Pub Date : 2022-12-08DOI: 10.1080/24720038.2022.2154772
G. Hagman
ABSTRACT Many patients resist engagement in the therapeutic relationship because they fear the traumatic consequences of the mobilization of thwarted selfobject needs in what they fear will be a faulty, nonempathic environment. At times this resistance is manifest in “narcissistic rage” as described by Heinz Kohut. Providing opportunities for selfobject experience in work with these patients can be challenging. In his 1971 paper The Use of the Object, D.W. Winnicott described a developmental process in which the state of omnipotent merger with important objects undergoes a transformation in which the other is increasingly recognized as not only outside the self, but also in possession of a subjectivity of its own and thus can be made use of. In work with some seriously and persistently mentally ill, the client’s capacity to make use of the clinician is poorly developed or highly conflicted. Given this the clinical process in which the client achieves the recognition of the worker and trust in their intentions—and hence can make use of them as a selfobject, is often prolonged and stormy. A case is discussed at length that illustrates this. The report documents the importance of holding, containment, management of the countertransference, and survival strategies for the clinician. It also shows the patient’s growing ability to make use of the clinician as a selfobject as she struggles to understand and cope with changes in her life world and self-experience.
许多患者拒绝参与治疗关系，因为他们害怕在他们担心的错误的、非共情的环境中调动受挫的自我客体需求会带来创伤性后果。有时，这种抗拒表现为Heinz Kohut所说的“自恋的愤怒”。在治疗这些病人时提供自我客体体验的机会是具有挑战性的。D.W.温尼科特(D.W. Winnicott)在其1971年的论文《客体的使用》(The Use of The Object)中描述了一个发展过程，在这个过程中，与重要客体的全能合并状态经历了一种转变，在这种转变中，他者越来越被认为不仅是在自我之外，而且拥有自己的主观性，因此可以被利用。在治疗一些严重和持续的精神疾病时，病人利用临床医生的能力发展不足或高度冲突。鉴于此，在临床过程中，来访者获得了对工作者的认可和对他们意图的信任——因此可以将他们作为一个自我客体来利用——往往是漫长而激烈的。详细讨论了一个案例来说明这一点。该报告记录了临床医生控制、遏制、反移情管理和生存策略的重要性。它还显示了病人在努力理解和应对生活世界和自我体验的变化时，将临床医生作为自我客体的能力日益增强。
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Pub Date : 2022-11-29DOI: 10.1080/24720038.2022.2147527
E. Shane, J. Gardner
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Pub Date : 2022-09-26DOI: 10.1080/24720038.2022.2078830
A. Goldberg, R. Shelby
ABSTRACT This paper reflects on the author’s 35 year relationship with Arnold Goldberg. It is organized around Arnold’s published works and concepts the author found iluminating. Personal life with the Goldberg family at our retreats in the Indiana Dunes National Lakeshore balance the professional and personal life of Arnold Goldberg.
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Pub Date : 2022-09-26DOI: 10.1080/24720038.2022.2078827
Caryle Perlman
When Arnold Goldberg decided to study treatment failure, he offered a seminar entitled “Failed Cases” at the Chicago Institute for Psychoanalysis. A large number of candidates, graduate analysts, and faculty quickly reworked their schedules so that they might participate. Goldberg’s reputation as a provocative, stimulating and brilliant teacher, combined with the unusual subject, encouraged a large membership. Goldberg asked Brenda Solomon and Caryle Perlman, two author participant members of the long running study group, resulting in the book Errant Selves, to help line up presenters and take notes on the seminar. Lining up presenters was not always an easy task. Most people had mixed feelings about presenting work clearly labeled a “failed case” to a group of their peers. The candidates were perhaps more willing to expose what might be a failure on the grounds of being “just a candidate so it is not surprising I have failed doing this treatment.” The participants of the seminar did not hold back in their myriad responses to the “failed cases.” Such responses ranged from blaming the analyst to blaming the patient, to thinking this was not a failure so no one was to blame, and finally to concluding that this analysis was so inappropriate that failure was inevitable from the start. Some presenters felt traumatized after presenting, even if they said it was useful, while others said it helped them look at the treatment in a completely different way. One said that the whole purpose of the group was a sado-masochistic enactment but she was still glad she had presented. Goldberg never asked for Perlman’s or Solomon’s notes. Instead, he wrote the book on his own. Perhaps he did not want to deal with the enormously time-consuming process of the study group and the multiple case presentations he had lived through. Perhaps he knew this was going to be his last major work and so wanted the liberty to write it in his own eloquent style, on his own timetable, and with his own examples. His examples are, in fact, usually not clear failures but rather demonstrate the struggle of a very experienced analyst engaged in the murky work of psychoanalysis. The book, The Analysis of Failure certainly reflects and comes from the Seminar but the content moves back and forth from the most practical to the most philosophical questions around failure and, as in his other writing, gives us a true sense of the depth of Goldberg’s mind. He utilizes material from many sources that are both close and distant from psychoanalytic thinking. He even uses a Darwin scholar as a reference. He read voraciously and deeply and plays with ideas that, while distant from psychoanalytic theory or practice, shine some light on his ideas about treatment success and failure, and all the grey in between. How are we to understand failure? Failure is the other side of the coin of greatness, the greatness that is a remnant of childhood grandiosity. We hate failure for many reasons but the most powe
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Pub Date : 2022-09-26DOI: 10.1080/24720038.2022.2078831
B. Solomon, M. Dobson
{"title":"A Pastiche of Brief Memories of Arnold Goldberg","authors":"B. Solomon, M. Dobson","doi":"10.1080/24720038.2022.2078831","DOIUrl":"https://doi.org/10.1080/24720038.2022.2078831","url":null,"abstract":"","PeriodicalId":42308,"journal":{"name":"Psychoanalysis Self and Context","volume":"60 1","pages":"339 - 339"},"PeriodicalIF":0.3,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87057487","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 : 2022-09-26DOI: 10.1080/24720038.2022.2078828
John Hanwell Riker, PhD
In empathizing with the helplessness, Arnie was able to breach the insecurity and build up organizing structures for the improvement of the patient’s self-cohesion. Through the process of psychodynamic therapy, the patient lost the need to wear diapers in everyday life, ending in a happy continuation of his marriage, which had suffered due to his pathological diaper fixation. The cure marked an effective end to the sector psychotherapy and resulted in the patient’s deeper understanding of the utility of his underdeveloped self-functions, hence a lack of a necessary need for further analysis.”
{"title":"Arnold Goldberg: Reflections on his Importance, Teaching, Irascibility, and Humanness","authors":"John Hanwell Riker, PhD","doi":"10.1080/24720038.2022.2078828","DOIUrl":"https://doi.org/10.1080/24720038.2022.2078828","url":null,"abstract":"In empathizing with the helplessness, Arnie was able to breach the insecurity and build up organizing structures for the improvement of the patient’s self-cohesion. Through the process of psychodynamic therapy, the patient lost the need to wear diapers in everyday life, ending in a happy continuation of his marriage, which had suffered due to his pathological diaper fixation. The cure marked an effective end to the sector psychotherapy and resulted in the patient’s deeper understanding of the utility of his underdeveloped self-functions, hence a lack of a necessary need for further analysis.”","PeriodicalId":42308,"journal":{"name":"Psychoanalysis Self and Context","volume":"1 1","pages":"306 - 312"},"PeriodicalIF":0.3,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84484762","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 : 2022-09-26DOI: 10.1080/24720038.2022.2074008
J. Stern
ABSTRACT This is a remembrance of my years with Arnold Goldberg as his student, supervisee, and friend.
这是我作为阿诺德·戈德堡的学生、导师和朋友的回忆。
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Pub Date : 2022-09-26DOI: 10.1080/24720038.2022.2078585
{"title":"In Memory of Arnold Goldberg","authors":"","doi":"10.1080/24720038.2022.2078585","DOIUrl":"https://doi.org/10.1080/24720038.2022.2078585","url":null,"abstract":"","PeriodicalId":42308,"journal":{"name":"Psychoanalysis Self and Context","volume":"46 1","pages":"296 - 296"},"PeriodicalIF":0.3,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89385705","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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