ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00720.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTThe concept of the internal objects and internal and external spaces has been further developed in this paper. These objects are an important part of patients seeking treatment for themselves for they are also looking unconsciously for ‘treatment’ of these objects. The objects are ‘damaged’ and the patient does not know how to repair them. He keeps them alive in the hope that help will come. The methods used to keep them alive, even when dying, have been described. The stages at which these objects have been, or are thought to have been, damaged is vital. For example, they can range from the sensori‐motor level to higher levels of maturation, to produce psychosis, borderline or hypochondria. The concrete level is stressed for it leads to concrete repair as opposed to psychic r

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00721.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTFifteen years have passed since ‘The disorders of the self and their treatment: an outline’ (Kohut&Wolf 1978) presented an up‐to‐date survey of the progress that had been achieved in the development of self psychology. It seems now that the time is ripe for another stock‐taking. Especially diagnosis, aetiology and treatment possibilities should be brought in line with accumulating clinical experience. The content and focus of this essay are determined by an attempt to clarify aspects of theory and practice that have remained problematical. Again, as in 1978, a classification of self disorders forms the centre of th

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00722.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTThis paper addresses the meaning of psychological life before birth to later psychological experience as represented within the analytic process. The position is taken that residues of intra‐uterine existence inevitably colour the internalisation of post‐uterine experience. Imprints of prenatal relational patterns are brought into postnatal life as themes around which subsequent representations and imagoes are constructed. Echoes of prenatal motifs can be heard in the associations and modes of relatedness that are illuminated in the process of adult psychoanalysis. The experimental and theoretical literatures relevant to this premise are reviewed and clinical illustrations are provi

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00723.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

SUMMARYIn this paper I discuss psychotherapy in old age in the context of our ageing society and ageist attitudes. I suggest that the therapist is as resistant as the ageing patient to themes of loss and death. I question the short‐term therapy often recommended and use case material to show that, despite the strength of the transference and the difficulty of ending therapy, the older patient is as suitable for long‐term psychotherapy as many of those in a younger age group whom we willingly agree to treat. In conclusion, I stress that the Third Age has been defined as a period for opportunity and new developm

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00724.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTThis paper traces the psychological implications of Sophocles’ treatment of the Oedipus legend, in the light of Bion's concept of‘catastrophic change’ and Keats's of ‘negative capability’. The first‐written play,Antigone, concludes with the curse of revenge which falls when the mind‐city fails to integrate conflicting emotions. The hero ofOedipus Tyrannos, however, overcomes the mindless pessimism which would deflect him from self‐knowledge, by means of a necessary weaning process founded on memories of infancy. Finally,Oedipus at Colonusshows how mental beauty or poetry metamorphoses from the appearance of ugliness and makes idea

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00725.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

SUMMARYMiscommunication, both in the form of deception and self‐deception, is endemic in the action of Shakespeare'sJulius Caesar. This article investigates why this should be, and links the functions of miscommunication in the play with its psychoanalytic meanings as these have been outlined in particular by Bion. The truth is avoided or manipulated by most of the protagonists of the play as a response to their anxieties about catastrophic change. The fear of the conspirators that Caesar is about to accept a crown is only the focal point of a deeper anxiety about the threat to the Roman republic. The play is shown to illuminate unconscious forces involved in political leadership and mass politics in particular. The preparation and enactment of the assassination add a burden of failed mourning and of unassimilable guilt to already deep anxieties, all of which lead to the cumulative tragedies which the play depict

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00726.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTThe third position refers to a type of relationship where one is an observer of a relationship rather than a participant. It is the attainment of this position that enables a grandmother to accept her child's partner and the birth of their baby. The type of anxiety aroused in grandmother by the birth will depend on the extent to which she has been able to resolve her oedipal anxieties. My own experience of becoming a grandmother and my work with a patient who became a grandmother during therapy contributed to my understanding of the significance of this life event.

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00727.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTRapid changes in the ethos and functioning of the NHS are examined in the light of their effect on the multidisciplinary team members of a psychotherapy service. A process account is given of the nature of the changes in the service, the early emergence of difficulties in the team and their identification in psychodynamic terms. Some preliminary solutions are discussed. A theoretical discussion examines the need for an alternative meta psychology, involving the concept of the autonomous self and open systems theory, to aid our understanding of the process by which a system change can provoke psychic disturbance in the individual.

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00728.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTCase examples are used to illustrate the human consequences of the significant levels of psychosocial morbidity in Britain today. A variety of psychotherapeutic interventions may reduce morbidity and also reduce the social costs such morbidity accounts for. The value of a psychotherapy assessment is emphasised as a way of matching resources and patients. In this connection the specialist role of the consultant psychotherapist is discussed.

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00729.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY