Pub Date : 2023-07-03DOI: 10.1080/02668734.2023.2199821
J. Hook, Intra Fines
This paper brings together the vexed issues of sexual boundary violations in psychotherapy and counselling and how our professions should be regulated to protect the public from harm. IF writes anonymously about her painful experience of making a complaint against her former psychotherapist. JH brings his expert perspective in supporting perpetrators and victims, including his co-author. Reflecting on our experience together, we explore disturbing flaws in the current regulatory system. We use this exploration to raise troubling questions about institutionalised corruption at the heart of our professional ethics whenever we face up to abuse. Finally, we jointly endorse proposals for fundamental reform. By following a complainant through the complaint process we highlight how their position is largely ignored, creating an impression that the purpose of the regulator in protecting the public is undermined in favour of protecting the reputation of the regulator, the Counselling and Psychotherapy professions. Additionally the failure to teach and provide ongoing training about ethical boundary issues, absence of an effective reporting structure, paucity of research into harm in psychological therapies and inadequate regulatory framework leads to failure to protect those in need of our help and is a corruption of the ideals of the professions.
{"title":"The experience of making a complaint in a case of professional sexual misconduct: towards a safer profession","authors":"J. Hook, Intra Fines","doi":"10.1080/02668734.2023.2199821","DOIUrl":"https://doi.org/10.1080/02668734.2023.2199821","url":null,"abstract":"This paper brings together the vexed issues of sexual boundary violations in psychotherapy and counselling and how our professions should be regulated to protect the public from harm. IF writes anonymously about her painful experience of making a complaint against her former psychotherapist. JH brings his expert perspective in supporting perpetrators and victims, including his co-author. Reflecting on our experience together, we explore disturbing flaws in the current regulatory system. We use this exploration to raise troubling questions about institutionalised corruption at the heart of our professional ethics whenever we face up to abuse. Finally, we jointly endorse proposals for fundamental reform. By following a complainant through the complaint process we highlight how their position is largely ignored, creating an impression that the purpose of the regulator in protecting the public is undermined in favour of protecting the reputation of the regulator, the Counselling and Psychotherapy professions. Additionally the failure to teach and provide ongoing training about ethical boundary issues, absence of an effective reporting structure, paucity of research into harm in psychological therapies and inadequate regulatory framework leads to failure to protect those in need of our help and is a corruption of the ideals of the professions.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"206 - 230"},"PeriodicalIF":0.8,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43755595","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 : 2023-07-03DOI: 10.1080/02668734.2023.2225177
J. Isserow
This paper compares two strikingly different uses of water. The first by an adolescent young man on the autistic spectrum, in an art psychotherapy session; the second, by an ordinary developing toddler, observed at home. It uses insights gleaned from psychoanalytic infant observation to illuminate the seemingly enigmatic behaviours found in clinical practice. In doing so, it delineates the centrality of joint visual attention in the development of symbol formation. Understanding is advanced by making evident that water may be used to either enable or inhibit this process. As such, it argues that the phenomenon of liquidity be given greater consideration. Further, it critically champions for the inclusion of infant observation in art psychotherapy training.
{"title":"Looking with liquid: an exploration of the use of water in art psychotherapy in light of infant observation","authors":"J. Isserow","doi":"10.1080/02668734.2023.2225177","DOIUrl":"https://doi.org/10.1080/02668734.2023.2225177","url":null,"abstract":"This paper compares two strikingly different uses of water. The first by an adolescent young man on the autistic spectrum, in an art psychotherapy session; the second, by an ordinary developing toddler, observed at home. It uses insights gleaned from psychoanalytic infant observation to illuminate the seemingly enigmatic behaviours found in clinical practice. In doing so, it delineates the centrality of joint visual attention in the development of symbol formation. Understanding is advanced by making evident that water may be used to either enable or inhibit this process. As such, it argues that the phenomenon of liquidity be given greater consideration. Further, it critically champions for the inclusion of infant observation in art psychotherapy training.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"243 - 261"},"PeriodicalIF":0.8,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46141391","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 : 2023-07-03DOI: 10.1080/02668734.2023.2232199
Who can enter & how? The Prize is open to anyone. Trainees can enter. Researchers from outside psychotherapy can enter. Entries should be submitted to the Journal Editor [at any time]. Please follow the Instructions for Authors guidance for submitting entries on the Journal homepage at Taylor Francis. h t t p s : / / w w w. t a n d f o n l i n e . c o m / a c t i o n / a u t h o r S u b m i s s i o n ? s h o w = instructions&journalCode=rpps20 Please indicate that you wish your submission to be considered for the Prize. Award of prize winners for 2023 will be announced and made on publication in the Journal in 2024.
谁可以进入&如何进入？该奖项对任何人开放。学员可以进入。来自外部心理治疗的研究人员可以进入。参赛作品应[随时]提交给期刊编辑。请按照作者须知在Taylor Francis的期刊主页上提交参赛作品。h t t p s://w w w w t a n d f o n l i n e。c o m/a c t i o n/a u t h o r S u b m i S S i o n？s h o w=说明&journalCode=rpps20请表明您希望您的投稿被考虑获得该奖项。2023年的获奖者名单将于2024年在《华尔街日报》上公布。
{"title":"Evidence-based psychoanalytic case study-prize","authors":"","doi":"10.1080/02668734.2023.2232199","DOIUrl":"https://doi.org/10.1080/02668734.2023.2232199","url":null,"abstract":"Who can enter & how? The Prize is open to anyone. Trainees can enter. Researchers from outside psychotherapy can enter. Entries should be submitted to the Journal Editor [at any time]. Please follow the Instructions for Authors guidance for submitting entries on the Journal homepage at Taylor Francis. h t t p s : / / w w w. t a n d f o n l i n e . c o m / a c t i o n / a u t h o r S u b m i s s i o n ? s h o w = instructions&journalCode=rpps20 Please indicate that you wish your submission to be considered for the Prize. Award of prize winners for 2023 will be announced and made on publication in the Journal in 2024.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"292 - 293"},"PeriodicalIF":0.8,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45046014","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 : 2023-07-03DOI: 10.1080/02668734.2023.2222157
Richard Rusbridger
{"title":"Finding a way to the child: selected clinical papers 1983-2021","authors":"Richard Rusbridger","doi":"10.1080/02668734.2023.2222157","DOIUrl":"https://doi.org/10.1080/02668734.2023.2222157","url":null,"abstract":"","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"283 - 286"},"PeriodicalIF":0.8,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44866647","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 : 2023-07-03DOI: 10.1080/02668734.2023.2231059
Brian M. Henley
Therapies based on an exposure model have been shown to be effective in the treatment of uncomplicated Post-Traumatic Stress Disorder (PTSD), but less effective when used to treat Complex Post-Traumatic Stress Disorder (CPTSD), because an essential first step in the exposure model is a patient’s emotional engagement with traumatic material. This engagement is prevented by a suppressive/dissociative reaction typical of CPTSD. Several methods of overcoming this suppressive/dissociative reaction have been investigated, but have proved impractical. Familiar psychodynamic techniques appear to circumvent the suppressive/dissociative response and elicit the required emotional engagement in standard clinical settings.
{"title":"Psychodynamic techniques elicit emotional engagement in complex post-traumatic stress disorder","authors":"Brian M. Henley","doi":"10.1080/02668734.2023.2231059","DOIUrl":"https://doi.org/10.1080/02668734.2023.2231059","url":null,"abstract":"Therapies based on an exposure model have been shown to be effective in the treatment of uncomplicated Post-Traumatic Stress Disorder (PTSD), but less effective when used to treat Complex Post-Traumatic Stress Disorder (CPTSD), because an essential first step in the exposure model is a patient’s emotional engagement with traumatic material. This engagement is prevented by a suppressive/dissociative reaction typical of CPTSD. Several methods of overcoming this suppressive/dissociative reaction have been investigated, but have proved impractical. Familiar psychodynamic techniques appear to circumvent the suppressive/dissociative response and elicit the required emotional engagement in standard clinical settings.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"231 - 242"},"PeriodicalIF":0.8,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41896518","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 : 2023-06-29DOI: 10.1080/02668734.2023.2190604
J. G. Tanner
It is understudied how a patient’s or psychotherapist’s socioeconomic status (SES) might influence psychotherapeutic treatments. This project addressed this gap in research by investigating how doctoral therapists-in-training understood the impact of SES in their psychotherapeutic work. Reflexive thematic analysis with a phenomenological approach was used to analyze conversations with doctoral student therapists at a university clinic. Specific themes emerged concerning therapist self-worth, addressing patient SES, self-disclosing about one’s SES, and working through SES fantasies. It was found that therapists-in-training routinely avoided conversations with patients related to SES. These findings suggest that doctoral training is not adequately preparing psychoanalytic psychotherapists to work with patients in lower SES positions. Limitations of the study and suggestions for future research are explored.
{"title":"Socioeconomic dynamics in an American psychoanalytic psychotherapy training clinic: an exploratory qualitative analysis of doctoral education and practice","authors":"J. G. Tanner","doi":"10.1080/02668734.2023.2190604","DOIUrl":"https://doi.org/10.1080/02668734.2023.2190604","url":null,"abstract":"It is understudied how a patient’s or psychotherapist’s socioeconomic status (SES) might influence psychotherapeutic treatments. This project addressed this gap in research by investigating how doctoral therapists-in-training understood the impact of SES in their psychotherapeutic work. Reflexive thematic analysis with a phenomenological approach was used to analyze conversations with doctoral student therapists at a university clinic. Specific themes emerged concerning therapist self-worth, addressing patient SES, self-disclosing about one’s SES, and working through SES fantasies. It was found that therapists-in-training routinely avoided conversations with patients related to SES. These findings suggest that doctoral training is not adequately preparing psychoanalytic psychotherapists to work with patients in lower SES positions. Limitations of the study and suggestions for future research are explored.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"262 - 277"},"PeriodicalIF":0.8,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45735848","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 : 2023-04-12DOI: 10.1080/02668734.2023.2193975
A. Flintoff
{"title":"Unseen city: the psychic lives of the urban poor","authors":"A. Flintoff","doi":"10.1080/02668734.2023.2193975","DOIUrl":"https://doi.org/10.1080/02668734.2023.2193975","url":null,"abstract":"","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"287 - 290"},"PeriodicalIF":0.8,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46094669","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 : 2023-04-03DOI: 10.1080/02668734.2023.2230774
Who can enter & how? The Prize is open to anyone. Trainees can enter. Researchers from outside psychotherapy can enter. Entries should be submitted to the Journal Editor [at any time]. Please follow the Instructions for Authors guidance for submitting entries on the Journal homepage at Taylor Francis. h t t p s : / / w w w. t a n d f o n l i n e . c o m / a c t i o n / a u t h o r S u b m i s s i o n ? s h o w = instructions&journalCode=rpps20 Please indicate that you wish your submission to be considered for the Prize. Award of prize winners for 2023 will be announced and made on publication in the Journal in 2024.
谁可以进入&如何进入？该奖项对任何人开放。学员可以进入。来自外部心理治疗的研究人员可以进入。参赛作品应[随时]提交给期刊编辑。请按照作者须知在Taylor Francis的期刊主页上提交参赛作品。h t t p s://w w w w t a n d f o n l i n e。c o m/a c t i o n/a u t h o r S u b m i S S i o n？s h o w=说明&journalCode=rpps20请表明您希望您的投稿被考虑获得该奖项。2023年的获奖者名单将于2024年在《华尔街日报》上公布。
{"title":"Evidence-based psychoanalytic case study-prize","authors":"","doi":"10.1080/02668734.2023.2230774","DOIUrl":"https://doi.org/10.1080/02668734.2023.2230774","url":null,"abstract":"Who can enter & how? The Prize is open to anyone. Trainees can enter. Researchers from outside psychotherapy can enter. Entries should be submitted to the Journal Editor [at any time]. Please follow the Instructions for Authors guidance for submitting entries on the Journal homepage at Taylor Francis. h t t p s : / / w w w. t a n d f o n l i n e . c o m / a c t i o n / a u t h o r S u b m i s s i o n ? s h o w = instructions&journalCode=rpps20 Please indicate that you wish your submission to be considered for the Prize. Award of prize winners for 2023 will be announced and made on publication in the Journal in 2024.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"200 - 201"},"PeriodicalIF":0.8,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45187704","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 : 2023-04-03DOI: 10.1080/02668734.2023.2230769
P. Cundy
how TFP (a contemporary object relations approach which has been developed to treat patients with a Borderline Personality Organization) can contribute to the treatment of NPD. They introduce the main tenets of TFP
{"title":"Editorial","authors":"P. Cundy","doi":"10.1080/02668734.2023.2230769","DOIUrl":"https://doi.org/10.1080/02668734.2023.2230769","url":null,"abstract":"how TFP (a contemporary object relations approach which has been developed to treat patients with a Borderline Personality Organization) can contribute to the treatment of NPD. They introduce the main tenets of TFP","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"113 - 116"},"PeriodicalIF":0.8,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49161892","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 : 2023-04-03DOI: 10.1080/02668734.2023.2191264
Tennyson Lee, Kenneth N. Levy
Narcissistic Personality Disorder (NPD) is complex and difficult to treat. Whilst there is no research based evidence for the specific treatment of NPD, there is an evidence base for psychotherapeutic approaches to Borderline Personality Disorder (BPD) which includes Transference Focused Psychotherapy (TFP). TFP is a contemporary object relations approach which has been developed to treat patients with a Borderline Personality Organization, which includes narcissistic personality structures. TFP therefore stands to contribute to the treatment of NPD. We introduce main tenets of TFP, and how TFP views narcissism. We then present a case illustration to illustrate aspects of TFP which are key clinical contributions in treating NPD. These include assessment of personality organization, the treatment contract, transference, countertransference, use of clarification and interpretation, technical neutrality, therapist centered interpretations, the treatment frame and consideration of the stage of treatment
{"title":"Treating Narcissistic Personality Disorders: a case illustration of key clinical contributions from Transference Focused Psychotherapy for psychoanalytic practitioners","authors":"Tennyson Lee, Kenneth N. Levy","doi":"10.1080/02668734.2023.2191264","DOIUrl":"https://doi.org/10.1080/02668734.2023.2191264","url":null,"abstract":"Narcissistic Personality Disorder (NPD) is complex and difficult to treat. Whilst there is no research based evidence for the specific treatment of NPD, there is an evidence base for psychotherapeutic approaches to Borderline Personality Disorder (BPD) which includes Transference Focused Psychotherapy (TFP). TFP is a contemporary object relations approach which has been developed to treat patients with a Borderline Personality Organization, which includes narcissistic personality structures. TFP therefore stands to contribute to the treatment of NPD. We introduce main tenets of TFP, and how TFP views narcissism. We then present a case illustration to illustrate aspects of TFP which are key clinical contributions in treating NPD. These include assessment of personality organization, the treatment contract, transference, countertransference, use of clarification and interpretation, technical neutrality, therapist centered interpretations, the treatment frame and consideration of the stage of treatment","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"179 - 192"},"PeriodicalIF":0.8,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45272623","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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