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Making use of countertransference in qualitative research: exploring the experiences of mental health professionals working with refugee and immigrant families 在质性研究中利用反移情:探索处理难民和移民家庭的心理健康专业人员的经验
IF 0.4 Q4 Medicine Pub Date : 2023-01-02 DOI: 10.1080/0075417X.2023.2179098
A. Navridi, L. Anagnostaki
ABSTRACT The objective of the paper is to explore countertransference in qualitative research. Specifically, through the examination of a study which explored the experiences of mental health professionals working with refugee and immigrant families with infants and young children, the paper aims to demonstrate how the monitoring of countertransference can be transformed into a useful research tool. Countertransference movements are examined on multiple levels, in the mental health worker-immigrant/refugee dyad, in the researcher-participant dyad, and at the institutional level. The importance of thinking about a whole research process in terms of the process of countertransference is discussed.
本文旨在探讨质的研究中的反移情现象。具体而言,通过对一项研究的考察,该研究探讨了心理健康专业人员与有婴幼儿的难民和移民家庭合作的经验,该论文旨在证明如何将反移情监测转化为一种有用的研究工具。反移情运动在多个层面上进行了研究,包括心理健康工作者移民/难民二人组、研究人员参与者二人组和机构层面。讨论了从反移情过程的角度思考整个研究过程的重要性。
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引用次数: 0
Mixed heritage, mixed feelings: psychoanalytic parent infant psychotherapy during the coronavirus pandemic 混合的传统,复杂的感情:冠状病毒大流行期间的精神分析父母-婴儿心理治疗
IF 0.4 Q4 Medicine Pub Date : 2023-01-02 DOI: 10.1080/0075417x.2023.2171474
Michela Biseo
ABSTRACT This paper is an account of Psychoanalytic Parent Infant Psychotherapy (PPIP) by a white therapist with a mixed heritage family during the coronavirus pandemic. It describes changes to the distant relationship between a mother and her infant son who appears at first to be developing an avoidant, dissociated defensive strategy to ward off painful projections from his traumatised parent. Necessary modifications in treatment due to working remotely contributed to several technical adjustments made. The paper attempts to consider the inclusion of race as a fully integrated aspect of working in a transcultural field, taking into account the ‘ghosts in society’. The specific trauma of racist abuse, with an emphasis on colourism that can be experienced by mixed heritage families is discussed. The key to the improved relationship between child and mother by the end of the Parent Infant Psychotherapy is postulated to have come from reflection on the therapist’s countertransference in regard to racism, that then enabled both therapist and patient/s to recognise and begin to work through experiences, thoughts and fantasies about belonging, heritage and racism.
摘要本文是一位白人治疗师在新冠疫情期间对一个混血家庭进行的心理分析父母-婴儿心理治疗(PPIP)的描述。它描述了一位母亲和她年幼的儿子之间遥远关系的变化,起初,儿子似乎正在发展一种回避、分离的防御策略,以避免受到创伤的父母做出痛苦的预测。由于远程工作,对治疗进行了必要的修改,导致了几项技术调整。考虑到“社会中的幽灵”,本文试图将种族纳入跨文化领域工作的一个完全整合的方面。讨论了种族主义虐待的具体创伤,重点是混血家庭可能经历的肤色歧视。据推测,在母婴心理治疗结束时,改善儿童和母亲之间关系的关键来自于对治疗师在种族主义方面的反移情的反思,这使治疗师和患者都能够认识到并开始通过对归属、遗产和种族主义的经历、想法和幻想来工作。
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引用次数: 1
Response piece to an article in issue 48.3 of this Journal by Judith Edwards: ‘The elusive pursuit of good enough fatherhood, and the single parent family as a modern phenomenon’ Judith Edwards对《华尔街日报》第48.3期一篇文章的回应:“对足够好的父亲身份的难以捉摸的追求,以及单亲家庭作为一种现代现象”
IF 0.4 Q4 Medicine Pub Date : 2023-01-02 DOI: 10.1080/0075417X.2023.2175229
Andrew C. Briggs
Judith Edwards’ article in the December issue of this journal surely comes as a breath of fresh air for all psychoanalytic practitioners working with children and families, and wondering how to accommodate thinking about the father. It is a rare contribution to the sparse psychoanalytic literature on the role of the father, and she takes a refreshingly open position, using existing ideas and presenting new ones. She opens by saying – ‘No answers are to be found here, merely more questions, and each reader will hopefully find their own questions and answers. New doors may be opened’ (Edwards, 2022, p. 362). In conclusion she says – ‘With Bion in mind, the conclusion is to come to your own specific conclusions, to work with specific cases’ (Edwards, 2022, p. 375). This brief reply, although making a point, seeks to keep the questions rolling. It is derived from my own work with children and families for whom the role of the father was unoccupied. That is to say, the biological male present at conception was either emotionally or physically absent, and the role of father remained vacant because no parent, of either gender or sex, single or couple, was able to fulfil it. This was partly because the parents I saw struggled to offer paternal function, the development of which was something I could help them with. However, I will argue here that there are some important aspects of the role of the father that only the biological father can fulfil. When this absence in role was also a feature in the lives of some of the adopted and fostered children I have seen, the impact of this non-occupancy was more complex. Whilst Judith deliberately does not present her ideas as ones to be grappled with academically, nevertheless, my clinical experience has led me to organise my reply around two ideas that appear to contradict one another. The first involves her response to a line from Shakespeare’s The Tempest in which the spirit Ariel tells Prince Ferdinand of the drowning of his father in near five fathoms of water. Ariel concludes that ‘Nothing of him that doth fade’. From this, Judith derives ‘how the memory of our own fathers lies deep within our minds, and our very bones, affecting the way we parent’ (Edwards, 2022, p. 363). The second idea involves her comment that ‘fathers, whether present or absent, and of either sex, are indeed important in the life of every child, in order to be the third point of the oedipal triangle’ (Edwards, 2022, p. 375). Whether Ariel, Prince Ferdinand, or ourselves, in my opinion Judith’s quote is
朱迪斯·爱德华兹(Judith Edwards)在本杂志12月刊上发表的文章无疑给所有从事儿童和家庭工作的精神分析从业者带来了一股新鲜空气,他们想知道如何适应对父亲的思考。这是对稀疏的关于父亲角色的精神分析文献的罕见贡献,她采取了令人耳目一新的开放立场,利用现有的想法并提出新的想法。她首先说:“这里找不到答案,只有更多的问题,每个读者都有望找到自己的问题和答案。新的大门可能会打开”(Edwards,2022,第362页)。最后,她说:“考虑到Bion,结论是得出你自己的具体结论,处理具体案例”(Edwards,2022,第375页)。这个简短的答复虽然表明了一个观点,但试图让问题继续下去。这源于我自己对孩子和家庭的工作,对他们来说,父亲的角色是空缺的。也就是说,在受孕时,生理上的男性要么在情感上,要么在身体上缺席,父亲的角色仍然空缺,因为没有任何父母,无论性别或性别,单身或夫妻,能够履行这一职责。这在一定程度上是因为我看到的父母难以提供父亲的功能,而我可以帮助他们发展父亲的功能。然而,我在这里要说的是,父亲角色的一些重要方面只有亲生父亲才能履行。当这种角色的缺失也是我见过的一些被收养和寄养儿童生活中的一个特点时,这种不参与的影响更为复杂。尽管朱迪思故意不把她的想法作为学术上需要解决的问题,但我的临床经验让我围绕两个似乎相互矛盾的想法来组织我的回答。第一个是她对莎士比亚的《暴风雨》中的一句台词的回应,在这句台词中,精灵爱丽尔告诉斐迪南王子,他的父亲在将近五英寻的水中溺水身亡。Ariel总结道:“他身上没有褪色的东西。”。朱迪思由此得出“我们对父亲的记忆是如何深深地存在于我们的脑海和骨骼中,影响着我们为人父母的方式”(Edwards,2022,363)。第二个想法涉及她的评论,即“父亲,无论在场与否,无论性别,在每个孩子的生活中都确实很重要,才能成为俄狄浦尔三角的第三点”(Edwards,2022,第375页)。无论是Ariel、Prince Ferdinand还是我们自己,在我看来Judith的话都是
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引用次数: 0
How to live. What to do. How great novels help us change 如何生活。该怎么办。伟大的小说如何帮助我们改变
IF 0.4 Q4 Medicine Pub Date : 2023-01-02 DOI: 10.1080/0075417x.2023.2180810
Kate Purdy
Josh Cohen’s wonderful book, ‘How to Live. What to do. How great novels help us change’, is a book to be slowly read and treasured. To me, a life-long reader and student of fiction, it is an entrancing read. It combines my two loves, literature and psychoanalysis (if I can grandly describe them as that, despite inevitably only having scraped the surface of both); and it reminds me why I came so naturally to psychotherapy after studying literature at university, both as an undergraduate and postgraduate student, and after working for many years as an English teacher. The title of his book, Cohen explains, comes from a Wallace Stevens poem, which does not clearly tell us anything at all about how to be, or what to do. The title is such a marvellous and humorous understatement of what it is to be alive: time propels us helplessly forward, while we try to make sense of the world. The title seems to refer both to the existential question ‘why am I here?’, but also to the everyday struggles we experience. Analysing what the poem does do, Cohen explores this idea in his introduction – could there be something which would fully answer this question? Cohen describes the prescriptions (what to do) which might be offered by the self-help genre, as ‘go[ing] awry’, and instead observes:
乔什·科恩的精彩著作《如何生活》。该怎么做。伟大的小说如何帮助我们改变”,是一本需要慢慢阅读和珍惜的书。对我这个一生都在阅读和研究小说的人来说,这是一本引人入胜的书。它结合了我的两大爱好,文学和精神分析(如果我可以这样形容它们的话,尽管不可避免地只触及了两者的表面);它提醒了我,为什么我在大学学习文学之后,在本科和研究生学习之后,在做了多年的英语老师之后,自然而然地对心理治疗产生了兴趣。科恩解释说,他的书名来自华莱士·史蒂文斯(Wallace Stevens)的一首诗,这首诗根本没有明确告诉我们如何做人,或者该做什么。这本书的标题是对生活的一种奇妙而幽默的轻描淡写:当我们试图理解这个世界的时候,时间无助地推动着我们前进。这个标题似乎指的是存在主义的问题“我为什么在这里?”’,也与我们每天经历的挣扎有关。科恩分析了这首诗的作用,在他的引言中探讨了这个想法——有没有什么东西可以完全回答这个问题?科恩将自助类型可能提供的处方(该怎么做)描述为“误入歧途”,相反,他观察到:
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引用次数: 0
Working with trauma; finding new ports of entry 处理创伤;寻找新的入境口岸
IF 0.4 Q4 Medicine Pub Date : 2023-01-02 DOI: 10.1080/0075417x.2023.2167103
L. Alexander, Sian Barnett, Verity J. Wilkinson
ABSTRACT This paper describes how, in the wake of a spate of fatal knife crime in one London borough, the council, Clinical Commissioning Group (CCG) and Child and Adolescent Mental Health Service (CAMHS) got together to think about how to improve outcomes for their young people. Starting with schools and pupil referral units, the CAMHS and educational psychology service were commissioned to work with whole staff groups, from senior leadership to lunchtime monitors and playground staff, to embed trauma informed policy and practice. The aim was to spread understanding about complex developmental trauma; what it is, how it affects the behaviour and experience of children and families, and how to work with it. Given how widespread trauma is, the objective was also to think about what might need to change in the environment and ethos of the borough’s schools as a result. Following the project’s initial success, its scope and remit were expanded to support services on a policy level, while also working with their staff to think about the impact of trauma, and how best to support children and families who have been affected by it. As well as teaching about trauma, the project is primarily an experiential one. This paper explores the impact on staff who were involved in the project; what came out of it for them personally in terms of changes to their thinking and outlook, and what they saw as the changes for the children and families they worked with.
摘要本文描述了在伦敦一个行政区发生了一系列致命的持刀犯罪事件后,委员会、临床调试小组(CCG)和儿童青少年心理健康服务中心(CAMHS)如何共同思考如何改善年轻人的健康状况。从学校和学生转介单位开始,CAMHS和教育心理学服务机构被委托与全体员工团体合作,从高级领导到午餐时间监督员和操场工作人员,以嵌入创伤知情政策和实践。目的是传播对复杂发育创伤的理解;它是什么,它如何影响儿童和家庭的行为和体验,以及如何应对它。考虑到创伤的广泛性,我们的目标也是思考因此可能需要改变该自治区学校的环境和风气。在该项目取得初步成功后,其范围和职权范围扩大到政策层面的支持服务,同时也与他们的工作人员合作,思考创伤的影响,以及如何最好地支持受创伤影响的儿童和家庭。除了创伤教学外,该项目主要是一个体验式项目。本文探讨了对参与该项目的工作人员的影响;从他们个人的思维和观点的变化来看,这对他们个人来说是什么,以及他们认为与他们一起工作的孩子和家庭的变化。
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引用次数: 0
Research digest: mental health implications of climate change for children and young people 研究摘要:气候变化对儿童和年轻人心理健康的影响
IF 0.4 Q4 Medicine Pub Date : 2023-01-02 DOI: 10.1080/0075417X.2023.2175228
Rachel Acheson
health and wellbeing. This paper summarises literature across relevant disciplines to provide a comprehensive narrative review of the multiple pathways through which climate change interacts with mental health and wellbeing. Climate change acts as a risk amplifier by disrupting the conditions known to support good mental health, including socioeconomic, cultural and environmental conditions, and living and working conditions. The disruptive influence of rising global temperatures and extreme weather events, such as experiencing a heatwave or water insecurity,
健康和福祉。本文总结了相关学科的文献,对气候变化与心理健康和幸福感相互作用的多种途径进行了全面的叙述性综述。气候变化破坏了已知的支持良好心理健康的条件,包括社会经济、文化和环境条件,以及生活和工作条件,从而成为风险放大器。全球气温上升和极端天气事件(如经历热浪或水资源不安全)的破坏性影响,
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引用次数: 0
Weaving between and beyond tribal states of mind: revisiting our identity as child psychotherapists 在部落精神状态之间和之外穿梭:重新审视我们作为儿童心理治疗师的身份
IF 0.4 Q4 Medicine Pub Date : 2023-01-02 DOI: 10.1080/0075417X.2023.2182339
Nikolaos Tzikas, Victoria Nicolodi
ABSTRACT In this paper, the authors try to understand the concepts of tribe and tribalism and their effect on our professional identities as child psychotherapists. Firstly, we will define these concepts and retrospectively go through the history and way that child psychotherapy developed and became a profession in its own right. Hearing about the trauma of war and the schisms within the profession between the different groups/tribes (Kleinians and Post Kleinians, Independents and Anna Freudians) motivated us to explore the defensive mechanisms that still keep us, as a profession, apart and divided. We have employed in this paper psychoanalytic and group analytic thinking, as well as some anthropological and neuroscientific perspectives, which all offer us some in-depth ideas about the processes involved and the ways that the different groups of thought within the profession are still kept apart. We will also look beyond these tribal states of mind, suggesting ways of collaborating and debating, to further enrich our theories and clinical practice.
摘要在本文中,作者试图理解部落主义和部落主义的概念,以及它们对我们作为儿童心理治疗师的职业身份的影响。首先,我们将定义这些概念,并回顾儿童心理治疗发展并成为一种专业的历史和方式。听到战争的创伤以及不同群体/部落(克雷尼人和后克雷尼派、独立派和安娜·弗洛伊德派)之间的职业分裂,促使我们探索防御机制,这些机制仍然使我们作为一个职业而分裂。在这篇论文中,我们采用了精神分析和群体分析思维,以及一些人类学和神经科学的观点,这些观点都为我们提供了一些关于所涉及的过程以及职业中不同思想群体仍然保持分离的方式的深入想法。我们还将超越这些部落精神状态,提出合作和辩论的方式,以进一步丰富我们的理论和临床实践。
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引用次数: 0
The search for identity: working therapeutically with adolescents in crisis 寻找身份认同:对处于危机中的青少年进行治疗性工作
IF 0.4 Q4 Medicine Pub Date : 2023-01-02 DOI: 10.1080/0075417x.2022.2160478
Rachel Acheson, Maria Papadima
ABSTRACT In the news, there is frequent mention of adolescents’ mental health nowadays being ‘in crisis’. This paper offers the perspective of two psychotherapists working in a crisis service, trying to engage adolescents and their families in therapeutic work. There is an argument for a combined developmental, psychoanalytic and systemic approach to understand and work with the perceived mental health crisis in adolescence. This paper explores the desire of some adolescents today to have a mental health diagnosis and use specific, psychiatric-oriented language to frame and understand their distress. A cultural and theoretical exploration of this phenomenon is offered, viewing it as an expression of adolescents’ need for establishing their identity within peer groups, online and offline. The paper underlines the necessity for an approach where the whole network around the adolescent – the school, the parents, the therapist – work together to address the occurring crisis. The crisis this paper refers to is conceptualised as one involving developmental adolescent turmoil, expressed through mental health language.
在新闻中,经常提到青少年的心理健康处于“危机”之中。本文提供了两位心理治疗师在危机服务工作的观点,试图让青少年及其家庭参与治疗工作。有一种观点认为,应该结合发展、精神分析和系统的方法来理解和处理青少年的心理健康危机。本文探讨了当今一些青少年对心理健康诊断的渴望,并使用具体的,以精神病学为导向的语言来框架和理解他们的痛苦。对这一现象进行了文化和理论探索,将其视为青少年需要在在线和离线的同龄人群体中建立自己身份的一种表达。这篇论文强调了一种方法的必要性,在这种方法中,青少年周围的整个网络——学校、父母、治疗师——共同努力,解决正在发生的危机。这篇论文提到的危机被概念化为一种涉及青春期发育的混乱,通过心理健康语言来表达。
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引用次数: 0
Commentary on the paper by Marcus Evans: ‘Assessment and treatment of a gender-dysphoric person with a traumatic history’ 马库斯·埃文斯对论文的评论:“对有创伤史的性别焦虑症患者的评估和治疗”
Q4 Medicine Pub Date : 2023-01-02 DOI: 10.1080/0075417x.2023.2182340
Tara Pepper Goldsmith, James M. FitzGerald, Fraser Arends, Pamela Peters
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引用次数: 0
Psychological roots of the climate crisis: neoliberal exceptionalism and the culture of uncare 气候危机的心理根源:新自由主义例外论和漠不关心的文化
IF 0.4 Q4 Medicine Pub Date : 2023-01-02 DOI: 10.1080/0075417x.2023.2182817
J. Herrmann
For over a decade, the psychoanalyst Sally Weintrobe has been speaking, writing, and organising forums about the climate emergency (e.g., Weintrobe, 2013, 2015). Her commitment to helping people face the alarming reality about the state of the planet reflects her impassioned love of the earth, its myriad life forms, and the inanimate world from which all life has emerged, over aeons of time. Weintrobe draws on her psychoanalytic knowledge in order to deepen our understanding of the sources of resistance to evidence about climate change. Her mastery of a huge range of subjects is extraordinary. She marshals arguments from many disciplines: these include, most centrally, political and economic theory (neoliberalism), but also geology, sociology, ecology, and evolutionary theory. The book furnishes the reader ready access to a vast and interdisciplinary range of material, and provides helpful references for all aspects of the problem. But its principle aim is to help us manage our resistance, as individuals, as social groups, and professionally as psychoanalytic workers, in recognising our deadly and death-denying complicity, which minimises the overwhelming evidence that we are living in an age of climate breakdown. Weintrobe refers to our complicity, with denial as ‘the climate bubble’, and develops the notion of Exceptionalism (cf. exceptionalism), a rigid psychological mindset which is largely responsible for the climate crisis. To help us with this work, which requires a receptivity to potentially overwhelming information, Weintrobe skilfully uses very short chapters, unadorned language, and apt and interesting, often witty, examples. She makes a potentially difficult and complex argument interesting and easy to follow, and does this for the one central motivation that drives the book: to help us emerge from the climate bubble. I am grateful for her amazing grasp of how economic forces have led us by the nose into the slumber of ‘buy buy buy’, of how our desires have been fired by large corporations, and of how our ignorance of the social injustice this depends on has been so successfully camouflaged. Weintrobe does not diminish our complicity with the injustice of the global north’s dominance over the developing world, as she writes:
十多年来,精神分析学家Sally Weintrobe一直在演讲、写作和组织有关气候紧急情况的论坛(例如,Weintrube,20132015)。她致力于帮助人们面对关于地球状况的令人担忧的现实,这反映了她对地球、地球上无数的生命形式以及无生命世界的热爱,在漫长的岁月中,所有生命都从这个无生命世界中诞生。Weintrobe利用她的精神分析知识来加深我们对气候变化证据阻力来源的理解。她对各种科目的精通程度非同寻常。她汇集了许多学科的论点:其中最集中的包括政治和经济理论(新自由主义),也包括地质学、社会学、生态学和进化论。这本书为读者提供了广泛的跨学科材料,并为问题的各个方面提供了有用的参考。但它的主要目的是帮助我们管理我们的抵抗力,作为个人、社会团体,以及专业的精神分析工作者,认识到我们的致命和否认死亡的同谋,从而最大限度地减少我们生活在气候崩溃时代的压倒性证据。Weintrobe将我们的共谋称为“气候泡沫”,并发展了例外主义(参见例外主义)的概念,这是一种僵化的心理心态,在很大程度上是气候危机的原因。为了帮助我们完成这项需要接受潜在的压倒性信息的工作,Weintrobe巧妙地使用了非常简短的章节、朴实无华的语言以及恰当有趣、通常是诙谐的例子。她让一个潜在的困难和复杂的论点变得有趣和易于理解,并这样做是为了推动这本书的一个核心动机:帮助我们摆脱气候泡沫。我很感激她对经济力量如何将我们带入“买买买”的沉睡,我们的欲望是如何被大公司激发的,以及我们对社会不公正的无知是如何被如此成功地掩盖的。Weintrobe并没有减少我们对全球北方对发展中世界的不公正统治的共谋,正如她所写:
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引用次数: 0
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