British Journal of Psychotherapy最新文献_第2页

Transgender identification and psychological distress: A psychoanalytic case study 跨性别认同与心理困扰：一个精神分析个案研究

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British Journal of Psychotherapy Pub Date : 2025-06-01 DOI: 10.1111/bjp.12970

Sheila Levi

{"title":"Transgender identification and psychological distress: A psychoanalytic case study","authors":"Sheila Levi","doi":"10.1111/bjp.12970","DOIUrl":"https://doi.org/10.1111/bjp.12970","url":null,"abstract":"This is an account of my psychoanalytic work with Jozsef, a transgender patient assigned female at birth who ended psychoanalytic treatment abruptly after 1 year. The initial 3 months were three times weekly, then four times weekly for another 9 months. Presenting problems were depression and intense feelings of loneliness. Nothing in the patient's appearance and demeanour, as a 35-year-old man evoked the woman that he had been 10 years earlier. The analysand underwent a double mastectomy but did not dare to undergo genital reconstruction surgery. During his analysis, he described femininity as an illness that he felt the urge to fight off. Following Withers' (2020) framework of multi-level psychological distress evasion, the case illustrates how transgender identification and medical intervention may serve as an attempt to evade profound psychological distress, including attachment trauma and dysregulated affects. Jozsef showed the capacity for mental representation and symbolisation at certain times, but on other occasions, this capacity was lacking. Living with what he had done to his body was less unbearable for him than living with the annihilating suffering resulting from the sense of lacking a primary identity. As his analyst, I believed that the analytic task was to shift the focus from the external concrete reality of the body to bodily fantasies and psychic reality.","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 3","pages":"484-501"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12970","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Double-edged: Thinking about healthcare professionals' responses to self-harm 双刃剑：思考医护人员对自残的反应

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British Journal of Psychotherapy Pub Date : 2025-05-21 DOI: 10.1111/bjp.12971

Tom Dalton

{"title":"Double-edged: Thinking about healthcare professionals' responses to self-harm","authors":"Tom Dalton","doi":"10.1111/bjp.12971","DOIUrl":"https://doi.org/10.1111/bjp.12971","url":null,"abstract":"Self-harm is common and familiar to many healthcare professionals working in mental health and emergency medicine. Encounters with patients who have self-harmed frequently elicit powerful emotional responses from professionals, which have been explored and characterised in a number of existing qualitative studies. Self-harm serves a number of different functions, ranging from conscious, intrapsychic motivations such as affect regulation, to interpersonal communicative functions which are understood within the psychoanalytic literature to be largely unconscious. This paper aims to explore the unconscious communicative functions of self-harm by characterising the common emotional responses of healthcare professionals encountering patients who have self-harmed, drawing on a narrative review of the existing literature as well as short interviews with clinical staff. Furthermore, this paper aims to understand these responses within the framework of the established unconscious interpersonal functions served by self-harm, thus bridging the divide that can often exist between the front-line exposure to the physicality of self-harm and psychodynamic understanding of the meanings underlying these experiences. The range of responses is organised firstly in terms of the primary emotional reactions, and secondly in terms of the healthcare professional's defences against these emotions, which may themselves be either intrapsychic or enacted. In conclusion, the essential importance of reflective practice in clinical work is emphasised.","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 3","pages":"352-370"},"PeriodicalIF":0.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635616","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}

引用次数: 0

Predictors of adolescents' return to psychodynamic psychotherapy and symptoms presented at each point of referral 青少年回归心理动力心理治疗的预测因素和在每个转诊点出现的症状

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British Journal of Psychotherapy Pub Date : 2025-05-21 DOI: 10.1111/bjp.12964

Eduardo Brusius Brenner, Guilherme Fiorini, Vera Regina Röhnelt Ramires

{"title":"Predictors of adolescents' return to psychodynamic psychotherapy and symptoms presented at each point of referral","authors":"Eduardo Brusius Brenner, Guilherme Fiorini, Vera Regina Röhnelt Ramires","doi":"10.1111/bjp.12964","DOIUrl":"https://doi.org/10.1111/bjp.12964","url":null,"abstract":"The present study aimed to examine adolescents who returned to psychodynamic psychotherapy after terminating a previous psychodynamic treatment and compare them with young people who did not return. We examined the clinical archives of a community-based clinic in Southern Brazil, identifying adolescents who sought psychodynamic psychotherapy after previously terminating a therapy process in the same institution. We carried out statistical analyses investigating the association between variables as well as potential causal relations between them. Age range, symptoms of anxiety/depression, thought problems and the reason for the initial termination were positively associated with returning for a second psychotherapy after the termination of the first one. Rule-breaking symptoms and somatic complaints were negatively associated with returning to therapy. Finally, it was identified that symptoms presented at the beginning of each treatment, such as anxiety/depression, thought problems and aggressive behaviour, were significantly less intense at the beginning of the second treatment. Conversely, somatic symptoms were significantly greater at the second point of referral. Identifying characteristics that may indicate a possible return to treatment can contribute to the optimization of the therapeutic process and facilitate, along with the patient, openness to a new treatment in the future.","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 3","pages":"468-483"},"PeriodicalIF":0.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12964","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From sodomites towards a gay sensibility: Embedding minority stress in psychodynamic practice 从鸡奸到同性恋：在心理动力学实践中嵌入少数派压力

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British Journal of Psychotherapy Pub Date : 2025-05-16 DOI: 10.1111/bjp.12961

Paul C. Mollitt

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Someone Saved My Life Today: Collected Papers on Psychoanalysis, Literature and Philosophy of Paul Schimmel By Paul Schimmel. New York: IP Books. 2022. £20.99 (paperback) 有人今天救了我的命：保罗·希梅尔的精神分析、文学和哲学论文集，作者：保罗·希梅尔。纽约：IP Books， 2022。£20.99(平装)

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British Journal of Psychotherapy Pub Date : 2025-05-16 DOI: 10.1111/bjp.12966

Rael Meyerowitz

引用次数: 0

Meaning and loss of meaning in supervision 监督的意义与意义的丧失

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British Journal of Psychotherapy Pub Date : 2025-05-16 DOI: 10.1111/bjp.12962

Hanoch Yerushalmi

{"title":"Meaning and loss of meaning in supervision","authors":"Hanoch Yerushalmi","doi":"10.1111/bjp.12962","DOIUrl":"https://doi.org/10.1111/bjp.12962","url":null,"abstract":"Analytic and philosophical literature suggests that repetitive failures to make sense of internal and external events can seriously undermine our inner meaning systems, leading to feelings of meaninglessness and despair. Accepting the absurdity of the wish for a completely predictable, understandable and manageable world relieves the despair and liberates us from clinging to generalizations and abstractions. It also encourages us to seek personal meanings of our evolving experiences and embrace the life we come to know. These insights are relevant for the supervisory process that helps the supervisee construct an inner clinical meaning system. Repeated failures to understand clinical situations can undermine the supervisee's clinical meaning system, leading to feelings of meaninglessness and despair in their professional life. Accepting the absurdity of wishing for an entirely predictable and understandable therapeutic world can liberate the supervisee from clinging to clinical generalizations and abstractions. It also encourages the supervisee to search for personal and authentic meanings of therapeutic experiences. The supervisor can promote acceptance of this absurdity by highlighting three components of the supervisory materials: metaphorical language, movement and process and embodied experiences.","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 3","pages":"416-431"},"PeriodicalIF":0.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12962","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spotnitz's modern psychoanalytic approach to the problem of excessive self-criticism 斯波尼茨对过度自我批评问题的现代精神分析方法

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British Journal of Psychotherapy Pub Date : 2025-05-16 DOI: 10.1111/bjp.12965

Robert Jay Lowinger, Leah Alexander, Tara P. Vilk

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Inner authentic consent as Analyst's mental attitude to be in negative capability and suffering in the analytic hour—An interdisciplinary approach combined with clinical experience 内在真实同意作为精神分析师在精神分析时间内对消极能力和痛苦的心理态度——一种结合临床经验的跨学科研究方法

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British Journal of Psychotherapy Pub Date : 2025-05-16 DOI: 10.1111/bjp.12963

Meir Peres

{"title":"Inner authentic consent as Analyst's mental attitude to be in negative capability and suffering in the analytic hour—An interdisciplinary approach combined with clinical experience","authors":"Meir Peres","doi":"10.1111/bjp.12963","DOIUrl":"https://doi.org/10.1111/bjp.12963","url":null,"abstract":"This paper offers an interdisciplinary approach to negative capability and suffering in the analytic hour. First, I discuss the development that Bion proposes to this concept coined by the poet Keats. Then I analyse the concept's meaning in Keats' poetry, through his poem ‘Ode to a Nightingale’ and propose a unique reading. I show how the poet precedes psychoanalysis in his understanding of mental life, by proposing deep inner authentic consent to accept his suffering while longing for negative capability during the act of creation. Finally, I argue that when attempts to understand the patient through transference and extra-transferential interpretations do not specify his emotional truth, the analyst's consent to bear the feeling of suffering as an attitude while in negative capability in the analytic hour may contribute to the analyst's stamina- therefore to more precise understanding of the patient's emotional truth through the analytic process. I show how this stance parallels that of Keats the poet: the analyst in a negative space of inner authentic consent to suffering – negative capability, communication of projective identification – while dedicating himself to discovering the patient's emotional truth during the analytic hour. The paper is accompanied by vignettes of analysis that demonstrate this idea.","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 3","pages":"432-450"},"PeriodicalIF":0.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12963","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Independent women in British psychoanalysis: Creativity and authenticity at work By Elizabeth Wolf, Barbie Antonis (Eds.), London: Routledge. 2023. pp. 178. £120 (hardback). £29.99 (paperback). ISBN: 978-1-032-27999-2 (PBK) 英国精神分析中的独立女性：工作中的创造力和真实性，伊丽莎白·沃尔夫，芭比·安东尼斯（编），伦敦：劳特利奇出版社，2023。178页。£120(精装)。£29.99(平装)。Isbn: 978-1-032-27999-2 （pbk）

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British Journal of Psychotherapy Pub Date : 2025-05-15 DOI: 10.1111/bjp.12967

Angela Joyce

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Intimacy in Alienation: A Psychoanalytic Study of Hindu–Muslim Relationships By Ashis Roy. New Delhi: Yoda Press. 2024. 220 pp; £19.99 (paperback), £6.99 (Ebook) 异化中的亲密：印度教徒与穆斯林关系的精神分析研究新德里：尤达出版社，2024。220页;19.99英镑（平装本），6.99英镑（电子书）

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British Journal of Psychotherapy Pub Date : 2025-05-13 DOI: 10.1111/bjp.12968

Dhwani Shah

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