Unpacking Parental Violence in Narratives: Agency, Guilt, and Pedagogy in Narratives about Traumatic Interpersonal Experiences

2020 ◽  
Vol 41 (3) ◽  
pp. 428-451
Author(s):  
Arnulf Deppermann

Abstract This article deals with narratives of traumatic experiences of parental violence in childhood, told by adult narrators in the context of clinical adult attachment interviews. The study rests on a corpus of interviews with 20 patients suffering from fibromyalgia, who were interviewed in the context of psychodynamic psychotherapy. Nine of the patients reported repeated experiences of parental violence. The article focuses on extracts from two interviews, which provide for a maximal contrast concerning the practices of telling experiences of violence and which are ‘clear cases’ of the practices that are characteristic of the whole corpus. The main differences between the different ways of telling concern: • With respect to the ascription of guilt and responsibility, parental violence is portrayed as legitimate pedagogic action versus as being evil-minded and guilty without rational justification. • With respect to the process of the telling, we find narrative trajectories over which an initial vague gloss is increasingly unpacked by reports of highly violent actions versus narratives in which violence is overtly stated and morally ascribed from its very first mention.

Author(s):  
Frederic Busch ◽  
Barbara Milrod ◽  
Cory Chen ◽  
Meriamne Singer

This book, which operationalizes and articulates in detail a unique, brief, tested psychodynamic psychotherapy for Post-Traumatic Stress Disorder, Trauma Focused Psychodynamic Psychotherapy [TFPP], describes how to perform this helpful treatment. The book provides tailored psychodynamic background that underpins these approaches, and explains the different phases of treatment. Additionally, it articulates common underlying dynamics of PTSD that the treatment commonly addresses in patients to bring about symptomatic relief. TFPP is being tested in two diverse populations: military Veterans with PTSD who are receiving care at three Veterans Administration Hospitals, and also among LGBTQ patients with PTSD. The book is focused on the authors’ experiences treating Veterans and many clinical examples are provided demonstrating how to work with these principles and approaches. In general, patients and therapists have found the treatment to be an extremely useful tool. Veterans have gained insight into the impact of traumatic experiences on various aspects of their lives and had improvements in dissociation, interpersonal engagement, anxiety, and anger/hostility. TFPP appears to be particularly effective for patients with prominent avoidance symptoms and those who are unwilling or unable to recount the details of their trauma directly. Patients have been found to be more affectively engaged and better connected to others (including the therapist) following treatment.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Andreoli

The following educational topics will be carefully addressed:a.to establish a coherent model of the borderline syndrome as a complex, heterogeneous reaction resulting from the interaction of psychobiological vulnerabilities, psychosocial stressors and abnormal mental processes;b.to teach how new data from recent investigations of the clinical course of the borderline crisis are changing our view of both the scopes and the limitations of mental health policies for borderline patients;c.to review the several issues associated with adequate acute service provision for borderline patients in order to define a set of well structured recommendations for good quality, comprehensive emergency services organisation and acute treatment delivery;d.to teach a well structured, simple, cost-effective, easy to implement psychodynamic crisis intervention program with specific accent on: case management, risk management, facilitating an alliance, inactivating pathological personality traits triggered from acute traumatic experiences, empathic exploration of distressing feelings, conveying insight on repetitive patterns of ego syntonic masochistic behaviour, active support for problem solving;e.to teach the main aspects of an innovative brief psychodynamic psychotherapy program (mourning focused psychodynamic psychotherapy) model and its relevance to increased cost-effectiveness of psychiatric treatment among acute patients with borderline emotional crisis triggered from traumatic abandonment and other stressful life events.The course is intended for people with an experience in the field of personality disorders and an interest in combining psychobiological science and psychotherapeutic wisdom to improve acute treatment and psychiatric services.


2011 ◽  
Vol 59 (2) ◽  
pp. 123-132 ◽  
Author(s):  
Helmut Kirchmann ◽  
Andrea Thomas ◽  
Elisabeth Brüderle ◽  
Bernhard Strauß
Keyword(s):  

Zusammenfassung. Zur Aufklärung der in der Literatur gefundenen Zusammenhänge zwischen Bindungsmustern von Psychotherapiepatienten vor der Behandlung und der Qualität der therapeutischen Beziehung wurden drei Tonband-Sequenzen aus Adult-Attachment-Interviews, die jeweils prototypisch eine sichere (autonomous), eine ambivalente (enmeshed) oder eine vermeidende (dismissive) Bindung repräsentierten, nach Zufall einer Stichprobe von N = 343 Medizinstudenten zugeordnet. Nach der Präsentation der Tonbandsequenzen wurden das emotionale Wohlbefinden der Probanden, ihre Einschätzung der Freundlichkeit der interviewten Person und ihre Bereitschaft, mit der Person in Kontakt zu treten, erhoben. Die Datenanalysen ergaben, dass Probanden, die den ambivalenten Tonbandausschnitt gehört hatten, die stärksten Beeinträchtigungen des Wohlbefindens zeigten, wohingegen die Einschätzungen der Freundlichkeit sowie die Kontaktbereitschaft bei den Probanden mit vermeidender Darbietung am geringsten ausfielen. Interaktionseffekte zwischen den unterschiedlichen Tonbanddarbietungen und dem Bindungstyp der Probanden ergaben sich nicht. Die Studie repliziert die Ergebnisse von Martin et al. (2007) , bei der das gleiche Gegenübertragungs-Reaktionsmuster an zwei Stichproben (Studierenden sowie Psychotherapie-Ausbildungskandidaten) gefunden wurde. Psychotherapeuten sollten sich bewusst sein, dass unterschiedliche Gegenübertragungsreaktionen auf so subtilen Bahnen wie der Erzählung der Patienten über ihre Beziehung zu den Eltern ausgelöst werden können. Die Kenntnis des Bindungsmusters ihrer Patienten kann für Psychotherapeuten hilfreich sein bei der Entwicklung einer tragfähigen therapeutischen Beziehung.


2018 ◽  
Author(s):  
Hans-Christoph Friederich ◽  
Beate Wild ◽  
Stephan Zipfel ◽  
Henning Schauenburg ◽  
Wolfgang Herzog ◽  
...  

2020 ◽  
Vol 9 (4) ◽  
pp. 203-210
Author(s):  
Daniela Mayer ◽  
Julia Berkic ◽  
Fabienne Becker-Stoll
Keyword(s):  

Zusammenfassung. Bisher weiß man wenig darüber, durch welche Faktoren eine hohe Interaktions- und Beziehungsqualität von pädagogischen Fachkräften in Kindertageseinrichtungen gefördert oder beeinträchtigt wird. Gemäß der Bindungstheorie wird angenommen, dass das Interaktionsverhalten von Betreuungspersonen vom inneren Arbeitsmodell von Bindung maßgeblich mitbeeinflusst wird. In der vorliegenden Studie wurde die Bindungsrepräsentation von n = 66 pädagogischen Fachkräften in Kindertageseinrichtungen in Deutschland anhand des Adult Attachment Interviews (AAI; George, Kaplan, & Main, 1985 ) erfasst. Es zeigte sich eine Verteilung der Bindungsrepräsentationen vergleichbar mit nicht-klinischen Stichproben laut der Metaanalyse von Bakermans-Kranenburg und van IJzendoorn (2009) . Dabei bestanden keine Unterschiede zwischen Fachkräften in Kindergärten und Krippen. Es zeigte sich allerdings ein Einfluss des Alters der Fachkräfte dahingehend, dass jüngere Fachkräfte häufiger über eine sichere Bindungsrepräsentation und seltener über einen unverarbeiteten Verlust bzw. ein unverarbeitetes Trauma verfügten. Implikationen für Forschung und Praxis zur Förderung von positiven Fachkraft-Kind-Interaktionen und -Beziehungen werden diskutiert.


Author(s):  
Kazunori Iwasa ◽  
Toshiki Ogawa

We examined the relationship between texture responses (T) on the Rorschach and adult attachment in the Japanese population. 47 Japanese undergraduate and graduate students (mean age = 20.16, SD = 1.87) completed a self-report adult attachment scale as well as the Rorschach. An ANOVA revealed that T = 1 participants were attached more securely than were other groups. T > 1 participants were more preoccupied with attachment and scored higher on an attachment anxiety scale than the T = 1 group. Although these results were consistent with the interpretation of the texture response according to the Comprehensive System (CS), the results obtained for T = 0 participants were inconsistent with hypotheses derived from the CS. T = 0 participants were high on preoccupied and attachment anxiety scores, although they were theoretically expected to be high on dismissing or attachment avoidance. These results indicated that – at least in Japan – T should be regarded as a sensitive measure of attachment anxiety.


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