Pub Date : 2021-04-03DOI: 10.1080/00107530.2021.1943637
J. Sheehy
Abstract This article describes the clinical treatment of a woman whose history was marked by cumulative parental neglect, and who initially presented with deficiencies and disruptive excesses in multiple domains of her life, including eating. Object relations and intersubjectivity theories are drawn upon to conceptualize the patient’s early developmental strivings. In this case, a potentially fracturing enactment propels developmental progression, and helps build regulatory processes. The author (therapist) argues that it is this event and subsequent transitions to object usage and then to intersubjectivity that ultimately foster a relinquishment of the patient’s extremes, as well as a sustaining exchange of nourishment between her and the patient.
{"title":"The Goldilocks Function: Eating Disorders, Object Usage, and the Third","authors":"J. Sheehy","doi":"10.1080/00107530.2021.1943637","DOIUrl":"https://doi.org/10.1080/00107530.2021.1943637","url":null,"abstract":"Abstract This article describes the clinical treatment of a woman whose history was marked by cumulative parental neglect, and who initially presented with deficiencies and disruptive excesses in multiple domains of her life, including eating. Object relations and intersubjectivity theories are drawn upon to conceptualize the patient’s early developmental strivings. In this case, a potentially fracturing enactment propels developmental progression, and helps build regulatory processes. The author (therapist) argues that it is this event and subsequent transitions to object usage and then to intersubjectivity that ultimately foster a relinquishment of the patient’s extremes, as well as a sustaining exchange of nourishment between her and the patient.","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"57 1","pages":"306 - 326"},"PeriodicalIF":0.5,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49274628","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 : 2021-04-03DOI: 10.1080/00107530.2021.1935033
Max Belkin
Abstract Since the 1980s, there has been a growing attention to racial, gender, and sexual diversity. However, the existing psychoanalytic literature tends to treat patients’ race, gender, and sexuality separately. In contrast, an intersectional perspective, rooted in Black feminism and relational psychoanalysis, focuses on the interplay among patients’ race, gender, and sexuality. This intersectional approach aims to expand on the cultural sensitivity of psychoanalysis. In particular, by drawing on critical race theory, feminism, and queer studies, an intersectional psychoanalysis locates individual similarities and differences in the context of racism, sexism, and homophobia and examines the interpersonal relations that maintain gender, racial, and sexual stereotypes and inequities. The clinical vignette of a queer Latino man illustrates the intersections among the patient’s race, gender, and sexual identity.
{"title":"Toward an Intersectional Psychoanalysis of Race, Gender, and Sexuality","authors":"Max Belkin","doi":"10.1080/00107530.2021.1935033","DOIUrl":"https://doi.org/10.1080/00107530.2021.1935033","url":null,"abstract":"Abstract Since the 1980s, there has been a growing attention to racial, gender, and sexual diversity. However, the existing psychoanalytic literature tends to treat patients’ race, gender, and sexuality separately. In contrast, an intersectional perspective, rooted in Black feminism and relational psychoanalysis, focuses on the interplay among patients’ race, gender, and sexuality. This intersectional approach aims to expand on the cultural sensitivity of psychoanalysis. In particular, by drawing on critical race theory, feminism, and queer studies, an intersectional psychoanalysis locates individual similarities and differences in the context of racism, sexism, and homophobia and examines the interpersonal relations that maintain gender, racial, and sexual stereotypes and inequities. The clinical vignette of a queer Latino man illustrates the intersections among the patient’s race, gender, and sexual identity.","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"57 1","pages":"206 - 227"},"PeriodicalIF":0.5,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00107530.2021.1935033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47447117","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 : 2021-01-02DOI: 10.1080/00107530.2021.1889349
Matt Aibel
Abstract I assert that embarrassment, shame, and concern for professional reputation have inhibited analysts from discussing their struggles with countertransferential sleepiness, a phenomenon presumably more widespread than is generally acknowledged. Analysts may thus be insufficiently armed with understanding of this vexing predicament to which our work can leave us so vulnerable—its causes, trajectories, and even, potentially, its usefulness. Building on McLaughlin’s 1975 paper on the topic, I acknowledge the analyst’s sleepiness as a defense against affect in the patient and analyst, and explore it as an enactment of parental unavailability and abandonment and a primitive communication from the patient about early states of psychological deadness and unintegration. Noting a recent trend in the relational literature toward valorizing engaged and enlivened registers, I consider the problems and potentials of dwelling in a distanced and deadened intersubjective field.
{"title":"The Sleepy Analyst Struggles to Awaken: Dissociation, Enactment, Regression, and Altered States with Trauma Patients","authors":"Matt Aibel","doi":"10.1080/00107530.2021.1889349","DOIUrl":"https://doi.org/10.1080/00107530.2021.1889349","url":null,"abstract":"Abstract I assert that embarrassment, shame, and concern for professional reputation have inhibited analysts from discussing their struggles with countertransferential sleepiness, a phenomenon presumably more widespread than is generally acknowledged. Analysts may thus be insufficiently armed with understanding of this vexing predicament to which our work can leave us so vulnerable—its causes, trajectories, and even, potentially, its usefulness. Building on McLaughlin’s 1975 paper on the topic, I acknowledge the analyst’s sleepiness as a defense against affect in the patient and analyst, and explore it as an enactment of parental unavailability and abandonment and a primitive communication from the patient about early states of psychological deadness and unintegration. Noting a recent trend in the relational literature toward valorizing engaged and enlivened registers, I consider the problems and potentials of dwelling in a distanced and deadened intersubjective field.","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"57 1","pages":"54 - 84"},"PeriodicalIF":0.5,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00107530.2021.1889349","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47492092","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 : 2021-01-02DOI: 10.1080/00107530.2021.1888637
Noa Bar-haim
Abstract This article explores situations of interpersonal catastrophe during psychoanalytic psychotherapy with survivors of prolonged childhood abuse; situations of unbearable psychic pain focused on the therapeutic relationship, accompanied by functional deterioration, that is, mutual but not symmetrical. Through analyzing Orpheus’s failure to save his wife from the underworld, I look at the analyst’s unconscious motivation to treat others: What is drawing us to other people’s hell? I will describe how the analyst’s identification with the aggressor when facing the patients’ inability to mourn, as well as the patient’s own tendency to identify with the aggressor, may trap the therapy in a fantasy of rebirth or a wish to go back to the roots and correct or erase the trauma. In doing so, this may push the treatment into a malignant whirlpool. I explore the clinical manifestations of the mutual fantasy of overcoming the limits of reality and offer an analytic meaning to the concept of rehabilitation versus recovery that may be helpful in working with these challenging cases.
{"title":"On the Edge of the abyss—Observations on Some Essential Difficulties in Psychoanalytic Psychotherapy with Survivors of Prolonged Childhood Abuse","authors":"Noa Bar-haim","doi":"10.1080/00107530.2021.1888637","DOIUrl":"https://doi.org/10.1080/00107530.2021.1888637","url":null,"abstract":"Abstract This article explores situations of interpersonal catastrophe during psychoanalytic psychotherapy with survivors of prolonged childhood abuse; situations of unbearable psychic pain focused on the therapeutic relationship, accompanied by functional deterioration, that is, mutual but not symmetrical. Through analyzing Orpheus’s failure to save his wife from the underworld, I look at the analyst’s unconscious motivation to treat others: What is drawing us to other people’s hell? I will describe how the analyst’s identification with the aggressor when facing the patients’ inability to mourn, as well as the patient’s own tendency to identify with the aggressor, may trap the therapy in a fantasy of rebirth or a wish to go back to the roots and correct or erase the trauma. In doing so, this may push the treatment into a malignant whirlpool. I explore the clinical manifestations of the mutual fantasy of overcoming the limits of reality and offer an analytic meaning to the concept of rehabilitation versus recovery that may be helpful in working with these challenging cases.","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"57 1","pages":"30 - 53"},"PeriodicalIF":0.5,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00107530.2021.1888637","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48285352","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 : 2021-01-02DOI: 10.1080/00107530.2021.1890957
M. Medina
Abstract Today’s easy online access to personal information has redefined the concepts of privacy, disclosure, and boundaries in all forms of relating. The impacts of this on the therapy relationship have also been examined, but almost exclusively in the context of patients pursuing online information about their therapists. In line with the contemporary relational view of therapy as a two-person model, this article aims to address and explore the reverse; in other words, therapists pursuing the readily available online information about their patients. While it is considered clinically inadvisable for the therapist to seek out more information than what the patient chooses to provide, therapists sometimes privately act on their desire to know more about their patients through checking social media accounts or Googling them. Like many other “secret delinquencies” of therapists, it seems that this behavior is kept in the closet; it is not talked about, thus depriving us of the opportunity to examine it and learn from it. This article first explores how and why it clashes with the analytic contract in an effort to bring a more exploratory rather than critical approach to what otherwise might simply be considered wrong. Then, it aims to examine the complex relational dynamics surrounding this behavior and candidly address some of the deeper questions it raises. Case examples as well as a qualitative review of therapists’ personal accounts are used in an effort to situate this particular type of delinquency in a theoretical and clinical context.
{"title":"From Imagination to Information: Therapist’s Curiosity and Voyeurism in the Age of Social Media","authors":"M. Medina","doi":"10.1080/00107530.2021.1890957","DOIUrl":"https://doi.org/10.1080/00107530.2021.1890957","url":null,"abstract":"Abstract Today’s easy online access to personal information has redefined the concepts of privacy, disclosure, and boundaries in all forms of relating. The impacts of this on the therapy relationship have also been examined, but almost exclusively in the context of patients pursuing online information about their therapists. In line with the contemporary relational view of therapy as a two-person model, this article aims to address and explore the reverse; in other words, therapists pursuing the readily available online information about their patients. While it is considered clinically inadvisable for the therapist to seek out more information than what the patient chooses to provide, therapists sometimes privately act on their desire to know more about their patients through checking social media accounts or Googling them. Like many other “secret delinquencies” of therapists, it seems that this behavior is kept in the closet; it is not talked about, thus depriving us of the opportunity to examine it and learn from it. This article first explores how and why it clashes with the analytic contract in an effort to bring a more exploratory rather than critical approach to what otherwise might simply be considered wrong. Then, it aims to examine the complex relational dynamics surrounding this behavior and candidly address some of the deeper questions it raises. Case examples as well as a qualitative review of therapists’ personal accounts are used in an effort to situate this particular type of delinquency in a theoretical and clinical context.","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"57 1","pages":"115 - 124"},"PeriodicalIF":0.5,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00107530.2021.1890957","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46770736","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 : 2021-01-02DOI: 10.1080/00107530.2021.1894542
John Dall’Aglio
Abstract Psychoanalysis prioritizes the subjective experience of the mind. Neuroscience studies the objective aspects of the brain. These different focuses are the advantage—and the difficulty—of a dialogue between the two fields. Some argue that the emergence of “neuropsychoanalysis” reduces the mind to meaningless biological correlates. However, dialogue with neuroscience differs from reduction to objective explanation. Rather, through theoretical exchange, neuropsychoanalysis opens avenues for new possibilities of meaning. A dialogue with neuroscience can elucidate new relationships between different subjective phenomena, such as the vicissitudes of basic motivational systems. Whereas the opponents of neuropsychoanalysis argue that drives and affects are irreducible to biology—implying that they are the limit of neuroscience—this article argues that these concepts are instead the critical juncture of this dialogue. From such an intersection, a neuropsychoanalytic model of levels of the mind is proposed, where the unconscious is reframed as a dynamic effect of disjunctures between levels of consciousness.
{"title":"What Can Psychoanalysis Learn From Neuroscience? A Theoretical Basis For The Emergence Of a Neuropsychoanalytic Model","authors":"John Dall’Aglio","doi":"10.1080/00107530.2021.1894542","DOIUrl":"https://doi.org/10.1080/00107530.2021.1894542","url":null,"abstract":"Abstract Psychoanalysis prioritizes the subjective experience of the mind. Neuroscience studies the objective aspects of the brain. These different focuses are the advantage—and the difficulty—of a dialogue between the two fields. Some argue that the emergence of “neuropsychoanalysis” reduces the mind to meaningless biological correlates. However, dialogue with neuroscience differs from reduction to objective explanation. Rather, through theoretical exchange, neuropsychoanalysis opens avenues for new possibilities of meaning. A dialogue with neuroscience can elucidate new relationships between different subjective phenomena, such as the vicissitudes of basic motivational systems. Whereas the opponents of neuropsychoanalysis argue that drives and affects are irreducible to biology—implying that they are the limit of neuroscience—this article argues that these concepts are instead the critical juncture of this dialogue. From such an intersection, a neuropsychoanalytic model of levels of the mind is proposed, where the unconscious is reframed as a dynamic effect of disjunctures between levels of consciousness.","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"57 1","pages":"125 - 145"},"PeriodicalIF":0.5,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00107530.2021.1894542","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41384302","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 : 2021-01-02DOI: 10.1080/00107530.2021.1886849
J. Gorney
Abstract Otto Will was one of the most creative psychotherapists of the twentieth century, yet his work is relatively unknown today. This paper strives to transmit his legacy. During his career at Chestnut Lodge and Austen Riggs, Will taught by example, inspiring others to engage in long-term, psychoanalytic treatment of psychosis. Deriving inspiration from his analysts, Harry Stack Sullivan and Frieda Fromm-Reichmann, he explored the healing power of human attachment and relatedness. As a therapist, he presented himself in all of his flawed humanity, admitting mistakes, and acknowledging limitations. Such human responsiveness engendered similarly human responses in the other. Through cultivating attachment and forging vital relationship with severely traumatized patients, he manifested a unique gift for connection. I draw upon my own experience as his student and colleague of twenty-three years to recount his personal and professional history and to examine his unique contributions to technique. Clinical examples and stories demonstrate Will’s singular “artistry of relationship.”
{"title":"Otto Will and the Artistry of Relationship: More Simply Human than Otherwise","authors":"J. Gorney","doi":"10.1080/00107530.2021.1886849","DOIUrl":"https://doi.org/10.1080/00107530.2021.1886849","url":null,"abstract":"Abstract Otto Will was one of the most creative psychotherapists of the twentieth century, yet his work is relatively unknown today. This paper strives to transmit his legacy. During his career at Chestnut Lodge and Austen Riggs, Will taught by example, inspiring others to engage in long-term, psychoanalytic treatment of psychosis. Deriving inspiration from his analysts, Harry Stack Sullivan and Frieda Fromm-Reichmann, he explored the healing power of human attachment and relatedness. As a therapist, he presented himself in all of his flawed humanity, admitting mistakes, and acknowledging limitations. Such human responsiveness engendered similarly human responses in the other. Through cultivating attachment and forging vital relationship with severely traumatized patients, he manifested a unique gift for connection. I draw upon my own experience as his student and colleague of twenty-three years to recount his personal and professional history and to examine his unique contributions to technique. Clinical examples and stories demonstrate Will’s singular “artistry of relationship.”","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"57 1","pages":"85 - 114"},"PeriodicalIF":0.5,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00107530.2021.1886849","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42805189","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 : 2021-01-02DOI: 10.1080/00107530.2021.1886852
S. Seidman
Abstract Since Freud, analysts often assume that the consultation room stages a drama between two personages: the patient and the therapist. Recently, some critics contend that race, class, age, etc. always mark these two figures. I consider the clinical implications of theorizing therapist and patient as men. I ask: What assumptions about men inform the treatment room and what are its clinical implications? I argue that in American psychoanalysis men are often understood through the lens of a narrow concept of phallicism—-one associated with emotional containment, self-sufficiency, and a drive to dominate. Such views flatten men’s experience and have far-reaching clinical implications: Some of men’s chief psychic struggles and forms of suffering go unrecognized in the consultation room. Sketching a revised view of phallicism, I offer a nuanced, layered view of men, underscoring their precarious and anxious state even as they claim a privileged status.
{"title":"Man to Man: Reconsidering Who or What Men are—and Why it Matters","authors":"S. Seidman","doi":"10.1080/00107530.2021.1886852","DOIUrl":"https://doi.org/10.1080/00107530.2021.1886852","url":null,"abstract":"Abstract Since Freud, analysts often assume that the consultation room stages a drama between two personages: the patient and the therapist. Recently, some critics contend that race, class, age, etc. always mark these two figures. I consider the clinical implications of theorizing therapist and patient as men. I ask: What assumptions about men inform the treatment room and what are its clinical implications? I argue that in American psychoanalysis men are often understood through the lens of a narrow concept of phallicism—-one associated with emotional containment, self-sufficiency, and a drive to dominate. Such views flatten men’s experience and have far-reaching clinical implications: Some of men’s chief psychic struggles and forms of suffering go unrecognized in the consultation room. Sketching a revised view of phallicism, I offer a nuanced, layered view of men, underscoring their precarious and anxious state even as they claim a privileged status.","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"57 1","pages":"1 - 29"},"PeriodicalIF":0.5,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00107530.2021.1886852","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45326764","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 : 2020-10-01DOI: 10.1080/00107530.2020.1858669
Orshi Hunyady, Helen Quinones
Abstract “Waking dreams,” a particular form of reverie, was first identified by neo-Bionians. They contend that our mind processes raw stimuli by associating the sensory impressions (beta elements) with mental images, thereby creating so-called alpha elements (i.e., pictograms). The images then form an ongoing dream-flow outside of awareness, continually producing a personal, preconscious understanding of what is taking place in and around us. Pictograms are our first, rudimentary interpretations; they serve as the first step toward verbalizing our affective experiences. Waking dreams are (composites of) pictograms that unexpectedly emerge into consciousness during session. Waking dreams shift our focus from content to process in session; they provide a new understanding of the transference-countertransference dynamic of the clinical moment; they alter the affect in the room; and open the door to new experience and new interpretation. We will demonstrate the clinical significance of waking dreams by an in-depth discussion of a relevant case.
{"title":"Dreaming About You as We Speak: Waking Dreams and Their Significance in Clinical Work","authors":"Orshi Hunyady, Helen Quinones","doi":"10.1080/00107530.2020.1858669","DOIUrl":"https://doi.org/10.1080/00107530.2020.1858669","url":null,"abstract":"Abstract “Waking dreams,” a particular form of reverie, was first identified by neo-Bionians. They contend that our mind processes raw stimuli by associating the sensory impressions (beta elements) with mental images, thereby creating so-called alpha elements (i.e., pictograms). The images then form an ongoing dream-flow outside of awareness, continually producing a personal, preconscious understanding of what is taking place in and around us. Pictograms are our first, rudimentary interpretations; they serve as the first step toward verbalizing our affective experiences. Waking dreams are (composites of) pictograms that unexpectedly emerge into consciousness during session. Waking dreams shift our focus from content to process in session; they provide a new understanding of the transference-countertransference dynamic of the clinical moment; they alter the affect in the room; and open the door to new experience and new interpretation. We will demonstrate the clinical significance of waking dreams by an in-depth discussion of a relevant case.","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"56 1","pages":"508 - 533"},"PeriodicalIF":0.5,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00107530.2020.1858669","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44539210","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 : 2020-10-01DOI: 10.1080/00107530.2020.1858704
J. Cartor
Abstract Occasionally a patient comes along who is so frozen in an infantile state of disorganized attachment that the patient cannot take what the therapist is offering yet cannot leave the therapist either. Instead the two remain stuck in an unholy scenario of protracted destructive enactments, chronic mis-attunement, and rigid indigestible projective identifications. These seemingly impossible therapeutic encounters can include psychotic transferences, negative therapeutic reactions, or impasses. This article examines two such cases in detail and explores possible ways of understanding what failed in each of them and the impact of this on the therapist.
{"title":"Inconsolable Infantile States and the Challenges of Meeting Them","authors":"J. Cartor","doi":"10.1080/00107530.2020.1858704","DOIUrl":"https://doi.org/10.1080/00107530.2020.1858704","url":null,"abstract":"Abstract Occasionally a patient comes along who is so frozen in an infantile state of disorganized attachment that the patient cannot take what the therapist is offering yet cannot leave the therapist either. Instead the two remain stuck in an unholy scenario of protracted destructive enactments, chronic mis-attunement, and rigid indigestible projective identifications. These seemingly impossible therapeutic encounters can include psychotic transferences, negative therapeutic reactions, or impasses. This article examines two such cases in detail and explores possible ways of understanding what failed in each of them and the impact of this on the therapist.","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"56 1","pages":"586 - 611"},"PeriodicalIF":0.5,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00107530.2020.1858704","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42055853","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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