Practicing in a time of covid loss and threat: Parallel processes on the yellow brick road of trauma, healing, trust and belonging

IF 0.5 Q2 PSYCHOLOGY, PSYCHOANALYSIS Psychoanalysis Self and Context Pub Date : 2023-04-20 DOI:10.1080/24720038.2023.2199787
Heather B. MacIntosh
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Abstract

ABSTRACT We are always practicing in a time of threat and loss, but what changes is the nature of the threat and the loss: is it shared or not shared, known, or not known, disclosed by force or disclosed by choice? This paper explores the themes of trust and belonging as the essence of the psychoanalytic frame and the parallel processes of how our own traumas, as psychoanalysts, warp and weave through our relationships with our patients over time. The pandemic has gifted us with a perfect storm of shared traumas and created new opportunities for navigating, negotiating, rupturing and repairing, and healing, as the frame was forcefully bent, broken, and rebuilt in the context of this global crisis. The pandemic has emphasized the importance of lifting the veil of secrecy and bringing those of us who live these complex lives of service, as both healers and suffering strangers, into community and dialogue. To illustrate these themes, this paper explores the parallels between “Jennifer” my patient of 14 years and my own journey through life and analysis.
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在covid损失和威胁时期进行练习:创伤、愈合、信任和归属感黄砖路上的平行过程
摘要我们始终处在一个威胁与损失的时代,但威胁与损失的性质发生了怎样的变化:是共享还是不共享,是已知还是未知,是被迫披露还是自愿披露?本文探讨了作为精神分析框架本质的信任和归属的主题,以及作为精神分析学家,我们自己的创伤如何随着时间的推移扭曲和编织我们与患者的关系的平行过程。大流行给我们带来了一场共同创伤的完美风暴,并为导航、谈判、破裂、修复和愈合创造了新的机会,因为框架在这场全球危机的背景下被强行弯曲、破坏和重建。大流行强调了揭开神秘面纱的重要性,并使我们这些过着复杂服务生活的人,作为治疗者和受苦的陌生人,进入社区和对话。为了说明这些主题,本文探讨了我14年的病人“詹妮弗”与我自己的生活和分析之旅之间的相似之处。关键词:平行过程精神分析自我心理治疗框架创伤信任披露声明作者未报告潜在利益冲突。注1为保密,名称已更改。“Jennifer”已经同意我写关于她的文章,并理解虽然为了保护她的身份,细节已经被改变,但她本人将在这篇文章中表明自己的身份为保密,更改了名称。“珍妮佛”已经同意我写她的故事,她也明白,虽然为了保护她的身份,我对她的细节做了修改,但她本人会在这篇文章中透露自己的身份。希瑟·b·麦金托什希瑟·b·麦金托什是麦吉尔大学夫妻和家庭治疗项目的临床心理学家、副教授和MScA主任,她是h·诺埃尔·菲尔德豪斯杰出教学奖的获得者。她毕业于安大略省多伦多自我心理学进步研究所,是美国心理协会第39分部的早期职业学者。她目前是芝加哥精神分析研究所和临床社会工作研究所共同主办的综合精神分析夫妻治疗证书课程的客座教授和兼职临床顾问,也是美国精神分析协会研究奖学金的高级研究员。麦金塔是最近出版的《复杂创伤的发展性夫妻治疗:治疗师手册》一书的作者,这本书将精神分析学的发展概念引入了一个以证据为基础的模型,用于用交叉和反压迫的视角处理复杂创伤的多重影响。麦金托什博士领导了一个由联邦和省研究基金资助的积极研究方案,在该方案中,她研究了早期生活创伤对夫妻治疗的过程和结果以及健康成人关系的发展和维持的影响。她是该领域众多同行评议期刊文章和书籍章节的作者。她目前是魁北克省政府资助的一个项目的首席研究员,该项目为2019冠状病毒病大流行背景下的创伤幸存者提供虚拟团体夫妻形式的复杂创伤发展夫妻治疗。
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来源期刊
Psychoanalysis Self and Context
Psychoanalysis Self and Context PSYCHOLOGY, PSYCHOANALYSIS-
CiteScore
1.00
自引率
33.30%
发文量
1
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