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Attachment: New Directions in Psychotherapy and Relational Psychoanalysis最新文献

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Ameliorative mechanisms of psychodynamic psychotherapy in the treatment of developmental trauma 心理动力学心理疗法治疗发育创伤的改善机制
Pub Date : 2023-11-30 DOI: 10.33212/att.v17n2.2023.155
Benjamin Greenberg
Towards ethically confronting the challenging and complex symptomology of developmental trauma this article proposes that psychodynamic therapy's inclusion of relational process contextual and attachment level considerations apply directly to the complexbio psycho social and systemic issues arising from such a dversity Acknowledging the problematic legacy of invalidating the very real impact of racial gender and socio economic disenfranchisement it is proposed that when accounting for these disparities psychodynamic therapy is powerfully suited to address the deeply embedded unspeakable aspects of traumatic experience including fragmented sense representations stored deep within somatic emotional memory Several essential components of this approach are explored along with a case summary detailing aspects of an integrated neurophysiological conceptualisation of developmental trauma These include linguistic and relational em phases correlating with the very hemispheric structure of our brain towards supporting reconfiguration of injured neurological networks corresponding with emotion regula tion executive function identity cohesion and capacity for cultivating mutually fulfilling relationships
为了在伦理上正视具有挑战性的、复杂的发展性创伤症状,本文提出,心理动力学疗法所包含的关系过程、背景和依恋层面的考虑直接适用于这种逆境所产生的复杂的生物心理社会和系统性问题。 承认种族性别和社会经济权利被剥夺的真实影响无效这一遗留问题,本文提出,当考虑到这些差异时,心理动力学疗法非常适合于解决创伤体验中根深蒂固的不可言说的方面,包括储存在躯体情感记忆深处的支离破碎的感觉表征。这些包括与我们大脑半球结构相关的语言和关系阶段,以支持与情绪调节、执行功能、身份凝聚力和培养相互满足关系的能力相对应的受伤神经网络的重组。
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引用次数: 0
Shame containment theory—a new approach to shame 羞耻遏制理论--解决羞耻问题的新方法
Pub Date : 2023-11-30 DOI: 10.33212/att.v17n2.2023.141
Lisa Etherson
Shame is often overlooked in therapy in favour of anxiety and guilt (Lansky & Morrison, 1998; Solomon, 2021). Indeed, there is little emphasis on shame within psycho- therapy training and a noticeable lack of recognition to its relationship with attachment (Solomon, 2021). And yet, shame is described as an attachment emotion by some shame theorists (Lewis, 1971; Schore, 1991). Shame is a complex emotion that is often hidden, making it difficult to work with and can leave clients feeling frustrated that they are stuck in the same relational patterns. Ultimately, unacknowledged shame in the therapy room and the understanding of how shame influences self-perception can be detrimental to thera- peutic outcome. This article introduces a new theory of shame: shame containment theory (SCT). The premise being that shame is vital to self-protection and attachment. By exploring the history of shame in psychoanalytic psychotherapy and presenting current models of shame, this article will demonstrate how SCT is a needed addition to contemporary shame theory, with particular relevance to attachment theory. Using a brief case study, this article will demonstrate how SCT relates to presentations in the therapy room. This lens on shame as an attachment emotion offers therapists a new model with which to understand and work with shame.
在治疗过程中,羞耻感常常被忽视,而焦虑和内疚感更受青睐(Lansky & Morrison, 1998; Solomon, 2021)。事实上,心理治疗培训中很少强调羞耻感,也明显缺乏对羞耻感与依恋关系的认识(Solomon, 2021)。然而,一些羞耻理论家将羞耻感描述为一种依恋情绪(Lewis, 1971; Schore, 1991)。羞耻感是一种复杂的情绪,常常被隐藏起来,因此很难处理,会让客户感到沮丧,因为他们被困在相同的关系模式中。最终,在治疗室里不被承认的羞耻感,以及对羞耻感如何影响自我认知的理解,都会对治疗结果产生不利影响。本文介绍了一种新的羞耻理论:羞耻遏制理论(SCT)。其前提是羞耻感对自我保护和依恋至关重要。通过探讨精神分析心理疗法中羞耻感的历史,并介绍当前的羞耻感模型,本文将说明羞耻感遏制理论是如何成为当代羞耻感理论的必要补充,尤其与依恋理论相关。本文将通过一个简短的案例研究,展示 SCT 如何与治疗室中的表现形式相关联。这种将羞耻感视为依恋情感的视角,为治疗师提供了一种理解羞耻感并与之合作的新模式。
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引用次数: 0
On mourning and not mourning other-than-human loss 关于哀悼和不哀悼非人类的损失
Pub Date : 2023-11-30 DOI: 10.33212/att.v17n2.2023.241
Maggie Turp
This article considers the escalating climate and ecological crisis and its impact on other-than-human life. It falls into four sections: other-than-human attachment and loss, social and political impediments to mourning, the activation of defences in the face of existential threat, and enlivening the other-than-human.
本文探讨了不断升级的气候和生态危机及其对非人类生命的影响。文章分为四个部分:非人类的依恋和损失、哀悼的社会和政治障碍、面对生存威胁时的防御启动以及激活非人类。
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引用次数: 0
The multi-layers of attachment 多层依恋
Pub Date : 2023-11-30 DOI: 10.33212/att.v17n2.2023.8
Aysha Begum
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引用次数: 0
Interpretation viewed through the lens of attachment informed couple psychotherapy 从依恋情侣心理疗法的视角进行解读
Pub Date : 2023-11-30 DOI: 10.33212/att.v17n2.2023.173
Christopher Clulow
Historically, the mutative power of psychoanalysis has been attributed to interpret- ing transference. The site of transformational change has been located in the patient–analyst relationship; the medium for bringing it about has been language: psychoanalysis as the "talking cure". There is much wrong with this formulation, not least for therapists whose "patient" is the adult couple— itself constituting a powerful site for past conflicts to find a home. Moreover, psychoanalysts of all persuasions accept that fundamental assumptions about relationships are formed at an unconscious level before experience can be symbolised through language. Attachment theory has laid the foundations for theoretical and therapeutic developments that highlight the mutative potential of relationships in which both parties are involved in the mutual process of creating something new. This transformational capacity is not the preserve of any one therapeutic approach, but belongs in the realm of what have been described as the "non-specific" factors that have accounted for change identified in many psychotherapy outcome studies. This article will consider the "mood music" of psychotherapy, suggesting that interpretation can be viewed as an act of love, stemming from, as much as resulting in, change.
从历史上看,精神分析的突变力量归功于对移情的解释。转化性改变的场所是病人与分析师之间的关系;实现转化性改变的媒介是语言:精神分析是 "会说话的治疗"。这种提法有很多不妥之处,尤其是对于治疗师来说,他们的 "病人 "是成年夫妇--他们本身就是过去的冲突找到归宿的强大场所。此外,各种派别的精神分析师都承认,在经验通过语言符号化之前,关于人际关系的基本假设是在无意识层面形成的。依恋理论为理论和治疗的发展奠定了基础,强调了人际关系的变异潜能,在这种关系中,双方都参与到共同创造新事物的过程中。这种转化能力并非任何一种治疗方法所独有,而是属于被称为 "非特异性 "因素的范畴,在许多心理治疗结果研究中,这些因素都是产生变化的原因。本文将探讨心理治疗的 "情绪音乐",认为解释可以被视为一种爱的行为,它既源于改变,也导致改变。
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引用次数: 0
A kind of love: resources and limits of attachment 一种爱:依恋的资源和限制
Pub Date : 2023-11-30 DOI: 10.33212/att.v17n2.2023.196
Adriano Bugliani
All the empirical literature on what is effective in psychotherapy, not just psycho- analytic therapy, ends up emphasising relationship and personality. And when you talk about relationship or about the working alliance, you're talking about the two parties making an attachment to each other, which is just a fancy word for love. I will try to show how this applies to a very difficult case.
所有关于心理治疗有效性的实证文献,不仅仅是心理分析治疗,最终都强调了关系和人格。而当你谈论关系或工作联盟时,你谈论的是双方对彼此的依恋,这只是爱的一个花哨的词。我将尝试说明这一点如何适用于一个非常棘手的案例。
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引用次数: 0
Enculturation, acculturation, positionality, and power: new lenses to better understand the formation of self- and group-agency— a conversation starter 文化涵化、文化适应、地位和权力:更好地理解自我和群体代理权形成的新视角--对话启动器
Pub Date : 2023-11-30 DOI: 10.33212/att.v17n2.2023.185
Simon Partridge
Drawing on my experience of being born into the British upper-class and applying the insights of attachment theory, my "boarding school syndrome: reconsidered in social context and through the lens of attachment theory" (Partridge, 2021), offered a critique of the existing diagnostic "boarding school syndrome" (BSS) as developed by Schaverien (2011, 2015), and Duffell and Basset (2016). It sought to step beyond this framework where the therapist assumes that the emotional disability which afflicts the upper-class is simply the result of the "abandonment shock" of being sent off to board followed by possible abuse within the extra-familial institution. The paper mentioned the processes of "enculturation", "acculturation", and the English/British upper-social-class ethos normalised in the "stiff upper lip", but it did not spell them out. It proposed, draw- ing specifically on psychotherapist Anne Power's (2013) attachment-oriented work with boarders, that the likely psyche–soma effects from a clinical standpoint could not be fully appreciated without taking the wider, upper-class social environment into account. Although not specifically identified in the paper, this is what I now intend to call the application of "positionality"1— applied to practitioner and survivor. This term is borrowed from social anthropology and philosophy, but I argue it will be essential in psychotherapeutics if practitioners and survivors are to engage with the complex intersectional and power issues that present-day society struggles with (Stevenson, 2020). This paper applies these lenses mainly to the UK upper class and its vicissitudes, but also to inter-class transactions more generally.
我的 "寄宿学校综合症:从社会背景和依恋理论的角度重新考虑"(帕特里奇,2021 年)借鉴了我出生在英国上流社会的经历,并运用了依恋理论的见解,对现有的诊断性 "寄宿学校综合症"(BSS)进行了批判,该诊断性 "寄宿学校综合症"(BSS)是由 Schaverien(2011 年,2015 年)以及 Duffell 和 Basset(2016 年)提出的。该论文试图超越这一框架,即治疗师假定上层阶级的情感障碍仅仅是被送往寄宿学校的 "遗弃冲击 "以及在家庭外机构中可能遭受虐待的结果。论文提到了 "文化熏陶"、"文化适应 "的过程,以及在 "上唇僵硬 "中正常化的英国/英国上层社会伦理,但没有详细说明。论文特别借鉴了心理治疗师安妮-鲍尔(Anne Power,2013 年)针对寄宿生开展的以依恋为导向的工作,提出如果不考虑更广泛的上流社会环境,就无法从临床角度充分认识到寄宿生可能造成的心理创伤。虽然在本文中没有具体指出,但这就是我现在打算称之为 "立场性 "1 的应用--应用于实践者和幸存者。这个词是从社会人类学和哲学中借用过来的,但我认为,如果从业者和幸存者要应对当今社会所面临的复杂的交叉性和权力问题,那么这个词在心理治疗中将是必不可少的(Stevenson, 2020)。本文主要将这些视角应用于英国上层阶级及其沧桑变化,但也更广泛地应用于阶级间交易。
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引用次数: 0
Understanding compulsive sexual behaviours through the lens of attachment 从依恋的角度理解强迫性行为
Pub Date : 2023-11-30 DOI: 10.33212/att.v17n2.2023.226
Silva Neves
Compulsive sexual behaviours are misunderstood creating a lot of debates and arguments amongst psychotherapists on how to best conceptualise these presentations and how to treat them. The debate on whether the best conceptualisation is the one of "sex addiction" or a sexological-informed one is ongoing. The nomenclature that we assign to this clinical presentation is important because it will guide the clinician in their choice of treatment. A "sex addiction" diagnosis will inform a behavioural and abstinence-based therapy, whereas a sexological approach may offer more possibilities to understand the erotic and relational processes of clients for which attachment theories are useful for a positive long-term treatment outcome.
强迫性行为被误解,导致心理治疗师之间就如何最好地概念化这些行为以及如何治疗这些行为展开了大量的辩论和争论。关于最佳概念是 "性成瘾 "还是性学概念的争论仍在继续。我们为这种临床表现命名是非常重要的,因为这将指导临床医生选择治疗方法。性成瘾 "诊断将为行为和禁欲治疗提供依据,而性心理学方法则可能为理解客户的情欲和关系过程提供更多可能性,依恋理论对长期积极的治疗结果非常有用。
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引用次数: 0
How attachment transformed my palliative practice: discovering the palliative paradox 依恋如何改变我的姑息治疗实践:发现姑息治疗悖论
Pub Date : 2023-06-30 DOI: 10.33212/att.v17n1.2023.58
Christiaan Rhodius
Attachment theory described by John Bowlby greatly influenced the perception of relationships. The theory proposes a framework for thinking about relationships—the propensity of mankind to seek closeness to particular others. Attachment behaviour and the longing for a secure base are focal points within the concept of attachment. Both are thought to play a role from cradle to grave. In palliative care (with approaching death as the ultimate threat to connection) dynamics in relationships will inevitably change. This article introduces the concept of “the palliative paradox”, a perspective on dynamics within the relational realm. It provides a framework for clinical thinking and points to possible interventions. It can also be used as a means of psycho-education for patients and family. As such “the palliative paradox” can provide insight for clinicians, patients, and family alike. This enables all involved into becoming and being a secure base for each other. The presence of a secure base amidst the process of separation makes it possible to die connected. Thereby increasing the quality of life, the focal point of palliative care.
John Bowlby的依恋理论对人际关系的感知产生了很大的影响。该理论提出了一个思考人际关系的框架——人类寻求与特定他人亲近的倾向。依恋行为和对安全基础的渴望是依恋概念的焦点。两者都被认为扮演着从出生到死亡的角色。在姑息治疗中(即将到来的死亡是对联系的终极威胁),关系中的动态将不可避免地发生变化。本文介绍了“姑息性悖论”的概念,这是对关系领域内动态的一种看法。它为临床思维提供了一个框架,并指出了可能的干预措施。也可作为对患者及家属进行心理教育的一种手段。因此,“姑息疗法悖论”可以为临床医生、患者和家属提供见解。这使所有参与者成为彼此的安全基础。在分离过程中有一个安全的基地,这使得死亡连接成为可能。从而提高生活质量,是姑息治疗的重点。
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引用次数: 0
“Our time is up”: a patient’s perspective on psychotherapist retirement “我们的时间到了”:一个病人对心理治疗师退休的看法
Pub Date : 2023-06-30 DOI: 10.33212/att.v17n1.2023.43
Carol Morrison Straforini
Organic terminations in a “good-enough” treatment at their best end with feelings of warmth, pride, sadness, and a letting go. Psychotherapist retirement, however, is a unilateral ending imposed upon patients, sometimes causing not only feelings of loss and hurt, but bringing about damage, breaching the age-old mandate of the Hippocratic oath: “First, do no harm”. Yet, humans can avoid ageing only by early death. They retire, sometimes forced by necessities, sometimes beckoned by a readiness for a final life chapter filled in ways that do not include professional work. Some hurts, even harm, may be unavoidable. Despite a growing literature on the topic of psychotherapist retirement, the first-hand perspective of the retired-upon patient is as yet without a public voice. A retired psycho-dynamic psychotherapist myself, in this article I share my experience as a patient who lost a much-loved therapist to retirement. I write with a patient’s heart informed by a practitioner’s eyes, ending with suggestions for both members of the therapeutic dyad and also for the professional community.
在“足够好”的治疗中有机终止,最好的结局是温暖,骄傲,悲伤和放手的感觉。然而,心理治疗师的退休是强加给病人的单方面的结局,有时不仅会造成失落感和伤害,还会带来损害,违反了希波克拉底誓言的古老使命:“首先,不伤害”。然而,人类只有通过早逝才能避免衰老。他们退休,有时是迫于生活需要,有时是准备好迎接不包括专业工作的最后一章的召唤。有些伤害,甚至伤害,可能是无法避免的。尽管关于心理治疗师退休话题的文献越来越多,但退休病人的第一手观点还没有公开发表。我自己是一名退休的心理动力心理治疗师,在这篇文章中,我分享了我作为一个病人的经历,我失去了一位深受爱戴的治疗师,因为他退休了。我以一个医生的视角,以一个病人的心来写作,并以对治疗双方以及专业团体的建议作为结尾。
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引用次数: 0
期刊
Attachment: New Directions in Psychotherapy and Relational Psychoanalysis
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