basic goals of therapy are to help initiate and to catalyze a healing process that will enable the participants to accept changes in both individual and family existence; to decrease the amount of destructive family interaction; to deal with the inevitable anxiety that accompanies growth and development; to make contact with and among the family members; and to provide hope.

Adolescent↗
PubMed1985

Children of the rich.

Growing up rich is not an unmixed blessing. Great wealth has undoubted benefits, but it is not good for children. It distorts their functional relationship with the world, it belittles their own accomplishments, and it grotesquely amplifies their sense of what is good enough. It is addictive. Wealth may even become a barrier to a relationship with a therapist. One job of a therapist to the rich is to teach people how to be middle class and to achieve moderately, and to teach rich parents to accept such unmagnificent normality. The rich, of course, have all the same problems other people have, perhaps complicated by the wealth, perhaps just frustratingly unrelieved by the wealth. Suggestions are made for treating these unfortunate victims of excess and for overcoming the therapist's naïve counter-transference reactions to the families of the rich.

Achievement↗