The Therapist's Dilemma: Be Sincere or Fake It?

2002 ◽  
Vol 10 (4) ◽  
pp. 325-329 ◽  
Author(s):  
Ron Morstyn
Keyword(s):  
Managed Care ◽  
Therapeutic Relationship ◽  
Emotional Experience ◽  
Human Relationship ◽  
Short Term ◽  
Modern Culture ◽  
Corrective Emotional Experience ◽  
Working Through ◽  
Legal Problems

Objective: To examine the pressure on therapists to fake sincerity and the significance of genuine sincerity in psychotherapy. Conclusions: There are many reasons why therapists might fake sincerity. We live in a post-modern culture of dissimulation and ‘playing the game’ that puts a premium on faking sincerity. Manualised and scripted psycho-therapies encourage fake sincerity, as do the measurement requirements of EBM, and the short-term approach of Managed Care. Kohut's ‘corrective emotional experience’ of empathy reinforces benevolent faked sincerity. Studies demonstrate the importance of the therapist appearing warm and genuine but do not differentiate appearance from reality. Therapists may fear that true sincerity will lead to crossing boundaries, harming patients, being poorly judged or medico-legal problems. Nevertheless, if therapists aren't willing to strive for genuine sincerity, despite all the attendant risks and possible complications, then they deny their patients the opportunity of working through the difficulties of achieving sincerity in any human relationship. Moments of true mutual sincerity in psychotherapy are healing not only because of the insight achieved but also because they restore the damaged hope that sincerity is possible. Therapists who fake sincerity ultimately leave their patients feeling alone and colluding in a mutually fake therapeutic relationship.

Assimilative Psychodynamic Psychotherapy

2019 ◽  
pp. 207-227
Author(s):  
George Stricker ◽  
Jerry Gold
Keyword(s):  
Therapeutic Relationship ◽  
Future Development ◽  
Psychodynamic Psychotherapy ◽  
Emotional Experience ◽  
Illustrative Case ◽  
Corrective Emotional Experience ◽  
Potential Value ◽  
Equivalent Efficacy

Assimilative psychodynamic psychotherapy maintains a relational psychodynamic focus and methodology but assimilates interventions from other orientations seamlessly when it might help to facilitate treatment for the patient. In order to understand the potential value of these interventions drawn from other orientations, accommodation is necessary. This is done by means of an expanded three-tier model. The importance of the therapeutic relationship, particularly with regard to providing a corrective emotional experience, and the value of self-understanding is stressed. An illustrative case is presented, research summarizing the equivalent efficacy of psychodynamic psychotherapy is presented, and directions for future development are suggested.

The use of “Pliable Media” in Promoting Symbolization in the Psychoanalytical Psychotherapy of Psychosis

2017 ◽  
Vol 41 (S1) ◽  
pp. s783-s783
Author(s):  
P. Solano ◽  
L. Quagelli
Keyword(s):  
Therapeutic Relationship ◽  
Emotional Experience ◽  
Transitional Space ◽  
Transitional Area ◽  
Working Through ◽  
Early Stages ◽  
Competing Interest ◽  
Concrete World

IntroductionIn psychosis, the capacity of symbolization is lost to different extents and patients live in a concrete world of objects. Moreover, the lack of boundaries between self/other, inside/outside severely impairs the capacity of these patients to understand and recognize reality from the delusional dimension.ObjectivesWorking through psychotic concreteness and accessing a first subjectivation of this experience, that leads to the development of a first symbolization.AimsAchieving the possibility to access a first symbolization and begin a delicate process of appropriation of the emotional experience with the establishment of the boundaries between inside/outside.MethodsThe use of “pliable media”, such as drawing, as therapeutic mediation allows a partial defraction of the violent transferential dynamics from the therapist and let unsymbolized material to emerge less destructively in the treatment fostering a first figurability.ResultsThe Squiggle game as “pliable medium” facilitates a first encounter in the therapeutic relationship and represents a primal transitional area that allows a gradual working through process to take place where the establishment of the boundaries between inside/outside could begin.ConclusionsWe suggest that the use of “pliable media” in the early stages of the psychotherapy of psychotics can significantly favor a first encounter between patient and therapist and, at the same time, provides the first experience of a transitional space where a working through process leading to first representations can take place.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The Origins of the Leading Edge in Kohut's Work

2021 ◽  
Vol 108 (2) ◽  
pp. 169-196
Author(s):  
Peter Zimmermann ◽  
Harry Paul
Keyword(s):  
Emotional Experience ◽  
Leading Edge ◽  
The Self ◽  
Corrective Emotional Experience ◽  
Center Stage ◽  
Psychoanalytic Treatment ◽  
Psychoanalytic Literature ◽  
Growth Promoting ◽  
Selfobject Transference ◽  
Forward Edge

This article traces the evolution of the concept of the leading edge in Kohut's work. The leading edge is defined as the growth-promoting dimension of the transference. The authors argue that although Kohut did not ever use the term explicitly in his writings—Marian Tolpin (2002), one of Kohut's gifted pupils, introduced the concept into the psychoanalytic literature in the form of the forward edge—the idea of the leading edge was already present in nascent form in Kohut's earliest papers and became ever more central as his psychology of the self evolved and the concept of the selfobject transference took center stage. Kohut, it is argued, could not fully develop the idea of working with the leading edge for fear of being accused of advocating for a corrective emotional experience in psychoanalytic treatment. However, in his posthumous empathy paper (1982) Kohut came as close as he could to endorsing the leading edge as pivotal in all psychoanalytic work.

Managed Care Administrators' Opinion of Vocational Reahbilitation Services

1996 ◽  
Vol 27 (1) ◽  
pp. 42-44
Author(s):  
Reginald L. Gibbs ◽  
John M. Dodd ◽  
Anton Hecimovic ◽  
Elia Nickoloff
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Vocational Rehabilitation ◽  
The United States ◽  
Rehabilitation Services ◽  
Short Term ◽  
Managed Care Programs ◽  
Vocational Rehabilitation Services ◽  
Managed Care Organizations

Rising health care insurance premiums have forced many businesses and institutions to examine cost-cutting measures to lower health care costs. Managed care is one measure that has become widespread throughout the United States. The problem was to learn how managed care administrators view the role and purpose of vocational rehabilitation services in their organizations and if these services will lower short-term and long-term use. A survey was sent to the administrators of fifty managed care organizations in the states of Arizona, Colorado, Oregon, and Washington. Twenty of the fifty administrators responded to the survey. Results show that only one of the managed care organizations offered vocational rehabilitation services to their enrollees. The results also show that three responded that short-term use and ten responded that long-term use of managed care programs would be reduced if vocational rehabilitation services were offered.

scholarly journals Short-term and long-term success of electrical cardioversion in atrial fibrillation in managed care system

2009 ◽  
Vol 2 (1) ◽  
pp. 39 ◽  
Author(s):  
Suman S Kuppahally ◽  
Elyse Foster ◽  
Stanford Shoor ◽  
Anthony E Steimle
Keyword(s):  
Atrial Fibrillation ◽  
Managed Care ◽  
Electrical Cardioversion ◽  
Short Term ◽  
Care System

scholarly journals Non-Haredi Arts Therapists’ Perceptions of Therapy With Ultra-Orthodox Children

2021 ◽  
Vol 12 ◽  
Author(s):  
Lali Keidar ◽  
Dafna Regev ◽  
Sharon Snir
Keyword(s):  
Therapeutic Relationship ◽  
Cultural Difference ◽  
Emotional Experience ◽  
Cross Cultural ◽  
Consensual Qualitative Research ◽  
Structured Interviews ◽  
Music Therapists ◽  
Dance Movement ◽  
Highly Sensitive ◽  
Cultural Therapy

Studies have underscored the complexity of the encounter between ultra-Orthodox (Haredi) society and psychotherapy, as well as the challenges involved in developing a therapeutic relationship in cross-cultural therapy. However, there is scant research on therapy for ultra-Orthodox children, especially when it comes to arts therapies that take place in a cross-cultural setting. The current study examined the perceptions of 17 arts therapists (including visual art therapists, dance/movement therapists, psychodramatists, music therapists and bibliotherapists) who are not ultra-Orthodox, and who currently work or have previously worked with ultra-Orthodox children. Semi-structured interviews were conducted with the therapists and analyzed using the principles of Consensual Qualitative Research. The study covered four domains: (1) perceptions of the significance and objectives of arts therapy with ultra-Orthodox children; (2) the influence of the cultural difference between therapist and client on the emotional experience and the therapeutic relationship; (3) the use of arts in therapy; (4) systemic aspects. The findings indicate significant perceptual and value-based disparities between therapists and clients, which pose difficulties and challenges to all participating parties and require therapists to be highly sensitive. Aside from the difficulties, the findings suggest that this cultural difference may also have certain advantages for clients as well as therapists. The findings likewise attest to the multifaceted process of change that is taking place within Haredi society in its attitude toward psychotherapy in general and arts therapy in particular.

TENS for pain management

2014 ◽  
Keyword(s):  
Electrical Stimulation ◽  
Pain Management ◽  
Pain Relief ◽  
Positive Response ◽  
Emotional Experience ◽  
Tertiary Care ◽  
Medical Attention ◽  
Short Term ◽  
Over Time

Pain is a sensory and emotional experience often related to tissue damage. Pain requiring medical attention is common, with pain assessment and management often challenging. TENS is offered within primary, secondary, and tertiary care settings because it has a favourable utility profile compared with pain-relieving medication. Evidence suggests that most individuals who try TENS report meaningful pain relief in the short-term, but this positive response declines over time. The purpose of this chapter is to contextualise the role of TENS in the management of pain by covering what pain is, the challenges faced in its management, the physiology of the nociceptive system, including states of sensitivity, electrophysical techniques for pain and rehabilitation, including invasive electrical stimulation techniques, the extent of use of TENS, and some discussion of the clinical experience of using TENS.

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