R. Lowinger, Deborah Cher, Nicole Matusow, Kimberly Ahearn Young
{"title":"The Treatment of Adult Patients with an Inner Critic - Self-Psychological, Integrative Relational, and Modern Psychoanalytic Approaches","authors":"R. Lowinger, Deborah Cher, Nicole Matusow, Kimberly Ahearn Young","doi":"10.1080/15228878.2022.2108682","DOIUrl":"https://doi.org/10.1080/15228878.2022.2108682","url":null,"abstract":"Abstract An enduring state of self-criticism characterized by self-attack and feelings of worthlessness and shame has been conceptualized as an inner critic in the object relations literature. Fairbairnian object relations theory has described the inner critic as an internalized bad object often representative of an abusive or rejecting parental figure with treatment focused on helping the patient to separate from this internal bad object and the actual external object. We propose three alternative psychoanalytically oriented treatment approaches which might be more applicable for certain patients. The first is a self-psychological approach which aims to neutralize the inner critic by meeting the patient’s needs for mirroring and idealization. The second is an integrative relational approach which helps the patient to realize and accept both good and bad aspects of the bad object. The third is a modern psychological approach in which the therapist helps the patient to express their anger toward the bad object while maintaining the possibility of improving the actual relationship. Clinical case material is presented in support of these approaches.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41339637","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":"Hidden Self-States: Some Reflections on the Patient’s Trauma and the Analyst’s Undreamt Dreams","authors":"Shirley F. Tung","doi":"10.1080/15228878.2022.2106442","DOIUrl":"https://doi.org/10.1080/15228878.2022.2106442","url":null,"abstract":"Abstract In the treatment of trauma survivors, analysts often find themselves befuddled and disturbed by their clients’ unpredictable and self-destructive behavior. One or more dissociated self-states, initially hidden behind the patient’s high-functioning presentation, may eventually make themselves known in the treatment. The analyst is then challenged to find ways to forge a healing alliance with a disavowed part of the patient’s personality that has previously existed only in the context of a perpetually abusive internalized object relationship. Not only must the multiple self-states learn to communicate with each other, but the unformulated components of the trauma survivor’s childhood experience must be formulated with the analyst in the interpersonal field. At the same time, the analyst’s dissociated self-states and unformulated experience are interwoven in the therapy, creating their own confusion and blind spots. A case study illustrates how the client’s and analyst’s vulnerabilities intersect in the shared unconscious of their work. Psychoanalytic theories on multiple self-states, dissociation, transference-countertransference configurations and unformulated experience all combine to shed light on the difficulties faced by wounded healers treating traumatized patients. The analyst’s countertransference dream is pivotal in exposing her previously inaccessible reactions to her patient.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"30 1","pages":"77 - 96"},"PeriodicalIF":0.3,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41515465","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":"Moving from “Facts” to “Feelings”: Using Sullivan’s “Detailed Inquiry” in Clinical Practice 1","authors":"J. Kanter","doi":"10.1080/15228878.2022.2104618","DOIUrl":"https://doi.org/10.1080/15228878.2022.2104618","url":null,"abstract":"ABSTRACT Recognizing that many individuals begin therapy concerned about aspects of their actual life circumstances, Harry Stack Sullivan’s interpersonal model begins with a “detailed inquiry” where the therapist actively explores many aspects of the client’s past and present life circumstances including family, friends, education, workplace, community, ethnicity, and religion. Beginning with this data about the client’s life, the therapy can then proceed to explore the affects evoked by these real life experiences.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"29 1","pages":"217 - 225"},"PeriodicalIF":0.3,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48989222","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":"Toward the Effective Treatment of Dissociative Symptoms and Dissociative Disorders","authors":"R. Kluft","doi":"10.1080/15228878.2022.2095876","DOIUrl":"https://doi.org/10.1080/15228878.2022.2095876","url":null,"abstract":"Abstract Psychoanalysis finds its origins in the hypnotic treatment of a patient who suffered a major dissociative disorder, Anna O. Over time, psychoanalysis dissociated itself from hypnosis and the dissociative disorders, creating schisms so profound that it took nearly a century for such patients to become the subject of serious psychoanalytic consideration once more, and even longer for Freud’s misrepresentations of hypnosis to receive scholarly scrutiny. As dissociation and the dissociative disorders make their way back into the mainstream of mental health concerns, it is timely to offer a brief summary of the domain of dissociation, explore how dissociation and hypnosis became marginalized within psychoanalysis, and explore how restoring to psychoanalysis an appreciation of what has long been exiled can contribute to enhancing the treatment of dissociative disorders by the psychoanalytically oriented clinician. A novel recategorization of dissociative defenses is proposed.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"30 1","pages":"3 - 31"},"PeriodicalIF":0.3,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41350658","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":"When a Child Has Been Abused; Toward Psychoanalytic Understanding and Therapy","authors":"J. C. Dasteel","doi":"10.1080/15228878.2020.1842772","DOIUrl":"https://doi.org/10.1080/15228878.2020.1842772","url":null,"abstract":"","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"29 1","pages":"226 - 229"},"PeriodicalIF":0.3,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41403875","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":"The Psychoanalyst and the “Transsexual”: Transgender Identities as Personal-Political Subjectivities","authors":"Paddy Farr","doi":"10.1080/15228878.2022.2124525","DOIUrl":"https://doi.org/10.1080/15228878.2022.2124525","url":null,"abstract":"Abstract In his two part series on psychoanalysis and “homosexuality,” William Meyer lays out a sordid history of psychoanalysis wielded against gender and sexual minorities. The present article is an extension on that work into the realm of “transsexuality.” Analyzing the work of Freud, Rado, Bieber, Socarides, Ovesey, Stoller, and Money, the psychoanalysis of “transsexuality” demonstrates a parallel history to the psychoanalysis of “homosexuality.” From a critical departure from psychoanalytic inquiry as presented by these authors, transgender activists and theorists have presented a model of transgender subjectivities arising from the tradition of the feminist personal-political challenge to the divided private and public spheres. Pointing toward a transformation of psychoanalysis, transgender subjectivities recenter the somatic and political within the relationality of analyst and analysand. The article concludes a direction for psychoanalytic practice with transgender people thus maintains: (1) a personal-political paradigm of liberation practice, (2) an investment in somatic treatment, and (3) a relational practice establishing mutual personal-political struggle.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"27 1","pages":"193 - 216"},"PeriodicalIF":0.3,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59830048","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":"A Memorial and Contribution to the Legacy of Bill Meyer","authors":"Barbara Berger, Laura J. George, F. Mishna","doi":"10.1080/15228878.2022.2127515","DOIUrl":"https://doi.org/10.1080/15228878.2022.2127515","url":null,"abstract":"","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"29 1","pages":"107 - 108"},"PeriodicalIF":0.3,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45165492","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":"Could We Be Friends? When a Wish to Be Friends Becomes Part of a Therapeutic Relational Dynamic","authors":"F. Barth","doi":"10.1080/15228878.2022.2115855","DOIUrl":"https://doi.org/10.1080/15228878.2022.2115855","url":null,"abstract":"Abstract Psychoanalytic theory and practice have moved toward privileging relational and attachment dynamics as both cause and cure of many of the issues that bring individuals into psychoanalysis and psychotherapy, highlighting the significance of each therapeutic relationship as a key part of the work. But, what is that relationship? We are not parent/child, nor are we friends, but a deep, mutual bond often develops and enhances the process. Fantasies of being friends, emanating from either and/or both participants, can represent important, often unformulated, aspects of this relationship. Psychoanalytic theory has not fully explored meanings of this wish to be friends, but it is my experience that finding ways to reflect on a wish or fantasy to be friends can lead to deeper and more complex understanding of adult attachment. In this article, theory and clinical examples will be utilized to examine resistances as well as contradictions, conflicts, and hopes and fears that come into play when thoughts, fantasies, and wishes to be friends to enter the therapeutic space.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"29 1","pages":"138 - 159"},"PeriodicalIF":0.3,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47057868","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 Social Work: How to Do Things with Words and How to Say Things with Deeds","authors":"M. Kwintner","doi":"10.1080/15228878.2022.2095875","DOIUrl":"https://doi.org/10.1080/15228878.2022.2095875","url":null,"abstract":"Abstract This article reviews how psychoanalytic theory has described talking and action, especially talking in opposition to action. Starting with a paper of William “Bill” Meyer about psychoanalytic social work and using theories of the philosopher J. L. Austin and the psychoanalyst Thomas Ogden, the article questions an apparent dichotomy in psychoanalytic theory between speech and action. This apparent dichotomy has left reverberations for psychoanalytic social work that require further attention. Using a clinical vignette along with further contributions from the work of William “Bill” Meyer, the paper attempts to highlight and work through the tensions between interventions of word and interventions of deed and to develop a theory of “interpretive social work action.” The paper argues that the legacy of our theories may lead to unwitting exclusions within the field of psychoanalytic social work. It then addresses some implications for this field in general and for dynamically-informed clinicians in agency settings in particular.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"29 1","pages":"123 - 137"},"PeriodicalIF":0.3,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45307045","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":"Expanding Diversity to More Fully Include Those Disabled/Differently Abled in Social Work Practice; Issues of Relatedness, Social Justice, Inclusiveness and Diversity among Social Work Colleagues, in the Clinical Dyad and the Community-at-Large","authors":"Fanny Chalfin","doi":"10.1080/15228878.2022.2111528","DOIUrl":"https://doi.org/10.1080/15228878.2022.2111528","url":null,"abstract":"Abstract This paper will discuss disability as a neglected aspect of cultural competency in the diversity literature and among social work colleagues. It identifies some of the unconscious intrapsychic and sociocultural concepts that contribute to the avoidance of and malaise around people with disabilities in the community at large as well as in the social work community. Personal and cultural aspects of unanalyzed countertransference and transference are examined. The impact of those internalized sociocultural concepts and projections among colleagues will also be explored. Through anecdote, parallel processing, and the literature, it will be shown how some of the transference issues toward the disabled clinician can become assets in the therapeutic alliance, and how colleagues can become more at ease with differently abled peers particularly through the use of an embodied sense of compassion, greater self-awareness and wisdom.","PeriodicalId":41604,"journal":{"name":"Psychoanalytic Social Work","volume":"29 1","pages":"160 - 178"},"PeriodicalIF":0.3,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48616998","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}