Pub Date : 2023-05-04DOI: 10.1080/0075417x.2023.2225103
Francesca Calvocoressi
{"title":"Finding a way to the child – selected clinical papers 1983–2021","authors":"Francesca Calvocoressi","doi":"10.1080/0075417x.2023.2225103","DOIUrl":"https://doi.org/10.1080/0075417x.2023.2225103","url":null,"abstract":"","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43815546","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 : 2023-05-04DOI: 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.
{"title":"Supporting early parenthood of hospitalised women with severe pregnancy problems and their partners: rationale, principles and exploration of a psychotherapeutic programme","authors":"Fernanda Sampaio de Carvalho, Nicole Vliegen, I. Reiss, M. van Dijk","doi":"10.1080/0075417X.2023.2206885","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2206885","url":null,"abstract":"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.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46642172","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 : 2023-05-04DOI: 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
{"title":"Research digest: looking beyond the IMPACT study to further our understanding of adolescent depression and its treatment","authors":"Rachel Acheson","doi":"10.1080/0075417X.2023.2214194","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2214194","url":null,"abstract":"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","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47342213","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 : 2023-04-11DOI: 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.
{"title":"Reflective group supervision: psychotherapists and child health centre nurses in collaboration","authors":"B. Salomonsson","doi":"10.1080/0075417X.2023.2175227","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2175227","url":null,"abstract":"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.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47116348","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 : 2023-03-28DOI: 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.
{"title":"A fall from the stars: a critical psychoanalytic reading of James Gray’s film ‘Ad Astra (to the stars)’","authors":"Timothy Smith","doi":"10.1080/0075417X.2023.2167227","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2167227","url":null,"abstract":"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.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49121798","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 : 2023-03-20DOI: 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.
{"title":"Creating distance from adolescents’ anger: psychotherapists’ responses to conversational trouble in Short Term Psychoanalytic Psychotherapy","authors":"Eleni Chourdaki, J. Catty, Elena Della Rosa","doi":"10.1080/0075417X.2023.2167102","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2167102","url":null,"abstract":"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.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42320558","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 : 2023-03-02DOI: 10.1080/0075417x.2023.2173271
Molly MacKean, Tanya Lecchi, R. Mortimer, N. Midgley
{"title":"‘I’ve started my journey to coping better’: exploring adolescents’ journeys through an internet-based psychodynamic therapy (I-PDT) for depression","authors":"Molly MacKean, Tanya Lecchi, R. Mortimer, N. Midgley","doi":"10.1080/0075417x.2023.2173271","DOIUrl":"https://doi.org/10.1080/0075417x.2023.2173271","url":null,"abstract":"","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42954977","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 : 2023-01-17DOI: 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.
{"title":"More than I expected: a qualitative exploration of participants’ experience of an online adoptive parent-toddler group","authors":"Francesca Di Lorenzo, Lydia Barge, Lisa A. Thackeray, S. Peter, Isabella Vainieri","doi":"10.1080/0075417X.2022.2129733","DOIUrl":"https://doi.org/10.1080/0075417X.2022.2129733","url":null,"abstract":"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.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42378915","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 : 2023-01-09DOI: 10.1080/0075417X.2022.2143547
Sarah A. Miltz, Elaine Pennicott-Banks, Evrinomy Avdi, T. Baradon
ABSTRACT This paper aims to further our understanding of the process of therapy in psychoanalytic parent-infant psychotherapy (PPIP). Using a single-case study methodology, it examines the emergence of atypical maternal behaviours in the sessions and considers direct therapeutic work with the baby. The research material for this study consists of video tapes and verbatim transcripts of two sessions from different time points in one good outcome PPIP treatment. The Atypical Maternal Behaviour Instrument for Assessment and Classification (AMBIANCE) coding system is used as a basis for identifying atypical maternal behaviours, as they manifest in the sessions. In addition, the therapist’s intervention in moments of interactive disruption are analysed discursively, with a focus on the utterances that directly address the infant. Findings suggest that the mother exhibited a high frequency of disruptive behaviours, as coded in the AMBIANCE, in the beginning of therapy. These decreased considerably by the end of treatment. In addition, the therapist was seen to respond consistently and flexibly to maternal disruptive behaviours, employing different interventions. Furthermore, the therapist talked directly to the baby for a significant amount of the session time, especially early on in treatment, addressing several different issues. Disrupted maternal behaviours can be discerned and systematically observed in PPIP sessions; these may be addressed in psychoanalytic parent-infant psychotherapy through the therapist’s verbal and nonverbal interactions with the mother and baby. Using different coding systems to examine patterns of interaction in detail, it is possible to gain insight into the therapeutic process, furthering our understanding of change mechanisms in psychoanalytic work with infants and their parents.
{"title":"Addressing the baby and atypical maternal behaviour in psychoanalytic parent-infant psychotherapy","authors":"Sarah A. Miltz, Elaine Pennicott-Banks, Evrinomy Avdi, T. Baradon","doi":"10.1080/0075417X.2022.2143547","DOIUrl":"https://doi.org/10.1080/0075417X.2022.2143547","url":null,"abstract":"ABSTRACT This paper aims to further our understanding of the process of therapy in psychoanalytic parent-infant psychotherapy (PPIP). Using a single-case study methodology, it examines the emergence of atypical maternal behaviours in the sessions and considers direct therapeutic work with the baby. The research material for this study consists of video tapes and verbatim transcripts of two sessions from different time points in one good outcome PPIP treatment. The Atypical Maternal Behaviour Instrument for Assessment and Classification (AMBIANCE) coding system is used as a basis for identifying atypical maternal behaviours, as they manifest in the sessions. In addition, the therapist’s intervention in moments of interactive disruption are analysed discursively, with a focus on the utterances that directly address the infant. Findings suggest that the mother exhibited a high frequency of disruptive behaviours, as coded in the AMBIANCE, in the beginning of therapy. These decreased considerably by the end of treatment. In addition, the therapist was seen to respond consistently and flexibly to maternal disruptive behaviours, employing different interventions. Furthermore, the therapist talked directly to the baby for a significant amount of the session time, especially early on in treatment, addressing several different issues. Disrupted maternal behaviours can be discerned and systematically observed in PPIP sessions; these may be addressed in psychoanalytic parent-infant psychotherapy through the therapist’s verbal and nonverbal interactions with the mother and baby. Using different coding systems to examine patterns of interaction in detail, it is possible to gain insight into the therapeutic process, furthering our understanding of change mechanisms in psychoanalytic work with infants and their parents.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42451728","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: 10.1080/0075417X.2023.2172741
M. Evans
ABSTRACT This paper presents a composite case based on a group of female-to-male transitioners with a history of trauma due to early separation or family illness. These early traumas may interfere with the process of integrating the mind and body. Symptoms of gender dysphoria often arise from, or increase in response to, subsequent separations later in life, as individuals transition from childhood to adulthood. Increased referrals to gender clinics are noted at puberty or the point of separation from the family, as individuals face the prospect of leaving home to go to university. Affected by anxieties associated with the onset of puberty or separation anxieties, these individuals sometimes seek a medical transition to gain control over their bodies. Exploring underlying psychoanalytic issues can help clinicians assess various conscious and unconscious influences, and help patients make more informed decisions on whether to pursue a medical transition. A focus on defence mechanisms and forms of thinking can help clinicians find ways of working with individuals who may be highly defensive and concrete in their thinking and feel threatened by the functioning of their minds.
{"title":"Assessment and treatment of a gender-dysphoric person with a traumatic history","authors":"M. Evans","doi":"10.1080/0075417X.2023.2172741","DOIUrl":"https://doi.org/10.1080/0075417X.2023.2172741","url":null,"abstract":"ABSTRACT This paper presents a composite case based on a group of female-to-male transitioners with a history of trauma due to early separation or family illness. These early traumas may interfere with the process of integrating the mind and body. Symptoms of gender dysphoria often arise from, or increase in response to, subsequent separations later in life, as individuals transition from childhood to adulthood. Increased referrals to gender clinics are noted at puberty or the point of separation from the family, as individuals face the prospect of leaving home to go to university. Affected by anxieties associated with the onset of puberty or separation anxieties, these individuals sometimes seek a medical transition to gain control over their bodies. Exploring underlying psychoanalytic issues can help clinicians assess various conscious and unconscious influences, and help patients make more informed decisions on whether to pursue a medical transition. A focus on defence mechanisms and forms of thinking can help clinicians find ways of working with individuals who may be highly defensive and concrete in their thinking and feel threatened by the functioning of their minds.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44109275","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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