Pub Date : 2022-07-28DOI: 10.1080/02668734.2022.2078996
Nicole Canin
This paper offers a 25-year scoping review of psychoanalytic journal articles on premature birth from 1997 to 2021. Given the prevalence of prematurity and its impact on infant development and parenting, this is an area which requires engagement and research. 28 papers were found in psychoanalytic journals. This review summarizes the extent, range and nature of this research, identifying trends in theorizing about premature infancy and gaps in the literature. The overall lack of articles on the topic of prematurity is highlighted and possible reasons for this are suggested. These include the practical challenges as well as the intensity of emotional pain inherent in working with prematurity. The findings highlight the trauma experienced by both premature infants and their parents. Prematurity may also place the parent-infant relationship at risk. The therapeutic imperative of interacting with the infant as a person is strongly emphasised. Research suggests working in the NICU is emotionally evocative. However, a case is made for the critical role that psychoanalytic practitioners can play in supporting those impacted by premature infancy. The need for exposure to this topic is highlighted. Gaps in the literature appear in relation to sibling experience, experiences of fathers of premature infants, and the intersubjective processes occurring between premature infants and their parents.
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Pub Date : 2022-07-28DOI: 10.1080/02668734.2022.2101732
Published in Psychoanalytic Psychotherapy (Vol. 36, No. 2, 2022)
发表于《精神分析心理疗法》(Vol. 36, No. 2, 2022)
{"title":"Books available for review","authors":"","doi":"10.1080/02668734.2022.2101732","DOIUrl":"https://doi.org/10.1080/02668734.2022.2101732","url":null,"abstract":"Published in Psychoanalytic Psychotherapy (Vol. 36, No. 2, 2022)","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"59 12","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138524486","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 : 2022-07-03DOI: 10.1080/02668734.2022.2115117
A. Hughes
whilst the horizontal axis shows how sense can be made of the beta unprocessed elements, with any consequent failure to do so resulting in disturbing sensory data being experienced by the patient in crisis. The concept of ‘O’, as outlined by Bion, is constantly returned to throughout this book, in particular through dream material. For Bion ‘O’ represented the aim of psychoanalysis and was about seeking the truth, rather than trying to make a patient better. The concept of ‘O’ continues to be debated and valued by many, as well as being open to further interpretation and understanding. For some British analysts, however, it can be seen as overly esoteric, and at times confusing in its many different renderings. As I understand it, the intention, according to Bion, is to be aiming for “transformations in ‘O’ within the analyst”; this involves the ‘indivisibility of the transference-counter transference in the analyst’s reverie’, that is the analyst has to feel the actual agony and anguish expressed by the patient. Part II of the book offers chapters on clinical presentations and thinking on issues of abandonment, exclusion, rage and shame, jealousy, betrayals, surprise, contempt, and sadness. Attention is paid in great detail, theoretically and with live cases, to all these issues, which one could say inevitably dominate any therapeutic practice. Chapter 12 ‘Betrayals. Psychoanalytic Pathways in the works of James Joyce’ by Fulvio Mazzacane, however, focusses entirely on Joyce’s literary work, which he maintains is concerned with the theme of betrayal in the most important relationships, whether personal or in terms of country of origin. This is a rich addition to this collection, and though not without description of pain and distress, it does bring some light relief as fiction often can to the reader. In conclusion, what is striking throughout this book is the openness and honest self-awareness that each analyst brings to their therapeutic engagement, on occasions referencing what they acknowledge as their own shortcomings. Nicoli Luca, in Chapter 14, ‘Contempt’, notes that on one occasion he effectively forgot to arrive in time at his consulting room to meet with a new oncea-week patient. He acknowledges his own unwitting disregard of the patient, that is his contempt, as this was not a ‘proper’, high frequency analysis. Antonino Ferro is an original thinker who believes psychoanalysis must always be open to new developments and theories, but at the same time pays 280 Book Review
{"title":"Psychoanalytic practice today: a post-bionian introduction to psychopathology, affect and emotions","authors":"A. Hughes","doi":"10.1080/02668734.2022.2115117","DOIUrl":"https://doi.org/10.1080/02668734.2022.2115117","url":null,"abstract":"whilst the horizontal axis shows how sense can be made of the beta unprocessed elements, with any consequent failure to do so resulting in disturbing sensory data being experienced by the patient in crisis. The concept of ‘O’, as outlined by Bion, is constantly returned to throughout this book, in particular through dream material. For Bion ‘O’ represented the aim of psychoanalysis and was about seeking the truth, rather than trying to make a patient better. The concept of ‘O’ continues to be debated and valued by many, as well as being open to further interpretation and understanding. For some British analysts, however, it can be seen as overly esoteric, and at times confusing in its many different renderings. As I understand it, the intention, according to Bion, is to be aiming for “transformations in ‘O’ within the analyst”; this involves the ‘indivisibility of the transference-counter transference in the analyst’s reverie’, that is the analyst has to feel the actual agony and anguish expressed by the patient. Part II of the book offers chapters on clinical presentations and thinking on issues of abandonment, exclusion, rage and shame, jealousy, betrayals, surprise, contempt, and sadness. Attention is paid in great detail, theoretically and with live cases, to all these issues, which one could say inevitably dominate any therapeutic practice. Chapter 12 ‘Betrayals. Psychoanalytic Pathways in the works of James Joyce’ by Fulvio Mazzacane, however, focusses entirely on Joyce’s literary work, which he maintains is concerned with the theme of betrayal in the most important relationships, whether personal or in terms of country of origin. This is a rich addition to this collection, and though not without description of pain and distress, it does bring some light relief as fiction often can to the reader. In conclusion, what is striking throughout this book is the openness and honest self-awareness that each analyst brings to their therapeutic engagement, on occasions referencing what they acknowledge as their own shortcomings. Nicoli Luca, in Chapter 14, ‘Contempt’, notes that on one occasion he effectively forgot to arrive in time at his consulting room to meet with a new oncea-week patient. He acknowledges his own unwitting disregard of the patient, that is his contempt, as this was not a ‘proper’, high frequency analysis. Antonino Ferro is an original thinker who believes psychoanalysis must always be open to new developments and theories, but at the same time pays 280 Book Review","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"277 - 281"},"PeriodicalIF":0.8,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46874196","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 : 2022-07-03DOI: 10.1080/02668734.2022.2089906
C. Campbell, Elizabeth Allison
A theoretical paper in which the theory of mentalizing and epistemic trust are applied to thinking about the relationship between social systems and individual subjective experiences, and how this relationship may be shaped by developmental history, such as attachment experiences, exposure to childhood adversity, and the experience of being mentalized. We suggest that the experience of being mentalized and openness to epistemic trust may be the mechanism by which individual experiences of psychic distress, perception of self-agency and perceptions of others, are both influenced by and shape wider social phenomena and social change. We consider the impact of social inequalities and the breakdown of political legitimacy on mentalizing, epistemic trust and psychopathology, and argue that optimal individual outcomes cannot always be achieved without adaptation of the wider social environment.
{"title":"Mentalizing the modern world","authors":"C. Campbell, Elizabeth Allison","doi":"10.1080/02668734.2022.2089906","DOIUrl":"https://doi.org/10.1080/02668734.2022.2089906","url":null,"abstract":"A theoretical paper in which the theory of mentalizing and epistemic trust are applied to thinking about the relationship between social systems and individual subjective experiences, and how this relationship may be shaped by developmental history, such as attachment experiences, exposure to childhood adversity, and the experience of being mentalized. We suggest that the experience of being mentalized and openness to epistemic trust may be the mechanism by which individual experiences of psychic distress, perception of self-agency and perceptions of others, are both influenced by and shape wider social phenomena and social change. We consider the impact of social inequalities and the breakdown of political legitimacy on mentalizing, epistemic trust and psychopathology, and argue that optimal individual outcomes cannot always be achieved without adaptation of the wider social environment.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"206 - 217"},"PeriodicalIF":0.8,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46714546","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 : 2022-07-03DOI: 10.1080/02668734.2022.2078997
A. Howe, Merryn Jones, Chris Bowden, Kevin Lu
Relationships are central to therapeutic community treatments and the process of change that is facilitated. In this paper, we present a systematic critical case study of a service user who undertook a course of treatment at a now closed therapeutic community day service in south London. Using the contents of electronic patient notes, outcome measures, review letters, staff reflections, and a post-treatment interview, we show the importance of relationships within TC care. While literature regarding the efficacy of TCs does exist, there is less research concerning in-depth case studies of treatment. The importance of relationships within the TC model has been theoretically explored but not clinically demonstrated in the literature. Our case study supports findings from a recent RCT concerning TC care versus ‘treatment as usual’ for borderline personality disorder. Our research further supports an approach emphasising the importance of relationships to TC work with personality disorder beyond any specific therapeutic modality.
{"title":"The importance of relationships in therapeutic communities: a systematic critical case study","authors":"A. Howe, Merryn Jones, Chris Bowden, Kevin Lu","doi":"10.1080/02668734.2022.2078997","DOIUrl":"https://doi.org/10.1080/02668734.2022.2078997","url":null,"abstract":"Relationships are central to therapeutic community treatments and the process of change that is facilitated. In this paper, we present a systematic critical case study of a service user who undertook a course of treatment at a now closed therapeutic community day service in south London. Using the contents of electronic patient notes, outcome measures, review letters, staff reflections, and a post-treatment interview, we show the importance of relationships within TC care. While literature regarding the efficacy of TCs does exist, there is less research concerning in-depth case studies of treatment. The importance of relationships within the TC model has been theoretically explored but not clinically demonstrated in the literature. Our case study supports findings from a recent RCT concerning TC care versus ‘treatment as usual’ for borderline personality disorder. Our research further supports an approach emphasising the importance of relationships to TC work with personality disorder beyond any specific therapeutic modality.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"218 - 233"},"PeriodicalIF":0.8,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47107543","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 : 2022-05-18DOI: 10.1080/02668734.2022.2058988
Katrin Ahlström, Camilla von Below, David Forsström, A. Werbart
The COVID-19 pandemic crippled many parts of society as it spread throughout the world beginning in early 2020. Overnight, whole societies were forced to change their way of life, because of social distancing and lockdowns. For therapists, the pandemic meant that in-person sessions were no longer possible and many switched to different forms of synchronous remote communication by telephone, online audio or video link. The aim of this study was to explore psychodynamic therapists’ experiences over time of forced transitions to telepsychotherapy. Five therapists were interviewed at the beginning of the pandemic and at a one-year follow-up. The data were analysed by applying thematic analysis with a phenomenological approach. Initially, the therapists struggled with technical and safety issues. The loss of the therapy room and of access to non-verbal nuances contributed to impaired contact with the patients and more superficial conversations. The therapists experienced that the very nature of psychodynamic psychotherapy was affected, even if telepsychotherapy could give some new opportunities. One year later many of the difficulties remained, but the therapists developed better coping strategies and were back to the therapy focus. One implication of this study is that telepsychotherapy needs to be integrated into psychotherapy training and supervision.
{"title":"Therapeutic encounters at the onset of the COVID-19 pandemic: psychodynamic therapists’ experiences of transition to remote psychotherapy","authors":"Katrin Ahlström, Camilla von Below, David Forsström, A. Werbart","doi":"10.1080/02668734.2022.2058988","DOIUrl":"https://doi.org/10.1080/02668734.2022.2058988","url":null,"abstract":"The COVID-19 pandemic crippled many parts of society as it spread throughout the world beginning in early 2020. Overnight, whole societies were forced to change their way of life, because of social distancing and lockdowns. For therapists, the pandemic meant that in-person sessions were no longer possible and many switched to different forms of synchronous remote communication by telephone, online audio or video link. The aim of this study was to explore psychodynamic therapists’ experiences over time of forced transitions to telepsychotherapy. Five therapists were interviewed at the beginning of the pandemic and at a one-year follow-up. The data were analysed by applying thematic analysis with a phenomenological approach. Initially, the therapists struggled with technical and safety issues. The loss of the therapy room and of access to non-verbal nuances contributed to impaired contact with the patients and more superficial conversations. The therapists experienced that the very nature of psychodynamic psychotherapy was affected, even if telepsychotherapy could give some new opportunities. One year later many of the difficulties remained, but the therapists developed better coping strategies and were back to the therapy focus. One implication of this study is that telepsychotherapy needs to be integrated into psychotherapy training and supervision.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"256 - 274"},"PeriodicalIF":0.8,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46215675","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 : 2022-04-07DOI: 10.1080/02668734.2022.2048882
Mattia Beggi, J. Gordon
The Interpersonal Dynamics (ID) consultation is a structured method of group reflective practice which helps staff mentalize transference and countertransference dynamics with patients. We present a detailed ID consultation of a female patient in an inpatient therapeutic community for people with severe personality disorders and demonstrate how this method sheds light on this patient’s internal world as externalised interpersonally with staff in the treatment setting. The resulting enactments are discussed in relation to several psychoanalytic theories and concepts, including Bion’s theory of containment and Ogden’s interpersonal definition of projective identification. We conceptualise our population of patients based on their use of primitive psychological defences such as splitting and projective identification and on the idea that they live at the border between what Klein described as the paranoid-schizoid and the depressive positions. We argue that the ID consultation functions as a container for staff and patients by bringing together and integrating the parts of the patient which are split off and projected into different staff members. Furthermore, the ID consultation is an invaluable triangular space that facilitates the move from difficult dyadic subjective experiences with patients to triadic objective perspectives and from passive reactions to responsive thinking and understanding.
{"title":"The interpersonal dynamics consultation in a therapeutic community for borderline patients: containing relationships at the coal face","authors":"Mattia Beggi, J. Gordon","doi":"10.1080/02668734.2022.2048882","DOIUrl":"https://doi.org/10.1080/02668734.2022.2048882","url":null,"abstract":"The Interpersonal Dynamics (ID) consultation is a structured method of group reflective practice which helps staff mentalize transference and countertransference dynamics with patients. We present a detailed ID consultation of a female patient in an inpatient therapeutic community for people with severe personality disorders and demonstrate how this method sheds light on this patient’s internal world as externalised interpersonally with staff in the treatment setting. The resulting enactments are discussed in relation to several psychoanalytic theories and concepts, including Bion’s theory of containment and Ogden’s interpersonal definition of projective identification. We conceptualise our population of patients based on their use of primitive psychological defences such as splitting and projective identification and on the idea that they live at the border between what Klein described as the paranoid-schizoid and the depressive positions. We argue that the ID consultation functions as a container for staff and patients by bringing together and integrating the parts of the patient which are split off and projected into different staff members. Furthermore, the ID consultation is an invaluable triangular space that facilitates the move from difficult dyadic subjective experiences with patients to triadic objective perspectives and from passive reactions to responsive thinking and understanding.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"234 - 255"},"PeriodicalIF":0.8,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41940602","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 : 2022-04-03DOI: 10.1080/02668734.2022.2057575
J. Alderdice
{"title":"Psychoanalysis and Covidian life – common distress, individual experience","authors":"J. Alderdice","doi":"10.1080/02668734.2022.2057575","DOIUrl":"https://doi.org/10.1080/02668734.2022.2057575","url":null,"abstract":"","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"198 - 200"},"PeriodicalIF":0.8,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45929698","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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