Pub Date : 2021-06-30DOI: 10.33212/att.v15n1.2021.56
R. Rossi
Video therapy can be a great help when seeing patients face to face is not possible, as has widely occurred due to the Covid-19 lockdown. We must unpack and fully understand video therapy as a type of practice, given that it is different from our standard mode of therapy. Through a specific clinical case, I will highlight a paradox of this type of therapy: namely, that the screen can act as an aid for the patient but an obstacle for the therapist. Specifically, its mediation can support emotionally coerced patients to express and contact their emotions better, whilst this same screen can act as an obstacle for the therapist who may struggle to contain the patient emotionally. The clinical case I will discuss is about Judy, a patient who suffered relational trauma from early childhood, with whom I struggled to contain emotionally in her first real connection with her feelings, which occurred through video therapy.
{"title":"Survival of the survivors; containment for the uncontained","authors":"R. Rossi","doi":"10.33212/att.v15n1.2021.56","DOIUrl":"https://doi.org/10.33212/att.v15n1.2021.56","url":null,"abstract":"Video therapy can be a great help when seeing patients face to face is not possible, as has widely occurred due to the Covid-19 lockdown. We must unpack and fully understand video therapy as a type of practice, given that it is different from our standard mode of therapy. Through a specific clinical case, I will highlight a paradox of this type of therapy: namely, that the screen can act as an aid for the patient but an obstacle for the therapist. Specifically, its mediation can support emotionally coerced patients to express and contact their emotions better, whilst this same screen can act as an obstacle for the therapist who may struggle to contain the patient emotionally. The clinical case I will discuss is about Judy, a patient who suffered relational trauma from early childhood, with whom I struggled to contain emotionally in her first real connection with her feelings, which occurred through video therapy.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128076485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-30DOI: 10.33212/att.v15n1.2021.36
D. S. Elliott
All treatments for adult attachment insecurity include in some form a set of principles and methods that can be termed therapist-as-good-attachment-figure. This relational context is widely and appropriately accepted as a foundation for any attachment-focused therapy. After highlighting some of the principles of this approach, this article describes a therapeutic model that includes using patient-and-therapist co-created imagery of positive attachment experience. This imagery method is intrapersonal, in that it focuses on the patient's inner experience of mental representations of attachment relationships; it is interpersonal, in that the process calls upon the therapist to be highly attuned and responsive — as a good attachment figure — to the patient experiencing the imagery; and it is metainterpersonal, in that the patient experiences the imagined interaction with the positive attachment relationships in the context of the therapist supporting and participating in the process. The use of imagery in this way can be a valuable contribution towards relational healing and adult earned secure attachment.
{"title":"Co-creating secure attachment imagery to enhance relational healing","authors":"D. S. Elliott","doi":"10.33212/att.v15n1.2021.36","DOIUrl":"https://doi.org/10.33212/att.v15n1.2021.36","url":null,"abstract":"All treatments for adult attachment insecurity include in some form a set of principles and methods that can be termed therapist-as-good-attachment-figure. This relational context is widely and appropriately accepted as a foundation for any attachment-focused therapy. After highlighting some of the principles of this approach, this article describes a therapeutic model that includes using patient-and-therapist co-created imagery of positive attachment experience. This imagery method is intrapersonal, in that it focuses on the patient's inner experience of mental representations of attachment relationships; it is interpersonal, in that the process calls upon the therapist to be highly attuned and responsive — as a good attachment figure — to the patient experiencing the imagery; and it is metainterpersonal, in that the patient experiences the imagined interaction with the positive attachment relationships in the context of the therapist supporting and participating in the process. The use of imagery in this way can be a valuable contribution towards relational healing and adult earned secure attachment.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129369445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-30DOI: 10.33212/att.v15n1.2021.121
Carol J. Gould
The therapist's retirement is not widely written about in psychoanalytic literature. The physical requirements to do our job are minimal, hence it is often possible to keep working long into advanced age. Self-esteem and identity, fuelled by our work, are hard to disrupt. Pressure to maintain one's status as a working professional is also a factor. The therapist's attachment style may contribute to prolonging the decision to retire, if they have a significant need for the emotional and intellectual stimulation derived from the work. The experience of ending many long treatments over Zoom and the telephone, surrounded by the chaos of the pandemic and the political situation in the United States, was profoundly impacted by my attachment style, making it harder to locate myself in my patients' experience.
{"title":"Retiring in the time of Covid and Donald Trump: the impact of the therapist's attachment style on maintaining connection over Zoom","authors":"Carol J. Gould","doi":"10.33212/att.v15n1.2021.121","DOIUrl":"https://doi.org/10.33212/att.v15n1.2021.121","url":null,"abstract":"The therapist's retirement is not widely written about in psychoanalytic literature. The physical requirements to do our job are minimal, hence it is often possible to keep working long into advanced age. Self-esteem and identity, fuelled by our work, are hard to disrupt. Pressure to maintain one's status as a working professional is also a factor. The therapist's attachment style may contribute to prolonging the decision to retire, if they have a significant need for the emotional and intellectual stimulation derived from the work. The experience of ending many long treatments over Zoom and the telephone, surrounded by the chaos of the pandemic and the political situation in the United States, was profoundly impacted by my attachment style, making it harder to locate myself in my patients' experience.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116959383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-30DOI: 10.33212/att.v15n1.2021.1
S. Zeedyk
As 2021 commences, Scotland finds itself in the midst of a dynamic movement driven by awareness of the science of adverse childhood experiences (ACEs). That drive comes from unparalleled grassroots interest as well as moves towards reform in public services. This article traces the history of Scotland's ACEs journey, published, to our knowledge, for the first time in an academic journal. The start of the movement is dated to 2005, when the newly founded Violence Reduction Unit adopted a developmentally informed, public health approach to reducing Scotland's high rate of violence. In 2017, a national tour of the documentary film Resilience sparked widespread public engagement. It demonstrates that, from the outset, the Scottish movement has been grounded in a focus on relationships. This aligns it with an attachment perspective, posing an interesting contrast with the epidemiological origins of the ACE Study itself and the associated movement that has since emerged in the USA. The significance of this distinction has received insufficient consideration, perhaps because the trajectory of the Scottish ACEs movement has not been apparent. This article provides that narrative and reflects on its theoretical and practical implications.
{"title":"The history of Scotland's ACEs movement: grounded in a focus on relationships","authors":"S. Zeedyk","doi":"10.33212/att.v15n1.2021.1","DOIUrl":"https://doi.org/10.33212/att.v15n1.2021.1","url":null,"abstract":"As 2021 commences, Scotland finds itself in the midst of a dynamic movement driven by awareness of the science of adverse childhood experiences (ACEs). That drive comes from unparalleled grassroots interest as well as moves towards reform in public services. This article traces the history of Scotland's ACEs journey, published, to our knowledge, for the first time in an academic journal. The start of the movement is dated to 2005, when the newly founded Violence Reduction Unit adopted a developmentally informed, public health approach to reducing Scotland's high rate of violence. In 2017, a national tour of the documentary film Resilience sparked widespread public engagement. It demonstrates that, from the outset, the Scottish movement has been grounded in a focus on relationships. This aligns it with an attachment perspective, posing an interesting contrast with the epidemiological origins of the ACE Study itself and the associated movement that has since emerged in the USA. The significance of this distinction has received insufficient consideration, perhaps because the trajectory of the Scottish ACEs movement has not been apparent. This article provides that narrative and reflects on its theoretical and practical implications.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126878350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-30DOI: 10.33212/att.v15n1.2021.114
Caroline Adewole
This article documents and explores the painful impact of a gruesome racial attack during the first lockdown in the wake of the Covid-19 pandemic. It occurred less than a fortnight before the brutal murder of George Floyd in America. It is a reflection on the issue of racism and the marginalisation of less dominant groups in and outside the borders of Great Britain. It is the recognition and exploration in myself of an internalised colony of voices emerging as a response to the traumatic event. Tracking the intra-psychic and interpersonal dynamics involved in the racism and the subsequent attempt at an anti-racist answer leads to self-reflection on my part and the confrontation of my own bias. Eventually, I can feel my underlying vulnerability and the resulting shift. The sense of self-awareness and agency evolves into the mobilisation of an extensive mentalizing process. The article attempts to capture the subtle, insidious nature of othering and the fear behind the defences we use to keep this in place; the centrality of our capacity to courageously embrace our vulnerability as crucial to our ability to embrace and treat with dignity people who are different from us. The article touches on hopefulness that one day this socially constructed monster, racism, would be a thing of the past, not just on paper but in the human psyche also.
{"title":"Vying voices of the pandemic","authors":"Caroline Adewole","doi":"10.33212/att.v15n1.2021.114","DOIUrl":"https://doi.org/10.33212/att.v15n1.2021.114","url":null,"abstract":"This article documents and explores the painful impact of a gruesome racial attack during the first lockdown in the wake of the Covid-19 pandemic. It occurred less than a fortnight before the brutal murder of George Floyd in America.\u0000It is a reflection on the issue of racism and the marginalisation of less dominant groups in and outside the borders of Great Britain.\u0000It is the recognition and exploration in myself of an internalised colony of voices emerging as a response to the traumatic event. Tracking the intra-psychic and interpersonal dynamics involved in the racism and the subsequent attempt at an anti-racist answer leads to self-reflection on my part and the confrontation of my own bias. Eventually, I can feel my underlying vulnerability and the resulting shift. The sense of self-awareness and agency evolves into the mobilisation of an extensive mentalizing process.\u0000The article attempts to capture the subtle, insidious nature of othering and the fear behind the defences we use to keep this in place; the centrality of our capacity to courageously embrace our vulnerability as crucial to our ability to embrace and treat with dignity people who are different from us. The article touches on hopefulness that one day this socially constructed monster, racism, would be a thing of the past, not just on paper but in the human psyche also.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132136459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-30DOI: 10.33212/att.v15n1.2021.67
B. Kahr
After centuries of controversy, mental health professionals still cannot agree on the cause or causes of schizophrenia — the most severe form of psychosis. Theories of aetiology range from genetic, biochemical, and neuropathological approaches to those of an environmental or intrafamilial nature. In this contribution, the author considers the impact of massive psychological traumatisation, examining, in particular, the relatively neglected literature on the role of the Nazi Holocaust in the development of psychotic states. Reviewing the work of such pioneering clinicians as Bruno Bettelheim and William Niederland, each of whom observed acute schizophrenic reactions among survivor patients, the author then surveys the more methodologically sophisticated work of Udo Reulbach and his colleagues who have provided strong evidence that those survivors of concentration camps who endured the most objectively traumatising of experiences, including the death of both parents, would be far more likely, statistically, to receive a diagnosis of schizophrenia in later life. The author argues that the literature on the Holocaust provides important data for an understanding of the role of disrupted attachments and extreme traumatisation in the development of schizophrenic psychoses.
{"title":"Did the Nazi Holocaust cause schizophrenia?","authors":"B. Kahr","doi":"10.33212/att.v15n1.2021.67","DOIUrl":"https://doi.org/10.33212/att.v15n1.2021.67","url":null,"abstract":"After centuries of controversy, mental health professionals still cannot agree on the cause or causes of schizophrenia — the most severe form of psychosis. Theories of aetiology range from genetic, biochemical, and neuropathological approaches to those of an environmental or intrafamilial nature. In this contribution, the author considers the impact of massive psychological traumatisation, examining, in particular, the relatively neglected literature on the role of the Nazi Holocaust in the development of psychotic states. Reviewing the work of such pioneering clinicians as Bruno Bettelheim and William Niederland, each of whom observed acute schizophrenic reactions among survivor patients, the author then surveys the more methodologically sophisticated work of Udo Reulbach and his colleagues who have provided strong evidence that those survivors of concentration camps who endured the most objectively traumatising of experiences, including the death of both parents, would be far more likely, statistically, to receive a diagnosis of schizophrenia in later life. The author argues that the literature on the Holocaust provides important data for an understanding of the role of disrupted attachments and extreme traumatisation in the development of schizophrenic psychoses.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127512370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-30DOI: 10.33212/att.v15n1.2021.119
Gülcan Sutton Purser
Practising psychotherapy online during Covid-19; uncertainties and crisis management; after effects of lockdown; trauma and its effects on autonomic nervous system; how we regulate. This article consists of my work during the global Covid-19 crisis and to address the consequences of it on mental health.
{"title":"Practising through the pandemic","authors":"Gülcan Sutton Purser","doi":"10.33212/att.v15n1.2021.119","DOIUrl":"https://doi.org/10.33212/att.v15n1.2021.119","url":null,"abstract":"Practising psychotherapy online during Covid-19; uncertainties and crisis management; after effects of lockdown; trauma and its effects on autonomic nervous system; how we regulate. This article consists of my work during the global Covid-19 crisis and to address the consequences of it on mental health.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126755713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attachment in the Time of the Pandemic","authors":"","doi":"10.33212/att.v14n2.2020","DOIUrl":"https://doi.org/10.33212/att.v14n2.2020","url":null,"abstract":"","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"157 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126569859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.33212/att.v13n2.2019.181
A. Bentovim, A. Brafman, J. Holmes, J. Hopkins, S. Kraemer, V. Sinason
{"title":"Invited commentaries","authors":"A. Bentovim, A. Brafman, J. Holmes, J. Hopkins, S. Kraemer, V. Sinason","doi":"10.33212/att.v13n2.2019.181","DOIUrl":"https://doi.org/10.33212/att.v13n2.2019.181","url":null,"abstract":"","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"356 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115606754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.33212/att.v13n2.2019.250
Eric B. Litwack
This attachment science fiction short story expresses a number of possible developments linked to both psychotherapy and planetary exploration. The technological possibilities indicated include interplanetary travel, terraforming, sexbots, and attachment pattern typing for social purposes. There is some attention paid to cloning, cults, the meaning of dreams, and cognitive enhancers.
{"title":"A secure base","authors":"Eric B. Litwack","doi":"10.33212/att.v13n2.2019.250","DOIUrl":"https://doi.org/10.33212/att.v13n2.2019.250","url":null,"abstract":"This attachment science fiction short story expresses a number of possible developments linked to both psychotherapy and planetary exploration. The technological possibilities indicated include interplanetary travel, terraforming, sexbots, and attachment pattern typing for social purposes. There is some attention paid to cloning, cults, the meaning of dreams, and cognitive enhancers.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124064522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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