Pub Date : 2022-07-03DOI: 10.1080/13642537.2022.2117769
A. McSherry
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Pub Date : 2022-07-03DOI: 10.1080/13642537.2022.2115204
Catherine Llewellyn
{"title":"Beyond mainstream medicine - dialogue towards a new paradigm for health","authors":"Catherine Llewellyn","doi":"10.1080/13642537.2022.2115204","DOIUrl":"https://doi.org/10.1080/13642537.2022.2115204","url":null,"abstract":"","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"30 2","pages":"375 - 377"},"PeriodicalIF":0.2,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72405713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-03DOI: 10.1080/13642537.2022.2115646
D. Loewenthal
Twenty-five years ago, when this European Journal of Psychotherapy and Counselling (EJPC) was established, we published case studies together with commentaries. Then, this was also a mainstay of other journals in our field – but not now. So how has this come about and what are the consequences? The Greek letter psi (taken to mean: life, soul, heart) gave rise to such words as ‘psychotherapy’, ‘psychoanalysis’, ‘psychology’, and ‘psychiatry’. Indeed, this Greek letter is used as the logo for our journal (though the EJPC deliberately has a flattened version in an attempt to represent both the Greek and, through the menorah, Hebraic influences on European thought). Importantly with the Greeks comes phusus/physis to represent the natural, what comes out of itself and where force would usually be inappropriate. But here’s the rub: When the journal was initiated case studies could be published on being anonymised. There was no requirement, unlike now, to have the permission of the client/patient. Yet for many of us we consider that what we may write in a paper if seen by clients could be detrimental to them. This concern is not just during therapy but afterwards as many of us assume that ex-clients may return to working with us. A popular suggestion as to how to work round this is for authors to construct composite client cases (Duffy, 2010). Yet there are at least two problems here: First there is an argument that the author of the paper should get permission from all those clients making up the composite case study even though, as with an actual single case, the author has changed identifying aspects. Secondly, and of particular significance here, the author can construct the composite case to tell a story to fit the theory being proposed. But this is forced and not phusis – it does not come out of itself. Aren’t such practices examples of the ‘allegiance effect’ (see for example Winter, 2010) par excellence? It has been argued that those, such as Freud, have also misused case studies (Willemsen et al., 2017), whilst simultaneously and not unrelatedly
{"title":"Is psychotherapy fundamentally threatened, with the demise of published case studies, to become neither an art and/ nor a science?","authors":"D. Loewenthal","doi":"10.1080/13642537.2022.2115646","DOIUrl":"https://doi.org/10.1080/13642537.2022.2115646","url":null,"abstract":"Twenty-five years ago, when this European Journal of Psychotherapy and Counselling (EJPC) was established, we published case studies together with commentaries. Then, this was also a mainstay of other journals in our field – but not now. So how has this come about and what are the consequences? The Greek letter psi (taken to mean: life, soul, heart) gave rise to such words as ‘psychotherapy’, ‘psychoanalysis’, ‘psychology’, and ‘psychiatry’. Indeed, this Greek letter is used as the logo for our journal (though the EJPC deliberately has a flattened version in an attempt to represent both the Greek and, through the menorah, Hebraic influences on European thought). Importantly with the Greeks comes phusus/physis to represent the natural, what comes out of itself and where force would usually be inappropriate. But here’s the rub: When the journal was initiated case studies could be published on being anonymised. There was no requirement, unlike now, to have the permission of the client/patient. Yet for many of us we consider that what we may write in a paper if seen by clients could be detrimental to them. This concern is not just during therapy but afterwards as many of us assume that ex-clients may return to working with us. A popular suggestion as to how to work round this is for authors to construct composite client cases (Duffy, 2010). Yet there are at least two problems here: First there is an argument that the author of the paper should get permission from all those clients making up the composite case study even though, as with an actual single case, the author has changed identifying aspects. Secondly, and of particular significance here, the author can construct the composite case to tell a story to fit the theory being proposed. But this is forced and not phusis – it does not come out of itself. Aren’t such practices examples of the ‘allegiance effect’ (see for example Winter, 2010) par excellence? It has been argued that those, such as Freud, have also misused case studies (Willemsen et al., 2017), whilst simultaneously and not unrelatedly","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"93 1","pages":"263 - 268"},"PeriodicalIF":0.2,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75952833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-03DOI: 10.1080/13642537.2022.2070231
Agapi Kapeloni, Rita Glover
ABSTRACT Longevity of age is a global phenomenon of the 21st century. Therapists working with older adults therefore need to be aware of issues of ageing, dying as well as societal and other attitudes towards older adults. Little is known about therapists’ experiences of providing psychotherapy to ageing clients. This article uncovers the findings of a Heideggerian hermeneutic phenomenological study which describes and interprets ten Irish therapists’ lived experiences of working with older adults. The findings indicate that psychotherapy with older adults is a different and challenging experience for therapists, compared to work with clients in younger age ranges. Participants in this study found ways of coping with dominant experiences of sadness, vulnerability, ageing, dying and death. In order to cope with and effectively work with older adults, a commitment to personal development regarding one’s own ageing and mortality is necessary, coupled with ongoing professional development to increase specialised knowledge of and theoretical perspectives on ageing.
{"title":"Encountering older adults in psychotherapy: The lived experience of therapists working with older adults in Ireland","authors":"Agapi Kapeloni, Rita Glover","doi":"10.1080/13642537.2022.2070231","DOIUrl":"https://doi.org/10.1080/13642537.2022.2070231","url":null,"abstract":"ABSTRACT Longevity of age is a global phenomenon of the 21st century. Therapists working with older adults therefore need to be aware of issues of ageing, dying as well as societal and other attitudes towards older adults. Little is known about therapists’ experiences of providing psychotherapy to ageing clients. This article uncovers the findings of a Heideggerian hermeneutic phenomenological study which describes and interprets ten Irish therapists’ lived experiences of working with older adults. The findings indicate that psychotherapy with older adults is a different and challenging experience for therapists, compared to work with clients in younger age ranges. Participants in this study found ways of coping with dominant experiences of sadness, vulnerability, ageing, dying and death. In order to cope with and effectively work with older adults, a commitment to personal development regarding one’s own ageing and mortality is necessary, coupled with ongoing professional development to increase specialised knowledge of and theoretical perspectives on ageing.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"7 1","pages":"281 - 298"},"PeriodicalIF":0.2,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78056203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-12DOI: 10.1080/13642537.2022.2072928
Orr Spivak, Andres Konichezky
ABSTRACT Schema Focused Therapy (henceforth SFT) is an integrative theory of therapy, which includes aspects of various different therapeutic approaches, but does not stress mentalization. Mentalization Based Therapy (henceforth MBT) focuses on mentalization, but lacks several causes for impaired mentalization found in SFT. The current article aims to fill these respective gaps. To this end, an assimilation of mentalization into SFT is suggested, causes of impaired mentalization are collected from SFT, and practical implications are discussed.
{"title":"Schema focused and mentalization based therapy – An integrative proposal","authors":"Orr Spivak, Andres Konichezky","doi":"10.1080/13642537.2022.2072928","DOIUrl":"https://doi.org/10.1080/13642537.2022.2072928","url":null,"abstract":"ABSTRACT Schema Focused Therapy (henceforth SFT) is an integrative theory of therapy, which includes aspects of various different therapeutic approaches, but does not stress mentalization. Mentalization Based Therapy (henceforth MBT) focuses on mentalization, but lacks several causes for impaired mentalization found in SFT. The current article aims to fill these respective gaps. To this end, an assimilation of mentalization into SFT is suggested, causes of impaired mentalization are collected from SFT, and practical implications are discussed.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"1989 1","pages":"357 - 372"},"PeriodicalIF":0.2,"publicationDate":"2022-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82298993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-18DOI: 10.1080/13642537.2022.2064533
Teuku Fadhli, D. Situmorang
ABSTRACT This study explained the importance of Solution-Focused Brief Therapy (SFBT) approach in dealing with individuals to find solutions both after and during the occurrence of psychological anxiety, the application of SBFT can be done practically, effectively, and efficiently. This study uses comparative analysis, which refers to various relevant literature between SFBT and psychological anxiety, especially in COVID-19 outbreak in the form of scientific journal articles, reference books, and other information from trusted sources. The results revealed that there is a significant correlation between theories, both basic assumptions and concepts related to the SFBT intervention process in an effort to help individuals find solutions to problems that are or will be experienced. This study can then be a scientific reference for the application of the SFBT approach as an effort to improve the ability to find solutions.
{"title":"The implementation of Solution-Focused Brief Therapy (SFBT) as a solution for handling psychological anxiety in facing the COVID-19 outbreak","authors":"Teuku Fadhli, D. Situmorang","doi":"10.1080/13642537.2022.2064533","DOIUrl":"https://doi.org/10.1080/13642537.2022.2064533","url":null,"abstract":"ABSTRACT This study explained the importance of Solution-Focused Brief Therapy (SFBT) approach in dealing with individuals to find solutions both after and during the occurrence of psychological anxiety, the application of SBFT can be done practically, effectively, and efficiently. This study uses comparative analysis, which refers to various relevant literature between SFBT and psychological anxiety, especially in COVID-19 outbreak in the form of scientific journal articles, reference books, and other information from trusted sources. The results revealed that there is a significant correlation between theories, both basic assumptions and concepts related to the SFBT intervention process in an effort to help individuals find solutions to problems that are or will be experienced. This study can then be a scientific reference for the application of the SFBT approach as an effort to improve the ability to find solutions.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"25 1","pages":"269 - 280"},"PeriodicalIF":0.2,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89770945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-03DOI: 10.1080/13642537.2022.2101677
Andrew Briggs
ABSTRACT This paper takes its cue from those given at the conference Psychotherapy and Healthy Masculinity. These prompted the author to reflect on how he experienced masculinity as a psychotherapist working with families within NHS England’s CAMHS. The difficulties in children leading to their referral demonstrated a problematic parenting in which the diminished role of the father was causal. Beliefs about masculinity held within the family matrix were largely ones that functioned to fill epistemic lacunae. Such filling represents a double injustice. Not only is there very little empirically based thinking about fathers in our western culture for families to draw upon to make sense of their experiences. Instead, this dearth is often falsely compensated through ideologically derived pejorative concepts, that invariably do not relate to experience. The paper discusses the perniciousness of relying upon ideological perceptions of masculinity through focusing upon how easily they are acquired and work against the mental health of children and their families.
{"title":"Masculinity in the consulting room: A child psychotherapist’s experiences","authors":"Andrew Briggs","doi":"10.1080/13642537.2022.2101677","DOIUrl":"https://doi.org/10.1080/13642537.2022.2101677","url":null,"abstract":"ABSTRACT This paper takes its cue from those given at the conference Psychotherapy and Healthy Masculinity. These prompted the author to reflect on how he experienced masculinity as a psychotherapist working with families within NHS England’s CAMHS. The difficulties in children leading to their referral demonstrated a problematic parenting in which the diminished role of the father was causal. Beliefs about masculinity held within the family matrix were largely ones that functioned to fill epistemic lacunae. Such filling represents a double injustice. Not only is there very little empirically based thinking about fathers in our western culture for families to draw upon to make sense of their experiences. Instead, this dearth is often falsely compensated through ideologically derived pejorative concepts, that invariably do not relate to experience. The paper discusses the perniciousness of relying upon ideological perceptions of masculinity through focusing upon how easily they are acquired and work against the mental health of children and their families.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"75 1","pages":"237 - 250"},"PeriodicalIF":0.2,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86880113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-03DOI: 10.1080/13642537.2022.2089959
E. Manakas
References Assoun, P. L. (1996). Freud et les sciences sociales. Armand Colin. Aulagnier, P. (1975). La Violence de l’interprétation. [The violence of interpretation]. Presses Universitaires de France. Foucault, M. (2011). Η ιστορία της σεξουαλικότητας. Tόμος πρώτος. [History of sexuality. First Volume]. (Τ. Mpetzelos, Ed.). Plethron (prototype edition: 1976). Freud, S. (1930). Civilization and its discontents. In J. Strachey (Ed.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 21, pp. 57–146). Hogarth Press. Lacan, J. (2011). Ακόμη [Encore]. (V. Skolidis, Ed.). Psechoyios (prototype edition: 1975). Laplanche, J. (1997). The theory of seduction and the problem of the other. The International Journal of Psycho-Analysis, 78 (Pt 4), 653–666. PMID: 9306181. Recalcati, M. (2016). Το σύμπλεγμα του Τηλέμαχου [The Telemachus complex]. (A. Plevri & G. Vessala, Eds.). Kelefthos (prototype edition: 2013). Zuppančič, A. (2017). What is sex? M.I.T Press.
{"title":"Toward a social psychoanalysis: Culture, character, and normative unconscious processes","authors":"E. Manakas","doi":"10.1080/13642537.2022.2089959","DOIUrl":"https://doi.org/10.1080/13642537.2022.2089959","url":null,"abstract":"References Assoun, P. L. (1996). Freud et les sciences sociales. Armand Colin. Aulagnier, P. (1975). La Violence de l’interprétation. [The violence of interpretation]. Presses Universitaires de France. Foucault, M. (2011). Η ιστορία της σεξουαλικότητας. Tόμος πρώτος. [History of sexuality. First Volume]. (Τ. Mpetzelos, Ed.). Plethron (prototype edition: 1976). Freud, S. (1930). Civilization and its discontents. In J. Strachey (Ed.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 21, pp. 57–146). Hogarth Press. Lacan, J. (2011). Ακόμη [Encore]. (V. Skolidis, Ed.). Psechoyios (prototype edition: 1975). Laplanche, J. (1997). The theory of seduction and the problem of the other. The International Journal of Psycho-Analysis, 78 (Pt 4), 653–666. PMID: 9306181. Recalcati, M. (2016). Το σύμπλεγμα του Τηλέμαχου [The Telemachus complex]. (A. Plevri & G. Vessala, Eds.). Kelefthos (prototype edition: 2013). Zuppančič, A. (2017). What is sex? M.I.T Press.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"55 1","pages":"254 - 257"},"PeriodicalIF":0.2,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80200264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-03DOI: 10.1080/13642537.2022.2089961
D. Loewenthal
A client exclaimed ‘Does masculinity always have to be toxic?’ This person said that when he was 11 or 12 he was very taken by the story of Billy Elliot and really enjoyed dancing. However, members of his family had said to him then that it was perfectly okay with them if he was homosexual. This client is now twice that age and is wanting to explore issues arising from what was then said to him and there is a question of where we might come from in responding therapeutically. Among many possibilities there may be those psychotherapists who consider coming from such a liberal family could imply a freedom for this client to be who he is. Yet, there may be other psychotherapists who might consider this family‘s intervention more a form of violence potentially stunting this person developmentally. So, do our responses as psychotherapists depend on our own values, and are such values becoming increasingly unexplored? It would be hoped that such aspects as ‘What is healthy masculinity?’ which may be particularly difficult to talk about in a society also increasingly beset by culture wars, could be explored within the consulting room. Yet as with an increasing number of areas, therapists are also caught up in potentially threatening trip wires disabling them from exploring their uncensored thoughts and feelings. This may in part be due to the ever decreasing amount of individual training therapy required by our professional bodies; but, to what extent are we as therapists and supervisors ourselves, free to allow thoughts to come to us? Does all this mean that most therapists are not really in a position to explore issues such as masculinity with their clients? Indeed, is for us to suggest as psychotherapists that we are in such a position disingenuous, a form of fake news? To give one further example of a change in our culture: I recently had to renew my membership of our local football club. After confirming my name and address the next question asked was whether I was trans. (Just answer ‘yes’ or ‘no’). Again this might be seen as a wonderful leap forward enabling popular culture to operationalise Freud’s assertion that we are all ‘polymorphous and perverse’. However, is this always helpful where explicit sexual orientation identities are called for from young people? Are such EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING 2022, VOL. 24, NO. 2, 155–161 https://doi.org/10.1080/13642537.2022.2089961
{"title":"Psychotherapy and healthy masculinity: Exploring our values, and what stops us thinking about them, when working psychotherapeutically with increasingly unstable notions of masculinity","authors":"D. Loewenthal","doi":"10.1080/13642537.2022.2089961","DOIUrl":"https://doi.org/10.1080/13642537.2022.2089961","url":null,"abstract":"A client exclaimed ‘Does masculinity always have to be toxic?’ This person said that when he was 11 or 12 he was very taken by the story of Billy Elliot and really enjoyed dancing. However, members of his family had said to him then that it was perfectly okay with them if he was homosexual. This client is now twice that age and is wanting to explore issues arising from what was then said to him and there is a question of where we might come from in responding therapeutically. Among many possibilities there may be those psychotherapists who consider coming from such a liberal family could imply a freedom for this client to be who he is. Yet, there may be other psychotherapists who might consider this family‘s intervention more a form of violence potentially stunting this person developmentally. So, do our responses as psychotherapists depend on our own values, and are such values becoming increasingly unexplored? It would be hoped that such aspects as ‘What is healthy masculinity?’ which may be particularly difficult to talk about in a society also increasingly beset by culture wars, could be explored within the consulting room. Yet as with an increasing number of areas, therapists are also caught up in potentially threatening trip wires disabling them from exploring their uncensored thoughts and feelings. This may in part be due to the ever decreasing amount of individual training therapy required by our professional bodies; but, to what extent are we as therapists and supervisors ourselves, free to allow thoughts to come to us? Does all this mean that most therapists are not really in a position to explore issues such as masculinity with their clients? Indeed, is for us to suggest as psychotherapists that we are in such a position disingenuous, a form of fake news? To give one further example of a change in our culture: I recently had to renew my membership of our local football club. After confirming my name and address the next question asked was whether I was trans. (Just answer ‘yes’ or ‘no’). Again this might be seen as a wonderful leap forward enabling popular culture to operationalise Freud’s assertion that we are all ‘polymorphous and perverse’. However, is this always helpful where explicit sexual orientation identities are called for from young people? Are such EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING 2022, VOL. 24, NO. 2, 155–161 https://doi.org/10.1080/13642537.2022.2089961","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"69 1","pages":"155 - 161"},"PeriodicalIF":0.2,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88136334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-03DOI: 10.1080/13642537.2022.2090587
Robert Grossmark
ABSTRACT The author describes the prevalence of compulsion to child pornography and notes the sparsity of psychoanalytic engagement with the phenomenon. The author describes his work in a psychoanalytic treatment with a man plagued by a compulsion to child pornography and illustrates the internal dynamics of unmetabolized trauma, identifications and erasure. At the center of the healing process is the patient’s painful recognition that the compulsion embodies a destruction of self and that he is identified with both the child victim and the perpetrators in the pornographic scenarios. The phases of the treatment are described and the author recommends an unobtrusive companioning psychoanalytic approach.
{"title":"When interiority is annulled: The healing of psychic pain, trauma and deprivation in a case of compulsion to child pornography","authors":"Robert Grossmark","doi":"10.1080/13642537.2022.2090587","DOIUrl":"https://doi.org/10.1080/13642537.2022.2090587","url":null,"abstract":"ABSTRACT The author describes the prevalence of compulsion to child pornography and notes the sparsity of psychoanalytic engagement with the phenomenon. The author describes his work in a psychoanalytic treatment with a man plagued by a compulsion to child pornography and illustrates the internal dynamics of unmetabolized trauma, identifications and erasure. At the center of the healing process is the patient’s painful recognition that the compulsion embodies a destruction of self and that he is identified with both the child victim and the perpetrators in the pornographic scenarios. The phases of the treatment are described and the author recommends an unobtrusive companioning psychoanalytic approach.","PeriodicalId":44564,"journal":{"name":"European Journal of Psychotherapy & Counselling","volume":"5 1","pages":"162 - 172"},"PeriodicalIF":0.2,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80076773","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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