Psychotherapy is broadly concerned with secrets. Often our clients bring us things which they have never told anyone, subjects they have felt unable to broach. What happens in the relationship when a secret is uncovered? In this article, I discuss how one's secrets finally being uncovered can invoke shame. However, the shame of being seen in a new way can also create an opening that allows for a deeper intersubjective experience to unfold. Using Sartre's concept of the gaze of the other alongside Merleau-Ponty's ideas of dehiscence, visibility/invisibility and intertwining, I explore the meaning of secrecy, guilt and shame for both therapist and client within the therapeutic relationship.
{"title":"The Visible and the Invisible: Reflections on Secrecy, Dehiscence and the Gaze of the Other in the Therapeutic Encounter","authors":"Scarlett de Courcier","doi":"10.1111/bjp.12918","DOIUrl":"https://doi.org/10.1111/bjp.12918","url":null,"abstract":"<p>Psychotherapy is broadly concerned with secrets. Often our clients bring us things which they have never told anyone, subjects they have felt unable to broach. What happens in the relationship when a secret is uncovered? In this article, I discuss how one's secrets finally being uncovered can invoke shame. However, the shame of being seen in a new way can also create an opening that allows for a deeper intersubjective experience to unfold. Using Sartre's concept of the gaze of the other alongside Merleau-Ponty's ideas of dehiscence, visibility/invisibility and intertwining, I explore the meaning of secrecy, guilt and shame for both therapist and client within the therapeutic relationship.</p>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 4","pages":"570-581"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12918","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142435043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Many individuals who have been through transition struggle to obtain the necessary medical and psychological support. This paper explores the importance of psychological support for post-transition individuals. In my experience, there is a subgroup of patients who struggle to come to terms with life post-transition, particularly the losses involved. They remain stuck in the mourning process. There is a loss of fantasies regarding an ideal transition, and the gap between the hoped-for transition outcomes and the post-transition reality can be painfully large. In addition, issues that the transition was meant to address remain in some form for some people, and they may also be haunted by misgivings about how the transition occurred. This paper employs a heavily anonymised composite case to illustrate and elaborate on how these issues emerged and were dealt with in the context of a psychotherapeutic process. Working through issues that led to transition and grievances about perceived and actual failures in care from the past allowed the patient to mourn the loss of her pre-transition image. The patient was able to come to terms with the reality of her transfer from male to trans-female and her body and life post-transition and to shift from a preoccupation with the past to move on with her life.
{"title":"Mourning the Loss of the Ideal Self: Short-Term Work with a Trans Patient Post-Transition","authors":"Marcus Evans","doi":"10.1111/bjp.12915","DOIUrl":"https://doi.org/10.1111/bjp.12915","url":null,"abstract":"<p>Many individuals who have been through transition struggle to obtain the necessary medical and psychological support. This paper explores the importance of psychological support for post-transition individuals. In my experience, there is a subgroup of patients who struggle to come to terms with life post-transition, particularly the losses involved. They remain stuck in the mourning process. There is a loss of fantasies regarding an ideal transition, and the gap between the hoped-for transition outcomes and the post-transition reality can be painfully large. In addition, issues that the transition was meant to address remain in some form for some people, and they may also be haunted by misgivings about how the transition occurred. This paper employs a heavily anonymised composite case to illustrate and elaborate on how these issues emerged and were dealt with in the context of a psychotherapeutic process. Working through issues that led to transition and grievances about perceived and actual failures in care from the past allowed the patient to mourn the loss of her pre-transition image. The patient was able to come to terms with the reality of her transfer from male to trans-female and her body and life post-transition and to shift from a preoccupation with the past to move on with her life.</p>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 4","pages":"484-502"},"PeriodicalIF":0.5,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12915","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142435817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laurence Spurling, Jan McGregor Hepburn, Ronald Doctor
This is an exploratory account of an applied clinical method, the Comparative Clinical Method, used to address a specific question: how can we best think of the difference between intensive and non-intensive analytic work? Normally, it is session frequency that is taken as a determining difference, as a marker of a different approach or method being employed. In our investigation, which consisted of the three authors presenting examples of their clinical work to each other, we did not find the intensive and non-intensive work of each author to demonstrate clear and easily defined differences in method or technique. Instead, we found more evidence of each author adopting a coherent and consistent approach, based on an underlying and implicit working model, across their intensive and non-intensive work. We conclude from this that the differences between intensive and non-intensive work are best explored by encouraging more conceptually rigorous and clinically specific descriptions of the different kinds of analytic assumptions and methods employed in ordinary analytic clinical work.
{"title":"Session Frequency or Working Model? An Investigation into How We Can Think of the Difference Between ‘Intensive’ and ‘Non-Intensive’ Work Using the Comparative Clinical Method","authors":"Laurence Spurling, Jan McGregor Hepburn, Ronald Doctor","doi":"10.1111/bjp.12916","DOIUrl":"https://doi.org/10.1111/bjp.12916","url":null,"abstract":"<div>\u0000 \u0000 <p>This is an exploratory account of an applied clinical method, the Comparative Clinical Method, used to address a specific question: how can we best think of the difference between intensive and non-intensive analytic work? Normally, it is session frequency that is taken as a determining difference, as a marker of a different approach or method being employed. In our investigation, which consisted of the three authors presenting examples of their clinical work to each other, we did not find the intensive and non-intensive work of each author to demonstrate clear and easily defined differences in method or technique. Instead, we found more evidence of each author adopting a coherent and consistent approach, based on an underlying and implicit working model, across their intensive and non-intensive work. We conclude from this that the differences between intensive and non-intensive work are best explored by encouraging more conceptually rigorous and clinically specific descriptions of the different kinds of analytic assumptions and methods employed in ordinary analytic clinical work.</p>\u0000 </div>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 4","pages":"467-483"},"PeriodicalIF":0.5,"publicationDate":"2024-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142435784","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}
{"title":"Issue Information - Cover and Editorial Board","authors":"","doi":"10.1111/bjp.12836","DOIUrl":"https://doi.org/10.1111/bjp.12836","url":null,"abstract":"","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141608045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From Crowd Psychology to the Dynamics of Large Groups: Historical, Theoretical and Practical Considerations by Carla Penna. Published by Routledge, London and New York, 2022; 241 pp, £32.99 paperback.","authors":"Philip Hewitt","doi":"10.1111/bjp.12910","DOIUrl":"https://doi.org/10.1111/bjp.12910","url":null,"abstract":"","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 3","pages":"437-440"},"PeriodicalIF":0.5,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141607985","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}
The psychological impact of cancer is becoming well-acknowledged. Given its prevalence, practitioners will encounter cancer in their therapy rooms. There is limited research on the experience and application of psychodynamic therapy for clients with cancer. This study generates a new understanding through the experience of psychodynamic practitioners. Semi-structured interviews were conducted with eight UK psychodynamic therapists on their lived experience of working with client(s) with a recent (less than 5 years) diagnosis of cancer. The data were analysed using Interpretative Phenomenological Analysis. The findings reveal that psychodynamic therapists' experience with clients with cancer is emotionally demanding, mentally stimulating and deeply personal. They point to the unique space that psychodynamic therapy provides and highlight some of the challenges. The analysis is understood through the framework of psychodynamic theory and practice.
{"title":"When Cancer Enters the Therapy Room: The Lived Experience of Psychodynamic Therapists Working with Clients with a Recent Diagnosis of Cancer","authors":"Geetika Rai, Alistair Ross","doi":"10.1111/bjp.12913","DOIUrl":"https://doi.org/10.1111/bjp.12913","url":null,"abstract":"<p>The psychological impact of cancer is becoming well-acknowledged. Given its prevalence, practitioners will encounter cancer in their therapy rooms. There is limited research on the experience and application of psychodynamic therapy for clients with cancer. This study generates a new understanding through the experience of psychodynamic practitioners. Semi-structured interviews were conducted with eight UK psychodynamic therapists on their lived experience of working with client(s) with a recent (less than 5 years) diagnosis of cancer. The data were analysed using Interpretative Phenomenological Analysis. The findings reveal that psychodynamic therapists' experience with clients with cancer is emotionally demanding, mentally stimulating and deeply personal. They point to the unique space that psychodynamic therapy provides and highlight some of the challenges. The analysis is understood through the framework of psychodynamic theory and practice.</p>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 3","pages":"410-429"},"PeriodicalIF":0.5,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12913","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141608000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blake's Job: Adventures in Becoming by Jason Wright. Published by Routledge, Oxon, 2023; 212 pp, £130.00 hardback, £29.99 paperback.","authors":"Carol Leader","doi":"10.1111/bjp.12908","DOIUrl":"https://doi.org/10.1111/bjp.12908","url":null,"abstract":"","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 3","pages":"434-437"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141608116","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}
{"title":"Outrageous Reason: Madness and Race in Britain and Empire 1780-2020 by Peter Barham. Published by PCCS Books, Monmouth, UK, 2023; xv11 + 248 pp, ISBN 9781915220394.","authors":"Barry Richards","doi":"10.1111/bjp.12907","DOIUrl":"https://doi.org/10.1111/bjp.12907","url":null,"abstract":"","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 3","pages":"430-433"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141608117","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}
{"title":"Supervision in a Changing World: Reflections From Child Psychotherapy by Deirdre Dowling, Julie Kitchener (Eds.), London: Routledge. 2023. pp. 194. £24.99 (paperback). ISBN 9781032286006.","authors":"Maria Papadima","doi":"10.1111/bjp.12914","DOIUrl":"https://doi.org/10.1111/bjp.12914","url":null,"abstract":"","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 3","pages":"440-446"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141608115","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}
{"title":"Psychoanalysis Under Occupation: Practicing Resistance in Palestine by Lara Sheehi and Stephen Sheehi. Published by Routledge, New York, 2022; 232 pp, $170.00 (hardback), $48.95 (paperback), 44.05 (ebook).","authors":"Yola Gómez, Paddy Farr","doi":"10.1111/bjp.12911","DOIUrl":"https://doi.org/10.1111/bjp.12911","url":null,"abstract":"","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 4","pages":"625-628"},"PeriodicalIF":0.5,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142435889","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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