ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00663.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTFor a skilful psychotherapist clinical hunches may be finely differentiated and reliable, yet the evidence on which they are based tends to remain pre‐articulate. The aim of this paper is to discuss this evidence and to organise it in terms of structural considerations regarding the cohesiveness of the self. The prognostic significance of these considerations is discussed. The complexity of the issues and the value of thinking structurally are illustrated through a clinical stud

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00664.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

SUMMARYIn this paper the writer follows the changing meaning of the word ‘emptiness’ used by a patient in her therapy over a period of several years. He finds that it is possible to witness the journey in the therapy from a state of not‐being, described as ‘emptiness’ at the beginning of the therapy, towards a feeling of loss, later in the therapy, when ‘emptiness’ takes on a new meaning. This journey can be seen to be linked with a developmental process from a perception of omnipotence and fusion towards a feeling of b

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00665.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTThe therapist's erotic desires towards the client is a much tabooed and little discussed subject within psychoanalysis and psychotherapy. It is suggested that this topic needs to be opened up for scientific exploration and discussion. This paper is an investigation into the nature of the therapist’ s erotic subjectivity. A review of the literature suggests how difficult it is for many analysts to deal with their erotic desires towards the client completely successfully. Some clinical examples are given to illustrate how the therapist's erotic desires may make a positive contribution to the analysis. It is suggested that erotic desires are inevitable and are part of a healthy Oedipal development. The child needs to internalise and identify with the opposite sex parent's ability to contain incestuous longings. Like the parent, the therapist can expect to have sexual feelings for his or her clients. It is further suggested that objective erotic desires can be as useful as any other feeling the therapist might experience so long as they are analysed and understood in the client's interes

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00666.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

SUMMARYThis paper looks at the difficulties for the therapist in imposing an ending on a therapeutic relationship. It suggests that there may be some benefits to the patient and that in any ending the crucial issue is for the patient to find a creative solution within the existing transference.

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00667.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00668.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

SUMMARYDuring the course of a therapeutic intervention both the designated patient and the therapist(s) treating this person may emotionally decompensate and revert to a psychotic state of thinking and action. This paper discusses two such events and shows how they were ameliorated by a therapeutic milieu in which the people involved were initially overwhelmed by these psychotic regressions and were subsequently able to reconstitute themselves.

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00669.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

SUMMARYA feature of group life, its biography, is described which derives from the history of the group and which gives a unique character to the life of the group in the present. This inheritance is important in the present functioning of the group and for the experience and development of its members.

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00670.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

SUMMARYMany doctors have experienced their internship as a traumatic initiation into the medical profession. Rarely questioned, the process has resulted in a traditional cycle of distressed and unhappy interns. This article is an attempt to understand and clarify the institutional dynamics which are responsible for creating and maintaining these adverse patterns of behaviour. It concentrates on the interaction between the intern's inner phantasy world, the impact of the external hospital situation and the social defences which the hospital develops to protect its staff against the pain and anxiety inherent in their work. These collective social defence mechanisms often fail to protect the intern from intense anxiety and instead contribute to the hospital's increasing rigidity and resistance to change.

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00671.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0265-9883    

DOI:10.1111/j.1752-0118.1994.tb00672.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY