Pub Date : 2023-02-07DOI: 10.1080/00107530.2022.2149038
Jonathan Shedler Ph.D.
Abstract
Psychoanalysis has an image problem. The dominant narrative in the mental health professions and in society is that psychoanalysis is outmoded, discredited, and debunked. What most people know of it are pejorative stereotypes and caricatures dating to the horse and buggy era. The stereotypes are fueled by misinformation from external sources, including managed care companies and proponents of other therapies, who often treat psychoanalysis as a foil and whipping boy. But psychoanalysis also bears responsibility. Historically, psychoanalytic communities have been insular and inward facing. People who might otherwise be receptive to psychoanalytic approaches encounter impenetrable jargon and confusing infighting between rival theoretical schools. This article provides an accessible, jargon free, nonpartizan introduction to psychoanalytic thinking and therapy for students, clinicians trained in other approaches, and the public. It may be helpful to psychoanalytic colleagues who struggle to communicate to others just what it is that we do.
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Pub Date : 2022-10-02DOI: 10.1080/00107530.2023.2199649
Gurmeet S. Kanwal
{"title":"A review of When The Garden Isn’t Eden: More Psychodynamic Concepts from Life","authors":"Gurmeet S. Kanwal","doi":"10.1080/00107530.2023.2199649","DOIUrl":"https://doi.org/10.1080/00107530.2023.2199649","url":null,"abstract":"","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"58 1","pages":"653 - 655"},"PeriodicalIF":0.5,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46554359","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 : 2022-10-02DOI: 10.1080/00107530.2023.2204537
M. Bayles
Presented here is a verbatim session conducted online. The session integrates the ideas of Aline LaPierre’s therapeutic touch model into psychoanalytic practice. Allan Schore introduced LaPierre’s work in Psychologist/Psychoanalyst in 2003, arguing that, “it is time to reappraise the central role of the operations of the bodily self in psychopathogenisis and treatment” (p. 9). More specifically, he wrote, “Whatever the nature of the clinical issues, there is now solid evidence for the critical role of touch in human psychology and biology” (p. 9). This article presents a somatically informed, right hemispheric way of relating that enlivens and deepens the clinical process. Importantly, it presents a perspective that responds to Russell’s (2015) unease about the loss of functional equivalence as we move our face-to-face sessions online. In particular, with its focus on engaging affect at the somatic level, it addresses Russell’s concern about the loss of the fast paced, body-to body implicit processes, which she argues results in the loss of “the kind of holding environment that supports the in-dwelling of the psyche in the soma” (Bayles, 2016, p. 654).
这里呈现的是在线进行的逐字记录。本课程将把Aline LaPierre的治疗性触摸模型整合到精神分析实践中。2003年,Allan Schore在《心理学家/精神分析学家》一书中介绍了LaPierre的工作,他认为,“是时候重新评估身体自我在精神发病和治疗中的核心作用了”(第9页)。更具体地说,他写道,“无论临床问题的性质如何,现在都有确凿的证据证明触摸在人类心理学和生物学中的关键作用”(第9页)。激活和深化临床过程的右半球联系方式。重要的是,它提出了一个观点,回应了罗素(2015)的担忧,即随着我们将面对面的会议转移到网上,功能对等的丧失。特别是,由于它关注躯体层面的参与影响,它解决了罗素对失去快节奏的、身体对身体的内隐过程的担忧,她认为这会导致失去“那种支持灵魂在躯体中居住的保持环境”(Bayles, 2016, p. 654)。
{"title":"Staying in Touch with Affect: Maintaining Vital Access to the Body while Working Online","authors":"M. Bayles","doi":"10.1080/00107530.2023.2204537","DOIUrl":"https://doi.org/10.1080/00107530.2023.2204537","url":null,"abstract":"Presented here is a verbatim session conducted online. The session integrates the ideas of Aline LaPierre’s therapeutic touch model into psychoanalytic practice. Allan Schore introduced LaPierre’s work in Psychologist/Psychoanalyst in 2003, arguing that, “it is time to reappraise the central role of the operations of the bodily self in psychopathogenisis and treatment” (p. 9). More specifically, he wrote, “Whatever the nature of the clinical issues, there is now solid evidence for the critical role of touch in human psychology and biology” (p. 9). This article presents a somatically informed, right hemispheric way of relating that enlivens and deepens the clinical process. Importantly, it presents a perspective that responds to Russell’s (2015) unease about the loss of functional equivalence as we move our face-to-face sessions online. In particular, with its focus on engaging affect at the somatic level, it addresses Russell’s concern about the loss of the fast paced, body-to body implicit processes, which she argues results in the loss of “the kind of holding environment that supports the in-dwelling of the psyche in the soma” (Bayles, 2016, p. 654).","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"58 1","pages":"522 - 544"},"PeriodicalIF":0.5,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45484662","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 : 2022-10-02DOI: 10.1080/00107530.2023.2206508
D. Novack
Abstract While many analysts have former patients return to treatment years after termination, it is more unusual for a former child patient to return as an adult. Such situations provide unique windows into development, both the patient’s and the analyst’s. They also present special opportunities for considering the fluidity and bidirectionality of psychic time. I describe my work with Charlotte, a five-year-old patient who returned to treatment with me 20 years later. Through the case, I examine the convergence of old and new representations of self and other, and the interrelation of temporal modes as a co-constructed, emergent aspect of the analytic process. With returning patients, past meets present as old relational patterns, idealizations, fears, and wishes emerge in the here-and-now. This can result in blind spots, repetitions, and enactments, but it can also allow for new, co-created experience, as past and present shape each other in an ongoing dialectic.
{"title":"Meeting Again, Meeting Anew: A Child Patient Returns as an Adult","authors":"D. Novack","doi":"10.1080/00107530.2023.2206508","DOIUrl":"https://doi.org/10.1080/00107530.2023.2206508","url":null,"abstract":"Abstract While many analysts have former patients return to treatment years after termination, it is more unusual for a former child patient to return as an adult. Such situations provide unique windows into development, both the patient’s and the analyst’s. They also present special opportunities for considering the fluidity and bidirectionality of psychic time. I describe my work with Charlotte, a five-year-old patient who returned to treatment with me 20 years later. Through the case, I examine the convergence of old and new representations of self and other, and the interrelation of temporal modes as a co-constructed, emergent aspect of the analytic process. With returning patients, past meets present as old relational patterns, idealizations, fears, and wishes emerge in the here-and-now. This can result in blind spots, repetitions, and enactments, but it can also allow for new, co-created experience, as past and present shape each other in an ongoing dialectic.","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"58 1","pages":"499 - 521"},"PeriodicalIF":0.5,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45044891","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 : 2022-10-02DOI: 10.1080/00107530.2023.2210496
Maya Asher
Abstract Patients often come to treatment with difficulties in creating and forming romantic relationships. As therapists, we accompany them in this delicate and sometimes fraught process. Many patients turn to dating apps (e.g., “Tinder,” “OkCupid”) in order to try and find something truly meaningful to fulfill their lives. These platforms occupy their everyday lives, consuming their time and mental energy. The present article suggests that observing some of the unique qualities of interactions that take place in dating apps may provide a lens that reflects, emphasizes, and teaches us about human struggles of intersubjectivity, complexity, and sense of agency, which are at the core of psychoanalytic interest. Clinical examples illustrate these psychic aspects, as well as the way they may be processed in the therapeutic encounter.
{"title":"Swiping on Tinder-Imagining or Just Fantasying in Dating Apps?","authors":"Maya Asher","doi":"10.1080/00107530.2023.2210496","DOIUrl":"https://doi.org/10.1080/00107530.2023.2210496","url":null,"abstract":"Abstract Patients often come to treatment with difficulties in creating and forming romantic relationships. As therapists, we accompany them in this delicate and sometimes fraught process. Many patients turn to dating apps (e.g., “Tinder,” “OkCupid”) in order to try and find something truly meaningful to fulfill their lives. These platforms occupy their everyday lives, consuming their time and mental energy. The present article suggests that observing some of the unique qualities of interactions that take place in dating apps may provide a lens that reflects, emphasizes, and teaches us about human struggles of intersubjectivity, complexity, and sense of agency, which are at the core of psychoanalytic interest. Clinical examples illustrate these psychic aspects, as well as the way they may be processed in the therapeutic encounter.","PeriodicalId":46058,"journal":{"name":"Contemporary Psychoanalysis","volume":"58 1","pages":"612 - 634"},"PeriodicalIF":0.5,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45077057","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 : 2022-10-02DOI: 10.1080/00107530.2022.2158660
John V. O’leary
Here we have a book that strives and mostly succeeds, to capture the scope and the marrow of Relational Psychoanalysis in all of its media: practice, theory and research. A book with the title Core Competencies of Relational Psychoanalysis; A Guide to Practice, Study, and Research can seem both awe inspiring and confusing at the same time. To develop a broad and deep, comprehensive evaluation of any theory or mode of thought and praxis and to then further break that theory down into essential components, would be an overwhelming task. This undertaking for Relational Psychoanalysis presents special challenges, indeed. Relational thought was born in reaction to the perceived authoritarianism of other models of psychological and analytic thought. One must avoid reducing the definitions of postmodernism to a critique of metanarratives since then it will be almost impossible to compare the truthfulness of one story-line or theory with another. The least that a psychoanalyst might expect from a text-like work is an adherence to objectivity and a desire for all the so-called “facts” in a vivid and hierarchical manner. The pervasive multiplicity of Relational Theory seems a further obstacle to classification. Multiplicity pervades the relational world. It is found in multiple theories of motivation; the notion of multiple selves; multiple perspectives; the critique on binary thinking especially
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Pub Date : 2022-10-02DOI: 10.1080/00107530.2022.2162307
G. Straker
This book offers an exceptional integration of theories of intersectionality with relational psychoanalytic practice organized into four themes: queer identities, exploitation of women, immigrant experience and clinical theory. However, each chapter is so distinct they deserve separate comment. Belkin’s opening paper immediately introduces us to the complexity of this area and the impossibility in the hurly burly of the clinic to immediately access all relevant dimensions of intersectionality. Belkin, a white gay man recounts his work with Ana, a straight woman of color. Despite Belkin’s gayness, Ana says that he reads like a privileged white male, inhabiting privilege as a right. She does not experience him as marginalized. In response, Belkin wonders how this straight woman dare pontificate to him. Thus, while Ana elides Belkin’s marginalized sexual identity, Belkin in response elides her marginalized racial identity. Throughout the chapter Belkin lays claim to his less privileged gay identity and not to his more privileged male and white identities, despite that these privileged identities are the ones that Ana challenged. He wishes his gay, underdog status to be recognized and to his credit he courageously owns this. In this wish for an underdog status to be acknowledged when challenged concerning dominance, Belkin reveals his humanness. It is a dynamic with which I am very familiar through my work with the Apartheid Archives and it is explored in papers by Eagle and Bowman (2010). Thus, this very important lead chapter reminds us early on that when asked to check our privilege, it is easy
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Pub Date : 2022-10-02DOI: 10.1080/00107530.2023.2210489
Zvi Steve Yadin
Abstract Addressing the patient’s anxieties about the meaning of life and death as integral phenomena of the life cycle is not commonly discussed in the analytic literature. A central dilemma of analytic work is the effort to facilitate change in the life of a suffering patient while also bearing in mind the inescapable human destiny, i.e., the certainty of death. All too often, these factors remain in the background while dealing with other conflicts or misfortunes. The analyst, like the patient, is aware of the brevity of life and is susceptible to the same fate, and thus may feel defenseless, helpless, and limited in what can be offered. This article incorporates the existentialist thinking of Camus on the subject and illuminates it with analytic work with unspoken trauma of a second-generation Holocaust survivor.
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Pub Date : 2022-10-02DOI: 10.1080/00107530.2023.2212343
Michelet Boyer
Abstract In the psychotherapy of personality disorders, the limitations of the self and of interpersonal functioning that underlie all personality pathology are both a main treatment focus and a major obstacle in doing so. These limitations are most intensely manifested within the primary aspect of the psychotherapeutic relationship. The core of personality disorders–identity diffusion–refers to a self, tormented by insignificance and annihilation, and by disconnectedness and mistrust. The infant will have internalized a mental state called the alien self that persists alongside an agentive self. This split leads to two domains of primitive dyadic object relations: one dominated by projection of epistemic yearning onto an idealized object, the other by projection of self-rejection onto a demonized object. The therapist remains an alien object in this way, making cooperation within therapy momentarily or even structurally impossible, with a negative impact on the working relationship, and a greater role of the realistic relationship.
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Pub Date : 2022-04-03DOI: 10.1080/00107530.2022.2149217
Max Cavitch
Abstract The following correspondence, incomplete and edited for length, was conducted between 2005 and 2017—12 years out of the 15-year-long span of my almost entirely epistolary friendship with Philip Bromberg. With all the casualness and inadvertency of an email exchange, it nevertheless speaks—for us both—far more eloquently than anything I could write about the history of our friendship and about the various ways in which we shared our love of language with each other, across various distances and disciplinary boundaries. 1
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