Pub Date : 2022-01-02DOI: 10.1080/15228878.2021.1881573
H. Yerushalmi
Abstract To be alive and maintain an analytic stance amid transference–countertransference challenges, therapists need to experience both agency and safety. Their sense of safety increases when they connect with their internal analytic community’s representations and their sense of agency increases when they disengage from these representations. When therapists maintain the dialectical tension between these positions, they can choose a third position, to move between connecting and disengaging from the internal representations, in tune with the clinical context. Supervisors help their supervisees to contain this dialectical tension by manifesting their own sense of safety and agency when taking responsibility for their failures to understand the supervisees’ and the patients’ experiences. Furthermore, supervisors help foster the supervisees’ agency and safety separately. They help foster agency by finding autonomous and spontaneous solutions to clinical issues and help foster safety by drawing on the analytic community’s knowledge, to anchor the supervisees’ intuitive discoveries in a conceptual network, and clarify and stabilize the reality and boundaries in supervised therapies.
{"title":"On Supervisees’ Sense of Agency and Safety","authors":"H. Yerushalmi","doi":"10.1080/15228878.2021.1881573","DOIUrl":"https://doi.org/10.1080/15228878.2021.1881573","url":null,"abstract":"Abstract To be alive and maintain an analytic stance amid transference–countertransference challenges, therapists need to experience both agency and safety. Their sense of safety increases when they connect with their internal analytic community’s representations and their sense of agency increases when they disengage from these representations. When therapists maintain the dialectical tension between these positions, they can choose a third position, to move between connecting and disengaging from the internal representations, in tune with the clinical context. Supervisors help their supervisees to contain this dialectical tension by manifesting their own sense of safety and agency when taking responsibility for their failures to understand the supervisees’ and the patients’ experiences. Furthermore, supervisors help foster the supervisees’ agency and safety separately. They help foster agency by finding autonomous and spontaneous solutions to clinical issues and help foster safety by drawing on the analytic community’s knowledge, to anchor the supervisees’ intuitive discoveries in a conceptual network, and clarify and stabilize the reality and boundaries in supervised therapies.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"29 1","pages":"27 - 43"},"PeriodicalIF":0.3,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42829163","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 : 2022-01-02DOI: 10.1080/15228878.2021.1976225
E. Urdang
{"title":"Who’s Behind the Couch: The Heart and Mind of the Psychoanalyst","authors":"E. Urdang","doi":"10.1080/15228878.2021.1976225","DOIUrl":"https://doi.org/10.1080/15228878.2021.1976225","url":null,"abstract":"","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"29 1","pages":"98 - 106"},"PeriodicalIF":0.3,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44781778","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 : 2021-12-29DOI: 10.1080/15228878.2021.2020664
Mojtaba Elhami Athar
Abstract Abstinence was defined by Freud as the analyst’s abstinence in gratifying patients’ infantile needs. The writer noticed a controversy regarding abstinence among long-term therapists and that it has disappeared from the literature in short-term therapy. Both literature reviews are summarized. The writer wondered if abstinence has a place in brief therapy. His patient was a severely disturbed 23-year-old man with a history of being scolded and strictly controlled by his mother. A summary of the patient’s therapy sessions is provided, which was based on Luborsky’s Core Conflictual Relationship Theme approach for brief therapy. The therapy revealed that rather than feeling the expected deprivation, this patient felt gratified by the abstinence. The implications of this finding for long-term and brief therapy are discussed. The writer suggests that careful and flexible use of abstinence, even in brief therapy, is beneficial in exploring the patient’s need and ability to tolerate a caring relationship.
{"title":"Freud’s Rule of Abstinence: Implications for Brief Therapy: A Case Report","authors":"Mojtaba Elhami Athar","doi":"10.1080/15228878.2021.2020664","DOIUrl":"https://doi.org/10.1080/15228878.2021.2020664","url":null,"abstract":"Abstract Abstinence was defined by Freud as the analyst’s abstinence in gratifying patients’ infantile needs. The writer noticed a controversy regarding abstinence among long-term therapists and that it has disappeared from the literature in short-term therapy. Both literature reviews are summarized. The writer wondered if abstinence has a place in brief therapy. His patient was a severely disturbed 23-year-old man with a history of being scolded and strictly controlled by his mother. A summary of the patient’s therapy sessions is provided, which was based on Luborsky’s Core Conflictual Relationship Theme approach for brief therapy. The therapy revealed that rather than feeling the expected deprivation, this patient felt gratified by the abstinence. The implications of this finding for long-term and brief therapy are discussed. The writer suggests that careful and flexible use of abstinence, even in brief therapy, is beneficial in exploring the patient’s need and ability to tolerate a caring relationship.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49643933","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 : 2021-07-03DOI: 10.1080/15228878.2021.1929355
C. B. Hall
{"title":"Walking on Stage With a Cane – Therapists Reckon With Their Wounds","authors":"C. B. Hall","doi":"10.1080/15228878.2021.1929355","DOIUrl":"https://doi.org/10.1080/15228878.2021.1929355","url":null,"abstract":"","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"28 1","pages":"191 - 198"},"PeriodicalIF":0.3,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44254815","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 : 2021-07-03DOI: 10.1080/15228878.2021.1942936
F. Summers
Abstract Often neglected in analytic discourse is the fact that the analyst inevitably forms a vision of the patient. Loewald was a lone voice in illuminating the fact that the analyst could not treat the patient without a vision of who she could become. The thesis of this paper is that inherent in the analyst’s vision of the patient is a dialectic of discovery and creation. Because the analyst’s vision is inherently limited by the phase of the analysis, it will be disrupted by the evolution of the analytic material. The analyst’s vision will be transformed initiating a dialectical process between the development of the analytic process and the analyst’s vision. This vision is always predicated on what has been seen in the analysis and who the patient may yet become. Because this vision guides the interpretive process the dialectic of vision is the dialectic of interpretation,
{"title":"The Analyst’s Vision of the Patient and the Dialectic of Interpretation","authors":"F. Summers","doi":"10.1080/15228878.2021.1942936","DOIUrl":"https://doi.org/10.1080/15228878.2021.1942936","url":null,"abstract":"Abstract Often neglected in analytic discourse is the fact that the analyst inevitably forms a vision of the patient. Loewald was a lone voice in illuminating the fact that the analyst could not treat the patient without a vision of who she could become. The thesis of this paper is that inherent in the analyst’s vision of the patient is a dialectic of discovery and creation. Because the analyst’s vision is inherently limited by the phase of the analysis, it will be disrupted by the evolution of the analytic material. The analyst’s vision will be transformed initiating a dialectical process between the development of the analytic process and the analyst’s vision. This vision is always predicated on what has been seen in the analysis and who the patient may yet become. Because this vision guides the interpretive process the dialectic of vision is the dialectic of interpretation,","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"28 1","pages":"134 - 148"},"PeriodicalIF":0.3,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49271291","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 : 2021-07-03DOI: 10.1080/15228878.2021.1948876
G. Simpson, Scott Graybow
Abstract In this paper, we explore the dialectical nature of psychoanalytic social work practice and the benefits - theoretical and clinical - of doing so. We posit being mindful of the dialectic 1) aides us in our effort to identify and speak to differing themes, each of which is understood to be a piece of glass in the mosaic that is the totality of the client’s experience as a human being, 2) enhances our awareness of what might be going on in the clinical moment, particularly the shared experience between client and clinician, and 3) facilitates holding multiple perspectives in mind. On the other hand, non-acknowledgement of the dialectical nature of our theories and interventions seems linked with moments of clinical impasse and fuels the false dichotomies that often confront psychoanalytic social workers, individually and collectively. Appreciation of the dialectic can help us overcome these challenges and enables us to conceptualize our work as a process of becoming, which we see as highly relevant to clinical work with pressing contemporary issues such as trauma, diversity, and the theme of access. We demonstrate these claims through two vignettes, one explicitly clinical and the other an example of contextual factors affecting practice, to show how dialectical thinking allows for a deepening of things both inside and outside the consulting room.
{"title":"Holding Multiple Perspectives in Mind: The Dialectics of Contemporary Clinical Practice","authors":"G. Simpson, Scott Graybow","doi":"10.1080/15228878.2021.1948876","DOIUrl":"https://doi.org/10.1080/15228878.2021.1948876","url":null,"abstract":"Abstract In this paper, we explore the dialectical nature of psychoanalytic social work practice and the benefits - theoretical and clinical - of doing so. We posit being mindful of the dialectic 1) aides us in our effort to identify and speak to differing themes, each of which is understood to be a piece of glass in the mosaic that is the totality of the client’s experience as a human being, 2) enhances our awareness of what might be going on in the clinical moment, particularly the shared experience between client and clinician, and 3) facilitates holding multiple perspectives in mind. On the other hand, non-acknowledgement of the dialectical nature of our theories and interventions seems linked with moments of clinical impasse and fuels the false dichotomies that often confront psychoanalytic social workers, individually and collectively. Appreciation of the dialectic can help us overcome these challenges and enables us to conceptualize our work as a process of becoming, which we see as highly relevant to clinical work with pressing contemporary issues such as trauma, diversity, and the theme of access. We demonstrate these claims through two vignettes, one explicitly clinical and the other an example of contextual factors affecting practice, to show how dialectical thinking allows for a deepening of things both inside and outside the consulting room.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"28 1","pages":"97 - 114"},"PeriodicalIF":0.3,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47992552","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 : 2021-07-03DOI: 10.1080/15228878.2021.1943468
J. Mills
Abstract Psychic reality is dialectically mediated. Just as individual psychology is prefaced on social ontology, we can never elude the fact that we participate in greater parameters of being that dialectically constitute our psyworld. In this essay, I will outline an adumbrated theory of psychoanalytic dialectics as it is applied to psychosocial processes with a particular emphasis on how attachment and trauma condition the subject’s being in the world. Here I am particularly interested in advancing the thesis that attachment pathology is largely organized on borderline levels of functioning that derive from toxic introjects and disorganized self-states resulting from developmental trauma. Attachment pathology results in deficit unconscious organizational processes within self-structure and predisposes patients toward developing disorders of the self with many overdetermined, polysymptomatic profiles. Thinking dialectically about the interdependency between attachment, trauma, and character structure has direct bearing on our clinical work and understanding society as a whole.
{"title":"Dialectics and Developmental Trauma: How Toxic Introjects Affect Attachment","authors":"J. Mills","doi":"10.1080/15228878.2021.1943468","DOIUrl":"https://doi.org/10.1080/15228878.2021.1943468","url":null,"abstract":"Abstract Psychic reality is dialectically mediated. Just as individual psychology is prefaced on social ontology, we can never elude the fact that we participate in greater parameters of being that dialectically constitute our psyworld. In this essay, I will outline an adumbrated theory of psychoanalytic dialectics as it is applied to psychosocial processes with a particular emphasis on how attachment and trauma condition the subject’s being in the world. Here I am particularly interested in advancing the thesis that attachment pathology is largely organized on borderline levels of functioning that derive from toxic introjects and disorganized self-states resulting from developmental trauma. Attachment pathology results in deficit unconscious organizational processes within self-structure and predisposes patients toward developing disorders of the self with many overdetermined, polysymptomatic profiles. Thinking dialectically about the interdependency between attachment, trauma, and character structure has direct bearing on our clinical work and understanding society as a whole.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"28 1","pages":"115 - 133"},"PeriodicalIF":0.3,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47180354","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 : 2021-06-07DOI: 10.1080/15228878.2021.1931375
Melissa D. Grady, R. O'toole, Dana Schneider
Abstract The long-term effects of the global COVID-19 pandemic on individuals, families, and society are not yet known. For social workers, it is critical to consider how the pandemic is impacting families, and in particular, children and their development. This manuscript applies psychodynamic theory and research on neurobiology to explore some of the potential effects of COVID-19 on children and their developmental trajectories. The discussion of these psychodynamic concepts is also placed within the context of the heightened tensions around equity and social justice issues within the U.S. society. In addition, this article provides guidelines, strategies, and resources for social workers that can be used when working with families and caregivers to mitigate any potential negative effects that the pandemic is having on children and their families. A case presentation is included to further illustrate these issues.
{"title":"Growing Up in the Age of COVID-19 through the Lens of Psychodynamic Theory","authors":"Melissa D. Grady, R. O'toole, Dana Schneider","doi":"10.1080/15228878.2021.1931375","DOIUrl":"https://doi.org/10.1080/15228878.2021.1931375","url":null,"abstract":"Abstract The long-term effects of the global COVID-19 pandemic on individuals, families, and society are not yet known. For social workers, it is critical to consider how the pandemic is impacting families, and in particular, children and their development. This manuscript applies psychodynamic theory and research on neurobiology to explore some of the potential effects of COVID-19 on children and their developmental trajectories. The discussion of these psychodynamic concepts is also placed within the context of the heightened tensions around equity and social justice issues within the U.S. society. In addition, this article provides guidelines, strategies, and resources for social workers that can be used when working with families and caregivers to mitigate any potential negative effects that the pandemic is having on children and their families. A case presentation is included to further illustrate these issues.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"29 1","pages":"44 - 73"},"PeriodicalIF":0.3,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15228878.2021.1931375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46058761","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 : 2021-02-24DOI: 10.1080/15228878.2021.1877752
C. R. Malamed
Abstract In this paper, I advance the view that racism, experienced as an intrapsychic, interpersonal, cultural and socio-political phenomenon, is fundamentally a problem that white people are responsible for solving. I begin with an assumption that white practitioners, specifically those of us who strive to offer social justice-informed psychodynamic treatment, are responsible for addressing this problem by attending to the relational dynamics that unfold in the consulting room with white clients. I utilize case material from my own practice to explore ways to do this and clinical quandaries that might arise, particularly in cases where the question of race does not explicitly present as a topic of concern. I suggest that there are multiple ways to address racism, as well as other socio-political issues, including investigating how the words we use are culturally and socio-politically determined, investigating in what way our clinical interventions are operating in collusion with or in opposition to parts of a client’s social and familial context (systemic enactment), analyzing and de-centering cultural and social expressions in clients that are reflections of a larger system of racial superiority and oppression, and linking intrapsychic and relational development with racial identity formation.
{"title":"A White Person Problem: Conducting White/White Treatment with a Social Justice Lens","authors":"C. R. Malamed","doi":"10.1080/15228878.2021.1877752","DOIUrl":"https://doi.org/10.1080/15228878.2021.1877752","url":null,"abstract":"Abstract In this paper, I advance the view that racism, experienced as an intrapsychic, interpersonal, cultural and socio-political phenomenon, is fundamentally a problem that white people are responsible for solving. I begin with an assumption that white practitioners, specifically those of us who strive to offer social justice-informed psychodynamic treatment, are responsible for addressing this problem by attending to the relational dynamics that unfold in the consulting room with white clients. I utilize case material from my own practice to explore ways to do this and clinical quandaries that might arise, particularly in cases where the question of race does not explicitly present as a topic of concern. I suggest that there are multiple ways to address racism, as well as other socio-political issues, including investigating how the words we use are culturally and socio-politically determined, investigating in what way our clinical interventions are operating in collusion with or in opposition to parts of a client’s social and familial context (systemic enactment), analyzing and de-centering cultural and social expressions in clients that are reflections of a larger system of racial superiority and oppression, and linking intrapsychic and relational development with racial identity formation.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"28 1","pages":"149 - 172"},"PeriodicalIF":0.3,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15228878.2021.1877752","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48822032","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 : 2021-01-02DOI: 10.1080/15228878.2020.1861470
C. Hart
Abstract Vertical and lateral functions shape one’s sense of self and help one understand their place in the world. Yet, there are significant gaps in self psychology regarding the subjective aspects of self-sustaining functions provided by siblings and how these may differ from parental functions. This article examines these concepts from the perspective of a volunteer group of six adult participants who had high-access parent and sibling relationships in childhood. The analysis of eighteen psychoanalytic interviews showed that siblings can function as more than reparative or replacement vertical figures. As the participants’ parents were subjectively experienced as present and good enough at offering specific vertical functions, this article outlines some of the distinctive lateral functions that can be fulfilled by siblings, including idealizing and twinship. Further theoretical and clinical engagement with vertical and lateral functions is necessary in order to deepen self-psychological understandings of parent and sibling relationships.
{"title":"“I Am You and You Are Me”: A Self Psychology Perspective on Sibling Relationships","authors":"C. Hart","doi":"10.1080/15228878.2020.1861470","DOIUrl":"https://doi.org/10.1080/15228878.2020.1861470","url":null,"abstract":"Abstract Vertical and lateral functions shape one’s sense of self and help one understand their place in the world. Yet, there are significant gaps in self psychology regarding the subjective aspects of self-sustaining functions provided by siblings and how these may differ from parental functions. This article examines these concepts from the perspective of a volunteer group of six adult participants who had high-access parent and sibling relationships in childhood. The analysis of eighteen psychoanalytic interviews showed that siblings can function as more than reparative or replacement vertical figures. As the participants’ parents were subjectively experienced as present and good enough at offering specific vertical functions, this article outlines some of the distinctive lateral functions that can be fulfilled by siblings, including idealizing and twinship. Further theoretical and clinical engagement with vertical and lateral functions is necessary in order to deepen self-psychological understandings of parent and sibling relationships.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"28 1","pages":"64 - 85"},"PeriodicalIF":0.3,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15228878.2020.1861470","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48807561","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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