{"title":"Using therapeutic metacommunication and systematic monitoring of the working alliance in adolescent psychotherapy: a clinical case study","authors":"Sami J. Eloranta","doi":"10.1080/01062301.2023.2250587","DOIUrl":"https://doi.org/10.1080/01062301.2023.2250587","url":null,"abstract":"ABSTRACT The quality of the working alliance as assessed by the patient is the most robust predictor of the therapeutic outcome. However, the working alliance is much less studied in youth psychotherapy than among adults, even though it might be a more complex phenomenon. This clinical case study presents examples of how a problematic working alliance is addressed through therapeutic metacommunication and how strengthening the therapeutic alliance contributes to the outcome in the psychotherapy of an adolescent girl. The results of this study encourage further studies of working alliances in adolescent psychotherapy apart from child and adult psychotherapy.","PeriodicalId":346715,"journal":{"name":"The Scandinavian Psychoanalytic Review","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124404836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Living and Containing Psychoanalysis in Institutions. Psychoanalysts Working Together","authors":"Kari Høydahl","doi":"10.1080/01062301.2023.2250589","DOIUrl":"https://doi.org/10.1080/01062301.2023.2250589","url":null,"abstract":"","PeriodicalId":346715,"journal":{"name":"The Scandinavian Psychoanalytic Review","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129973163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychoanalysis my way; complex oedipus and other issues","authors":"Henrik Enckell","doi":"10.1080/01062301.2023.2250591","DOIUrl":"https://doi.org/10.1080/01062301.2023.2250591","url":null,"abstract":"","PeriodicalId":346715,"journal":{"name":"The Scandinavian Psychoanalytic Review","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125642324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developmental changes and their impact on psychoanalytic technique with emerging adults","authors":"I. Seiffge-Krenke","doi":"10.1080/01062301.2023.2248704","DOIUrl":"https://doi.org/10.1080/01062301.2023.2248704","url":null,"abstract":"ABSTRACT By integrating psychodynamic and developmental perspectives, this contribution reflects on psychotherapy in emerging adults, who are ‘in between’ adolescent and adult patients regarding therapeutic technique. The high mobility of this patient group makes adjustments in the frame and in the indication necessary, and psychodynamic therapists need to reflect on the flexibility and stability of the therapeutic setting. Identity problems occur frequently, but a distinction must be made between intrapsychic identity conflicts that may hamper development, and structural deficits such as identity diffusion. Since autonomy from parents is another central topic, guilt of autonomy and conflicts of loyalty must also be dealt with, potentially including accompanying work with parents in case of parental separation anxiety. Too much support from the therapist may continue or repeatt a parental pattern. New media also play a role in therapy, and the processing of narcissistic phenomena including mourning that not everything is possible, is useful.","PeriodicalId":346715,"journal":{"name":"The Scandinavian Psychoanalytic Review","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122800526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"I felt a funeral, in my brain: from sticky baby to recycling machine","authors":"Linda Johanne Rolfsen","doi":"10.1080/01062301.2023.2247885","DOIUrl":"https://doi.org/10.1080/01062301.2023.2247885","url":null,"abstract":"ABSTRACT This paper seeks to describe how a three-year-old boy´s infantile trauma was actualized in the transference and recounts the work required to contain his primitive infantile states. The author explores the self-protective and communicative function of the child’s adhesive and omnipotent behaviour and the appearance of somatic reactions in the sessions. Somatic symptoms were linked to raw, abrupt, and hostile feelings in the child towards the analyst in the transference, followed by a sense of acute danger. Understanding and surviving a shared experience led to a dream and a dawning recognition and tolerance of separation in the child. His unintegrated infantile parts were gradually able to enter the playroom where they could be addressed in the transference. Being separate and unable to possess the analyst triggered intense ambivalence and physical attacks on the analyst and led to the emergence of a fatherly attitude in the analyst. Working through his oedipal ambivalence with the help of a third, an internal father, paved the way to symbolization, the creation of a ‘recycling machine’ and the depressive position. The author will discuss the somatic reactions linked to his infantile states, the dream and the symbolic meaning of the recycling machine.","PeriodicalId":346715,"journal":{"name":"The Scandinavian Psychoanalytic Review","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130961114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Like a river or a silver thread running through the vehement landscapes of reality – reflections on psychoanalysis and literary theory","authors":"Linda Sandbæk","doi":"10.1080/01062301.2023.2219881","DOIUrl":"https://doi.org/10.1080/01062301.2023.2219881","url":null,"abstract":"ABSTRACT The article discusses contributions from literary research and how they imply psychoanalysis in their field of research. Close readings of Freud and Lacan serve as an opening to an overarching question: what can literary research teach us about psychoanalysis? A question that generates a paraphrase: how is psychoanalysis already involved in the practice of reading? The historical ‘knowledge dependency’ of psychoanalysis on the myth, the rhetorical potential and the resonance made possible by the figures of the literary dimension, and methods of contextualization in psychoanalytic literary criticism are emphasized. Psychoanalytic knowledge construction – from a literary speech acts perspective – can be understood as attempts to represent and deal with practice or reality and, more specifically, traumatic experiences. The article reflects on how the extent of clarity to which both theory and poetry can find words for the unconscious or ‘the impossible’ might manifest itself in a movement of return and departure in language. The article discusses how listening and translation can be enriching concepts in the relationship between psychoanalysis and literature.","PeriodicalId":346715,"journal":{"name":"The Scandinavian Psychoanalytic Review","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126028466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Two models of masochism","authors":"Henrik Enckell","doi":"10.1080/01062301.2023.2214436","DOIUrl":"https://doi.org/10.1080/01062301.2023.2214436","url":null,"abstract":"ABSTRACT In this paper, the author discusses two models of masochism. The starting point is a two-perspective theory on therapeutic action, put forward at the Anna Freud Centre. In one model, focus is on processes reflecting functions the patient has acquired (or not). In the other model, focus is on available representations. In the latter theory, one goes into the psychic material (the representations), in process or function theory, again, one concentrates on the use of the material. From these two perspectives, the author looks into masochism and the negative therapeutic reaction. In both models masochism seems to reflect a felt impossibility to accept vulnerability. The vulnerability, however, relates (in respective theory) to different realities. Three cases are used as illustrations.","PeriodicalId":346715,"journal":{"name":"The Scandinavian Psychoanalytic Review","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114475571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Presence and absence – some psychoanalytic semiotic pre-conditions for the psychoanalytic work","authors":"Bent Rosenbaum","doi":"10.1080/01062301.2023.2195586","DOIUrl":"https://doi.org/10.1080/01062301.2023.2195586","url":null,"abstract":"ABSTRACT Linking the contradictory terms of ‘presence’ and ‘absence’ is from a clinical perspective a fundamental working condition for the psychoanalyst. Nothing in the psychoanalytic space can be exchanged without the presence-absence dialectics making its mark in the psychic material. Different psycho- semiotic approaches provide different understandings of how these phenomena are structured and can be conceptualized. The Lacanian understanding of the orders of language (Symbolic, Imaginary, Real) is drawn into attention. Finally, three forms of “present-absence dynamics” will be presented. One form concerns oedipally linked representations of signs in which part of the emotional meaning of a conflict is repressed but still with symbolic connections to the spoken narratives. Another form concerns narcissistically linked representations of signifiers (not yet signified) where the dynamics of splitting leads to repetition without gaining a symbolic meaning unless the psychoanalyst links a not-yet-thought-of signifier to the speech of the analysand. The last form concerns pre-represented or un-represented memory-traces, not yet having any associative representation, or any psychic link and often only repeated by the psychosomatic body harbouring non-organised memory-traces.","PeriodicalId":346715,"journal":{"name":"The Scandinavian Psychoanalytic Review","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114589554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychoanalytic psychotherapy with emerging adults between past and future","authors":"Cristina Riva Crugnola","doi":"10.1080/01062301.2022.2158671","DOIUrl":"https://doi.org/10.1080/01062301.2022.2158671","url":null,"abstract":"ABSTRACT Recent years have seen a growing interest in psychoanalytic and psychodynamic psychotherapy regarding clinical work with young adults. What has been particularly useful in defining the specific nature of clinical work with young adults is the construct of emerging adulthood. This work puts forward a psychoanalytic psychotherapeutic approach aimed at emerging adults, illustrating it through clinical cases. The objective of this approach is to help young adults acquire greater awareness of their resources, inclinations, and relational models, promoting consolidation of the process of subjectification. Therefore, therapy intends to foster the capacity of the patient to process the feelings of instability and indecision typical of emerging adulthood, serving as a secure basis for the exploration and mentalization of identity aspects which are in the shadows or have been colonized by alienating parental introjections. From the perspective of developmental psychoanalysis, the therapist performs an action aimed to promote interrupted or suspended developmental processes in young adults. This action pays attention to the definition of their life choices relating to the present and the capacity to design their future, creating a safe space suitable for fostering the emergence of the potential of the Self and the consequent process of becoming a subject.","PeriodicalId":346715,"journal":{"name":"The Scandinavian Psychoanalytic Review","volume":"628 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116089837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"To go through experiences – about the psychoanalytical process","authors":"Johan Eriksson","doi":"10.1080/01062301.2023.2206078","DOIUrl":"https://doi.org/10.1080/01062301.2023.2206078","url":null,"abstract":"ABSTRACT The distinguishing feature of psychoanalytic treatment, compared to other forms of treatment, is that it offers the opportunity to go through experiences and thereby develop to become a more psychologically experienced person. The aim of this paper is first of all to try to clarify, with the help of the philosophy of Hegel, Heidegger and Gadamer, what it means to ‘go through an experience’, to ‘learn from experience’ and to ‘become experienced’. Next, and on the basis of the clarification of the concept of experience, the aim is to develop an understanding of the clinical challenges psychoanalysis is facing when it tries to offer a kind of contact that will enable the patient, in the best case scenario, to go through the experiences that she/he has never before permitted her/himself to go through.","PeriodicalId":346715,"journal":{"name":"The Scandinavian Psychoanalytic Review","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124360806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}