This essay review provides an appreciation and a critique of a now classic text. Ruszczynski, S. Particular attention is paid to the couple relationship. The unconscious forces which may attract a couple to each other and influence the nature of their interaction are outlined.
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The second part of the paper addresses the nature of the clinical work with a patient couple. A hypothesis is offered regarding possible diagnostic criteria for choosing whether to work with a couple presenting for couple psychotherapy employing one psychotherapist or a co-therapist pair. Psychotherapy with Couples London: Karnac Books This chapter offers an introduction to the TMSI by outlining its theoretical and clinical work as it has developed since the inception of the Institute in As well as sketching out some of the theoretical concepts underpinning clinical work with couples, the author also refers to the various research and writing projects undertaken in the Institute.
Psychotherapy with Couples London: Karnac Books This chapter focuses in some detail at the therapeutic intervention offered to couples seen for psychotherapy in the Institute. The author shows how psychoanalytic theory is applied to the understanding of, and working with, the intimate adult relationships. Enactments in the transference-countertransference relationship will offer the first clues that, through the unconscious processes of projective and introjective identifications, patters from the inner world of the patient or client are being repeated in the therapeutic encounter.
A selection of passages from the text is included to show something of the nature of the book being reviewed. Narcissistic Wounds: Clinical Perspectives London: Whurr Publishers This chapter examines inevitable oscillation between narcissistic and more mature object relating which is likely to take place in all couple relationships. Some couples will, of course, be more rigidly structured by less mature iterations.
It is proposed that a committed couple relationship may offer the containment for narcissistic traits to be worked through and intergrated, to the benefit of both partners and their relationship. Women, Men and Marriage London: Sheldon Press This paper explores the unconscious connections partners make between their earliest love relationships and the choice and nature of their intimate adult relationships. Ruszczynski restates the centrality of the unconscious and secret bond which draws the partners to each other and organises their subsequent relating.
A suggestion is made that the ambivalence which is at the heart of all couple relationships stems from the inevitable ambivalence experienced towards primary parental figures. The two are interwoven with each other; true intimacy rests on the recognition of the separateness of the other; true independence rests on the recognition of the need for the other. Sager, C. Schapiro, R.
Reiss, J. Richters, M. With Jill Savege Scharff.
Manual Origine du nom de famille BOUHELIER (Oeuvres courtes) (French Edition)
Edited with Jill Scharff. Lanham MD: Jason Aronson. Scharff David The Future of Prejudice. Northvale, NJ: Jason Aronson. Searles, H. En: Boszormenyi-Nagy, I. Theoretical and practical aspects. Seymour, J. A brief review paper for Current Opinion in Psychiatry focused on the contemporary practice of marital therapy from a wide range of theoretical perspectives as evidenced by English language publications over the past year.
The past year has seen some important papers on research issues within the marital field, which have also illustrated the need for research from the psychoanalytic community. The review underlined the need for greater clarity and definition of both theoretical and clinical work. Shmueli, A. This reinforces the view that adult functioning is paramount for functioning well as a parent, and implies a need for joint working between child and family services, especially those specifically for adults.
Group analysis and family therapy. Stanton, M. Erotic Transference and Countertransference: Clinical Practice in Psychotherapy London: Routledge This clinical paper examines alternative uses of the idea of transference in relationship to primal absence and loss. The case involves a patient who produced a series of sculptures during the course of therapy and the paper explores how these sculptures captured the developing aspects of erotic transference and countertransference. Stern, D. A view from psychoanalysis and developmental psychology. A unified view of parent-infant psychotherapy, New York, Basic Books.
Stierlin, H. New York, Janson Aronson.
Sullivan, H. New York, Norton. Tarsh, H. Sexual and Marital Therapy 14 2 This article explores the concept of shared unconscious phantasy in the context of work with a couple. It demonstrates how a couple can be drawn together on the basis of a shared unconscious phantasy and how the partners can defend themselves from conscious knowledge of this phantasy through a mutually defensive projective system, which in this case eventually led to the breakdown of the relationship.
The clinical marital illustrates in detail the therapeutic task of understanding and uncovering the phantasy through working with transference and countertransference relationships. Toman, W. New York, Springer. Vincent, C. Discrepant or anomalous signs may justify the doctor looking behind the manifest medical problem to an underlying relationship difficulty; the professional dilemmas involved in this process are examined.
The consultants identified two frequently encountered presentations. The first was what might be called an excessively paranoid interaction when couples would be fighting each other over some aspect of the divorce process, very often, the children.
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The second type of case can be described as using a depressive defense to ward off destructive anxiety, most commonly encountered by individual clients, unable or hesitant to proceed with divorce for fear of the destructive consequences to the children involved. These presentations seemed to call forth a wish for the consultant to offer a magical solution to get round the feared destructive outcome.
Effective shifts in therapy happen when those confused states are understood and acted upon so producing a gradual release from the grip of unconscious processes. Clinical examples from couple work are given. The paper discusses the models of consultation used in the project and draws a distinction made by Bridger Malcolm Miller Lecture , AUP between a client-centred and a consultant-centred model of consultation.
The paper also analyses in detail case illustrations of the paranoid and pseudo-depressive patterns of presentation found in the divorcing sample. It is argued that the unresolved classification may help understand these dynamics.
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The second situation is produced by those couples perspective where there is a sense of non-relating. It is argued that from a couple perspective the attachment system has broken down in the face of mutually contradictory attachment patters between the couple which mirrors the cannot classify more usually applied to the breakdown of the attachment system within the individual.
This study takes each health condition in turn and reviews how sexual health is implicated. The detailed review is framed by a historical overview of how female sexuality, particularly in the second half of life, has been constructed by western society and concluded by examining how current government health policies take account of sexual health concerns.
The author considers in what ways his advice giving might be considered an enactment.
The paper also places advice giving within the context of client-centred and consultant-centred consultancy models. Therapeutic strategies with stepfamilies. Whitaker, C. In: Boszormenyi-Nagy, I. Woodhouse, D. A history of organisational and conceptual development. For practitioners and their managers, this book demonstrates how the anxieties and defences of organisations can mesh with those of their clients and patients to impede collaboration between agencies. Based on action research with doctors, health visitors, social workers, counsellors and probation officers.
Zilbach, J. International Congress of Psychoanalysis, Buenos Aires. In: T. Feres Carneiro. Cuidando dos idosos altamente dependentes na comunidade — um estudo sobre cuidadores familiares principais. Estudos e Pesquisas em Psicologia, 8, p. Paideia USP , 29, 14, p. Estudos de psicologia Natal , 10, p. Estudos de psicologia Campinas , 2, p.