scholarly journals Errare Humanum Est (To Err Is Human): A Mentalizing Breakdown in the Therapeutic Work With an Adolescent

2021 ◽  
Vol 12 ◽  
Author(s):  
Maria Wiwe

The therapeutic stance in therapies conceptualized by the two-person psychology (Wachtel, 2010) binds the therapist to genuine self-scrutiny. The concepts of transference and countertransference are viewed as jointly constructed endeavors between therapist and client, wherein the therapist needs to be aware of her contribution to difficulties arising in the therapeutic dyad. Different conceptualizations of this therapeutic technique have been eloquently described elsewhere throughout the years in terms of intersubjectivity (Stern, 2005; Aron, 2006), mentalizing (Fonagy and Bateman, 2006), mindfulness-in-action (Safran et al., 2001), rupture and repair (Newhill et al., 2003), and epistemic trust (Fonagy and Allison, 2014). These concepts will be presented interchangeably with a clinical vignette delineating a rupture in the therapeutic work with an adolescent. Finally, the article concludes with a discussion of identifying non-mentalizing modes (Allen et al., 2008) within the therapist to get back on track and restore epistemic trust (Fonagy et al., 2014) in the therapeutic relationship.

Author(s):  
R. Peter Hobson

This book outlines the principles and practice of Brief Psychoanalytic Therapy. An introductory chapter distills those aspects of psychoanalysis that provide a basis for the approach. Special attention is given to how a therapist may promote a patient’s development by registering and containing emotional states that the patient is unable to manage alone. This is followed by an overview of themes and variations in six forms of brief psychodynamic therapy. The remainder of the book is concerned less with theory than with clinical practice. Treatment and Adherence Manuals detail the specifics of therapist orientation and technique, and a formal research study comparing the approach with Interpersonal Therapy is reported. Case histories of individual treatments unfolding over time are complemented by detailed examination of short sequences of patient–therapist dialogue from transcribed sessions. What emerges is a picture of a psychoanalytic treatment that, while brief, is disciplined and coherent in its concentrated focus on analyzing the transference and countertransference in the therapeutic relationship.


2017 ◽  
Vol 25 (1) ◽  
pp. 92-108
Author(s):  
N.A. Kondratova

The article presents the case study of psychotherapeutic work with a client, who had symptoms of the emotional-volitional reduction. Psychotherapy lasted for 18 months. The author used the following ideas of the existential approach as a support and guidance for the therapeutic work: “existence precedes essence”; the authentic mode of existence as a prerequisite for mental health, the authenticity of life achieved through comprehension of one’s experience; development of the ability of listening to oneself (ability to develop skills of listening to oneself and one’s own subjectivity), the willingness to make a conscious independent choice. The article provides the description of the nature and dynamics of the therapeutic relationship, dynamics of the client’s self-understanding and lifeworld in the process of therapy and basic methods of therapeutic work.


Crisis ◽  
2012 ◽  
Vol 33 (5) ◽  
pp. 290-300 ◽  
Author(s):  
Nathalie de Kernier

Background: Suicidal behavior among adolescents raises both the questions of object transactions and of how these objects have been internalized. Aims: This article uses a psychodynamic approach to highlight particularities of mental functioning in adolescents attempting suicide and presents the care provided for suicidal adolescents. Methods: The results of this longitudinal research are briefly outlined and a clinical vignette is presented illustrating the latent meaning of the suicidal gesture. The hypothesis is offered that the murder of a part of oneself is an important latent component of suicide attempts in teenagers. Results: Attempting suicide is interpreted as performing unconsciously in order to kill the insufficiently contained infans. The root of this word in Latin literally means “one who does not speak.” We refer to infans as the idealized and speechless part of oneself subjugated to parental projections. A suicidal gesture is a way of relieving oneself of the part of the self that condenses trauma resulting from drives and parents’ idealized expectations. Conclusions: Therapeutic work helps adolescents express representations of the meaning of their violent gesture. Murder representations appearing after a suicide attempt modify violence linked to puberty drives and reshape identifications.


Psychotherapy ◽  
2014 ◽  
Vol 51 (3) ◽  
pp. 372-380 ◽  
Author(s):  
Peter Fonagy ◽  
Elizabeth Allison

Dramatherapy ◽  
2019 ◽  
Vol 40 (3) ◽  
pp. 115-121
Author(s):  
Rosie Sweet

An article outlining a case study examining a parallel process travelled by a dramatherapist and stroke victim. With all therapeutic relationships we embark on a journey with our client. This article examines just such a journey, one where the therapist and client moved together in a parallel process. These dramatherapy sessions were conducted with an older, non-verbal stroke victim and examine how the therapist experienced the transference changing through the therapy. This article explores work with a non-verbal individual with limited motor ability and how as dramatherapists we communicate with these individuals to create a therapeutic relationship and therefore meaningful therapeutic work.


Author(s):  
Anna Magdalena Elsner ◽  
Vanessa Rampton

The ethics of care poses a special case for psychotherapy. At first glance, key elements of care ethics such as acknowledging our dependence on others, attention to emotions, and creating a supportive environment for healing overlap substantially with key characteristics of psychotherapy. Care ethics’ emphasis on attentiveness and empathetic concern, and related acts such as listening and talking to patients point in the direction of salutary therapeutic relationships, and also of valorizing psychotherapy as a practice. Yet psychotherapy has a long history of critical engagement with the therapeutic relationship, using terms and concepts other than “care.” This chapter shows that while relatively little work has been done on care ethics approaches in psychotherapy, such approaches complement traditional attentiveness to the (psycho)therapeutic relationship by asking to what extent psychotherapists are practicing care and what this entails. Conversely, because psychotherapy has long been concerned with intersubjectivity, as exemplified by the concepts of transference and countertransference, it offers valuable theoretical and practical resources for care ethics approaches.


Author(s):  
Dominikus David Biondi Situmorang

Online/cyber counseling has been named as the best way to offer counseling services during the COVID-19 outbreak. The purpose of this article is to explore the use of online/cyber counseling during the COVID-19 outbreak to solve psychological problems. The author examines the history and concepts, the therapeutic relationship, transference and countertransference, the advantages along with the disadvantages, considerations, implications, and curriculum for online/cyber counseling during COVID-19 outbreak.


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