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Thinking about a playroom1 我在想一个游戏室
IF 0.4 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-05-04 DOI: 10.1080/0075417X.2023.2226523
B. Joseph
ABSTRACT This paper discusses how thinking about a playroom involves our thinking about the setting in psychoanalytical work with children in general the physical as well as the human aspects and how this encourages us to rethink some of the basic aims in psychoanalytic work. The paper describes the importance of the setting being such as to help the therapist to have the freedom to think and to feel what is going on in the child and himself. Links are then made with aspects of transference and counter transference, and brief examples given.
摘要本文讨论了对游戏室的思考如何涉及到我们对儿童心理分析工作中的环境的思考——一般是身体和人的方面,以及这如何鼓励我们重新思考心理分析工作的一些基本目标。本文描述了环境的重要性,例如帮助治疗师有自由思考和感受孩子和他自己身上发生的事情。然后将移情和反移情的各个方面联系起来,并举例说明。
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引用次数: 0
The psychoanalytic frame and the consent situation: the child patient’s position in the publication dilemma 精神分析框架与同意情境:儿童患者在出版困境中的定位
IF 0.4 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-05-04 DOI: 10.1080/0075417X.2023.2204337
M. Garcia
ABSTRACT The author explores the current dilemma regarding consent standards for the publication of child patient clinical material, and the psychic impact on the child when seeking permission to publish. It is proposed that a psychoanalytic view creates an additional dimension to the more universal ethic of ‘do no harm’, requiring clinicians to consider the unconscious experience of the patient as the core of the matter. The term consent situation is introduced to describe the way in which providing a draft of the clinician’s writing about the patient’s experience in treatment, and then asking the patient and family for permission to publish it, subjects them to external realities of an oedipal nature, compromising the frame around the treatment, and the vital cycle of the containing function in the treatment. The frame could potentially be compromised from the beginning in the form of a leaky container, during the treatment as a betrayal of the frame, or after the treatment has ended as an intrusion into the containing object. The author shows how this is a burden to all young patients that could be collectively carried by the professional community, by using creative modifications to systems of professional development and publishing.
摘要作者探讨了目前儿童患者临床资料出版的同意标准的困境,以及在寻求出版许可时对儿童的心理影响。有人提出,精神分析观点为“不伤害”这一更普遍的伦理创造了一个额外的维度,要求临床医生将患者的无意识体验视为问题的核心。引入“同意情况”一词是为了描述这样一种方式,即提供临床医生关于患者治疗经历的书面草稿,然后请求患者及其家人允许发表,使他们暴露在俄狄浦尔性质的外部现实中,损害治疗的框架,以及在治疗中包含功能的生命周期。框架可能从一开始就以泄漏容器的形式受到损害,在处理过程中作为框架的背叛,或者在处理结束后作为对容纳对象的入侵。作者通过对专业发展和出版系统进行创造性的修改,展示了这对所有年轻患者来说是一种负担,可以由专业社区集体承担。
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引用次数: 0
Supporting early parenthood of hospitalised women with severe pregnancy problems and their partners: rationale, principles and exploration of a psychotherapeutic programme 支持有严重妊娠问题的住院妇女及其伴侣的早期生育:心理治疗方案的理由、原则和探索
IF 0.4 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-05-04 DOI: 10.1080/0075417X.2023.2206885
Fernanda Sampaio de Carvalho, Nicole Vliegen, I. Reiss, M. van Dijk
ABSTRACT This paper describes the rationale and treatment principles of an in-hospital psychotherapeutic programme for pregnant women with pre-eclampsia or HELLP syndrome, and their partners. This psychotherapeutic programme focuses on making improvements in the experience of early parenthood, through improving reflective capacity under stress, emotional availability, bonding with the infant, and supporting the overall transition to parenthood. The medical and psychosocial consequences of pre-eclampsia and HELLP syndrome, which can result in the preterm birth of infants, are numerous, and can be detrimental to the early parent-infant relationship. Parents may experience anxiety, guilt, depression and post-traumatic stress, and it is important to address these problems preventatively, from pregnancy onwards. This programme is innovative in its offer of continued in-hospital support to pregnant women and their partners, at the obstetric as well as at the neonatology ward. In addition, a small and descriptive study of the programme is presented in this paper. We perceived that the participating parents were committed to attending the sessions, which addressed their major concerns regarding parenthood. No participants dropped out of the programme before discharge. Mentalization-based psychotherapeutic work was done during PLUS consultations, and parents showed a need to express, reflect upon and process the concerns they experienced during the frightening period of hospitalisation.
摘要本文介绍了针对先兆子痫或HELLP综合征孕妇及其伴侣的住院心理治疗计划的基本原理和治疗原则。这项心理治疗计划的重点是通过提高压力下的反思能力、情绪可用性、与婴儿的联系以及支持向为人父母的整体过渡,来改善为人父母早期的体验。先兆子痫和HELLP综合征可能导致婴儿早产,其医学和心理社会后果是多方面的,可能对早期父母与婴儿的关系不利。父母可能会经历焦虑、内疚、抑郁和创伤后压力,从怀孕开始,预防性地解决这些问题很重要。该方案具有创新性,在产科和新生儿病房为孕妇及其伴侣提供持续的住院支持。此外,本文还对该方案进行了小规模的描述性研究。我们认为,参与的父母都致力于参加这些会议,这些会议解决了他们对为人父母的主要担忧。没有参与者在出院前退出该项目。基于心理治疗的心理治疗工作是在PLUS咨询期间进行的,父母表现出表达、反思和处理他们在可怕的住院期间所经历的担忧的必要性。
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引用次数: 1
Finding a way to the child – selected clinical papers 1983–2021 找到一条通向孩子的路——1983年至2021年临床论文精选
IF 0.4 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-05-04 DOI: 10.1080/0075417x.2023.2225103
Francesca Calvocoressi
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引用次数: 0
Research digest: looking beyond the IMPACT study to further our understanding of adolescent depression and its treatment 研究摘要:超越IMPACT研究,进一步了解青少年抑郁症及其治疗
IF 0.4 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-05-04 DOI: 10.1080/0075417X.2023.2214194
Rachel Acheson
This issue of the research digest lists the abstracts of studies from the past seven years that have utilised data compiled as part of the Improving Mood with Psychoanalytic And Cognitive Therapies (IMPACT) randomised controlled trial (RCT), and the IMPACT-My Experience (IMPACT-ME) study that was nested within IMPACT. This ambitious project is the largest clinical trial of psychological therapies for adolescent depression ever to have taken place in Europe and explored the effectiveness of three therapeutic interventions – cognitive-behavioural therapy (CBT), short-term psychoanalytic psychotherapy (STPP), and brief psychosocial intervention (BPI) – in the treatment and relapse prevention of depression in young people. IMPACT-ME explored young people’s experience of overcoming depression and of treatments they received as part of the IMPACT trial. This Journal is pleased to have published several papers that have used data from the IMPACT study, including one in this issue. However, this edition of the Research Digest focusses on studies
本期研究摘要列出了过去七年的研究摘要,这些研究使用了作为心理分析和认知疗法改善情绪(IMPACT)随机对照试验(RCT)和IMPACT中嵌套的IMPACT My Experience(IMPACT-ME)研究的一部分汇编的数据。这个雄心勃勃的项目是欧洲有史以来最大的青少年抑郁症心理治疗临床试验,并探索了三种治疗干预措施的有效性——认知行为疗法(CBT)、短期精神分析心理疗法(STPP)、,以及短暂的心理社会干预(BPI)——用于年轻人抑郁症的治疗和复发预防。IMPACT-ME探索了年轻人克服抑郁症的经历,以及他们作为IMPACT试验的一部分所接受的治疗。本刊很高兴发表了几篇使用IMPACT研究数据的论文,包括本期的一篇。然而,本期《研究文摘》侧重于研究
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引用次数: 0
Reflective group supervision: psychotherapists and child health centre nurses in collaboration 反思性小组监督:心理治疗师和儿童健康中心护士合作
IF 0.4 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-11 DOI: 10.1080/0075417X.2023.2175227
B. Salomonsson
ABSTRACT Postpartum depression affects every sixth mother, and emotional distress in infants is also common. The need for parent-infant consultations and psychotherapies probably greatly exceeds the number of families who in fact receive qualified help. Nurses at child health centres are the first professionals to meet distressed families. Their readiness to help them is clouded by conflicting professional attitudes, patients’ expectations, and uncertainties of how to handle patient-nurse interactions. Nurses may experience clinical impasses that need attention. Reflective group supervision can be a valuable remedy, and a method for educating nurses in daily practice. The method is illustrated by a vignette, and a review of the nursing and psychoanalytic literature. Nurses often address problems with anger, guilt, and anxiety of uncertainty, which may block their understanding of the families’ emotional entanglements. Supervision combines the supervisor’s psychodynamic competence and the nurses’ experiences, to inspire self-reflection on difficult cases. It should be provided regularly with management support, and the supervisor should preferably be a psychotherapist experienced in child and adult work. The therapist can work simultaneously as a consultant clinician at the centre, thus increasing the opportunities for families to receive adequate help.
产后抑郁症影响着每六个母亲,婴儿的情绪困扰也很常见。对母婴咨询和心理治疗的需求可能大大超过了事实上获得合格帮助的家庭数量。儿童保健中心的护士是第一批与陷入困境的家庭见面的专业人员。他们帮助他们的意愿受到相互冲突的专业态度、患者的期望以及如何处理患者与护士互动的不确定性的影响。护士可能会遇到需要注意的临床障碍。反思性小组监督是一种有价值的补救措施,也是在日常实践中教育护士的一种方法。该方法通过一个小插曲,以及对护理和精神分析文献的回顾来说明。护士经常处理愤怒、内疚和不确定焦虑的问题,这可能会阻碍他们理解家人的情感纠葛。督导将督导的心理动力能力与护士的经验相结合,激发对疑难病例的自我反思。应定期为其提供管理支持,主管最好是一名在儿童和成人工作方面经验丰富的心理治疗师。治疗师可以同时在该中心担任临床医生顾问,从而增加家庭获得充分帮助的机会。
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引用次数: 0
A fall from the stars: a critical psychoanalytic reading of James Gray’s film ‘Ad Astra (to the stars)’ 从星星上掉下来:詹姆斯·格雷的电影《Ad Astra(向星星)》的批判性精神分析解读
IF 0.4 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-03-28 DOI: 10.1080/0075417X.2023.2167227
Timothy Smith
ABSTRACT This reading of James Gray’s science fiction film ‘Ad Astra’ explores, largely from a post-Kleinian perspective, phantasised restrictions on object relations that may result in a developmental arrest in late adolescence. The phantasy of omnipotence, with its dominating impact on the mind, is considered, including how this may link with socio-contextual impingements on boys’ developing masculine identities, especially where a father is absent during their late adolescent years.
摘要阅读詹姆斯·格雷(James Gray)的科幻电影《广告》(Ad Astra),主要从后克利尼亚时代的角度探讨了对客体关系的幻想限制,这些限制可能会导致青春期晚期的发育停滞。全能的幻想及其对大脑的主要影响被考虑在内,包括这可能与社会背景对男孩发展中的男性身份的影响联系起来,尤其是在他们青春期晚期没有父亲的情况下。
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引用次数: 0
Creating distance from adolescents’ anger: psychotherapists’ responses to conversational trouble in Short Term Psychoanalytic Psychotherapy 创造与青少年愤怒的距离:心理治疗师对短期心理分析心理治疗中会话障碍的反应
IF 0.4 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-03-20 DOI: 10.1080/0075417X.2023.2167102
Eleni Chourdaki, J. Catty, Elena Della Rosa
ABSTRACT The exploration of negative feelings is one of the core principles of psychoanalytic psychotherapy, yet anger experienced towards the therapist may lead to increased risk, ruptures in the therapeutic relationship and dropout. This study explored the psychotherapists’ immediate responses to patients’ anger in Short Term Psychoanalytic Psychotherapy (STPP). Data came from a randomised controlled trial investigating the efficacy of three types of therapy in the treatment of adolescent depression, in which therapy sessions were audio-recorded. Purposive sampling was used to select ten extracts from four different patient-therapist couples where patients expressed anger towards their therapist. Those extracts were transcribed and analysed using conversation analysis (CA). The analysis showed that following patients’ anger expression, psychotherapists were inclined to create distance either by moving aside from the topic of conversation, or by referring to ‘other times’, past or future. In only one out of the ten extracts did the psychotherapist name the young person’s anger towards them in the moment. In all other cases, psychotherapists commented on patients’ latent feelings of anger, but were inclined to create distance from explicit and direct anger-expressions. Possible reasons for this are explored, along with both clinical and research implications.
摘要对负面情绪的探索是精神分析心理治疗的核心原则之一,但对治疗师的愤怒可能会导致风险增加、治疗关系破裂和辍学。本研究探讨了心理治疗师在短期精神分析心理治疗(STPP)中对患者愤怒的即时反应。数据来自一项随机对照试验,该试验调查了三种类型的治疗青少年抑郁症的疗效,其中对治疗过程进行了音频记录。使用目的性抽样从四对不同的患者-治疗师夫妇中选择十个提取物,其中患者对他们的治疗师表示愤怒。这些摘录被转录并使用会话分析(CA)进行分析。分析表明,在患者表达愤怒后,心理治疗师倾向于通过回避谈话话题或提及“其他时间”(过去或未来)来制造距离。只有十分之一的摘录中,心理治疗师说出了年轻人当时对他们的愤怒。在所有其他情况下,心理治疗师对患者潜在的愤怒情绪进行了评论,但倾向于与明确和直接的愤怒表达保持距离。探讨了其可能的原因,以及临床和研究意义。
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引用次数: 0
‘I’ve started my journey to coping better’: exploring adolescents’ journeys through an internet-based psychodynamic therapy (I-PDT) for depression “我已经开始了更好地应对的旅程”:通过基于互联网的抑郁症心理动力疗法(I-PDT)探索青少年的旅程
IF 0.4 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-03-02 DOI: 10.1080/0075417x.2023.2173271
Molly MacKean, Tanya Lecchi, R. Mortimer, N. Midgley
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引用次数: 0
More than I expected: a qualitative exploration of participants’ experience of an online adoptive parent-toddler group 出乎我意料的是:对在线收养父母-幼儿群体的参与者体验进行了定性探索
IF 0.4 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-01-17 DOI: 10.1080/0075417X.2022.2129733
Francesca Di Lorenzo, Lydia Barge, Lisa A. Thackeray, S. Peter, Isabella Vainieri
ABSTRACT The question of how best to support adoptive parents has been attracting increasing attention in recent years. This paper aims to explore participants’ experience of a new online intervention for adoptive parents and toddlers, which was adapted from an existing psychoanalytic Parent-Toddler Group (PTG) model. Participants were recruited from the parents attending the intervention, and four took part in a semi-structured post-intervention interview, aimed at exploring their experience of the PTG. Findings showed that, despite difficulties with the online setting of this intervention, participants overall experienced it positively, and particularly valued the supportive element of the group and the improvements in the parent-child relationship. However, challenges included engaging toddlers in the online setting, and participants’ confusion over the expectations and outcomes of the group. Based on these findings, suggestions were made for further research and adaptations of this model for future adoptive parenting interventions and support.
摘要近年来,如何最好地支持养父母的问题越来越受到关注。本文旨在探索参与者对养父母和学步儿童进行新的在线干预的体验,该干预改编自现有的心理分析父母-学步儿童小组(PTG)模型。参与者是从参加干预的父母中招募的,其中四人参加了半结构化的干预后访谈,旨在探索他们对PTG的体验。研究结果表明,尽管这种干预的在线设置存在困难,但参与者总体上体验积极,尤其重视团队的支持因素和亲子关系的改善。然而,挑战包括让幼儿参与在线环境,以及参与者对团队的期望和结果感到困惑。基于这些发现,提出了进一步研究和调整这一模式的建议,以供未来的收养父母干预和支持。
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引用次数: 0
期刊
JOURNAL OF CHILD PSYCHOTHERAPY
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