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Psychoanalytic Psychotherapy最新文献

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Being safe and being brave: new thoughts on trauma, and adaptations to technique 安全和勇敢:对创伤的新思考和对技术的适应
IF 0.8 Q4 Psychology Pub Date : 2021-10-02 DOI: 10.1080/02668734.2021.1992490
Graham Music
This paper outlines ways in which more traditional psychoanalytic technique has been challenged by new findings about trauma and the optimal ways in which it can be worked with. In particular it outlines how therapists need to become much more knowledgeable about the risks of retriggering PTSD symptoms, and about dissociative symptomatology. In addition, in some cases it is suggested that psychoanalytic therapists might become braver in helping victims of trauma to feel anger about what happened to them, and that often for optimal recovery anger and rage needs to precede remorse, reparation and a bearing of depressive anxieties
本文概述了更传统的精神分析技术受到创伤新发现挑战的方式,以及处理创伤的最佳方式。特别是,它概述了治疗师需要如何更加了解再次引发创伤后应激障碍症状的风险,以及解离症状学。此外,在某些情况下,有人建议精神分析治疗师可能会更勇敢地帮助创伤受害者对发生在他们身上的事情感到愤怒,而通常为了最佳恢复,愤怒和愤怒需要先于悔恨、补偿和抑郁焦虑
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引用次数: 0
Decolonising psychotherapy. Racism and the psychoanalytic profession 去殖民化心理治疗。种族主义与精神分析专业
IF 0.8 Q4 Psychology Pub Date : 2021-10-02 DOI: 10.1080/02668734.2021.1990114
Helen Morgan
From time-to-time concern is expressed within the psychoanalytic community that so few individuals from the black and minority ethnic communities want to train with us and join our organisations. I have come to believe that these discussions many will be familiar with are not only futile but a part of the defensive structures that serve to act against the radical change that is needed. I know individuals change. However, apart from some tinkering, our institutions do not. This paper considers the defensive structures of disavowal within ourselves and our organisations as well as the features of psychoanalytic training that produce a disabling complacency. These work against the radical changes that are required if the profession is to become one to which people of colour can feel they belong and that reflects twenty first century multicultural Britain. I offer some suggestions for ways of working against the racist assumptions behind some of our theories and our structures. The underlying conviction of the presentation is that this is a white problem which white people need to address – not only for the benefit of black colleagues but because it also does us all harm.
精神分析界不时表示担心,来自黑人和少数民族社区的人很少愿意与我们一起训练并加入我们的组织。我开始相信,许多人将熟悉的这些讨论不仅是徒劳的,而且是防御结构的一部分,这些防御结构有助于对抗所需的根本变革。我知道个人会改变。然而,除了一些修补之外,我们的机构并没有。本文考虑了我们自己和我们的组织内部否认的防御结构,以及产生致残性自满情绪的心理分析训练的特征。如果这个职业要成为有色人种能够感觉到自己属于的职业,并反映21世纪多元文化的英国,这些都与所需的根本变革背道而驰。我为反对我们一些理论和结构背后的种族主义假设提供了一些建议。演讲的基本信念是,这是白人需要解决的白人问题——不仅是为了黑人同事的利益,也是因为它也对我们所有人造成了伤害。
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引用次数: 0
Tavistock Centenary: the Tavistock Autism service over four decades 塔维斯托克百周年纪念:塔维斯托克自闭症服务40多年
IF 0.8 Q4 Psychology Pub Date : 2021-10-02 DOI: 10.1080/02668734.2021.1992491
S. Reid, A. Alvarez, Nechama Polak, Myooran Canagaratnam
An event held in December 2020 explored the rich clinical work and innovative thinking around Autism Spectrum Condition at the Tavistock over the past four decades. Consultant Child and Adolescent Psychotherapists Sue Reid and Anne Alvarez describe their early groundbreaking work within the Tavistock Autism Team and Workshop. This work yielded the fascinating clinical observations that there were some children with the condition who made significant gains in therapy, leading to major developments in psychoanalytic techniques for this group. Since then, there has been a continuing influence of psychoanalytical, systemic perspectives on the Tavistock approach to Autism. It is an approach which at the same time is firmly rooted in the research around Autism’s neurodevelopmental basis. Nechama Polak, Clinical Psychologist, provides an account of how the current work of the team has increasingly focused on supporting young adults with the condition, and their parents, whilst Myooran Canagaratnam, Consultant Psychiatrist, describes the Tavistock approach to diagnostic assessment.
2020年12月举行的一场活动探讨了过去四十年来Tavistock围绕自闭症谱系状况开展的丰富临床工作和创新思维。儿童和青少年心理治疗师顾问Sue Reid和Anne Alvarez描述了他们在Tavistock自闭症团队和研讨会中的早期开创性工作。这项工作产生了令人着迷的临床观察结果,即一些患有这种疾病的儿童在治疗方面取得了重大进展,导致这一群体的精神分析技术取得了重大发展。从那时起,精神分析、系统性的观点对塔维斯托克治疗自闭症的方法产生了持续的影响。这是一种同时牢牢植根于自闭症神经发育基础研究的方法。临床心理学家Nechama Polak介绍了该团队目前的工作如何越来越专注于支持患有这种疾病的年轻人及其父母,而精神病顾问Myooran Canagaratnam则描述了Tavistock的诊断评估方法。
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引用次数: 0
Between partnering and parenting: psychoanalytic approaches to working with parental couples 在伴侣和养育之间:与父母夫妇合作的精神分析方法
IF 0.8 Q4 Psychology Pub Date : 2021-10-02 DOI: 10.1080/02668734.2021.1991990
A. Balfour
This paper explores the link between parenting difficulties and couple relationship issues in psychotherapeutic work with parental couples. Initially, the discussion focusses on the social policy context of couple psychotherapy and the resistances it can evoke, which has led to an emphasis on ‘parenting’ rather than ‘couple’ interventions in the historic development of family service provision in the UK. Some developmental challenges facing couples who are parents are then discussed, focussing on a clinical case and drawing on the concepts of shared unconscious phantasy and enactment in the analytic session, to elucidate defensive and developmental possibilities of working at the interface between ‘parenting’ and ‘partnering’.
本文探讨了在父母夫妇的心理治疗工作中,父母困难与夫妻关系问题之间的联系。最初,讨论的重点是夫妻心理治疗的社会政策背景及其可能引起的抵制,这导致了在英国家庭服务提供的历史发展中强调“养育”而不是“夫妻”干预。然后讨论父母面临的一些发展挑战,集中在一个临床案例上,并在分析会议上借鉴共享无意识幻想和制定的概念,以阐明在“养育”和“伴侣”之间的界面上工作的防御和发展可能性。
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引用次数: 0
Shapes of gender identity: three stories with impact 性别认同的形态:三个具有影响力的故事
IF 0.8 Q4 Psychology Pub Date : 2021-10-02 DOI: 10.1080/02668734.2021.1990115
D. di Ceglie
The paper describes three stories of children and adolescents with atypical gender identity development followed in psychotherapy. These cases have already been published, but are revisited here to show how these experiences contributed to the creation of the therapeutic intervention model of the Gender Identity Development Service originally established in 1989 at St George’s Hospital, London. The service transferred to the Tavistock Centre in 1996. The first case shows the gradual recognition of dealing with the development of an atypical gender identity rather than a psychiatric condition. Reflection on this case led to the definition of possible therapeutic goals. The second case illustrates the difference between solid and fluid identities, an important distinction in the decision to consider the possibility of physical intervention. The third case shows the network management model and addresses issues concerning autonomy.
本文描述了三个在心理治疗中出现非典型性别认同发展的儿童和青少年的故事。这些案例已经发表,但在这里再次回顾,以展示这些经验是如何促成性别认同发展服务的治疗干预模式的创建的,该服务最初于1989年在伦敦圣乔治医院成立。该服务于1996年转移到塔维斯托克中心。第一个案例表明,人们逐渐认识到要处理非典型性别认同的发展,而不是精神疾病。对这个案例的反思导致了可能的治疗目标的定义。第二个案例说明了固体身份和流体身份之间的区别,这是考虑物理干预可能性的决定中的一个重要区别。第三个案例展示了网络管理模型,并解决了有关自治的问题。
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引用次数: 0
Trauma and abuse 创伤和虐待
IF 0.8 Q4 Psychology Pub Date : 2021-10-02 DOI: 10.1080/02668734.2021.1990990
Judy Trowell
In this paper I reflect on my work with adult patients and the Tavistock based sexually abused girls study. I discuss two young women who came for help with their relationships, but subsequently disclosed having been sexually abused as children. I was particularly interested since contrary to what one might expect, the young woman who seemed to enjoy better relationship with her mother did less well in treatment. These two patients are contrasting and this underlines the importance of focussing on specific aspects of the primary maternal object relationship that are unique to each individual in understanding the ability to benefit from therapy. Important features shared across the two patients such as PTSD, the distortion of time, and the role of the father are considered. The timing of the disclosure is also an issue. Both patients elicit strong countertransference responses that were difficult to manage and the value of supervision was stressed. The author tries to address two questions, why the patient who had a better maternal relationship did not benefit as much, secondly the point in treatment when the disclosure occurred.
在这篇论文中,我回顾了我与成年患者的工作以及基于塔维斯托克的性虐待女孩研究。我讨论了两名年轻女性,她们来寻求帮助处理她们的关系,但后来透露自己小时候曾遭受过性虐待。我特别感兴趣,因为与人们所期望的相反,似乎与母亲关系更好的年轻女性在治疗中表现不佳。这两个病人是对比的,这强调了关注主要母性对象关系的具体方面的重要性,这些方面对每个个体来说都是独特的,以理解从治疗中获益的能力。这两名患者的重要特征,如创伤后应激障碍、时间扭曲和父亲的角色都被考虑在内。披露的时机也是一个问题。这两名患者都引发了强烈的反移情反应,难以管理,强调了监督的价值。作者试图解决两个问题,为什么有一个更好的母亲关系的病人没有得到同样多的好处,其次,在治疗的点,当披露发生。
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引用次数: 0
Editorial 编辑
IF 0.8 Q4 Psychology Pub Date : 2021-10-02 DOI: 10.1080/02668734.2021.1999600
P. Cundy
27 September 2020 marked the one-hundredth anniversary of the first patient being seen at the Tavistock Clinic. Over the following year, the Tavistock & Portman NHS Foundation Trust has marked this centenary with a series of events celebrating its history and exploring contemporary issues in relation to identity, relationships and society. This special issue is a collection of papers based on presentations from the centennial celebrations. The authors, most of whom are past and present clinicians of the trust, describe the historical and contemporary work of various departments and services and consider how to draw on this heritage to provide valuable responses to contemporary and future challenges. The Tavistock Clinic was established by Hugh Crichton-Miller, taking its name from its original location at 51 Tavistock Square. Crichton-Miller’s aim was to provide civilians with the kind of treatments that he and other doctors had developed using Freud’s theory of neurosis in the treatment of shell-shocked soldiers during World War 1. So, it seems fitting that the first three papers in this special issue address the subject of trauma. In ‘The Tavistock trauma service centenary lecture’ Jo Stubley describes the history and theoretical developments of clinical work with adult patients in the Tavistock Trauma Service. This service was founded in 1987 in response to the Herald of Free Enterprise Ferry Disaster. Using a psychoanalytic model of trauma developed by Caroline Garland, the unit initially worked with adults who had experienced a single episode trauma, offering a brief intervention of six consultations. However, over time, an increasing number of referrals have been received for people who have experienced chronic, repetitive and sustained traumas. Working with complex trauma has required changes to the original model, and advances in attachment and mentalisation theories and neuroscience have informed developments in the work of the unit. A range of therapeutic interventions, both individual and group, psychotherapeutic, physical and social is now provided. The second paper, by Graham Music, focuses on the developing field of trauma work, and the need to attend to the body. In ‘Being safe and being brave: new thoughts on trauma, and adaptations to technique’, Music describes his work with four young people to illustrate his journey as a trauma therapist, and the development of the techniques that he uses. Much of this requires a focus on the body, initially to develop feelings of safety and facilitate trust. Once this has been achieved the work can move towards emotional expression, again paying
2020年9月27日是塔维斯托克诊所收治首位患者100周年纪念日。在接下来的一年里,塔维斯托克和波特曼NHS基金会信托通过一系列庆祝其历史和探索与身份、关系和社会相关的当代问题的活动来纪念这个百年纪念。这期特刊是根据一百周年庆祝活动的报告收集的论文。作者,他们中的大多数是信托的过去和现在的临床医生,描述了各个部门和服务的历史和当代工作,并考虑如何利用这一遗产为当代和未来的挑战提供有价值的回应。塔维斯托克诊所由休·克莱顿-米勒(Hugh Crichton-Miller)建立,以其位于塔维斯托克广场51号的原址命名。克莱顿-米勒的目的是为平民提供一种治疗方法,这种治疗方法是他和其他医生利用弗洛伊德的神经症理论在第一次世界大战期间治疗弹震症士兵时开发出来的。所以,这期特刊的前三篇论文讨论创伤这个主题似乎是合适的。在“塔维斯托克创伤服务百年讲座”中,Jo Stubley描述了塔维斯托克创伤服务中心成年患者临床工作的历史和理论发展。这项服务成立于1987年,以应对自由企业先驱渡轮灾难。使用卡洛琳·加兰(Caroline Garland)开发的创伤精神分析模型,该小组最初与经历过一次创伤的成年人合作,提供六次咨询的简短干预。然而,随着时间的推移,越来越多的人转诊经历了慢性,重复性和持续性的创伤。处理复杂的创伤需要改变原来的模型,依恋和心智化理论以及神经科学的进步为该部门的工作发展提供了信息。现在提供了一系列治疗干预措施,包括个人和团体、心理治疗、身体和社会。第二篇论文由Graham Music撰写,重点关注创伤工作的发展领域,以及关注身体的必要性。在《安全和勇敢:对创伤的新思考,以及对技术的适应》一书中,Music描述了他与四个年轻人的合作,以说明他作为创伤治疗师的历程,以及他所使用的技术的发展。其中大部分都需要关注身体,最初是为了培养安全感,促进信任。一旦实现了这一点,工作就可以转向情感表达,再次付费
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引用次数: 0
The Tavistock trauma service centenary lecture Tavistock创伤服务百年讲座
IF 0.8 Q4 Psychology Pub Date : 2021-10-02 DOI: 10.1080/02668734.2021.1990989
J. Stubley
In celebration of its centenary, The Tavistock and Portman NHS Trust hosted a series of lectures. This paper has evolved from a lecture on trauma work within the Trust shared with Graham Music. The history and theoretical developments of clinical work with adult patients in the Tavistock Trauma Service are outlined.
为了庆祝其成立一百周年,Tavistock和Portman NHS Trust举办了一系列讲座。这篇论文是由与Graham Music分享的关于信托基金会创伤工作的讲座演变而来的。概述了Tavistock创伤服务中心成年患者临床工作的历史和理论发展。
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引用次数: 0
The health insurance system and psychoanalytic psychotherapy in Japan: the association with evidence-based practice 日本的健康保险制度和精神分析心理治疗:与循证实践的联系
IF 0.8 Q4 Psychology Pub Date : 2021-09-14 DOI: 10.1080/02668734.2021.1952648
Akiyoshi Okada
Since 1958, the Japanese public health insurance system has covered psychoanalytic psychotherapy. Although it is called ‘standard-type psychoanalytic therapy’, it is essentially psychoanalytic psychotherapy or psychodynamic psychotherapy performed face-to-face once a week. Japan has two psychoanalytical organisations: the Japan Psychoanalytic Society (JPS) and the Japan Psychoanalytical Association (JPA), both established in 1955. Until they separated in 1980, they were one organisation that worked together to secure government approval for medical insurance coverage of psychoanalytic psychotherapy and contributed to training psychiatrists and clinical psychologists in psychoanalytic psychotherapy. Currently, less than 1% of psychiatrists and clinical psychologists in the country have undergone JPA or JPS training. Psychoanalytic psychotherapy provision nationally is difficult because psychoanalytic psychotherapists are concentrated in urban centres. Recent global trends have prompted the demand for evidence-based practice (EBP). To date, the effectiveness of psychoanalytic psychotherapy has not been demonstrated in Japan. Therefore, it is not recognised as an EBP within national measures for public mental health. However, psychoanalytic psychotherapy is essentially an ‘experience-based practice’, even though it is fundamentally different from EBP. Nevertheless, to sustain psychoanalytic psychotherapy as a viable psychotherapy in Japan, it would need to meet EBP standards.
自1958年以来,日本的公共健康保险制度涵盖了精神分析心理治疗。虽然它被称为“标准型精神分析疗法”,但本质上是每周面对面进行一次的精神分析心理治疗或心理动力心理治疗。日本有两个精神分析组织:日本精神分析学会(JPS)和日本精神分析协会(JPA),均成立于1955年。在1980年分离之前,他们一直是一个共同努力确保政府批准精神分析心理治疗医疗保险的组织,并致力于培训精神病学家和临床心理学家进行精神分析心理疗法。目前,该国只有不到1%的精神科医生和临床心理学家接受过JPA或JPS培训。在全国范围内提供心理分析心理治疗是困难的,因为心理分析心理治疗师集中在城市中心。最近的全球趋势推动了对循证实践的需求。迄今为止,精神分析心理治疗的有效性尚未在日本得到证实。因此,在国家公共心理健康措施中,它不被视为EBP。然而,精神分析心理治疗本质上是一种“基于经验的实践”,尽管它与EBP有根本的不同。然而,要在日本维持精神分析心理治疗作为一种可行的心理治疗,它需要符合EBP标准。
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引用次数: 1
Psychoanalytic thinking in mental health settings 心理健康环境中的精神分析思维
IF 0.8 Q4 Psychology Pub Date : 2021-09-09 DOI: 10.1080/02668734.2021.1958049
R. Harland
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引用次数: 0
期刊
Psychoanalytic Psychotherapy
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