The Many in the One: Multiple Self States in Combined Psychotherapy

2016 ◽  
Vol 50 (2) ◽  
pp. 190-202 ◽  
Author(s):  
Uri Levin

According to some relational approaches, mental health is expressed by the ability to move between various self-states while maintaining the adequate presence of the illusion that the self is continuous in time and space. Patients undergoing combined therapy are granted with the inimitable space existing between the two forms of therapy—individual and group therapy. Within the combined therapy patients, as well as therapists, are challenged by the multiplicity of self-states arising in light of this complex situation as part of a mutual intersubjective process. The article analyses the advantages of the combined therapy in light of the theories dealing with multiple self states. A clinical vignette will be presented to illustrate the theoretical notions.

1957 ◽  
Vol 10 (4) ◽  
pp. 306-319 ◽  
Author(s):  
D. H. Sadler

Of the many factors affecting the collision problem, the mathematics of relative motion is the one most susceptible to formal analysis. Moreover, this ‘collision geometry’ must form the basis of any investigation into the instrumental, operational and human factors involved. It is therefore surprising that no complete description of the (mathematically) simple relationships is readily available. The object of this paper is to present such a connected account of the mathematics of relative motion, in so far as it appears relevant to the collision problem and within the limitations of time and space available.


2017 ◽  
Vol 11 (2) ◽  
pp. 191-200 ◽  
Author(s):  
Charlotte Waddell ◽  
Christine Schwartz ◽  
Caitlyn Andres

2003 ◽  
Vol 27 (07) ◽  
pp. 245-247 ◽  
Author(s):  
Mark Salter

Since 1999, a formal external inquiry into every homicide committed by a person with a mental disorder has been mandatory in the UK (Department of Health, 1994). Common opinion among psychiatrists is that Serious Incident Inquiries are unhelpful as they all reach similar conclusions, add nothing to our current knowledge and do more harm than good in terms of adverse publicity for mental health services (Buchanan, 1999). Despite this, there is presently little sign of a change in public policy. Psychiatrists continue to face the fact that the next incident could be ‘the one that's coming here’. Although the many flaws of the inquiry process have been well described (Szmukler, 2000), few have interpreted this knowledge in a way that is of practical help to a psychiatrist facing an inquiry.


2001 ◽  
Vol 82 (4) ◽  
pp. 335-344 ◽  
Author(s):  
Sophie Freud

In view of our postmodern Zeitgeist, and our shrinking world, we come upon identity as a concept that needs to be reconsidered. This paper examines the various categories that constitute identity, such as age, gender, ethnicity, religion, sexual orientation, race and even family. Each category forms a collection of values. These categories are viewed as socially constructed, usually with fuzzy boundaries, and have often been used for malignant purposes such as warfare, persecution, and discrimination. If people become identified with only one or two categories, either out of choice or through coercion, the identification negates the many elements that constitute the self, and it may lead to hostility and warfare against all “outsiders.” Identity is not viewed as a static structure, since different categories become foreground or background, depending on social, political, and historical circumstances. The author uses her own identity-voyage to illustrate her thoughts. Mental health professionals should try to propagate manifold categories for many-sided selves that will avoid pitting groups of people against each other and promote inclusive rather than exclusive identities. Therapists should be in the forefront in dialogues about values for the new century and this paper is a step in this direction.


2020 ◽  
Vol 5 ◽  
pp. 132 ◽  
Author(s):  
Jocelyn Catty

The author, a child and adolescent psychoanalytic psychotherapist working in the UK NHS, ponders the varied impacts of ‘lockdown’ on adolescents, their parents and the psychotherapists who work with them, during the COVID-19 pandemic. She asks, particularly, how psychological therapies are positioned during such a crisis, and whether the pressures of triage and emergency can leave time and space for sustained emotional and psychological care. She wonders how psychoanalytic time with its sustaining rhythm can be held onto in the face of the need for triage on the one hand and the flight to online and telephone delivery on the other. Above all, the author questions how the apparent suspension of time during lockdown is belied by the onward pressure of adolescent time, and how this can be understood by, and alongside, troubled adolescents.


2021 ◽  
Vol 5 ◽  
pp. 132
Author(s):  
Jocelyn Catty

The author, a child and adolescent psychoanalytic psychotherapist working in the UK NHS, discusses the varied impacts of ‘lockdown’ on adolescents, their parents and the psychotherapists who work with them, during the COVID-19 pandemic, in this short observational paper that contributes to the Waiting in Pandemic Times Wellcome Collection in response to COVID-19. She asks, particularly, how psychological therapies are positioned during such a crisis, and whether the pressures of triage and emergency can leave time and space for sustained emotional and psychological care. She wonders how psychoanalytic time with its containing rhythm can be held onto in the face of the need for triage on the one hand and the flight to online and telephone delivery on the other. Above all, the author questions how the apparent suspension of time during lockdown is belied by the onward pressure of adolescent time, and how this can be understood by, and alongside, troubled adolescents.


2003 ◽  
Vol 27 (7) ◽  
pp. 245-247 ◽  
Author(s):  
Mark Salter

Since 1999, a formal external inquiry into every homicide committed by a person with a mental disorder has been mandatory in the UK (Department of Health, 1994). Common opinion among psychiatrists is that Serious Incident Inquiries are unhelpful as they all reach similar conclusions, add nothing to our current knowledge and do more harm than good in terms of adverse publicity for mental health services (Buchanan, 1999). Despite this, there is presently little sign of a change in public policy. Psychiatrists continue to face the fact that the next incident could be ‘the one that's coming here’. Although the many flaws of the inquiry process have been well described (Szmukler, 2000), few have interpreted this knowledge in a way that is of practical help to a psychiatrist facing an inquiry.


Slavic Review ◽  
1991 ◽  
Vol 50 (4) ◽  
pp. 927-939 ◽  
Author(s):  
James von Geldern

All literature can be understood as text; it can be interpreted, but not all literature asks to be. Text describes a literary work as it moves within and between cultures; it implies interpretation and the readers’ active participation. To use the term text is to make assumptions that are not universal. While literature can bridge the many cultures that create and read it, it can also be confined to a specific frame within its own culture. It can resist bridging, just as it resists independent interpretation. Literature as performance, as an example, is intended for one time and one place. Performance looks at the literary work inside its intended environment. The meaning of the work is predicated by the occasion and conventions of its reading; the audience is asked not to insinuate its own interpretation but to participate in the one provided. Performance can be a physical realization of text in time and space; and, even when an actual performance does not take place, the term suggests an important way of reading.


Author(s):  
Stefan Krause ◽  
Markus Appel

Abstract. Two experiments examined the influence of stories on recipients’ self-perceptions. Extending prior theory and research, our focus was on assimilation effects (i.e., changes in self-perception in line with a protagonist’s traits) as well as on contrast effects (i.e., changes in self-perception in contrast to a protagonist’s traits). In Experiment 1 ( N = 113), implicit and explicit conscientiousness were assessed after participants read a story about either a diligent or a negligent student. Moderation analyses showed that highly transported participants and participants with lower counterarguing scores assimilate the depicted traits of a story protagonist, as indicated by explicit, self-reported conscientiousness ratings. Participants, who were more critical toward a story (i.e., higher counterarguing) and with a lower degree of transportation, showed contrast effects. In Experiment 2 ( N = 103), we manipulated transportation and counterarguing, but we could not identify an effect on participants’ self-ascribed level of conscientiousness. A mini meta-analysis across both experiments revealed significant positive overall associations between transportation and counterarguing on the one hand and story-consistent self-reported conscientiousness on the other hand.


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