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Instrument-breast: A psychoanalytic view on musicians’ perception of instruments 乐器胸脯:音乐家对乐器感知的精神分析观点
Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-11-07 DOI: 10.1080/13642537.2023.2277428
Rhett-Lawson Mohajer, Tara Rava Zolnikov
ABSTRACTPlaying music can be a form of symbolization and helpful in processing emotions. Research shows that therapists use music in clinical settings both as music therapy and as an adjunct therapy to talk therapy. However, unlike other forms of art, music is an objectless form of art, which makes it strikingly similar to inner subjective experiences. This means that the role musical instruments play to connect the two objectless sides is important but is difficult to define causation between the two. The purpose of this phenomenological qualitative research was to understand the role of the musical instrument and the role it plays as the transitional object for adults; the instrument was used as the breast object, in line with Klein’s Object Relations Theory. There were 20 interviews with musicians of different ages, instruments, and skill levels to understand the experiences alongside the breast object. The results from the research reveal that participants anthropomorphized their musical instruments and subjectively perceived them as possessing parental attributes and the ones associated with romantic partners. The result can help inform therapists working with patients who have some musical skills to instill an endopsychic structure and repair the impacts of insecure attachment styles.ABSTRAKTDas Musizieren kann eine Form der Symbolisierung und hilfreich bei der Verarbeitung von Emotionen sein. Die Forschung zeigt, dass Therapeuten Musik in klinischen Umgebungen sowohl als Musiktherapie als auch als Zusatztherapie zur Gesprächstherapie einsetzen. Im Gegensatz zu anderen Kunstformen ist Musik jedoch eine objektlose Kunstform, was sie dem inneren subjektiven Erleben verblüffend ähnlich macht. Das bedeutet, dass die Rolle, die Musikinstrumente spielen, um die beiden objektlosen Seiten zu verbinden, wichtig ist, aber es schwierig ist, die Kausalität zwischen den beiden zu definieren. Ziel dieser phänomenologischen qualitativen Forschung war es, die Rolle des Musikinstruments und seine Rolle als Übergangsobjekt für Erwachsene zu verstehen; das Instrument wurde als Brustobjekt verwendet, in Übereinstimmung mit Kleins Objektbeziehungstheorie. Es wurden 20 Interviews mit Musikern unterschiedlichen Alters, Instrumenten und Könnens geführt, um die Erfahrungen mit dem Brustobjekt zu verstehen. Die Ergebnisse der Untersuchung zeigen, dass die Teilnehmer ihre Musikinstrumente anthropomorphisierten und sie subjektiv als elterliche Attribute und solche, die mit romantischen Partnern in Verbindung gebracht werden, wahrnahmen. Das Ergebnis kann Therapeuten, die mit Patienten arbeiten, die über musikalische Fähigkeiten verfügen, helfen, eine endopsychische Struktur zu vermitteln und die Auswirkungen unsicherer Bindungsstile zu reparieren.RESUMENTocar música puede ser una forma de simbolización y útil para procesar las emociones. Las investigaciones muestran que los terapeutas utilizan la música en entornos clínicos como musicoterapia y como terapia complement
摘要演奏音乐是一种符号化的形式,有助于情绪的处理。研究表明,治疗师在临床环境中使用音乐既可以作为音乐治疗,也可以作为谈话治疗的辅助治疗。然而,与其他艺术形式不同,音乐是一种无对象的艺术形式,这使得它与内在的主观体验惊人地相似。这意味着乐器在连接两个无物体的方面所起的作用很重要,但很难确定两者之间的因果关系。现象学定性研究的目的是了解乐器的作用及其作为成人过渡客体的作用;该仪器被用作乳房对象,符合克莱因的对象关系理论。他们采访了20位不同年龄、不同乐器、不同技术水平的音乐家,以了解与乳房物体一起的体验。研究结果显示,参与者将他们的乐器拟人化,并主观地认为它们具有父母的属性和与恋人相关的属性。研究结果可以帮助治疗师在治疗具有一定音乐技能的患者时,向他们灌输一种内心理结构,并修复不安全依恋风格的影响。【摘要】音乐与符号的关系与情感的关系是音乐与情感的关系。在德国,音乐治疗学在klinischen Umgebungen sowohl als Musiktherapie als auch als Zusatztherapie zur Gesprächstherapie einsetzen。Im Gegensatz zu anderen Kunstformen ist Musik jedoch eine object klose Kunstform,被称为“内在主体”Erleben verblendähnlich macht。as bedeutet, dass die Rolle, die Musikinstrumente spielen, um die beiden objektlosen Seiten zu verbinden, wittitiist, aber es schwierig ist, die Kausalität zwischen den beiden zu definieren。齐泽尔·迪塞尔phänomenologischen定性研究,乐器研究和乐器研究Übergangsobjekt <s:2> r . erwachene zu verstehen;as Instrument wurde als brustobjjekt verwendet, in Übereinstimmung mit Kleins objjetbeziehungstheory。[20] [footnoteref: 1] [footnoteref: 1] [footnoteref: 1] [footnoteref: 1] [footnoteref: 1] [footnoteref: 1] [footnoteref: 1] [footnoteref: 1]。Die Ergebnisse der Untersuchung zeigen, dass Die Teilnehmer ihre musistrumente anthropomorphisierten and sie subjicals elterliche Attribute and solche, Die mit romantisschen partner in verindung gebracht werden, wahrnahmen。在临床治疗学上,在患者治疗学上,在<s:1>音乐治疗学Fähigkeiten verf<e:1>学上,在心理治疗学上,在病理治疗学上,在心理治疗学上,在心理治疗学上,在心理治疗学上,在心理治疗学上,在心理治疗学上。RESUMENTocar música按如下格式执行simbolización y útil para procesar las emociones。在研究中,我们发现了利用性畸形的可能性música和利用性畸形的可能性clínicos。在法律形式上的不同,在客体上的不同,在主体上的不同,在主体上的不同,在主体上的不同。对于重要的对象而言,“重要的对象”是“重要的对象”,“重要的对象”是“重要的对象”,“重要的对象”是“重要的对象”。El propósito de esta investigación定性的fenomenológica fue理解El paper del instrument musical y El paper que desempeña como object to transitransiational para los adultos;el instrumento se utilizó como object to mamario, de acuerdo con la Teoría de las Relaciones Objetales de Klein。我们认识到,20位企业家在不同的年代,不同的工具,不同的知识,不同的知识,不同的经验,不同的经验,不同的目标,不同的知识。Los resultados de la investigación revelan que Los participantes antroomizizaron sus instrumentmusicales by Los percibieron subjtivamente como possedores de attributeros parentales by Los associados conlas parenjas románticas。研究结果表明,我们有机会了解到,我们有机会了解到,我们有机会了解,我们有机会了解,我们有机会了解,我们有机会了解,我们有机会了解,我们有机会了解,我们有机会了解,我们有机会了解,我们有机会了解。RIASSUNTOFare music può essere una forma di symbolizzazione e utille ' explelazione delle emozioni。在临床上,我认为音乐是一种完美的表现,而音乐是一种完美的表现,我认为音乐是一种完美的表现。Tuttavia,一种不同的艺术形式,la musica è una forma d 'arte senza oggetto,将会呈现出sorpretenemente,也就是所谓的体验,即目标的内在。Cio significa格瓦拉il ruolo格瓦拉gli strumenti musicali svolgono nel collegare我由于意大利无oggetto e重要,马e固执的definire la causalita交易我。 他是约克维尔大学咨询心理学硕士课程的导师,是国际应用精神分析学会精神分析和电影小组的成员,也是《健康对话》的编委会成员。他是一名注册心理治疗师、注册临床咨询师、精神分析学家和音乐家。Tara Rava Zolnikov获得北达科他州立大学发展科学博士学位。她在一些世界上最著名的公共卫生和全球卫生期刊上发表了大量文章,包括《柳叶刀肿瘤学》、《美国公共卫生杂志》、《艾滋病与行为》、《整体环境科学》等。2017年,她获得了《美国公共卫生杂志》的年度编辑选择审稿人奖。她是《健康对话》的编辑。
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引用次数: 0
Psychotherapy in a shared foreign language. Exploration of psychotherapists’ perceptions of multipleness in the therapeutic interaction 用共同的外语进行心理治疗。探讨心理治疗师在治疗互动中对多重性的认知
Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-11-06 DOI: 10.1080/13642537.2023.2277435
Lies Sercu
ABSTRACTIn today’s multilingual society, psychotherapists are more and more likely to encounter clients with a different mother tongue than their own. The objective of the study reported here was to map therapists’ perceptions of and experiences with psychotherapy in a shared foreign language (LX). Data was collected by means of in-depth interviews among psychotherapists (N = 10). The transcripts were analyzed thematically with great attention to researcher reflexivity. The findings show that the participants report complex experiences taking place in LX therapy sessions. Therapists’ views could be thematically organized under the headings ‘linguistic challenges’, ‘awareness of linguistic and cultural identity’, ‘cultures in interaction in third space’, and ‘multiperspectivity’. Taken together, the themes reveal that the therapists are aware of the linguistic and cultural dimensions of providing therapy in an LX, and that they perceive themselves as operating in a third space that is co-constructed by themselves and their clients. Providing psychotherapy in a shared foreign language brings with it particular linguistic, cultural, and psychotherapeutic challenges for psychotherapists, which need to be managed well if therapy is to be successful. From this understanding follow specific suggestions as to which cultural, linguistic, and personal orientations to take in LX psychotherapy, as well as some suggestions for the education of psychotherapists.ABSTRAKTIn der heutigen mehrsprachigen Gesellschaft treffen Psychotherapeuten immer häufiger auf Klienten mit einer anderen Muttersprache als ihrer eigenen. Das Ziel dieser Studie war es, die Wahrnehmungen und Erfahrungen von Therapeuten mit Psychotherapie in einer gemeinsamen Fremdsprache (LX) abzubilden. Die Daten wurden mittels Tiefeninterviews unter Psychotherapeuten erhoben (N = 10). Die Transkripte wurden thematisch unter besonderer Berücksichtigung der Reflexivität der Forscher analysiert. Die Ergebnisse zeigen, dass die Teilnehmer von komplexen Erfahrungen berichten, die in LX-Therapiesitzungen stattfinden. Die Sichtweisen der Therapeuten könnten thematisch unter den Überschriften “Sprachliche Herausforderungen”, “Bewusstsein für sprachliche und kulturelle Identität”, “Kulturen in Interaktion im dritten Raum” und “Multiperspektivität” zusammengefasst werden. Zusammengenommen zeigen die Themen, dass sich die Therapeuten der sprachlichen und kulturellen Dimensionen der Therapie in einem LX bewusst sind und dass sie sich selbst als in einem dritten Raum agierend wahrnehmen, der von ihnen selbst und ihren Klienten mitkonstruiert wird. Die Durchführung von Psychotherapie in einer gemeinsamen Fremdsprache bringt sprachliche, kulturelle und psychotherapeutische Herausforderungen mit sich, die für den Therapieerfolg gut bewältigt werden müssen. Aus diesem Verständnis ergeben sich konkrete Vorschläge, welche kulturellen, sprachlichen und persönlichen Orientierungen in der LX-Psychotherapie zu nehmen sind
在当今的多语言社会中,心理治疗师越来越多地遇到母语与自己不同的来访者。本研究报告的目的是绘制治疗师在共享外语(LX)中对心理治疗的看法和经验。通过对心理治疗师(N = 10)的深度访谈收集数据。对转录本进行主题分析,重点关注研究者的反身性。研究结果表明,参与者报告了在LX治疗过程中发生的复杂经历。治疗师的观点可以按主题组织为“语言挑战”、“语言和文化认同的意识”、“第三空间中相互作用的文化”和“多视角”。综上所述,这些主题揭示了治疗师意识到在LX中提供治疗的语言和文化维度,并且他们认为自己在由自己和客户共同构建的第三空间中运作。用共同的外语提供心理治疗给心理治疗师带来了特殊的语言、文化和心理治疗方面的挑战,如果治疗要成功,就需要妥善处理这些挑战。根据这一认识,我们提出了在LX心理治疗中应该采取哪些文化、语言和个人取向的具体建议,以及对心理治疗师的教育的一些建议。摘要/ abstract摘要:在心理治疗学研究中,心理治疗学研究的主要内容有:心理治疗学研究的主要内容:心理治疗学研究的主要内容:心理治疗学研究的主要内容:心理治疗学。[2] [j] .临床研究与临床应用[j] .中华医学会精神病学分会。《心理治疗》(N = 10)。德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志德意志。Die Ergebnisse zeigen, dass Die Teilnehmer von komplexen Erfahrungen berichten, Die in lx - therapiesitungen stattfinden。Die Sichtweisen der Therapeuten könnten thematisch unterden Überschriften“Sprachliche Herausforderungen”,“Bewusstsein fdr Sprachliche und kulturelle Identität”,“文化在相互作用中的书写”和“Multiperspektivität”zusammengefast werden。zusammenmengenommen zeigen die Themen, dass sdie Therapeuten der sprachlichen和culturellen Dimensionen der Therapie in einem LX bewist和dass sessit selbst也在einem写的Raum agerend wahrnehmen, der von ihnen selbst和ihren Klienten mitkonstruiert wid。精神治疗学的发展与发展:精神治疗学的发展与发展:精神治疗学的发展与发展:精神治疗学的发展与发展:精神治疗学的发展与发展:精神治疗学的发展与发展:精神治疗学的发展:精神治疗学的发展:精神治疗学的发展:精神治疗学的发展:精神治疗学的发展:精神治疗学的发展:精神治疗学的发展:精神治疗学的发展。我们的研究发现Verständnis ergeben sich konkrete Vorschläge, welche kulturellen, sprachlichen和persönlichen Orientierungen in der lx - psychotherapy zu nehmen sind和wie Psychotherapeuten ausgebildet werden sollen。简历:en - la - sociedad - multiling<s:1>实际的,有经验的,有经验的,有经验的,有经验的,有经验的,有经验的,有经验的,有经验的。目的:研究比较外语(LX)的感知能力与经验的关系。10例研究结果表明:1)数据集中于回忆,2)数据集中于回忆,3)数据集中于记忆。Las transcripciones fueron analyizadas temáticamente con gran atención a la reflexivid del investigador。实验结果表明:实验对象的相关体验是复杂的,而实验对象的相关体验是复杂的。Los puntos de vista de Los terapeutas podrían organizarse temáticamente bajo Los epígrafes " desafíos lingüísticos ", " conciencia de la identidad lingüística y cultural ", " culturas en interacción en el tercer espacio " y " multiperspectivad "。Tomados en conjunto, los temas as revelas, los terapeuas as conentes of las dimensions lingüísticas,通过culculales de la provisión de terapia en en LX,通过感知sí mismos como operando,通过tererespacio, co- cono operando,通过co- cono operando,通过co- cono operando,通过co- cono operando,通过co- cono concondo,通过co- concondo,通过co- concondo,通过co- concondo,通过co- concondo,通过co- concondo,通过co- concondo,通过客户。在比较贸易协约国以外的其他国家进行比较贸易协约国desafíos lingüísticos,通过比较贸易协约国进行文化交流,通过比较贸易协约国进行文化交流,通过比较贸易协约国进行文化交流。多语社会,多语社会,多语社会,多语社会,多语社会,多语社会,多语社会,多语社会,多语社会,多语社会L ' objecttivo di questo studio è statto quello di mapappare le perception .(在语言陌生的条件下)。数据统计结果表明,中间访谈对患者的心理健康影响较小(N = 10)。用声波状态分析的方法,分析了在大范围内发生的、具有反射光的、具有反射光的反应。 男性代词被理解为包括所有性别。作者简介:slies Sercu是比利时鲁汶天主教大学语言、教育和社会研究中心的语言学副教授。她也是一名训练有素的心理治疗师,用母语荷兰语和英语提供治疗。目前,她的研究兴趣是将(跨文化)语言学与健康(扫盲)教育和传播相结合,她的研究兴趣包括多语言治疗中的传播,健康扫盲教育中的跨文化问题,以及通过学校教育获得跨文化能力。
{"title":"Psychotherapy in a shared foreign language. Exploration of psychotherapists’ perceptions of <i>multipleness</i> in the therapeutic interaction","authors":"Lies Sercu","doi":"10.1080/13642537.2023.2277435","DOIUrl":"https://doi.org/10.1080/13642537.2023.2277435","url":null,"abstract":"ABSTRACTIn today’s multilingual society, psychotherapists are more and more likely to encounter clients with a different mother tongue than their own. The objective of the study reported here was to map therapists’ perceptions of and experiences with psychotherapy in a shared foreign language (LX). Data was collected by means of in-depth interviews among psychotherapists (N = 10). The transcripts were analyzed thematically with great attention to researcher reflexivity. The findings show that the participants report complex experiences taking place in LX therapy sessions. Therapists’ views could be thematically organized under the headings ‘linguistic challenges’, ‘awareness of linguistic and cultural identity’, ‘cultures in interaction in third space’, and ‘multiperspectivity’. Taken together, the themes reveal that the therapists are aware of the linguistic and cultural dimensions of providing therapy in an LX, and that they perceive themselves as operating in a third space that is co-constructed by themselves and their clients. Providing psychotherapy in a shared foreign language brings with it particular linguistic, cultural, and psychotherapeutic challenges for psychotherapists, which need to be managed well if therapy is to be successful. From this understanding follow specific suggestions as to which cultural, linguistic, and personal orientations to take in LX psychotherapy, as well as some suggestions for the education of psychotherapists.ABSTRAKTIn der heutigen mehrsprachigen Gesellschaft treffen Psychotherapeuten immer häufiger auf Klienten mit einer anderen Muttersprache als ihrer eigenen. Das Ziel dieser Studie war es, die Wahrnehmungen und Erfahrungen von Therapeuten mit Psychotherapie in einer gemeinsamen Fremdsprache (LX) abzubilden. Die Daten wurden mittels Tiefeninterviews unter Psychotherapeuten erhoben (N = 10). Die Transkripte wurden thematisch unter besonderer Berücksichtigung der Reflexivität der Forscher analysiert. Die Ergebnisse zeigen, dass die Teilnehmer von komplexen Erfahrungen berichten, die in LX-Therapiesitzungen stattfinden. Die Sichtweisen der Therapeuten könnten thematisch unter den Überschriften “Sprachliche Herausforderungen”, “Bewusstsein für sprachliche und kulturelle Identität”, “Kulturen in Interaktion im dritten Raum” und “Multiperspektivität” zusammengefasst werden. Zusammengenommen zeigen die Themen, dass sich die Therapeuten der sprachlichen und kulturellen Dimensionen der Therapie in einem LX bewusst sind und dass sie sich selbst als in einem dritten Raum agierend wahrnehmen, der von ihnen selbst und ihren Klienten mitkonstruiert wird. Die Durchführung von Psychotherapie in einer gemeinsamen Fremdsprache bringt sprachliche, kulturelle und psychotherapeutische Herausforderungen mit sich, die für den Therapieerfolg gut bewältigt werden müssen. Aus diesem Verständnis ergeben sich konkrete Vorschläge, welche kulturellen, sprachlichen und persönlichen Orientierungen in der LX-Psychotherapie zu nehmen sind","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"42 13","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135681286","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}
引用次数: 0
The handbook of phototherapy and therapeutic photography: For the professional and activist client The handbook of phototherapy and therapeutic photography: For the professional and activist client , by Del Loewenthal, London, Routledge, 2023, 208 pp., £21.59 (paperback), ISBN: 978-1-003-24091-4 该手册的光疗和治疗摄影:专业人士和积极分子的客户,由Del Loewenthal,伦敦,劳特利基,2023年,208页,£21.59(平装),ISBN: 978-1-003-24091-4
Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-11-06 DOI: 10.1080/13642537.2023.2278990
Elisabetta Romani
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引用次数: 0
Sexuality beyond consent. Risk, race, traumatophilia 超出同意的性行为。风险,种族,创伤癖
IF 0.2 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-03 DOI: 10.1080/13642537.2023.2241332
A. Poulios
{"title":"Sexuality beyond consent. Risk, race, traumatophilia","authors":"A. Poulios","doi":"10.1080/13642537.2023.2241332","DOIUrl":"https://doi.org/10.1080/13642537.2023.2241332","url":null,"abstract":"","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"36 1","pages":"317 - 320"},"PeriodicalIF":0.2,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76933859","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}
引用次数: 0
“Blurred facilitation stand” – the hidden factor when working with LGBTQ: Diagnosis and addressing an unspoken effect of internalized homophobia “模糊的促进立场”——处理LGBTQ时的隐藏因素:诊断和解决内化的同性恋恐惧症的未说出来的影响
IF 0.2 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-03 DOI: 10.1080/13642537.2023.2240821
Eli Sharon
ABSTRACT While there is always a ‘dance’ of hierarchy and leadership between therapist and client, this article posits that treating LGBTQ clients contains a unique factor that shapes the relationship. Singular challenges may surface as a result of internalized homophobia; it can undermine a client’s stance, in a vague and latent way, to take part meaningfully and effectively in a therapeutic alliance. Moreover, a client may project dimensions rooted in homophobia onto the therapist. As such, it could stymie or undermine the therapeutic alliance. We’ve coined this phenomenon in a therapeutic relationship the ‘blurred facilitation stand”©. This term seeks to underscore a unique effect that can surface in an encounter between a heterosexual or non-heterosexual therapist and a non-heterosexual client. It bears mention this effect may undermine the potency of a therapeutic alliance, which theoreticians and researchers affirm has unique dimensions in working with LBGTQ clients. The ‘blurred facilitation stand’ may damage the hope potential that is essential for the placebo effect in a client’s mind and experience in the long-awaited therapeutic process. We discuss factors that lead to the ‘blurred facilitation stand’ and propose steps in the therapeutic process to reduce its effect.
虽然治疗师和来访者之间总是有一种等级和领导的“舞蹈”,但本文认为,治疗LGBTQ来访者包含一个塑造关系的独特因素。由于内化的同性恋恐惧症,奇异的挑战可能会浮出水面;它可以以一种模糊和潜在的方式破坏客户的立场,使其无法有意义地和有效地参与治疗联盟。此外,客户可能会将根植于同性恋恐惧症的维度投射到治疗师身上。因此,它可能会阻碍或破坏治疗联盟。我们在治疗关系中创造了这种现象,“模糊促进站”©。这个术语旨在强调在异性恋或非异性恋治疗师与非异性恋来访者相遇时可能出现的一种独特效果。值得一提的是,这种效应可能会削弱治疗联盟的效力,理论家和研究人员确认,在与LBGTQ客户合作时,这种联盟具有独特的维度。“模糊的促进立场”可能会损害希望潜力,而希望潜力对于来访者心中的安慰剂效应和期待已久的治疗过程的体验至关重要。我们讨论了导致“模糊的促进立场”的因素,并提出了在治疗过程中减少其影响的步骤。
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引用次数: 0
Complementary perspectives in subclinical psychosis: From clinical high-risk and personality organization to ordinary psychosis 亚临床精神病的互补视角:从临床高危、人格组织到普通精神病
IF 0.2 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-03 DOI: 10.1080/13642537.2023.2240814
G. Mitropoulos
ABSTRACT In this paper, I try to bring the Lacanian psychoanalytic concept of ‘ordinary psychosis’ (OP) into dialogue with the prevailing paradigms in psychiatry and psychodynamic theory regarding subclinical psychosis: respectively, the model of clinical-high-risk for psychosis and that of personality organization/disorder. OP is a bottom-up clinical approach applicable to both atypical/subclinical psychoses and disordered personality that identifies both the main psychological difficulties encountered and the compensatory mechanisms employed by the individual. Its diagnosis relies on subtle indices or markers of a ‘disturbance of the sense of life’ and of a failure of knotting together the elements of the subjective structure. Many patients typically diagnosed with a personality disorder may be treated as cases of OP. This clinical concept is not limited to a descriptive approach and it offers insights into both subtle psychological deficits and mechanisms contributing to resilience. It avoids the risk of unjustified preventive treatments and stigmatization carried by a model of attenuated psychosis. It facilitates the direction of the psychotherapeutic treatment offering more than support to the individual’s adaptive attitudes. It offers insights into the communication between the medical and the psychodynamic models. OP is therefore a category of clinical utility, psychological validity, and ethical value.
在本文中,我试图将拉康精神分析的“普通精神病”(OP)概念与精神病学和精神动力学理论中关于亚临床精神病的主流范式(分别是精神病的临床高风险模型和人格组织/障碍模型)进行对话。OP是一种自下而上的临床方法,适用于非典型/亚临床精神病和人格障碍,它确定了个体遇到的主要心理困难和采用的补偿机制。它的诊断依赖于“生活意识紊乱”的微妙指标或标记,以及无法将主观结构的要素结合在一起。许多通常被诊断为人格障碍的患者可能被视为op病例。这一临床概念并不局限于描述性方法,它提供了对微妙的心理缺陷和有助于恢复的机制的见解。它避免了不合理的预防性治疗的风险和减轻精神病模式带来的污名化。它促进了心理治疗的方向,为个体的适应性态度提供了更多的支持。它为医学模型和心理动力学模型之间的交流提供了见解。因此,OP是一个临床效用、心理有效性和伦理价值的范畴。
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引用次数: 0
Disalienation: Politics, philosophy, and radical psychiatry in postwar France, 《疏离:战后法国的政治、哲学和激进精神病学》
IF 0.2 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-03 DOI: 10.1080/13642537.2023.2241335
A. Tzikos
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引用次数: 1
Exploring themes of racialization in “The Vanishing Half”: Is the term “white passing” a useful way for psychotherapists, counsellors and psychological therapists to conceptualise racial identity? 探索“消失的一半”中的种族化主题:对于心理治疗师、咨询师和心理治疗师来说,“白人过境”一词是否是一种有效的方式来概念化种族身份?
IF 0.2 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-03 DOI: 10.1080/13642537.2023.2239261
Olivia Mohtady
ABSTRACT This paper draws on themes from The Vanishing Half and intersectionality theory to evaluate the usefulness of the term ‘white passing’ for psychological therapists, counsellors and psychotherapists exploring racial identity phenomena in their practice. The context for ‘white passing’ as a historic method for surviving racial injustice is discussed. This will involve consideration of how the systematic invisibility of whiteness has been a cause for harmful racialization of individuals past and present. The conclusion is that ‘white passing’ as a flattened identity label contains dangerous rhetoric about how far racialized individuals are allowed to ‘fit’ into society by those that oppress them.
摘要:本文以《消失的一半》和交叉性理论为主题,对心理治疗师、咨询师和心理治疗师在实践中探索种族认同现象时,“白过”一词的有用性进行了评估。本文讨论了“白人传递”作为种族不公正生存的历史方法的背景。这将涉及到对白人的系统性不可见如何成为过去和现在的个人有害种族化的原因。结论是,作为一种扁平的身份标签,“白过”包含了危险的言辞,即种族化的个体在多大程度上被那些压迫他们的人允许“融入”社会。
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引用次数: 0
Could therapists, their supervisors and their professional bodies do more to protect the public? 治疗师、他们的主管和他们的专业团体能做更多的事情来保护公众吗?
IF 0.2 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-03 DOI: 10.1080/13642537.2023.2241327
D. Loewenthal
To be more specific, this editorial ventures, somewhat audaciously, to consider whether psychotherapists, counsellors, psychoanalysts, arts and play therapists, psychologists, their supervisors, their trainers/educators and their professional bodies could do more to protect the public. When I started my psychotherapy training, many other trainees appeared to have already been there for around 10 years. I, whilst having already successfully completed a 3-year diploma in counselling, was to take much longer. Now I would agree that I was probably a more difficult ‘case’ than most, but would I currently be shown that – given therapeutic training today, or would I ‘get away with it’ to both my clients’ and my detriment? In the case of the UK, it is now possible to advertise as a psychotherapist on the main sites that the public uses to access therapy after 1-year full-time training or 2-year part-time training, appearing to be fully qualified. Furthermore, an increasing number of even 4-year part-time trainings do not require the trainee to go to the expense, time, and potential emotional furore, of having personal therapy. Let alone the questions of how many times a week and whether such personal therapy is at least throughout the training. The potential client is faced with the confusing complexity of professional labels, for example, MBACP (registered) and MBACP (accredited), psychotherapist, psychotherapeutic counsellor, psychoanalytic psychotherapist, psychodynamic psychotherapist, psychoanalyst, practitioner psychologist, clinical psychologist, counselling psychologist, and so on. There seems little in the way of help provided, particularly by referral websites, for somebody who is likely to be in distress in the first place to understand all these different titles and labels (let alone to then go into looking at choosing a modality). Furthermore , this lack of clarity over therapeutic professional labels is not just a problem for potential clients, for in my experience most health service professionals, who might advise the client, are also unlikely to be clear. I previously ran CPD programmes for general practitioners who seem to have little clue about these differences – so what chance has the general public? EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING 2023, VOL. 25, NO. 3, 219–231 https://doi.org/10.1080/13642537.2023.2241327
更具体地说,这篇社论大胆地考虑了心理治疗师、咨询师、精神分析学家、艺术和游戏治疗师、心理学家、他们的主管、他们的培训师/教育者和他们的专业机构是否可以做更多的事情来保护公众。当我开始接受心理治疗培训时,许多学员似乎已经在那里工作了10年左右。我虽然已经成功地完成了3年的咨询文凭,但要花更长的时间。现在我同意,我可能是一个比大多数人更困难的“案例”,但我现在是否会被证明-给予今天的治疗培训,或者我是否会对我的客户和我的损害都“侥幸逃脱”?以英国为例,现在可以在公众使用的主要网站上做心理治疗师的广告,这些网站在经过1年的全职培训或2年的兼职培训后,看起来是完全合格的。此外,越来越多的4年兼职培训甚至不需要学员花费金钱、时间和潜在的情绪愤怒来进行个人治疗。更不用说每周多少次以及这种个人治疗是否至少贯穿整个培训过程的问题了。潜在的客户面临着令人困惑的专业标签的复杂性,例如,MBACP(注册)和MBACP(认证),心理治疗师,心理治疗咨询师,精神分析心理治疗师,精神动力心理治疗师,精神分析学家,执业心理学家,临床心理学家,咨询心理学家等等。对于那些一开始就可能陷入困境的人来说,提供帮助的方式似乎很少,尤其是通过推荐网站,他们很难理解所有这些不同的标题和标签(更不用说选择一种方式了)。此外,缺乏明确的治疗专业标签不仅是潜在客户的问题,因为根据我的经验,大多数可能给客户提供建议的健康服务专业人员也不太可能清楚。我以前为全科医生开办了持续专业进修课程,他们似乎对这些差异一无所知——那么普通公众有什么机会呢?欧洲心理治疗与咨询杂志2023,第25卷,第25期。3, 219-231 https://doi.org/10.1080/13642537.2023.2241327
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引用次数: 0
A return to Sartre. An existential approach to the therapeutic relationship with young people with anorexia nervosa: Clinical examples from an inpatient eating disorder service 回到萨特。对神经性厌食症年轻人的治疗关系的存在主义方法:来自住院患者饮食失调服务的临床实例
IF 0.2 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2023-07-03 DOI: 10.1080/13642537.2023.2240819
Kevin Ball, L. Giombini
ABSTRACT The NICE guidelines (2017) for the psychological treatment of anorexia nervosa in young people recommend family-based therapy, cognitive behaviour therapy or psychodynamic therapy focused on the eating disorder, of all which externalisation is an integral technique. In contrast to this, we are challenging the premise of this method by using Sartre’s phenomenological ontology that does not presuppose the separation of the person from the illness, which is the basic premise of the externalisation. We present the key-concepts of Sartre as described in ‘Being and Nothingness’. We describe the ontological categories of the in itself and for itself, and their development into human reality in the form of facticity and transcendence. In addition, we explore the concept of the look, the psychic body and the notion of objectification through three clinical cases. We conclude by reflecting on the value of Sartre’s existential ontology to the promotion of the importance of collaboration in co-constructing treatment with patients and their families.
NICE关于年轻人神经性厌食症心理治疗的指南(2017)推荐以家庭为基础的治疗、认知行为治疗或专注于饮食失调的心理动力治疗,其中外化是一项不可或缺的技术。与此相反,我们通过使用萨特的现象学本体论来挑战这种方法的前提,这种本体论不以人与疾病的分离为前提,这是外化的基本前提。我们呈现萨特在“存在与虚无”中所描述的关键概念。我们描述了自在和自为的本体论范畴,以及它们以真实性和超越性的形式向人类现实的发展。此外,我们通过三个临床案例探讨了外观的概念、精神体和物化的概念。最后,我们反思萨特的存在本体论对促进与患者及其家属共同构建治疗的合作重要性的价值。
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引用次数: 0
期刊
European Journal of Psychotherapy & Counselling
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