Pub Date : 2018-12-01DOI: 10.33212/att.v12n2.2018.127
Richard A. Hohfeler
The scant literature relative to the application of relationally based and psycho-dynamic therapies within correctional settings clearly illustrates the contextually driven challenges to employing such approaches (Haley, 2010; Huffman, 2006; Kita, 2011; Stein, 2007, 2009). Stein (2001, 2004, 2007, 2009) in particular has written extensively about the psychotherapeutic needs of the high concentration of severely developmentally traumatised and dissociative individuals in our prisons, who are unlikely to receive psychodynamic therapies due to resource constraints. Such acute treatment needs can be exacerbated by the operational design of correctional settings—which are predicated on the maintenance of safety and security through the exercise of behaviour management and controlled access to personnel and resources. The over-representation of relationally traumatised individuals within prison populations is confounded by the structural parallels of the controlled environment that inadvertently trigger these inmates. The counterproductive results are not necessarily unexpected given how trauma is routinely re-enacted (Chefetz, 2015; Kupers, 1996; Van der Kolk, 1989, 2014; Van der Kolk & McFarlane, 1996). Nonetheless, this reactive cycle represents an unfortunate re-enactment of relational control both intrapsychically and environmentally. Discussion of the dynamics of control inherent within correctional settings, followed by a case study of an inmate suffering from traumatic exposure to an austerely narcissistic and abusive father, is illustrative of this cycle. The isomorphism of coercive internal object relations and institutional control is striking and will be illustrated.
{"title":"Relationally based psychodynamic psychotherapy in prison: processes of control, shame, and dissociation","authors":"Richard A. Hohfeler","doi":"10.33212/att.v12n2.2018.127","DOIUrl":"https://doi.org/10.33212/att.v12n2.2018.127","url":null,"abstract":"The scant literature relative to the application of relationally based and psycho-dynamic therapies within correctional settings clearly illustrates the contextually driven challenges to employing such approaches (Haley, 2010; Huffman, 2006; Kita, 2011; Stein, 2007, 2009). Stein (2001, 2004, 2007, 2009) in particular has written extensively about the psychotherapeutic needs of the high concentration of severely developmentally traumatised and dissociative individuals in our prisons, who are unlikely to receive psychodynamic therapies due to resource constraints. Such acute treatment needs can be exacerbated by the operational design of correctional settings—which are predicated on the maintenance of safety and security through the exercise of behaviour management and controlled access to personnel and resources.\u0000The over-representation of relationally traumatised individuals within prison populations is confounded by the structural parallels of the controlled environment that inadvertently trigger these inmates. The counterproductive results are not necessarily unexpected given how trauma is routinely re-enacted (Chefetz, 2015; Kupers, 1996; Van der Kolk, 1989, 2014; Van der Kolk & McFarlane, 1996). Nonetheless, this reactive cycle represents an unfortunate re-enactment of relational control both intrapsychically and environmentally. Discussion of the dynamics of control inherent within correctional settings, followed by a case study of an inmate suffering from traumatic exposure to an austerely narcissistic and abusive father, is illustrative of this cycle. The isomorphism of coercive internal object relations and institutional control is striking and will be illustrated.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130735927","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 : 2018-12-01DOI: 10.33212/att.v12n2.2018.190
Debbie Zimmerman
In this response to Michaela Chamberlain's article, I engage with some of the key aspects of her thinking in her exploration of the concept of the secure base and how the theory of its "provision" is tested by her lived experience of working with patients whose attachment-related trauma has compromised their capacity to experience her as a secure base. In particular, I explore the idea of the secure base as a two-person relational construct. I use an attachment lens to consider the complexities and challenges in facilitating attachment security when working with disorganised attachment. I explore the question of the need for an earlier "holding" phase as a precursor to the capacity to relate to a secure base and consider the expansion of the concept of the term secure base to incorporate this earlier "holding" dimension. I also question the possibility and desirability of "complete holding" in working towards attachment security, engaging with Winnicott's theories to explore the ideas of the transitional space of illusion and disillusion, of "good-enough", and of internalisation in the therapeutic process of building attachment security. Finally, I consider the parallel process of the therapist's development of their internal secure base.
{"title":"The secure-enough base: a response to \"the need for something more than a secure base: is a secure base always enough?\"","authors":"Debbie Zimmerman","doi":"10.33212/att.v12n2.2018.190","DOIUrl":"https://doi.org/10.33212/att.v12n2.2018.190","url":null,"abstract":"In this response to Michaela Chamberlain's article, I engage with some of the key aspects of her thinking in her exploration of the concept of the secure base and how the theory of its \"provision\" is tested by her lived experience of working with patients whose attachment-related trauma has compromised their capacity to experience her as a secure base. In particular, I explore the idea of the secure base as a two-person relational construct. I use an attachment lens to consider the complexities and challenges in facilitating attachment security when working with disorganised attachment. I explore the question of the need for an earlier \"holding\" phase as a precursor to the capacity to relate to a secure base and consider the expansion of the concept of the term secure base to incorporate this earlier \"holding\" dimension. I also question the possibility and desirability of \"complete holding\" in working towards attachment security, engaging with Winnicott's theories to explore the ideas of the transitional space of illusion and disillusion, of \"good-enough\", and of internalisation in the therapeutic process of building attachment security. Finally, I consider the parallel process of the therapist's development of their internal secure base.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114236218","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 : 2018-12-01DOI: 10.33212/att.v12n2.2018.101
O. van der Hart
{"title":"Understanding trauma-generated dissociation and disorganised attachment: Giovanni Liotti's lasting contributions","authors":"O. van der Hart","doi":"10.33212/att.v12n2.2018.101","DOIUrl":"https://doi.org/10.33212/att.v12n2.2018.101","url":null,"abstract":"","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121533250","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 : 2018-09-01DOI: 10.33212/ATT.V12N1.2018.1
G. Clarke
This is an attempt to further develop an object relations model of multiple personality disorder (MPD)/dissociative identity disorder (DID), that was first developed in 2011/2012 in the pages of this journal. Paul Finnegan and I used a modified version of Fairbairn's theory of endopsychic structure to develop this model and this paper seeks to broaden that model to include imaginary companions (or friends) and heteronyms. This is an attempt to show how this model might be expanded and at the same time how it might throw some light on the relationship between dissociation and creativity.
{"title":"An object relations approach to MPD/DID, imaginary companions, and heteronyms: dissociation and creativity","authors":"G. Clarke","doi":"10.33212/ATT.V12N1.2018.1","DOIUrl":"https://doi.org/10.33212/ATT.V12N1.2018.1","url":null,"abstract":"This is an attempt to further develop an object relations model of multiple personality disorder (MPD)/dissociative identity disorder (DID), that was first developed in 2011/2012 in the pages of this journal. Paul Finnegan and I used a modified version of Fairbairn's theory of endopsychic structure to develop this model and this paper seeks to broaden that model to include imaginary companions (or friends) and heteronyms. This is an attempt to show how this model might be expanded and at the same time how it might throw some light on the relationship between dissociation and creativity.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130037737","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 : 2018-09-01DOI: 10.33212/ATT.V12N1.2018.48
Karen Hopenwasser
Many individuals who have suffered persistent, severe childhood abuse have coped with the pain and terror of abuse through a dissociative adaptation. In long-term psychotherapy with these individuals, psychotherapists can experience attunement with multiple self states, often leading to confusion and fatigue. This piece describes journal entries made by the author over several years of working with patients with complex post-traumatic stress disorder. Meditative daily walks at sunrise through a treelined river park served to comfort and balance the stress of this work. These entries describe attunement as an embodied rhythmic encounter that facilitates the management of unbearable pain in a shared healing experience.
{"title":"Bearing the unbearable: meditations on being in rhythm","authors":"Karen Hopenwasser","doi":"10.33212/ATT.V12N1.2018.48","DOIUrl":"https://doi.org/10.33212/ATT.V12N1.2018.48","url":null,"abstract":"Many individuals who have suffered persistent, severe childhood abuse have coped with the pain and terror of abuse through a dissociative adaptation. In long-term psychotherapy with these individuals, psychotherapists can experience attunement with multiple self states, often leading to confusion and fatigue. This piece describes journal entries made by the author over several years of working with patients with complex post-traumatic stress disorder. Meditative daily walks at sunrise through a treelined river park served to comfort and balance the stress of this work. These entries describe attunement as an embodied rhythmic encounter that facilitates the management of unbearable pain in a shared healing experience.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133288729","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 : 2018-09-01DOI: 10.33212/ATT.V12N1.2018.25
Anne M. Power
This paper looks at different routes into a long-term couple attachment. It asks some preliminary questions about the differences between them and how effective they may be at helping individuals make a lasting and mutually fulfilling bond. It distinguishes between the experience of being in love and that of a long-term attachment bond; there is recognition that the transition from one to the other may be especially challenging for people with insecure attachment patterns. The conclusion suggests that a family background with secure attachments is beneficial for those using any of these three main routes into relationship.
{"title":"What kind of courtship sets a couple up for long-term attachment: romance, arranged marriage, or online matching-making?","authors":"Anne M. Power","doi":"10.33212/ATT.V12N1.2018.25","DOIUrl":"https://doi.org/10.33212/ATT.V12N1.2018.25","url":null,"abstract":"This paper looks at different routes into a long-term couple attachment. It asks some preliminary questions about the differences between them and how effective they may be at helping individuals make a lasting and mutually fulfilling bond. It distinguishes between the experience of being in love and that of a long-term attachment bond; there is recognition that the transition from one to the other may be especially challenging for people with insecure attachment patterns. The conclusion suggests that a family background with secure attachments is beneficial for those using any of these three main routes into relationship.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121462382","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 : 2018-09-01DOI: 10.33212/ATT.V12N1.2018.16
Daniel Shaw
Our patients whose developmental history was marked by cumulative relational trauma are often left in a state of endless longing for the abusive, depriving parent's love. The withheld love is felt as a fatal impediment to living, and some kind of magical reparation from the abuser is imagined as the only hope of being brought back to life. What is often dissociated by these patients, who present a part of themselves that feels like an eternally ruined victim, is the intense frustrated rage they feel. The author describes his work with a profoundly dissociative patient whose powerful rage emerged, towards herself, towards others, and towards the therapist. The author suggests that it is critical to identify this rage and its destructive impact on the patient, her relationships and on the therapy, for the grip of the fantasy of magic reparation to be released.
{"title":"Working with dissociated aggression in traumatised patients","authors":"Daniel Shaw","doi":"10.33212/ATT.V12N1.2018.16","DOIUrl":"https://doi.org/10.33212/ATT.V12N1.2018.16","url":null,"abstract":"Our patients whose developmental history was marked by cumulative relational trauma are often left in a state of endless longing for the abusive, depriving parent's love. The withheld love is felt as a fatal impediment to living, and some kind of magical reparation from the abuser is imagined as the only hope of being brought back to life. What is often dissociated by these patients, who present a part of themselves that feels like an eternally ruined victim, is the intense frustrated rage they feel. The author describes his work with a profoundly dissociative patient whose powerful rage emerged, towards herself, towards others, and towards the therapist. The author suggests that it is critical to identify this rage and its destructive impact on the patient, her relationships and on the therapy, for the grip of the fantasy of magic reparation to be released.","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122439135","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: New Directions in Psychotherapy and Relational Psychoanalysis","authors":"","doi":"10.33212/att.v12n1.2018","DOIUrl":"https://doi.org/10.33212/att.v12n1.2018","url":null,"abstract":"","PeriodicalId":296880,"journal":{"name":"Attachment: New Directions in Psychotherapy and Relational Psychoanalysis","volume":"392 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131070329","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：