Moments of Loneliness: A Shared Experience of Learning from Impasse in Couple Therapy

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Sharon Alperovitz

In this paper, the author describes how she works with two theoretical ideas not commonly referred to by couple therapists: Klein's views on loneliness and Bion and O'Shaughnessy's concept of the absent object. She also weaves in Winnicott's theory of how the baby develops the capacity to be alone. Theoretically, her ideas are embedded in the British Object Relations School as well as her experiences as a couple and family therapist, a teacher of the Tavistock model of infant and young child observation, and day-to-day practice as a psychoanalyst. The author illustrates how she works within the transference-countertransference matrix to detect and name disturbing moments of loneliness. Clinical vignettes show how couples are assisted in uncovering the unconscious phantasies that push them into mutually hostile states of mind and which, in an instant, destroy feelings of goodness within and between them. While the author focuses on her work with couples, the approach is applicable in many clinical situations.

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Amita Sehgal

This paper describes how the emotional states of shame and humiliation are interconnected. Recent neurophysiological findings are drawn on together with an appreciation of the developmental significance of shame in mother–infant interactions in the first two years of life to explain the importance of the application of these concepts to couple therapy. Object relations theory is also cited to explore some of the unconscious dynamics that might be operating in couples where shame and humiliation form the core of their relational dynamic. This is followed by the description of how partners can be helped to manage the other's shame effectively and, in so doing, give rise to a novel and much longed-for experience within the relationship. Finally, the clinical challenges of working with shame and humiliation in couple psychotherapy are considered.


2011 ◽  
Vol 14 (2) ◽  
pp. 224-226
Author(s):  
Nydia Lisman-Pieczanski ◽  
Deborah Blessing

1999 ◽  
Vol 2 (3) ◽  
pp. 16-29 ◽  
Author(s):  
Zaib Davids ◽  
Gillian Miles ◽  
Anne Paton ◽  
Judith Trowell

1971 ◽  
Vol 16 (9) ◽  
pp. 612-613
Author(s):  
HAROLD W. STEVENSON

Author(s):  
Anne Power

This article provides a brief overview of emotionally focused couple therapy (EFT) along with some reservations about the method. The article considers questions and critiques which are often raised about the model and does so from the point of view of a practitioner new to the method, who has become convinced of the value of the approach whilst not wanting to jettison an object relations understanding. The segregation between different groups of attachment researchers and practitioners is noted. To provide variation I occasionally use the term "marital" but I do so loosely, referring to a couple bond rather than to a wedded pair. The systemic pattern between a pursuer and a withdrawer which is discussed here could refer to a same-sex or a heterosexual couple, despite the different gender alignments which operate in each case.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen

Abstract Background Mothers in low-income countries face many challenges to appropriately feed their children in the first year such as poverty, food insecurity and high workloads. However, even in the lowest income families there are mothers who succeed to feed their children according to the recommendations. In this paper, we explored the coping strategies that facilitate appropriate breastfeeding and complementary feeding practices among rural Rwandan mothers from birth to one year of a child’s life. Methods This qualitative longitudinal study recruited a purposive sample of 17 mothers who followed the infant and young child feeding recommendations (IYCF). They were selected from a larger study of 36 mothers. In-depth interviews were conducted with mothers of the total group (36 mothers) within the first week, at 4th, 6th, 9th and 12th months postpartum. Interviews were audio-recorded, transcribed verbatim and analyzed thematically. Results Coping strategies included improving mothers’ own diet for adequate breastmilk production, prioritizing child feeding over livelihood chores, livelihood diversification and mothers’ anticipatory behaviors such as preparing child’s food in advance. Some of those coping strategies were shifting overtime depending on the development of the children. Personal factors such as breastfeeding self-efficacy, religious beliefs and perceived benefits of breastfeeding were among the facilitating factors. Additionally, social support that mothers received from family members, other mothers in the community, Community Health Workers (CHWs) and health professionals played an important role. Conclusion In challenging contextual conditions, mothers manage to follow the recommended breastfeeding and complementary feeding practices through the interplay of active coping strategies, feeling to be in control and social support. Nutrition promotion interventions that aim to improve IYCF should consider strengthening mothers’ capability in gaining greater control of their IYCF practices and the factors facilitating their appropriate IYCF practices.


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