Pub Date : 2022-12-05DOI: 10.1080/00797308.2022.2150039
Alexander H. Sheppe
ABSTRACT The author recounts his experience training simultaneously in transference-focused psychotherapy and psychoanalysis while treating youth with personality disorders. He discusses their similarities and differences, and considers the dilemma of selecting the appropriate treatment modality when both may be helpful. He then illustrates his handling of this dilemma with case material from the treatment of a 12-year-old girl with borderline personality disorder.
{"title":"Reflections on the Treatment of Youth During Simultaneous Training in Transference-Focused Psychotherapy and Psychoanalysis","authors":"Alexander H. Sheppe","doi":"10.1080/00797308.2022.2150039","DOIUrl":"https://doi.org/10.1080/00797308.2022.2150039","url":null,"abstract":"ABSTRACT The author recounts his experience training simultaneously in transference-focused psychotherapy and psychoanalysis while treating youth with personality disorders. He discusses their similarities and differences, and considers the dilemma of selecting the appropriate treatment modality when both may be helpful. He then illustrates his handling of this dilemma with case material from the treatment of a 12-year-old girl with borderline personality disorder.","PeriodicalId":45962,"journal":{"name":"Psychoanalytic Study of the Child","volume":"76 1","pages":"205 - 211"},"PeriodicalIF":0.5,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44897593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-17DOI: 10.1080/00797308.2022.2137368
Cheryl Collins
ABSTRACT This clinical paper expounds upon the well-established utility of transference interpretations in general and specifically delineates resistances to their use; resistances that arose because of the analysand’s traumatic loss of her mother. The timing and violent nature of her mother’s death highlighted the developmental relevance of her premorbid, triangulated dynamic with her parents. That is, the opportunity that uncomplicated development affords with regard to working through one’s pre- and post-oedipal conflicts was unavailable to her. Rather, her mother’s untimely death left unresolved the guilty pleasure she had derived from her status as her mother’s impassioned rival and her father’s gratified, oedipal daughter. Moreover, her father’s parallel guilt and trauma led him to withdraw his affection from her such that in effect, he too was lost to her. Ultimately, she resisted mourning her losses and retained her dead objects inside, consistent with melancholia. She did not easily relinquish this position and in fact, only did so in the context of the analyst functioning as both a new developmental and transference object. 1
{"title":"Parent Loss and Internalized Terrorism: Implications for Development, Transference, and Resistance","authors":"Cheryl Collins","doi":"10.1080/00797308.2022.2137368","DOIUrl":"https://doi.org/10.1080/00797308.2022.2137368","url":null,"abstract":"ABSTRACT This clinical paper expounds upon the well-established utility of transference interpretations in general and specifically delineates resistances to their use; resistances that arose because of the analysand’s traumatic loss of her mother. The timing and violent nature of her mother’s death highlighted the developmental relevance of her premorbid, triangulated dynamic with her parents. That is, the opportunity that uncomplicated development affords with regard to working through one’s pre- and post-oedipal conflicts was unavailable to her. Rather, her mother’s untimely death left unresolved the guilty pleasure she had derived from her status as her mother’s impassioned rival and her father’s gratified, oedipal daughter. Moreover, her father’s parallel guilt and trauma led him to withdraw his affection from her such that in effect, he too was lost to her. Ultimately, she resisted mourning her losses and retained her dead objects inside, consistent with melancholia. She did not easily relinquish this position and in fact, only did so in the context of the analyst functioning as both a new developmental and transference object. 1","PeriodicalId":45962,"journal":{"name":"Psychoanalytic Study of the Child","volume":"76 1","pages":"64 - 73"},"PeriodicalIF":0.5,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47729658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-17DOI: 10.1080/00797308.2022.2137369
Rex H. McGehee
ABSTRACT This is the discussion of the analysis of an adolescent who had traumatically lost her mother as a school-age child. Using the case material presented by Cheryl Collins, the discussion will present the unconscious developmental dilemma posed by loss. Faced with the pain of loss, the process of development may deviate into a painful world of melancholia, nostalgia, and the repeated experiencing of the disappointing and painful object relationships of a closed system. Analysis offers the patient the opportunity to begin the grieving process, introduce new objects, and further the adaptive developmental process of increasingly organized complexity.
{"title":"Loss, Mourning, and the Developmental Process: Thoughts on Jane","authors":"Rex H. McGehee","doi":"10.1080/00797308.2022.2137369","DOIUrl":"https://doi.org/10.1080/00797308.2022.2137369","url":null,"abstract":"ABSTRACT This is the discussion of the analysis of an adolescent who had traumatically lost her mother as a school-age child. Using the case material presented by Cheryl Collins, the discussion will present the unconscious developmental dilemma posed by loss. Faced with the pain of loss, the process of development may deviate into a painful world of melancholia, nostalgia, and the repeated experiencing of the disappointing and painful object relationships of a closed system. Analysis offers the patient the opportunity to begin the grieving process, introduce new objects, and further the adaptive developmental process of increasingly organized complexity.","PeriodicalId":45962,"journal":{"name":"Psychoanalytic Study of the Child","volume":"76 1","pages":"74 - 80"},"PeriodicalIF":0.5,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48571128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-14DOI: 10.1080/00797308.2022.2137365
K. K. Novick, J. Novick
ABSTRACT In this paper the authors address the strengths of the traditional psychoanalytic model of adolescence, but suggest that it applies mainly to disturbed young people and misrepresents the majority of well-functioning adolescents. This blurs distinctions between normality and pathology, affecting diagnosis and clinical technique, promoting as well a skewed image of the phase in the general culture. To redress this difficulty, the authors propose revision and elaboration of the classical model through the addition of a perspective based on a developmental model of two systems of self-regulation that effectively describes the full range of functioning and generates a wider repertoire of techniques. Using data from 38 published cases, they counter some traditional premises, demonstrating that psychoanalysis can be the treatment of choice for disturbed adolescents, as it is highly effective, accepted by most adolescents and their parents when it includes concurrent parent work, and can be brought to proper termination with improved outcomes.
{"title":"A Two-Systems Engagement with the Psychoanalytic Model of Adolescence","authors":"K. K. Novick, J. Novick","doi":"10.1080/00797308.2022.2137365","DOIUrl":"https://doi.org/10.1080/00797308.2022.2137365","url":null,"abstract":"ABSTRACT In this paper the authors address the strengths of the traditional psychoanalytic model of adolescence, but suggest that it applies mainly to disturbed young people and misrepresents the majority of well-functioning adolescents. This blurs distinctions between normality and pathology, affecting diagnosis and clinical technique, promoting as well a skewed image of the phase in the general culture. To redress this difficulty, the authors propose revision and elaboration of the classical model through the addition of a perspective based on a developmental model of two systems of self-regulation that effectively describes the full range of functioning and generates a wider repertoire of techniques. Using data from 38 published cases, they counter some traditional premises, demonstrating that psychoanalysis can be the treatment of choice for disturbed adolescents, as it is highly effective, accepted by most adolescents and their parents when it includes concurrent parent work, and can be brought to proper termination with improved outcomes.","PeriodicalId":45962,"journal":{"name":"Psychoanalytic Study of the Child","volume":"76 1","pages":"148 - 167"},"PeriodicalIF":0.5,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43565668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-14DOI: 10.1080/00797308.2022.2135882
Jill M. Miller
ABSTRACT Interpretation is the primary tool of psychoanalysts. While there are other technical interventions we use, they serve as steps toward interpretation itself. Thoughts about the meaning of interpretation, the aims of the interpretative process, and the multiple dimensions of the methods used are examined. Examples from several child psychoanalyses are given to illustrate the application of interpretation. The interpretive work contained within the analytic relationship with analyst as transference object, developmental object, and the object of projection of the patient’s sense of self are all demonstrated, as well as the interpretation of resistance, conflict, defense, and the enactment of unconscious fantasy.
{"title":"Some Thoughts on Interpretation in Child Psychoanalysis","authors":"Jill M. Miller","doi":"10.1080/00797308.2022.2135882","DOIUrl":"https://doi.org/10.1080/00797308.2022.2135882","url":null,"abstract":"ABSTRACT Interpretation is the primary tool of psychoanalysts. While there are other technical interventions we use, they serve as steps toward interpretation itself. Thoughts about the meaning of interpretation, the aims of the interpretative process, and the multiple dimensions of the methods used are examined. Examples from several child psychoanalyses are given to illustrate the application of interpretation. The interpretive work contained within the analytic relationship with analyst as transference object, developmental object, and the object of projection of the patient’s sense of self are all demonstrated, as well as the interpretation of resistance, conflict, defense, and the enactment of unconscious fantasy.","PeriodicalId":45962,"journal":{"name":"Psychoanalytic Study of the Child","volume":"76 1","pages":"5 - 16"},"PeriodicalIF":0.5,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48700119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-14DOI: 10.1080/00797308.2022.2137364
J. Novick, K. K. Novick
ABSTRACT The authors build on Elisabeth Young-Bruehl’s concept of “childism” to propose “teenism,” a prejudice against adolescents that has roots in generalization from pathology to normality in psychoanalytic theory, and has rippled into general cultural concepts of adolescence, to the detriment of clear diagnosis and creative generation of appropriate and effective techniques of adolescent treatment. Teenism leads to a lack of support and validation of teenagers’ strengths and contributions to society, as well as undermining the importance of the role of parents in adolescent development and functioning.
{"title":"Teenism – The Prejudice Against Adolescents","authors":"J. Novick, K. K. Novick","doi":"10.1080/00797308.2022.2137364","DOIUrl":"https://doi.org/10.1080/00797308.2022.2137364","url":null,"abstract":"ABSTRACT The authors build on Elisabeth Young-Bruehl’s concept of “childism” to propose “teenism,” a prejudice against adolescents that has roots in generalization from pathology to normality in psychoanalytic theory, and has rippled into general cultural concepts of adolescence, to the detriment of clear diagnosis and creative generation of appropriate and effective techniques of adolescent treatment. Teenism leads to a lack of support and validation of teenagers’ strengths and contributions to society, as well as undermining the importance of the role of parents in adolescent development and functioning.","PeriodicalId":45962,"journal":{"name":"Psychoanalytic Study of the Child","volume":"76 1","pages":"140 - 147"},"PeriodicalIF":0.5,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48365641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-26DOI: 10.1080/00797308.2022.2132743
F. Meisel
ABSTRACT Two six-year-old girls, inhibited socially and constrained in their physical life, were successfully analyzed before and after the effects of the 1970’s Woman’s Movement and Title IX took hold. Surprisingly, despite the significant changes in society from one era to another, both children were unhappy with their identified genders in comparison to boys and they both identified gender as the root cause of their unhappiness. Both children began their treatment with scenarios designed to communicate their concerns, discover what analysis was about, and in particular, assess who I was and who I could be. In the transference-countertransference enactments, they reexperienced the anguish that had traced their downward spiral toward despair. Fathers who were perceived as critical, menacing, and uncaring were held responsible for the misgivings about gender and desire that confounded their children and damaged their self-esteem. Transformations for both children were reflected in the new paradigms they discovered and created within the real relationship with a safe and caring man.
{"title":"From Tomboy to Amazon: The Psychoanalytic Treatment of Two Girls, Unhappy with Their Gender Identity, and the Impact of Title IX","authors":"F. Meisel","doi":"10.1080/00797308.2022.2132743","DOIUrl":"https://doi.org/10.1080/00797308.2022.2132743","url":null,"abstract":"ABSTRACT Two six-year-old girls, inhibited socially and constrained in their physical life, were successfully analyzed before and after the effects of the 1970’s Woman’s Movement and Title IX took hold. Surprisingly, despite the significant changes in society from one era to another, both children were unhappy with their identified genders in comparison to boys and they both identified gender as the root cause of their unhappiness. Both children began their treatment with scenarios designed to communicate their concerns, discover what analysis was about, and in particular, assess who I was and who I could be. In the transference-countertransference enactments, they reexperienced the anguish that had traced their downward spiral toward despair. Fathers who were perceived as critical, menacing, and uncaring were held responsible for the misgivings about gender and desire that confounded their children and damaged their self-esteem. Transformations for both children were reflected in the new paradigms they discovered and created within the real relationship with a safe and caring man.","PeriodicalId":45962,"journal":{"name":"Psychoanalytic Study of the Child","volume":"76 1","pages":"107 - 122"},"PeriodicalIF":0.5,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47552396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-10DOI: 10.1080/00797308.2022.2120337
Felecia Powell-Williams
ABSTRACT This paper will focus on the process of recovery during the analysis of a latency girl referred after the death of her mother, having been expelled from several schools due to aggressive outbursts and early attachment disruptions in her relationship with the father. The intent of this paper is to illustrate the internal conflicts and difficulty with aggression surrounding early traumatic loss of her mother. The inner work on a trauma never ceases and through the transferential process this child was able to reexperience her early relationship with her mother leading to more mature ego development. The analytic work with Katie shows how her integrative capacity allowed for her to mourn.
{"title":"A Little Girl’s Recovery: An Analysis of a Six-Year-Old Girl Who Experienced Loss","authors":"Felecia Powell-Williams","doi":"10.1080/00797308.2022.2120337","DOIUrl":"https://doi.org/10.1080/00797308.2022.2120337","url":null,"abstract":"ABSTRACT This paper will focus on the process of recovery during the analysis of a latency girl referred after the death of her mother, having been expelled from several schools due to aggressive outbursts and early attachment disruptions in her relationship with the father. The intent of this paper is to illustrate the internal conflicts and difficulty with aggression surrounding early traumatic loss of her mother. The inner work on a trauma never ceases and through the transferential process this child was able to reexperience her early relationship with her mother leading to more mature ego development. The analytic work with Katie shows how her integrative capacity allowed for her to mourn.","PeriodicalId":45962,"journal":{"name":"Psychoanalytic Study of the Child","volume":"76 1","pages":"51 - 63"},"PeriodicalIF":0.5,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46861552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-10DOI: 10.1080/00797308.2022.2120336
Timothy R. Rice
ABSTRACT The death of a parent or caretaker presents children, adolescents, and young adults with an immense loss and challenge. Youth grieving and mourning requires review and reexamination from the perspective of our current times. Many youth have lost parents during the ongoing COVID-19 pandemic. Their parents’ deaths stem from various causes of mortality, both related and unrelated to the SARS-CoV-2 virus. A parental death by COVID-19 presents a unique situation that contains elements which can lead to traumatic grief and disrupted mourning. Social distancing, travel restrictions, and shifts in funeral and memorial practices all affect avenues for successful mourning. Economic, social, and educational changes and family dysfunction associated with the pandemic have altered the normal supports available to a child in the process of mourning a parent. Knowledge of childhood grief and mourning are reviewed and revisited in light of these pandemic challenges. Opportunities for clinical interventions, both in traditional psychoanalysis and psychoanalytic psychotherapy as well as parent work and consultative roles to schools, hospitals, and other institutions, are discussed.
{"title":"Children Who Lose a Parent in the COVID-19 Era: Considerations on Grief and Mourning","authors":"Timothy R. Rice","doi":"10.1080/00797308.2022.2120336","DOIUrl":"https://doi.org/10.1080/00797308.2022.2120336","url":null,"abstract":"ABSTRACT The death of a parent or caretaker presents children, adolescents, and young adults with an immense loss and challenge. Youth grieving and mourning requires review and reexamination from the perspective of our current times. Many youth have lost parents during the ongoing COVID-19 pandemic. Their parents’ deaths stem from various causes of mortality, both related and unrelated to the SARS-CoV-2 virus. A parental death by COVID-19 presents a unique situation that contains elements which can lead to traumatic grief and disrupted mourning. Social distancing, travel restrictions, and shifts in funeral and memorial practices all affect avenues for successful mourning. Economic, social, and educational changes and family dysfunction associated with the pandemic have altered the normal supports available to a child in the process of mourning a parent. Knowledge of childhood grief and mourning are reviewed and revisited in light of these pandemic challenges. Opportunities for clinical interventions, both in traditional psychoanalysis and psychoanalytic psychotherapy as well as parent work and consultative roles to schools, hospitals, and other institutions, are discussed.","PeriodicalId":45962,"journal":{"name":"Psychoanalytic Study of the Child","volume":"76 1","pages":"35 - 50"},"PeriodicalIF":0.5,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45644177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-10DOI: 10.1080/00797308.2022.2120335
P. Brinich
ABSTRACT Childhood bereavements are not new and normal, culturally defined mourning processes have always required social support. Unfortunately, COVID-19 – like other pandemics, wars, natural disasters, and famines – has complicated and disrupted normal mourning in both children and adults. I review some of these complications and disruptions and then go on to describe some of the interventions that may be helpful and supportive to bereaved children and their families. While it is important to avoid viewing mourning processes as evidence of psychopathology, it remains true that a sensitive, psychoanalytically attuned approach to mourning may help identify those people who, because of past or present circumstances, may find their bereavements to be particularly disorganizing. That attunement puts us in a position to help individual children, families, and whole communities find alternative ways to do the work of mourning despite the obstacles imposed by pandemics, wars, and natural disasters.
{"title":"Childhood Bereavement Amidst Multiple Pandemics","authors":"P. Brinich","doi":"10.1080/00797308.2022.2120335","DOIUrl":"https://doi.org/10.1080/00797308.2022.2120335","url":null,"abstract":"ABSTRACT Childhood bereavements are not new and normal, culturally defined mourning processes have always required social support. Unfortunately, COVID-19 – like other pandemics, wars, natural disasters, and famines – has complicated and disrupted normal mourning in both children and adults. I review some of these complications and disruptions and then go on to describe some of the interventions that may be helpful and supportive to bereaved children and their families. While it is important to avoid viewing mourning processes as evidence of psychopathology, it remains true that a sensitive, psychoanalytically attuned approach to mourning may help identify those people who, because of past or present circumstances, may find their bereavements to be particularly disorganizing. That attunement puts us in a position to help individual children, families, and whole communities find alternative ways to do the work of mourning despite the obstacles imposed by pandemics, wars, and natural disasters.","PeriodicalId":45962,"journal":{"name":"Psychoanalytic Study of the Child","volume":"76 1","pages":"24 - 34"},"PeriodicalIF":0.5,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41343416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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