Pub Date : 2023-04-03DOI: 10.1080/24720038.2023.2181964
Mark Winitsky
ABSTRACT In this paper, the author discusses ways in which certain theoretical ideas found in relational self psychology theory, and particularly the concept of “a hermeneutics of trust,” support working empathically with couples in difficult situations. Three case vignettes are provided to illustrate the author’s application of these ideas in complex and confusing situations.
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Pub Date : 2023-04-03DOI: 10.1080/24720038.2023.2187057
H. Macintosh
ABSTRACT Many couples in distress encounter significant barriers to accessing psychoanalytic treatments, which leaves psychoanalysis far out of the reach of many of those who would benefit from its rich and deep clinical processes. This paper will briefly outline Developmental Couple Therapy for Complex Trauma (DCTCT). DCTCT is a manualized, evidence-based, time-limited therapy built upon the psychoanalytic foundations of attachment, emotion regulation, mentalizing, and repetition-enactment. This four-stage model integrates psychoeducation about psychoanalytic concepts such as attachment, emotion regulation, and mentalizing, to help couples learn about these developmental self-capacities prior to a second stage of explicit skills building, a third stage of deeper analytic working through of traumatic memories, challenges with sexuality, and developing attachment security prior to a fourth stage of consolidation. The case of Cheryl and Cat will illustrate the process of DCTCT and show some of the advantages specific to couple therapy.
{"title":"Developmental Couple Therapy for Complex Trauma Survivors: A detailed case study of a manualized, time-limited, psychoanalytically informed treatment","authors":"H. Macintosh","doi":"10.1080/24720038.2023.2187057","DOIUrl":"https://doi.org/10.1080/24720038.2023.2187057","url":null,"abstract":"ABSTRACT Many couples in distress encounter significant barriers to accessing psychoanalytic treatments, which leaves psychoanalysis far out of the reach of many of those who would benefit from its rich and deep clinical processes. This paper will briefly outline Developmental Couple Therapy for Complex Trauma (DCTCT). DCTCT is a manualized, evidence-based, time-limited therapy built upon the psychoanalytic foundations of attachment, emotion regulation, mentalizing, and repetition-enactment. This four-stage model integrates psychoeducation about psychoanalytic concepts such as attachment, emotion regulation, and mentalizing, to help couples learn about these developmental self-capacities prior to a second stage of explicit skills building, a third stage of deeper analytic working through of traumatic memories, challenges with sexuality, and developing attachment security prior to a fourth stage of consolidation. The case of Cheryl and Cat will illustrate the process of DCTCT and show some of the advantages specific to couple therapy.","PeriodicalId":42308,"journal":{"name":"Psychoanalysis Self and Context","volume":"5 1","pages":"294 - 313"},"PeriodicalIF":0.3,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78312128","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 : 2023-04-03DOI: 10.1080/24720038.2023.2183210
D. Shaddock
ABSTRACT This paper examines conjoint couples therapy as a treatment modality for fostering individual development. The central thesis is that self psychologically informed couples therapy—because it simultaneously offers both the therapist’s empathic immersion in each partner’s subjective world and the inevitable confrontation with the other partner’s differently organized subjectivity—offers a unique therapeutic experience that transcends the current dialectic in psychotherapy between provision and confrontation. After a brief introduction to intersubjective systems theory, the paper examines the individual’s experience in couples therapy. Disruptions and repairs of each partner’s narcissistic vulnerability can create new pathways for adult development. Two issues in individual development are then discussed in detail: the tendency of past experience, especially trauma, to dominate the present, and the difficulty partners have to recognize and tolerate alterity. Each issue offers the possibility of individual development within the couples therapy context. The paper concludes with a case example that demonstrates both partner’s mastering of vexing individual issues in a conjoint context.
{"title":"Couples therapy as therapy: Fostering individual growth in conjoint contexts","authors":"D. Shaddock","doi":"10.1080/24720038.2023.2183210","DOIUrl":"https://doi.org/10.1080/24720038.2023.2183210","url":null,"abstract":"ABSTRACT This paper examines conjoint couples therapy as a treatment modality for fostering individual development. The central thesis is that self psychologically informed couples therapy—because it simultaneously offers both the therapist’s empathic immersion in each partner’s subjective world and the inevitable confrontation with the other partner’s differently organized subjectivity—offers a unique therapeutic experience that transcends the current dialectic in psychotherapy between provision and confrontation. After a brief introduction to intersubjective systems theory, the paper examines the individual’s experience in couples therapy. Disruptions and repairs of each partner’s narcissistic vulnerability can create new pathways for adult development. Two issues in individual development are then discussed in detail: the tendency of past experience, especially trauma, to dominate the present, and the difficulty partners have to recognize and tolerate alterity. Each issue offers the possibility of individual development within the couples therapy context. The paper concludes with a case example that demonstrates both partner’s mastering of vexing individual issues in a conjoint context.","PeriodicalId":42308,"journal":{"name":"Psychoanalysis Self and Context","volume":"151 1","pages":"314 - 326"},"PeriodicalIF":0.3,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77992090","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 : 2023-04-03DOI: 10.1080/24720038.2023.2184820
J. Edwards
ABSTRACT The concept of the repetition compulsion has spawned reams of professional literature about its role in intimate relationships. In this article, the author briefly outlines some of this literature before presenting her own view of the health-producing potential of the compulsion to repeat. In her work with adult partners in treatment, she views them as continually accessing historically dissociated affects through their repetitive conflicts, making these affects more available for metabolizing. The author sees this repetition as an inevitable and useful path to healing previously unmetabolized wounds, traumas and losses. The article illustrates this perspective of repetition compulsion through the description of the treatment of shame in couple therapy.
{"title":"Shame and reunions: A new look at the compulsion to repeat","authors":"J. Edwards","doi":"10.1080/24720038.2023.2184820","DOIUrl":"https://doi.org/10.1080/24720038.2023.2184820","url":null,"abstract":"ABSTRACT The concept of the repetition compulsion has spawned reams of professional literature about its role in intimate relationships. In this article, the author briefly outlines some of this literature before presenting her own view of the health-producing potential of the compulsion to repeat. In her work with adult partners in treatment, she views them as continually accessing historically dissociated affects through their repetitive conflicts, making these affects more available for metabolizing. The author sees this repetition as an inevitable and useful path to healing previously unmetabolized wounds, traumas and losses. The article illustrates this perspective of repetition compulsion through the description of the treatment of shame in couple therapy.","PeriodicalId":42308,"journal":{"name":"Psychoanalysis Self and Context","volume":"56 1","pages":"204 - 217"},"PeriodicalIF":0.3,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90779652","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 : 2023-04-03DOI: 10.1080/24720038.2023.2187809
Tyia Grange Isaacson
ABSTRACT The author presents the treatment of a deeply traumatized, high conflict couple, massively overwhelmed by multiple stressors. Building upon the rich legacy of self psychology, this paper aims to illustrate how couple therapists can invite traumatized partners to move from despair and rage into hope and connection. This treatment approach is fundamentally based upon a systems perspective, but nested within that overarching stance are several foundational principles, including: 1) the concept of thirdness, or the view that surrendering one’s own perspective for the sake of connection allows an additional perspective 2) empathic, subject-centered listening that includes emotional dwelling as advocated by self psychology; 3) conceptualizing the system as a whole, rather than only the individuals, as lacking adequate soothing; 4) recognizing the influence of cultural forces upon the couple; 5) working with each partner’s self states or the idea that each individual has many parts within themselves and when invited into the treatment room can generate greater connection and healing; and 6) enlisting the partners as co-therapists. These basic tenets helped a mutually traumatized couple find their way out of fear. The paper illustrates how even in a barren landscape, where there is emotional dwelling, hope can germinate.
{"title":"Daring to Hope: A couple’s journey from trauma into connection","authors":"Tyia Grange Isaacson","doi":"10.1080/24720038.2023.2187809","DOIUrl":"https://doi.org/10.1080/24720038.2023.2187809","url":null,"abstract":"ABSTRACT The author presents the treatment of a deeply traumatized, high conflict couple, massively overwhelmed by multiple stressors. Building upon the rich legacy of self psychology, this paper aims to illustrate how couple therapists can invite traumatized partners to move from despair and rage into hope and connection. This treatment approach is fundamentally based upon a systems perspective, but nested within that overarching stance are several foundational principles, including: 1) the concept of thirdness, or the view that surrendering one’s own perspective for the sake of connection allows an additional perspective 2) empathic, subject-centered listening that includes emotional dwelling as advocated by self psychology; 3) conceptualizing the system as a whole, rather than only the individuals, as lacking adequate soothing; 4) recognizing the influence of cultural forces upon the couple; 5) working with each partner’s self states or the idea that each individual has many parts within themselves and when invited into the treatment room can generate greater connection and healing; and 6) enlisting the partners as co-therapists. These basic tenets helped a mutually traumatized couple find their way out of fear. The paper illustrates how even in a barren landscape, where there is emotional dwelling, hope can germinate.","PeriodicalId":42308,"journal":{"name":"Psychoanalysis Self and Context","volume":"27 1","pages":"281 - 293"},"PeriodicalIF":0.3,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83357721","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 : 2023-04-03DOI: 10.1080/24720038.2023.2177297
Derek Prowe
ABSTRACT Contemporary psychoanalytic couples therapy technique may commonly include individual sessions in the course of treatment. Informed by a couples therapy case that required flexible adaptations, this paper proposes that including a substantial course of individual sessions may still make up a couples therapy. When navigating ambiguity and making adaptations as required by this case, a guiding principal is development. The paper considers theoretical factors relating to this expansion of technique and other adaptations, and possible consequences.
{"title":"Couples therapy as intention: A flexible approach to treatment","authors":"Derek Prowe","doi":"10.1080/24720038.2023.2177297","DOIUrl":"https://doi.org/10.1080/24720038.2023.2177297","url":null,"abstract":"ABSTRACT Contemporary psychoanalytic couples therapy technique may commonly include individual sessions in the course of treatment. Informed by a couples therapy case that required flexible adaptations, this paper proposes that including a substantial course of individual sessions may still make up a couples therapy. When navigating ambiguity and making adaptations as required by this case, a guiding principal is development. The paper considers theoretical factors relating to this expansion of technique and other adaptations, and possible consequences.","PeriodicalId":42308,"journal":{"name":"Psychoanalysis Self and Context","volume":"47 1","pages":"234 - 246"},"PeriodicalIF":0.3,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77241707","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 : 2023-03-13DOI: 10.1080/24720038.2023.2183958
Lynne Layton
ABSTRACTI argue here that to emerge from crisis and bring about institutional and individual transformation, psychoanalysis and psychology must acknowledge and integrate into its theory and practices the crucial role that unequal social systems play in subject formation. The cost of not doing so is to perpetuate the systemic ills that directly and indirectly are responsible for most of our social and individual suffering. With regard, in particular, to the racial reckoning that many of our white-dominated institutions and white practitioners have undertaken in the past few years, I argue that disavowal of the systemic has taken the form of impeding anti-Black antiracism work by substituting in its place “diversity” initiatives that deny power differentials and merely celebrate differences.KEYWORDS: Anti-Black racismdisavowaldiversitynormative unconscious processessystemic racism Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationNotes on contributorsLynne LaytonLynne Layton is on the Grassroots Reparations Campaign organizing committee, co-founder of Reflective Spaces/Material Places-Boston, and is a psychoanalyst on the racial equity task force at the Massachusetts Institute for Psychoanalysis. She is a Corresponding Member of the Psychiatry Department of Beth Israel Deaconess Medical Center, Harvard Medical School and has taught Social Psychoanalysis in the Community, Liberation, Indigenous and Eco-Psychologies specialization at Pacifica Graduate Institute. She is Past-President of Section IX, Psychoanalysis for Social Responsibility, and the author of Who’s That Girl? Who’s That Boy? Clinical Practice Meets Postmodern Gender Theory, and, with Marianna Leavy-Sperounis, Toward a Social Psychoanalysis: Culture, Character, and Normative Unconscious Processes.
{"title":"Psychoanalysis in the Interregnum","authors":"Lynne Layton","doi":"10.1080/24720038.2023.2183958","DOIUrl":"https://doi.org/10.1080/24720038.2023.2183958","url":null,"abstract":"ABSTRACTI argue here that to emerge from crisis and bring about institutional and individual transformation, psychoanalysis and psychology must acknowledge and integrate into its theory and practices the crucial role that unequal social systems play in subject formation. The cost of not doing so is to perpetuate the systemic ills that directly and indirectly are responsible for most of our social and individual suffering. With regard, in particular, to the racial reckoning that many of our white-dominated institutions and white practitioners have undertaken in the past few years, I argue that disavowal of the systemic has taken the form of impeding anti-Black antiracism work by substituting in its place “diversity” initiatives that deny power differentials and merely celebrate differences.KEYWORDS: Anti-Black racismdisavowaldiversitynormative unconscious processessystemic racism Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationNotes on contributorsLynne LaytonLynne Layton is on the Grassroots Reparations Campaign organizing committee, co-founder of Reflective Spaces/Material Places-Boston, and is a psychoanalyst on the racial equity task force at the Massachusetts Institute for Psychoanalysis. She is a Corresponding Member of the Psychiatry Department of Beth Israel Deaconess Medical Center, Harvard Medical School and has taught Social Psychoanalysis in the Community, Liberation, Indigenous and Eco-Psychologies specialization at Pacifica Graduate Institute. She is Past-President of Section IX, Psychoanalysis for Social Responsibility, and the author of Who’s That Girl? Who’s That Boy? Clinical Practice Meets Postmodern Gender Theory, and, with Marianna Leavy-Sperounis, Toward a Social Psychoanalysis: Culture, Character, and Normative Unconscious Processes.","PeriodicalId":42308,"journal":{"name":"Psychoanalysis Self and Context","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136004788","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 : 2023-01-02DOI: 10.1080/24720038.2022.2154771
Indrany Datta-Barua
ABSTRACT In this essay I intend to demonstrate that attacks on linking, as Bion described, limit not only individual self-knowledge, but also the psychoanalytic understanding of the interrelatedness of self and context. Utilizing personal material, I will illustrate the irreducible entanglement between the individual and context, which, when understanding of this interconnection is prevented through attacks on linking, can have disastrous individual outcomes. By collocating this with a professional interaction, I intend not only to show that attacks on linking inhibit curiosity and prevent the development of self-knowledge for individuals, as described by Bion, but also to elaborate on Lynne Layton’s observation that attacks on the linking of individual psyches and society reinforce the paranoid-schizoid splits of White-Black, West-East, colonizer-colonized, that risk the growth and integration of psychoanalytic thought itself.
{"title":"A plea for linking or how are yoga, K-pop and psychoanalysis connected?","authors":"Indrany Datta-Barua","doi":"10.1080/24720038.2022.2154771","DOIUrl":"https://doi.org/10.1080/24720038.2022.2154771","url":null,"abstract":"ABSTRACT In this essay I intend to demonstrate that attacks on linking, as Bion described, limit not only individual self-knowledge, but also the psychoanalytic understanding of the interrelatedness of self and context. Utilizing personal material, I will illustrate the irreducible entanglement between the individual and context, which, when understanding of this interconnection is prevented through attacks on linking, can have disastrous individual outcomes. By collocating this with a professional interaction, I intend not only to show that attacks on linking inhibit curiosity and prevent the development of self-knowledge for individuals, as described by Bion, but also to elaborate on Lynne Layton’s observation that attacks on the linking of individual psyches and society reinforce the paranoid-schizoid splits of White-Black, West-East, colonizer-colonized, that risk the growth and integration of psychoanalytic thought itself.","PeriodicalId":42308,"journal":{"name":"Psychoanalysis Self and Context","volume":"44 1","pages":"1 - 13"},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86339763","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 : 2023-01-02DOI: 10.1080/24720038.2022.2154774
J. Stern
,
，
{"title":"Thoughts on Covid, Hamlet, and Freedom","authors":"J. Stern","doi":"10.1080/24720038.2022.2154774","DOIUrl":"https://doi.org/10.1080/24720038.2022.2154774","url":null,"abstract":",","PeriodicalId":42308,"journal":{"name":"Psychoanalysis Self and Context","volume":"122 1","pages":"147 - 156"},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86485705","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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