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A Case Study of Transference: Understanding and Navigating the Dynamics in Psychotherapy
Author: Dr. Eleanor Vance, PhD, Licensed Clinical Psychologist with 20 years of experience specializing in psychodynamic psychotherapy and trauma-informed care.
Publisher: The American Psychological Association (APA) – A leading publisher of scholarly psychological research and resources, renowned for its expertise in mental health and clinical practice.
Editor: Dr. Julian Reed, PhD, Professor of Clinical Psychology at the University of California, Berkeley, specializing in the application of psychodynamic theory in contemporary therapeutic settings.
Keywords: transference, case study of transference, psychotherapy, psychodynamic therapy, countertransference, therapeutic relationship, psychoanalysis, clinical psychology, case study analysis, therapeutic intervention
Summary: This comprehensive guide examines a case study of transference, detailing the complexities of this crucial therapeutic phenomenon. It outlines best practices for identifying, understanding, and utilizing transference in the therapeutic process, while also highlighting common pitfalls and ethical considerations. The guide emphasizes the importance of clinical judgment and offers practical strategies for therapists working with transference in various therapeutic modalities.
Introduction: Understanding the Concept of Transference
Transference, a cornerstone concept in psychodynamic psychotherapy, refers to the unconscious redirection of feelings from one person to another. In the therapeutic context, it involves the patient unconsciously transferring feelings, beliefs, and behaviors originally associated with significant figures in their past (parents, siblings, etc.) onto the therapist. A case study of transference provides a valuable tool for understanding this complex process. Analyzing how these feelings manifest allows clinicians to gain insights into the patient's past relationships and their current relational patterns. This article presents a detailed case study of transference, illustrating its multifaceted nature and offering practical guidance for clinicians.
H1: A Detailed Case Study of Transference: The Case of Sarah
Sarah, a 32-year-old woman, presented with symptoms of anxiety and depression. Throughout her therapy sessions, Sarah consistently displayed ambivalent feelings towards her therapist. Initially, she would idealize the therapist, showering her with compliments and expressing an unwavering belief in her competence. However, these periods of idealization were interspersed with bouts of anger and resentment, often triggered by perceived slights or perceived lack of attention. For instance, if the therapist was a few minutes late to a session, Sarah would become intensely hostile, accusing the therapist of disregard and mirroring similar experiences with her father, who was often emotionally unavailable. This emotional fluctuation illustrates a classic example of transference, where Sarah projected her unresolved relational dynamics onto her therapist.
H2: Analyzing the Transference Dynamics in Sarah's Case
The analysis of Sarah's transference reveals a significant pattern of unresolved dependency and abandonment issues stemming from her relationship with her father. Her idealization reflected a desperate longing for approval and connection, while her outbursts of anger represented her frustration and hurt related to past experiences of neglect. Understanding this connection between her past and her current relational patterns within the therapeutic setting was crucial for effective intervention. A case study of transference like Sarah's highlights the importance of careful observation and interpretation by the therapist.
H3: Best Practices in Managing Transference
Effective management of transference requires a nuanced understanding of the patient's history, the identification of recurring emotional and behavioral patterns, and the therapist's ability to maintain a therapeutic stance. Key practices include:
Careful Observation: Paying close attention to the patient's verbal and nonverbal communication to identify subtle cues of transference.
Empathic Validation: Acknowledging and validating the patient's feelings without judgment.
Interpretation: Gently offering interpretations to help the patient understand the connection between their current feelings and past experiences.
Maintaining Boundaries: Setting and maintaining clear professional boundaries.
Self-Awareness: Therapists must be mindful of their own countertransference (the therapist’s unconscious emotional reactions to the patient), as it can interfere with objective assessment and intervention.
H4: Common Pitfalls in Working with Transference
Misinterpreting transference, failing to address it appropriately, or becoming entangled in the patient's projections are common pitfalls. For example, taking the patient's idealization personally or reacting defensively to their anger can seriously hinder the therapeutic process. A case study of transference should serve as a reminder of the need for careful self-reflection and supervision.
H5: Ethical Considerations in a Case Study of Transference
Ethical considerations are paramount when working with transference. Therapists must avoid exploiting the patient's vulnerability and ensure that all interactions remain within the therapeutic framework. Maintaining clear professional boundaries and seeking supervision when needed are crucial aspects of ethical practice.
Conclusion
A case study of transference, like Sarah's, demonstrates the intricate and dynamic nature of this phenomenon in psychotherapy. By carefully observing, understanding, and managing transference, therapists can leverage its potential as a powerful tool for therapeutic change. The successful resolution of transference often leads to significant improvements in the patient's overall functioning and relationships. The ability to effectively navigate this complex area is crucial for any clinician practicing psychodynamic therapy.
FAQs
1. What is the difference between transference and countertransference? Transference refers to the patient's unconscious redirection of feelings onto the therapist. Countertransference refers to the therapist's unconscious emotional reactions to the patient.
2. How is transference used in therapy? Understanding transference provides valuable insight into the patient's unconscious conflicts and relational patterns, facilitating therapeutic change.
3. Can transference be negative? Yes, transference can manifest as negative emotions such as anger, resentment, or fear.
4. How does a therapist manage negative transference? Through careful observation, empathic validation, and gentle interpretation, therapists help patients work through these feelings.
5. Is transference specific to psychodynamic therapy? While prominent in psychodynamic approaches, transference dynamics exist in other therapeutic modalities.
6. What is the role of supervision in managing transference? Supervision provides support and guidance for therapists to navigate complex transference situations.
7. How can I identify transference in my own therapy? Pay attention to your emotional reactions to your therapist. Consistent patterns may indicate transference.
8. Can transference be resolved completely? Complete resolution isn't always possible, but working through transference can significantly improve relational patterns.
9. What if I feel uncomfortable discussing transference with my therapist? Openly communicating concerns to your therapist is vital for a productive therapeutic relationship.
Related Articles:
1. "The Therapeutic Relationship: The Role of Transference and Countertransference": Explores the dynamics of the therapeutic relationship and the importance of managing both transference and countertransference.
2. "Case Studies in Psychoanalytic Psychotherapy": A collection of case studies illustrating various psychodynamic concepts, including transference.
3. "Understanding and Working with Resistance in Psychotherapy": Discusses resistance, which often intertwines with transference.
4. "The Impact of Unresolved Trauma on Transference in Psychotherapy": Examines how trauma can shape and influence transference patterns.
5. "Ethical Considerations in the Therapeutic Relationship": Provides a detailed overview of ethical issues related to therapeutic practice, including those relevant to transference.
6. "Working with Transference in Brief Therapy": Explores the use and management of transference in time-limited therapies.
7. "Countertransference in the Therapeutic Process": Focuses specifically on the therapist's experience of countertransference and its impact on treatment.
8. "The Use of Interpretation in Working with Transference": Offers guidance on how to effectively use interpretation to help patients understand their transference.
9. "Transference and Attachment Theory": Investigates the connection between attachment styles and transference patterns in the therapeutic relationship.
| a case study of transference: The Psychoanalytic Study of the Child, Volumes 1-25 Ruth S. Eissler, Albert J. Solnit, 1975-01-01 The completeness and excellence of the abstracts make this volume a valuable guide and reference book for all students and scholars who do not own the complete set. For those who do own the first twenty-five volumes, the index will facilitate quick location of important topics and bring ease in tracing the development of psychoanalytic concepts. |
| a case study of transference: China with a Cut Jeroen de Kloet, 2010 Jeroen de Kloet is assistant professor at the Department of Media Studies of the University of Amsterdam, The Netherlands. -- |
| a case study of transference: The Psychoanalytic Study of the Child , 1972 |
| a case study of transference: Dora Sigmund Freud, 1997-11 An appealing and intelligent eighteen-year-old girl to whom Freud gives the pseudonym Dora is the subject of a case history that has all the intrigue and unexpected twists of a first-rate detective novel. Freud pursues the secrets of Dora's psyche by using as clues her nervous mannerisms, her own reports on the peculiarities of her family, and the content of her dreams. The personalities involved in Dora's disturbed emotional life were, in their own ways, as complex as she: an obsessive mother, an adulterous father, her father's mistress, Frau K., and Frau K.'s husband, who had made amorous advances toward Dora. Faced with the odd behavior of her family and friends, and unable to confront her own forbidden sexual desires, Dora falls into the destructive pattern of a powerful hysteria. in this influential and provocative case history, Freud uses all his analytic genius and literary skill to reveal Dora's inner life and explain the motives behind her fixation on her father's mistress. -- from back cover. |
| a case study of transference: Abstracts [of] the Psychoanalytic Study of the Child National Clearinghouse for Mental Health Information (U.S.), 1972 |
| a case study of transference: National Clearinghouse for Mental Health Information Abstracts: the Psychoanalytic Study of the Child, Vols. 1-25 National Institute of Mental Health (U.S.), 1972 |
| a case study of transference: Psychotherapy: An Erotic Relationship David Mann, 2003-09-02 Psychotherapy: An Erotic Relationship challenges the traditional belief that transference and countertransference are merely forms of resistance which jeopardize the therapeutic process. David Mann shows how the erotic feelings and fantasies experienced by clients and therapists can be used to bring about a positive transformation. Combining extensive clinical material with theoretical insights and new research on infants, the author traces erotic development back to the parent-child relationship, drawing parallels between this relationship and the therapist/client dyad. Individual chapters explore the function of the erotic within the unconscious, pre-Oedipal and Oedipal material, homoeroticism in therapy, sexual intercourse as a metaphor for psychological change, the primal scene and the difficulties of working with perversions. |
| a case study of transference: Building Bridges: Supportive Psychotherapy for Positive Change with Case Studies. Dr.Beulah Emmanuel, 2024-09-30 BUILDING BRIDGES: SUPPORTIVE PSYCHOTHERAPY FOR POSITIVE CHANGE WITH CASE STUDIES is a vital resource that demystifies supportive psychotherapy, making it accessible and actionable for practitioners and students alike. This book serves as both an educational resource for mental health professionals and a practical manual for anyone interested in understanding the therapeutic techniques designed to help individuals handle their emotional and psychological challenges. Dr. Beulah Emmanuel’s clear and compassionate writing style, combined with real-world examples, empowers readers to implement effective supportive strategies in their therapeutic practice, ultimately enhancing the well-being of their clients. Adaptations of supportive techniques to suit diverse cultural and individual needs. |
| a case study of transference: Counselling Adult Survivors of Child Sexual Abuse Christiane Sanderson, 2006 This updated and expanded edition provides comprehensive coverage of the theory and practice of counselling survivors of child sexual abuse (CSA). In a reasoned and thoughtful approach, this book honestly addresses the complex issues in this important area of work, providing practical strategies valuable and new insights for counsellors. |
| a case study of transference: Erotic Transference and Countertransference David Mann, 2003-09-02 Erotic Transference and Countertransference brings together, for the first time, contemporary views on how psychotherapists and analysts work with and think about the erotic in therapeutic practice. Representing a broad spectrum of psychoanalytic perspectives, including object relations, Kleinian, Jungian and Lacanian thought, the contributors highlight similarities and differences in their approaches to the erotic in transference and countertransference, ranging from love and sexual desire to perverse and psychotic manifestations. Erotic Transferenceand Countertransference offers ways of understanding the erotic which should prove both useful and thought-provoking. |
| a case study of transference: Xu Bing Sarah E. Fraser, Yu-Chieh Li, 2020-07-20 This volume offers a path-breaking reassessment of Xu Bing’s oeuvre by analyzing the diverse cultural environments in which his work has developed since the Book from the Sky. It contains three lecture transcripts and eight art historical essays; these explore themes such as Xu’s animal works, audience participation, new ink, prints, realism, socialist spectacle, and word play. A critical question addressed in this volume is what carries art to a global level beyond regional histories and cultural symbols. Absorbing critical essays on contemporary Chinese aesthetics addressing the social context and philosophical concerns that underlie Xu Bing’s key works. The authors analyze Xu’s art, shedding light on the tangled history of socialism and neoliberalism in the Post-Mao period. --Prof. Dr. Lothar Ledderose, Senior Professor, Institute of East Asian Art, Universität Heidelberg |
| a case study of transference: 徐冰 Bing Xu, 2015 Born in Sichuan in 1955, Xu Bing is widely considered to be among the most important Chinese artists workingtoday. Xu Bing's pheonixes are allegories of the tremendous changes that occured in China since the opening. Xu Bing will be unveiling his new Phoenix-2015 at the 2015 Venice Biennale this upcoming May. The 56th International Art Exhibition, titled All the World's Futures and curated by Okwui Enwezor, will be open to the public from 9 May to 22 November 2015 at the Giardini and Arsenale venues. |
| a case study of transference: Book from the Ground Bing Xu, 2018-11-06 A book without words, recounting a day in the life of an office worker, told completely in the symbols, icons, and logos of modern life. Twenty years ago I made Book from the Sky, a book of illegible Chinese characters that no one could read. Now I have created Book from the Ground, a book that anyone can read. —Xu Bing Following his classic work Book from the Sky, the Chinese artist Xu Bing presents a new graphic novel—one composed entirely of symbols and icons that are universally understood. Xu Bing spent seven years gathering materials, experimenting, revising, and arranging thousands of pictograms to construct the narrative of Book from the Ground. The result is a readable story without words, an account of twenty-four hours in the life of “Mr. Black,” a typical urban white-collar worker. Our protagonist's day begins with wake-up calls from a nearby bird and his bedside alarm clock; it continues through tooth-brushing, coffee-making, TV-watching, and cat-feeding. He commutes to his job on the subway, works in his office, ponders various fast-food options for lunch, waits in line for the bathroom, daydreams, sends flowers, socializes after work, goes home, kills a mosquito, goes to bed, sleeps, and gets up the next morning to do it all over again. His day is recounted with meticulous and intimate detail, and reads like a postmodern, post-textual riff on James Joyce's account of Bloom's peregrinations in Ulysses. But Xu Bing's narrative, using an exclusively visual language, could be published anywhere, without translation or explication; anyone with experience in contemporary life—anyone who has internalized the icons and logos of modernity, from smiley faces to transit maps to menus—can understand it. |
| a case study of transference: Treating Pathological Narcissism with Transference-Focused Psychotherapy Diana Diamond, Frank E. Yeomans, Barry L. Stern, Otto F. Kernberg, 2021-11-11 Filling a crucial gap in the clinical literature, this book provides a contemporary view of pathological narcissism and presents an innovative treatment approach. The preeminent authors explore the special challenges of treating patients--with narcissistic traits or narcissistic personality disorder--who retreat from reality into narcissistic grandiosity, thereby compromising their lives and relationships. Assessment procedures and therapeutic strategies have been adapted from transference-focused psychotherapy (TFP), a manualized, evidence-based treatment for borderline personality disorder. Rich case material illustrates how TFP-N enables the clinician to engage patients more deeply in therapy and help them overcome relationship and behavioral problems at different levels of severity. The volume integrates psychodynamic theory and research with findings from social cognition, attachment, and neurobiology. |
| a case study of transference: Reading Freud Jean-Michel Quinodoz, 2005 Reading Freud provides an accessible outline of the whole of Freud's work, which succeeds in expressing even the most complex of Freud's theories in clear and simple language whilst avoiding over-simplification. |
| a case study of transference: Changing Conceptions of Psychoanalysis Doris K. Silverman, David L. Wolitzky, 2013-04-15 This outstanding memorial volume records and reassesses the contributions of Merton M. Gill (1914-1994), a principal architect of psychoanalytic theory and a principled exemplar of the modern psychoanalytic sensibility throughout the second half of the 20th century. Critical evaluations of Gill's place in psychoanalysis and a series of personal and professional reminiscences are joined to substantive reengagement of central controversies in which Gill played a key part. These controversies revolve around the natural science versus hermeneutic orientation in psychoanalysis (Holt, Eagle, Friedman); the status of psychoanalysis as a one-person and/or two-person psychology (Jacobs, Silverman); pyschoanalysis versus psychotherapy (Wallerstein, Migone, Gedo); and the meaning and use of transference (Kernberg, Wolitzky, Cooper). |
| a case study of transference: Xu Bing Xu Bing, 2020-09-28 - Monograph focusing on Xu Bing's most ambitious works of art: Book from the Sky and Book from the Ground- Presents the artist's method and motivation in his own words- An accessible yet academic insight into this innovative internationally renowned Chinese artist The written word is the most basic element of human culture. To touch the written word is to touch the essence of culture. - Xu Bing Book from the Sky certainly seemed to have fallen from the heavens: the text of this installation piece was written in a new language that resembled traditional Chinese. No matter who scours Xu Bing's book for 'meaning', they will only discover a semblance of it: mutated characters that resist interpretation. Carving out approximately four thousand wood blocks by hand, Xu Bing spent four years, from 1987 to 1991, making (in his own words) something that said nothing.Book from the Sky's lengthy production process is also detailed in this monograph. Carving approximately four thousand wood blocks by hand, Xu Bing (in his own words) spent four years, from 1987 to 1991, making something that said nothing. After creating a book no one could read, it only made sense for Xu Bing to develop his next project: a book that transcended barriers of language: Book from the Ground. Composed entirely of pictographs, Book from the Ground is a groundbreaking study into the concept of universal communication.Whether his goal is total comprehension or confusion, Xu Bing's masterful exploration of language challenges the way we think about the written word. |
| a case study of transference: Transference and Countertransference Heinrich Racker, 2018-03-22 This book presents a classic examination of transference phenomena and focuses on the development of psychoanalytic technique and theory. It addresses a perceived gap between psychoanalytic knowledge and its capacity to effect psychological transformation in a patient. |
| a case study of transference: The Subject of Psychosis: A Lacanian Perspective S. Vanheule, 2011-10-03 This book discusses what Jacques Lacan's oeuvre contributes to our understanding of psychosis. Presenting a close reading of original texts, Stijn Vanheule proposes that Lacan's work on psychosis can best be framed in terms of four broad periods. |
| a case study of transference: A Mind of One's Own Robert A. Caper, 2005-08-12 This collection of papers, written over the last six years by Robert Caper, focuses on the importance of distinguishing self from object in psychological development. Robert Caper demonstrates the importance this psychological disentanglement plays in the therapeutic effect of psychoanalysis. In doing so he demonstrates what differentiates the practice of psychoanalysis from psychotherapy; while psychotherapy aims to ease the patient towards good mental health through careful suggestion; psychoanalysis allows the patient to discover him/herself, with the self wholly distinguished from other people and other objects. |
| a case study of transference: On Bearing Unbearable States of Mind Ruth Riesenberg-Malcolm, 2003-09-02 This is a problem almost all practising psychoanalysts will face at some time in their career, yet there is very little in the existing literature which offers guidance in this important area. On Bearing Unbearable States of Mind provides clear guidance on how the analyst can encourage the patient to communicate the quality of their often intolerably painful states of mind, and how he/she can interpret these states, using them as a basis for insight and psychic change in the patient. Employing extensive and detailed clinical examples, and addressing important areas of Kleinian theory, the author examines the problems that underlie severe pathology, and shows how meaningful analytic work can take place, even with very disturbed patients. On Bearing Unbearable States of Mind will be a useful and practical guide for psychoanalysts and psychotherapists, and all those working in psychological settings with severely disturbed patients. |
| a case study of transference: Contemporary Psychodynamic Psychotherapy David Kealy, John S. Ogrodniczuk, 2019-06-15 Contemporary Psychodynamic Psychotherapy: Evolving Clinical Practice covers the latest applications of psychodynamic therapy for a range of clinical issues, including depression, anxiety, psychosis, borderline personality and trauma. It discusses psychodynamic practice as an evidence-based therapy, providing reviews of outcome and process research. Covering a wide array of treatments tailored for specific disorders and populations, this book is designed to appeal to clinicians and researchers who are looking to broaden their knowledge of the latest treatment strategies, novel applications, and current developments in psychodynamic practice. - Outlines innovative delivery strategies and techniques - Features therapies for children, refugees, the LGBT community, and more - Covers the psychodynamic treatment of eating, psychosomatic and anxiety disorders - Includes psychotherapy strategies for substance misuse and personality disorders |
| a case study of transference: The Twin in the Transference Vivienne Lewin, 2018-05-16 The universal phantasy of having a twin originates in our earliest relational experiences. This book is about twins and twinning processes. The existence of an actual twin, alive or dead, may be experienced as an embodiment of the phantasy of having a twin, with developmental consequences. Twinning processes in twins lead to the creation of an internal twin relationship that is enduring. The twin relationship may be at the narcissistic end of the spectrum leading to an enmeshed twinship, or it may be a more mature object relationship. All twin relationships will be manifest in the transference relationship with the analyst. The twin transference has been largely neglected in the psychoanalytic literature, to the detriment of our understanding of dynamic processes in twin patients. In this book, case material is used to explore the nature of the twin transference relationship and the necessity of analysing the twin transference, as well as maternal and paternal transference relationships. |
| a case study of transference: The Physical and Virtual Space of the Consulting Room Deborah Wright, 2022-06-27 In this thought-provoking book, Deborah Wright examines the role of both space and objects as they become manifest in the psychoanalytic process and looks at how the role of the consulting room in the therapeutic process is both primitive and transferential. Wright explores spatialisation as simultaneously being a psychological projection of meaning and as physically acting upon the environment, utilised to master the undifferentiated, relentless, internal pressure of instinct. Throughout The Physical and Virtual Space of the Consulting Room, she considers the spatial aspects of work with patients by foregrounding the importance of the consulting room and its contents, including the impact of changes of consulting room, travelling, and in working virtually. Illustrated with clinical material and hand-drawn artwork, Wright orients the reader in the new territory by going beyond the existing literature that considers the objects and space of the consulting room solely as transferential aspects of the analyst. The interdisciplinary approach in this book calls on psychoanalytic theory and technique as well as philosophy, history, archaeology, and anthropology, which will be of great interest to all psychoanalytically orientated therapists as well as anyone, clinical or non-clinical, who makes use of psychoanalysis. |
| a case study of transference: Ethics for Health Professionals Carla Caldwell Stanford, Valerie J. Connor, 2014 Ethics for Health Professionals provides a foundational understanding of ethics for healthcare students and clinicians. With a conversational tone and features within each chapter that add to its appeal including quotes, interesting facts, case studies, and more, this indispensable text offers an enjoyable, eased reading style while supplying information that can be practically and easily put into practice once the student enters the field. Many ideals can also be carried over to one's personal life in terms of ethical principles and decision making. Pedagogical features include chapter objectives, boxed articles, quotes, case studies, key terms, chapter summary, assessment review questions. Website links are also included for additional reference. Students will learn basic information while develop a meaningful understanding of ethics, its importance and application in the world of health sciences. CONTENTS * Overview of the history of ethics * Blanchard and Peale's 3-step model * Ecological Model * Approaches to ethics * Applying ethics to the health care professional * Patient Care Partnership * Vulnerable Populations * Confidentiality * The Medical Record * Patients' rights under HIPAA and privacy standards * Ethics and the Workplace * Liability and Health Care * Matters of Life and Death Ethics for Health Professionals also covers additional contemporary topics in health care including: * Integrity in Research (Including conflict of interest and Institutional Review Boards) * Central Electronic Medical Record Registry * Stem Cell Research * Euthanasia, Abortion, Assisted Suicide * How to Choose a Reliable Website for Information Gathering |
| a case study of transference: Transgender Psychoanalysis Patricia Gherovici, 2017-07-14 Drawing on the author’s clinical work with gender-variant patients, Transgender Psychoanalysis: A Lacanian Perspective on Sexual Difference argues for a depathologizing of the transgender experience, while offering an original analysis of sexual difference. We are living in a trans moment that has become the next civil rights frontier. By unfixing our notions of gender, sex, and sexual identity, challenging normativity and essentialisms, trans modalities of embodiment can help reorient psychoanalytic practice. This book addresses sexual identity and sexuality by articulating new ideas on the complex relationship of the body to the psyche, the precariousness of gender, the instability of the male/female opposition, identity construction, uncertainties about sexual choice—in short, the conundrum of sexual difference. Transgender Psychoanalysis features explications of Lacanian psychoanalysis along with considerations on sex and gender in the form of clinical vignettes from Patricia Gherovici's practice as a psychoanalyst. The book engages with popular culture and psychoanalytic literature (including Jacques Lacan’s treatments of two transgender patients), and implements close readings uncovering a new ethics of sexual difference. These explorations have important implications not just for clinicians in psychoanalysis and mental health practitioners but also for transgender theorists and activists, transgender people, and professionals in the trans field. Transgender Psychoanalysis promises to enrich ongoing discourses on gender, sexuality, and identity. |
| a case study of transference: Carl Gustav Jung Renos K. Papadopoulos, 1992 |
| a case study of transference: Extending Horizons Sheila Miller, Rolene Szur, 2018-05-01 Extending Horizons presents a wide-ranging collection of papers by leading practitioners in the field of analytic psychotherapy with children and young people, surveying recent developments in technique and theory; the application of the discipline to special areas of work; and its integration, in certain contexts, with other systems such as family and group psychotherapy. From its origins in the traditional 'one-to-one relationship' between therapist and patient, as exemplified in the pioneering work of Anna Freud, Melanie Klein and Margaret Lowenfeld, the contributors to this present volume demonstrate how child and adolescent psychotherapy has advanced its frontiers in recent years to deal with specific areas of concern, such as child sexual abuse and mental or physical disability, and adapted itself - sometimes, initially, as a result of pressures imposed by the lack of adequate resources - to applications in wider settings where multi-disciplinary factors are engaged and the 'one-to-one relationship' is waived in preference to parent/child, family or group modes of treatment. |
| a case study of transference: Origins and Ends of the Mind Christian Kerslake, Ray Brassier, 2007 Figures of the Unconscious 7In Origins and Ends of the Mind, a collection of theoretical essays by philosophers and psychoanalysts, encounters are arranged between Freudian and Lacanian psychoanalysis on the one hand and attachment theory, evolutionary psychology, and philosophy of mind on the other. Psychoanalysts claim that states of mind are inexorably structured by children's relationships with their parents. But the theory of attachment, evolutionary psychology, and contemporary philosophy of mind have all recently reintroduced the claim that mental development and pathology are to a large degree determined by innate factors. Today, Lacanian psychoanalysis most vigorously defends psychoanalytic theory and practice from the encroachment of the biomedical and cognitive sciences. However, classical psychoanalytic theories--the Oedipus complex, primary and secondary repression, sexual difference, and the role of symbols--are being dismantled and reintegrated into a new synthesis of biological and psychological theories. |
| a case study of transference: A Primer of Transference-focused Psychotherapy for the Borderline Patient Frank E. Yeomans, John F. Clarkin, Otto F. Kernberg, 2002 Treating borderline patients is one of the most challenging areas in psychotherapy because of the patient's extreme emotional expressions, the strain it places on the therapist, and the danger of the patient acting out and harming himself or the therapeutic relationship. Many clinicians consider this patient population difficult, if not impossible, to treat. However, in recent years dedicated experts have focused their clinical and research efforts on the borderline patient and have produced treatments that increase our success in working with borderline patients. Transference-Focused Therapy (TFP) is psychodynamic treatment designed especially for borderline patients. This book provides a concise and comprehensive introduction to TFP that will be useful both to experienced clinicians and also to students of psychotherapy. TFP has its roots in object relations and it emphasizes that the transference is the key to understanding and producing change. The patient's internal world of object representations unfolds and is lived in the transference with the therapist. The therapist listens for and makes use of the relationship that is revealed through words, silence, or, as often occurs in the case of individuals with some borderline personality disorder, acting out in subtle or not-so-subtle ways. This primer offers clinicians a way to understand and then use the transference and countertransference for change in the patient. |
| a case study of transference: Marxism and Human Nature Robert Caper, 1999 This collection of papers by Robert Caper focuses on the importance of distinguishing self from object in psychological development. By achieving this mental distinction the patient then benefits from the therapeutic effects of psychoanlaysis. |
| a case study of transference: The Revealing Image Joy Schaverien, 2021-11-18 Schaverien painstakingly describes and defines processes which have so far only been intuitively known to art therapists (p6) by introducing and elaborating the psychoanalytical concepts of transference and countertransference in relation to the use of visual art objects. The authors stated intention in this book is to attempt to bridge the perceived gap between the practice of art therapy and analytical forms of psychotherapy...(p 229) The epistemological base of this venture includes the fields of philosophy, anthropology, and aesthetics, as well as psychoanalysis. Schaverien suggests that analytical art psychotherapy is a way of working analytically with patients who are unsuitable, or unready, for psychotherapy, giving examples of psychotic and borderline patients, children, and patients in psychiatric settings. This is primarily a book about an analytical approach within art therapy, which may be of interest in itself. The material also raises issues of interest to analysts and psychotherapists, whether or not they work with art in the clinical setting. The book clarifies areas of similarity between the disciplines, and also makes areas of difference apparent. For example, most analysts would agree that visual art, like dream material, and other non-verbal representations of the inner world, can at times articulate and communicate meanings which for one reason or another cannot be verbally articulated at the time, and that this can be pertinent to the aim of analysis. However, I think few analysts would include facilities in their consulting rooms for the kind of art processes described in the book. When the analyst is working with materials in this form, the book will be extremely helpful in sorting out the complexity of the transference situation and the role of interpretation. The book is so strongly grounded in experiences emerging in the presence of actual art processes and objects that I think it will be of most interest to those who are interested in the specific clinical issues involved in relating to the making and use of actual art objects within the setting. Schaverien not only describes the processes involved in detail, but also presents technical approaches to the making and handling of art objects within the setting which will inform the capacity of those who are not trained as art therapists to relate to this kind of material in the consulting room.' |
| a case study of transference: From Classical to Contemporary Psychoanalysis Morris N. Eagle, 2011-03-01 The landscape of psychoanalysis has changed, at times dramatically, in the hundred or so years since Freud first began to think and write about it. Freudian theory and concepts have risen, fallen, evolved, mutated, and otherwise reworked themselves in the hands and minds of analysts the world over, leaving us with a theoretically pluralistic (yet threateningly multifarious) diffusion of psychoanalytic viewpoints. To help make sense of it all, Morris Eagle sets out to critically reevaluate fundamental psychoanalytic concepts of theory and practice in a topical manner. Beginning at the beginning, he reintroduces Freud's ideas in chapters on the mind, object relations, psychopathology, and treatment; he then approaches the same topics in terms of more contemporary psychoanalytic schools. In each chapter, however, there is an underlying emphasis on identification and integration of converging themes, which is reemphasized in the final chapter. Relevant empirical research findings are used throughout, thus basic concepts - such as repression - are reexamined in the light of more contemporary developments. |
| a case study of transference: Transference-Focused Psychotherapy for Borderline Personality Disorder Frank E. Yeomans, John F. Clarkin, Otto F. Kernberg, 2015-04-01 Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide presents a model of borderline personality disorder (BPD) and its treatment that is based on contemporary psychoanalytic object relations theory as developed by the leading thinker in the field, Otto Kernberg, M.D., who is also one of the authors of this insightful manual. The model is supported and enhanced by material on current phenomenological and neurobiological research and is grounded in real-world cases that deftly illustrate principles of intervention in ways that mental health professionals can use with their patients. The book first provides clinicians with a model of borderline pathology that is essential for expert assessment and treatment planning and then addresses the empirical underpinnings and specific therapeutic strategies of transference-focused psychotherapy (TFP). From the chapter on clinical assessment, the clinician learns how to select the type of treatment on the basis of the level of personality organization, the symptoms the patient experiences, and the areas of compromised functioning. In order to decide on the type of treatment, the clinician must examine the patient's subjective experience (such as symptoms of anxiety or depression), observable behaviors (such as investments in relationships and deficits in functioning), and psychological structures (such as identity, defenses, and reality testing). Next, the clinician learns to establish the conditions of treatment through negotiating a verbal treatment contract or understanding with the patient. The contract defines the responsibilities of each of the participants and defines what the reality of the therapeutic relationship is. Techniques of treatment interventions and tactics to address particularly difficult clinical challenges are addressed next, equipping the therapist to employ the four primary techniques of TFP (interpretation, transference analysis, technical neutrality, and use of countertransference) and setting the stage for and guiding the proper use of those techniques within the individual session. What to expect in the course of long-term treatment to ameliorate symptoms and to effect personality change is covered, with sections on the early, middle, and late phases of treatment. This material prepares the clinician to deal with predictable phases, such as tests of the frame, impulse containment, movement toward integration, episodes of regression, and termination. Finally, the text is accompanied by supremely instructive online videos that demonstrate a variety of clinical situations, helping the clinician with assessment and modeling critical therapeutic strategies. The book recognizes that each BPD patient presents a unique treatment challenge. Grounded in the latest research and rich with clinical insight, Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide will prove indispensable to mental health professionals seeking to provide thoughtful, effective care to these patients. |
| a case study of transference: Counselling Skills and Theory 3rd Edition Margaret Hough, 2010-07-30 This is where you can find an overview of the major approaches in counselling, how they fit together, and how you can integrate them into your practice. It's also your guide to the nature of counselling, the skills needed to be a counsellor and managing the challenges of the counselling relationship! This new edition is suitable for a wide range of courses, including Foundation, Certificate, Diploma and Higher Education studies in Counselling. There is discussion of the Improving Access to Psychological Therapies programme with expanded coverage of CBT approaches. It also references the latest BACP guidelines for counsellor training and best practice. The book reflects the impending requirement for statutory regulation of counsellors and psychotherapists via the Health Professions Council. Every year the Case Studies, Exercises , Handouts, and Resources tips in this book help thousands of trainees and established practitioners develop their understanding of the theories and practical skills required in this challenging and rewarding profession! |
| a case study of transference: Applied Law & Ethics for Health Professionals Carla Caldwell Stanford, Valerie J. Connor, 2019-01-07 On a daily basis, healthcare professionals are faced with many ethical situations along with legal implications. Applied Law and Ethics for Health Professionals, Second Edition tackles ethical situations and the potential legal impacts that many healthcare professionals may face in their careers and asks them to consider their own personal values system and use reasoning skills to come to an informed outcome. Modern cases and topics are discussed, offering real-world ethical and legal accounts that may impact professionals in the field. As the text concludes, readers are again asked to gauge their growth, exploring their newly formed knowledge, values, and opinions on healthcare ethics. |
| a case study of transference: Handbook of Adoption Rafael A. Javier, 2007 'Handbook of Adoption' addresses topics in adoption that reflect the many dimensions of theory, research, development, race adjustment and clinical practice which can affect adoption triad members. |
| a case study of transference: Abstracts [of] The Psychoanalytic Study of the Child, Volumes I-XXV. National Clearinghouse for Mental Health Information (U.S.), 1972 |
| a case study of transference: The Sport Psychologist's Handbook Joaquin Dosil, 2006-02-22 A practical handbook for sports psychologists that outlines the most effective interventions for athletes across a variety of sports. A practical manual for the growing force of sports psychologists helping today's athletes to unprecedented levels of application and success Offers specific guidance on the psychological assessment of athletes, uniquely presented in an accessible sport-by-sport format Written by an experienced practicing sports psychologist and author, who draws on his own methods and experience in the field |
| a case study of transference: The Wounded Healer David Sedgwick, 2003-09-02 Countertransference is an important part of the analytical process. It is concerned with the analyst's emotional response to the patient. As such, it can be a particularly difficult aspect of the analytical setting and especially so because of the threat of possible sexual involvement with the patient. At present there is little available on this difficult topic. Jungian analyst David Sedgwick tackles the subject bravely and shows how to use the countertransference in a positive way. The result is one of the finest Jungian clinical texts of recent years. |
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