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Surviving sorrow: A letter from Ukraine 从悲伤中幸存:一封来自乌克兰的信
IF 0.3 Q2 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2023-06-30 DOI: 10.1080/24720038.2023.2203033
Viktoria Zhyrova
ABSTRACT In this short essay, Zhyrova describes life as a psychologist under Russian invasion. She includes both the value of connection and the inescapable sorrow of loss, and the eventual need to move abroad. This like everything else in the current scenario is an impossible contradiction, her exile bringing both safety and further estrangement from her home and loved ones.
在这篇短文中,日罗娃描述了在俄罗斯入侵下作为一名心理学家的生活。她既包含了联系的价值,也包含了不可避免的失去亲人的悲伤,以及最终移居国外的需要。就像当前场景中的其他一切一样,这是一个不可能的矛盾,她的流亡带来了安全,也进一步疏远了她的家庭和亲人。
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引用次数: 0
“She’s still alive”: A wartime meditation on grief and hope “她还活着”:战时对悲伤和希望的沉思
IF 0.3 Q2 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2023-06-30 DOI: 10.1080/24720038.2023.2205773
A. Gladkaya
ABSTRACT A Ukrainian therapist who, at the start of the war, flees with her young family, first to Western Ukraine, then to Italy, recounts her complex emotional and professional experiences along the way. The author describes fear, loss, abandonment, survivor guilt, surprising resilience, resourcefulness, tears, and joy.
一位乌克兰治疗师,在战争开始时,带着她年轻的家人先逃到乌克兰西部,然后逃到意大利,讲述了她一路上复杂的情感和职业经历。作者描述了恐惧、失落、遗弃、幸存者内疚、令人惊讶的恢复力、足智多谋、眼泪和喜悦。
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引用次数: 0
Dialogue with Gaea Logan: “The whole world needs to hear these stories” 对话盖亚·洛根:“全世界都需要听到这些故事。”
IF 0.3 Q2 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2023-06-30 DOI: 10.1080/24720038.2023.2205781
Gaea Logan, Darren Haber
ABSTRACT In this reflective, compassionate interview, Gaea Logan discusses her work in supporting Ukrainian therapists amidst unthinkably traumatic circumstances, our need to stay aware of the long-term psychological impact of Putin’s invasion, and the importance of our continued support of our Ukrainian colleagues now, no matter how small the gesture. Logan contextualizes her view of the current onslaught within a career of recognizing and mitigating traumatic suffering around the world, motivated in part by her own family’s history of surviving Nazi violence. She also addresses today’s need for (and her efforts to co-create) a global, multi-disciplinary psychoanalytic community.
在这个发人深省、富有同情心的采访中,盖亚·洛根(Gaea Logan)讨论了她在难以想象的创伤环境中支持乌克兰治疗师的工作,我们需要意识到普京入侵的长期心理影响,以及我们现在继续支持乌克兰同事的重要性,无论多么小的姿态。洛根将她对当前暴行的看法置于认识和减轻世界各地创伤性痛苦的职业生涯中,部分原因是她自己家族在纳粹暴力中幸存的历史。她还谈到了今天对全球多学科精神分析社区的需求(以及她共同创造的努力)。
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引用次数: 0
Practicing in a time of covid loss and threat: Parallel processes on the yellow brick road of trauma, healing, trust and belonging 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
Q2 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2023-04-20 DOI: 10.1080/24720038.2023.2199787
Heather B. MacIntosh
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.
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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引用次数: 0
Commentary on a triadic developmental system: Implications of infant research for couples treatment by David Shaddock PhD 三合一发展系统的评论:婴儿研究对夫妻治疗的影响
IF 0.3 Q2 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2023-04-03 DOI: 10.1080/24720038.2023.2185246
B. Beebe
The microanalysis of mother-infant face-to-face communication has important implications for nonverbal communication in adult romantic partners and couples therapy. I am delighted that David Shaddock has taken up the challenge of relating these 2 fields. David emphasizes the dyadic co-creation of patterns of relating. Each person is con-tributing to the emerging interactive process. This is one of the most important insights from infant research. For example, in the mother-infant “chase and dodge” pattern (Beebe & Lachmann, 2002; Beebe & Stern, 1977), we identified a bi-directional interactive process. As the mother loomed into the infant’s face, the infant turned his head away. This was a quasi-simultaneous process, in which the mother’s loom started just a small fraction of a second before the infant’s head turn. But then, as the infant was turning away, the mother began to “chase,” that is, to move in the direction in which the infant was turning away. This was also a quasi-simultaneous process. This pattern might repeat until the infant tucked his head down, and moved his head to the other side, without looking at his mother. Then the whole process might repeat on the other side. And so on. As a couples therapist, I might see something similar as I watch a couple sitting in front of me. As one individual in the couple turns her head toward her partner, the partner just slightly turns his head away; but as he turns slightly away, she moves her head a tiny bit further toward her partner. This example illustrates a chase and dodge pattern in the couple in which the female partner is “chasing” and the male partner is “dodging.” Together they co-create this pattern. David also emphasizes the dyadic systems view in which self-regulation and interactive regulation are co-constituted (Beebe et al., 2016). How each individual regulates her own attention, orientation, affect, touch and physiological arousal—affects how she responds to her partner and how her partner responds to her. And vice versa, the nature of the interactive regulation affects each partner’s pattern of self-regulation.
母婴面对面沟通的微观分析对成人伴侣的非语言沟通和夫妻治疗具有重要意义。我很高兴David Shaddock接受了将这两个领域联系起来的挑战。David强调关系模式的二元共同创造。每个人都在为新出现的互动过程做出贡献。这是婴儿研究中最重要的见解之一。例如,在母婴“追逐和躲避”模式中(Beebe & Lachmann, 2002;Beebe & Stern, 1977),我们发现了一个双向互动过程。当母亲出现在婴儿面前时,婴儿把头扭开了。这是一个准同步的过程,在这个过程中,母亲的织布机在婴儿头部转动之前的一小部分时间开始转动。但是,当婴儿转身离开时,母亲开始“追逐”,也就是说,朝着婴儿转身离开的方向移动。这也是一个准同步的过程。这种模式可能会重复,直到婴儿把头低下,把头移到另一边,不看他的母亲。然后整个过程可能会在另一边重复。等等......作为一名夫妻治疗师,当我看到坐在我面前的一对夫妇时,我可能会看到类似的情况。当一方把头转向另一方时,另一方只是稍微把头转开;但当他稍微转过身去时,她的头向她的伴侣移了一点。这个例子说明了一对夫妇的追逐和躲避模式,其中女性伴侣是“追逐”而男性伴侣是“躲避”。它们共同创造了这种模式。David还强调了双元系统观点,其中自我调节和互动调节是共同构成的(Beebe et al., 2016)。每个人如何调节自己的注意力、取向、情感、触觉和生理唤起,会影响她对伴侣的反应以及伴侣对她的反应。反之亦然,互动调节的性质会影响双方的自我调节模式。
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引用次数: 0
A triadic developmental system: Implications of infant research for couples treatment 三合一发育系统:婴儿研究对夫妻治疗的启示
IF 0.3 Q2 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2023-04-03 DOI: 10.1080/24720038.2023.2177296
D. Shaddock
ABSTRACT This paper extends concepts from infant research and intersubjective systems theory to couples treatment. Infant research views human development as taking place in a two-person developmental system, in which the caregiver and the infant coordinate to foster infant development. Couples treatment is by analogy seen as a three person developmental system. Systems based psychoanalytic theories are applied to the couple/therapist system, particularly in regard to the oscillation between hoped-for selfobject experiences and feared repetitive experiences. Infant research has shown that the origin of our sense of self, others, and self-with-others emerges from the ongoing, largely nonverbal, dialogue between infants and caregivers. The attachment security from infancy is reorganized by adult relationships. The therapist looks to help partners (1) repair disruptions when they occur, (2) recognize each other and in turn feel recognized and (3) have greater ability to reflect or mentalize on their partner’s and their own mental states. The “back and forth weave” of the therapist’s attention is shown to have particular salience in fostering development. The paper concludes with a case example of how a single look or expression disrupts the couples enjoyment of an anticipated day.
本文将婴儿研究和主体间系统理论的概念扩展到夫妻治疗。婴儿研究认为人类的发展是在一个双人发展系统中进行的,在这个系统中,照顾者和婴儿协调促进婴儿的发展。通过类比,夫妻治疗被看作是一个三人发展系统。基于系统的精神分析理论应用于夫妻/治疗师系统,特别是关于希望的自我客体体验和恐惧的重复体验之间的振荡。对婴儿的研究表明,我们的自我意识、他人意识和与他人的自我意识的起源来自于婴儿和照顾者之间持续不断的、很大程度上是非语言的对话。婴儿期的依恋安全感被成人关系重新组织。治疗师希望帮助伴侣(1)在出现干扰时进行修复,(2)认识彼此,并相应地感到被认可,(3)更有能力反映或思考伴侣和自己的精神状态。治疗师的注意力的“来回编织”在促进发展方面表现得特别突出。文章最后用一个例子来说明,一个眼神或表情是如何扰乱了情侣们期待的一天的快乐。
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引用次数: 0
Asking for things and listening to criticism: Two fundamental challenges in intimate relationships and targets for couple therapy 请求帮助和倾听批评:亲密关系中的两个基本挑战,也是夫妻治疗的目标
IF 0.3 Q2 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2023-04-03 DOI: 10.1080/24720038.2023.2183209
A. Nielsen
ABSTRACT Few of us are good at asking for what we want or at listening to criticism. In this paper, I explore the many reasons why, emphasizing self psychological explanations, while also noting contributions from marital research, systems theory, and other psychoanalytic schools of thought. After a brief introduction, I provide an experience-near discussion of why people have trouble asking for what they want, the dysfunctional ways they try to avoid making themselves vulnerable, and guidelines for more effective self-assertion. I then discuss the related challenges of listening to other people’s criticism, common pitfalls encountered, and mistakes made, and again offer practical suggestions for helping patients to do better. Along the way, I offer case vignettes to illustrate my thinking. Though not usually described in such everyday language, these speaking and listening challenges are central to our daily work as couple therapists.
我们中很少有人善于要求我们想要的,或者善于倾听批评。在本文中,我探讨了许多原因,强调自我心理解释,同时也注意到婚姻研究,系统理论和其他精神分析思想流派的贡献。在简短的介绍之后,我提供了一个接近经验的讨论,关于为什么人们在要求他们想要的东西时遇到困难,他们试图避免使自己脆弱的不正常方式,以及更有效的自我主张的指导方针。然后,我讨论了倾听他人批评的相关挑战,遇到的常见陷阱和犯的错误,并再次提供实用的建议,以帮助患者做得更好。在此过程中,我提供了一些案例来说明我的想法。虽然通常不会用日常语言来描述,但作为夫妻治疗师,这些口语和听力方面的挑战是我们日常工作的核心。
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引用次数: 0
Airless worlds and couples therapy 无空气的世界和夫妻治疗
IF 0.3 Q2 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2023-04-03 DOI: 10.1080/24720038.2023.2176857
S. Stern
ABSTRACT In this paper the author expands his thinking about “airless worlds” in individual therapy to work with couples. Living in an airless world refers to a process of internalizing negating messages from parents to their children such that the adult child continues to view and treat themselves in more or less the same negating ways that their parents had. Individuals suffering from the syndrome tend not to have separated from their internalized parents sufficiently to be able to develop their own senses of self, agency, and reality and therefore tend, transferentially, to create a similar kind of unconscious bondage with their adult partners. When adult partners co-create a communicative system wherein each unconsciously cedes to the other the power to define their experience of themselves, an airless world has been created in their relationship. An unconscious dependency on, and negation of, the other renders constructive intersubjective dialogue virtually impossible (i.e. dialogue that takes into account both parties’ subjectivities). By way of focusing on his work with one couple whose capacity for competent constructive dialogue had broken down completely over many years, the author demonstrates both the operation of airless world dynamics in couples and his approach to introducing “psychic air” into their airless marital systems. Central to his approach is an expansion of the idea of therapeutic empathy to include “empathy with the needs of the system.”
在本文中,作者扩展了他对个体治疗中“无空气世界”的思考,以适用于夫妻。生活在一个没有空气的世界是指将父母给孩子的负面信息内化的过程,这样成年的孩子就会继续以或多或少与父母相同的消极方式看待和对待自己。患有这种综合症的人往往没有与他们内化的父母充分分离,无法发展自己的自我、代理和现实意识,因此倾向于与他们的成年伴侣产生类似的无意识束缚。当成年伴侣共同创造了一个交流系统,在这个系统中,每个人都无意识地把定义自己体验的权力让给了另一个人,一个没有空气的世界就在他们的关系中创造出来了。对对方无意识的依赖和否定使得建设性的主体间对话几乎不可能(即考虑到双方主体性的对话)。通过专注于他对一对夫妇的工作,他们多年来进行有能力的建设性对话的能力已经完全崩溃,作者展示了夫妇中无空气世界动力学的运作以及他将“精神空气”引入他们无空气婚姻系统的方法。他的方法的核心是扩展治疗性共情的概念,包括“对系统需求的共情”。
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引用次数: 0
Individual sessions as part of couple therapy? How concepts from self psychology can help us decide 个别治疗是夫妻治疗的一部分吗?自我心理学的概念如何帮助我们做决定
IF 0.3 Q2 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2023-04-03 DOI: 10.1080/24720038.2023.2184821
Carla M. Leone
ABSTRACT The question of whether to see partners individually as part of couple therapy has been hotly debated in couple therapy circles for decades, but has rarely been addressed in the psychoanalytic couple therapy literature, especially the self psychology literature. In an effort to fill that gap, this paper briefly reviews the reasons many couple therapists have traditionally avoided such sessions, encourages a reevaluation of those concerns, and suggests ways to minimize or reduce the risks. It argues strongly that in some cases, individual sessions can be an attuned, empathic response to the needs of one or both partners and the most effective way to help improve the relationship between them. Rather than hard-and-fast rules, the paper advocates that couple therapists use their empathic understanding of each partner’s history and inner world, the couple’s dynamics, and their own needs and motivations, to make attuned, empathically responsive decisions based on each partner and couple’s particular needs at a particular time. Clinical vignettes are used throughout the paper to illustrate key points.
几十年来,夫妻治疗界一直在热烈讨论是否将伴侣单独视为夫妻治疗的一部分,但在精神分析夫妻治疗文献中,尤其是自我心理学文献中,很少涉及到这一问题。为了填补这一空白,本文简要回顾了许多夫妻治疗师传统上避免此类会议的原因,鼓励对这些担忧进行重新评估,并提出了最小化或降低风险的方法。它强烈认为,在某些情况下,单独的会话可以是对一方或双方需求的协调,共情反应,是帮助改善他们之间关系的最有效方式。这篇论文提倡夫妻治疗师利用他们对每个伴侣的历史和内心世界、夫妇的动态、他们自己的需求和动机的共情理解,而不是一成不变的规则,根据每个伴侣和夫妇在特定时间的特定需求,做出协调的、共情响应的决定。在整个论文中使用临床小插图来说明要点。
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引用次数: 0
The couple therapist as intergenerational broker: A self psychological, attachment theory-informed perspective on helping couples with in-law-related conflict 作为代际经纪人的夫妻治疗师:一个自我心理学、依恋理论的视角,帮助夫妻解决与姻亲有关的冲突
IF 0.3 Q2 PSYCHOLOGY, PSYCHOANALYSIS Pub Date : 2023-04-03 DOI: 10.1080/24720038.2023.2187056
Mohammad Dehganpour, Carla M. Leone
ABSTRACT Conflicts between partners over their relationships with each other’s families of origin (in-laws) are very common and often very painful and damaging, yet have rarely been discussed in the psychoanalytic couple therapy literature. Becoming a couple typically involves significant reorganization of each partner’s relationships with their own families of origin, along with the development of new relationships with members of their partner’s family of origin, a process that can go painfully awry for reasons discussed in the paper.Self psychology and attachment theory can help couple therapists help couples better understand and move through this often difficult process in a way that reduces conflict, strengthens the new couple’s relationship and hopefully their in-law relationships and minimizes pain and damage to all involved. In some cases this is best accomplished by including other family members involved in the conflict in the treatment, as occurred in the case example. However, the couple therapist can function helpfully as an “intergenerational broker” even if only the couple is seen. A detailed case example is used to illustrate key points.
伴侣之间的冲突与彼此的原生家庭(姻亲)的关系是非常常见的,往往是非常痛苦和破坏性的,但很少在精神分析夫妻治疗文献中讨论。成为夫妻通常涉及双方与自己原生家庭的关系的重大重组,以及与伴侣原生家庭成员的新关系的发展,这一过程可能会因本文讨论的原因而痛苦地出错。自我心理学和依恋理论可以帮助夫妻治疗师帮助夫妻更好地理解和度过这个通常很困难的过程,以减少冲突的方式,加强新婚夫妇的关系,希望他们的姻亲关系,最大限度地减少所有人的痛苦和伤害。在某些情况下,如上述案例所示,最好的办法是让参与冲突的其他家庭成员参与治疗。然而,夫妻治疗师可以作为“代际经纪人”发挥有益的作用,即使只看到夫妻。通过一个详细的案例来说明要点。
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引用次数: 0
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Psychoanalysis Self and Context
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