{"title":"Gender Without Identity. By Avgi Saketopoulou and Ann Pellegrini. Published by The Unconscious in Translation Press, 2023; 218 pp. (Paperback).","authors":"Barry Watt","doi":"10.1111/bjp.12942","DOIUrl":"https://doi.org/10.1111/bjp.12942","url":null,"abstract":"","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 1","pages":"190-194"},"PeriodicalIF":0.5,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143115189","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":"Rethinking the psychoanalysis of masculinity: From toxic to seminal By Karl Figlio, Oxon: Routledge. 2023. pp. 286. £31.99 (paperback). £120.00 (hardback). £28.79 (ebook)","authors":"Juliet Newbigin","doi":"10.1111/bjp.12941","DOIUrl":"https://doi.org/10.1111/bjp.12941","url":null,"abstract":"","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 1","pages":"186-190"},"PeriodicalIF":0.5,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114350","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}
Mark J. Goldblatt, Alison C. Phillips, Elsa Ronningstam, Mark Schechter, Benjamin Herbstman
{"title":"Psychotherapeutic Treatment of Chronic Suicidality","authors":"Mark J. Goldblatt, Alison C. Phillips, Elsa Ronningstam, Mark Schechter, Benjamin Herbstman","doi":"10.1111/bjp.12935","DOIUrl":"https://doi.org/10.1111/bjp.12935","url":null,"abstract":"<p><i>People who seriously consider killing themselves over a protracted period of time, usually years, represent great treatment challenges. Chronic suicidal ideation represents a communication of conscious and unconscious wishes that may be clarified through psychotherapy leading to various outcomes. For one group of patients, this focus will eventually change as they move gradually, over long periods of time, towards more life-affirming goals; a second group will continue to think intensely about suicide for many years, despite various psychotherapeutic interventions, without resorting to self-destructive action; and a third group will go on to attempt suicide which may or may not end in death. In this paper, we present two case studies describing the treatment of patients struggling with chronic suicidality who engaged in psychotherapy but with different outcomes. We discuss the possible outcomes and consider influential factors and suggestions for therapeutic interventions</i>.</p>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 1","pages":"123-138"},"PeriodicalIF":0.5,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143113950","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":"On not wanting to know: Some thoughts on Kazuo Ishiguro's novel Never Let Me Go","authors":"Christina Wieland","doi":"10.1111/bjp.12933","DOIUrl":"https://doi.org/10.1111/bjp.12933","url":null,"abstract":"<p>Kazuo Ishiguro's dystopian novel <i>Never Let Me Go</i> takes place, as the author tells us in ‘England, the late 1990s’ and follows the lives of a group of clones who had been created with the sole purpose of harvesting their organs for transplant. The novel is steeped in an atmosphere of illusion and self-deception while remaining deeply rooted in human emotions. I argue that to some extent it represents all of us, our illusions and self-deceptions. At another level, however, I argue that the novel is a sharp critique of a culture of narcissism and self-interest where human beings are treated as commodities, while creating the illusion that they are special and that ‘they never had it so good’, a saying from another time when self-deception was equally promoted. The paper concentrates on one aspect of this multilayered novel—the misrepresentation of reality and the human wish not to know about painful truths, but instead to create an illusory world. It examines this aspect of the novel in terms of the current neoliberal framework, and the culture of illusion that it promotes by ignoring the violence that underlies it. In particular, it examines how this pervasive aspect of contemporary culture affects the ability of the individual to ask questions and to pursue the truth, what Bion called ‘<i>K.</i>’</p>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 1","pages":"106-122"},"PeriodicalIF":0.5,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143113944","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":"Black Rage, White Gaze: How Can Black Lives, Historically Reified, Have ‘Room to Breathe’ in Contemporary Psychoanalysis?","authors":"Fembe Nanji-Rowe","doi":"10.1111/bjp.12934","DOIUrl":"https://doi.org/10.1111/bjp.12934","url":null,"abstract":"<p>The 2020 Black Lives Matter (BLM) protests were a stark reminder of the reality of problematic ‘race’ relations. This paper, originally conceived in the aftermath of George Floyd's murder with his final words ‘I can't breathe!’, examines the psychoanalysis of anti-black racism as a contemporary problem to address. This raises important epistemological questions about the forms of knowledge that get produced given the complex relationship between psychoanalysis and coloniality. Frantz Fanon unpacked the impact of racial violence and the white gaze as one of alienation, nonbeing and Black Rage in White Skin, Black Masks. This paper makes use of Fanon's 1952 thesis and clinical vignettes from analysts of colour in relation to ‘race’ as well as secondary literature on psychoanalysis and postcoloniality inviting the reader to appreciate Black Rage as a legitimate and constructive affect. I submit two ‘anchors’ for psychoanalysis to consider in theory and in practice for the birth of a physical and psychic ‘room to breathe’, a place for the black individual to exist with more psychological sovereignty: (1) an extension of Melanie Klein's depressive position and (2) an extension of the concept of mourning, as crucial intrapsychic processes for black lives to matter. The argument advanced is that, due to the extraordinary historical, social and political circumstance placed on black people as a racially oppressed group, the trauma of racism is one of alienation to a zone of nonbeing, a ‘space’ which, incidentally, offers radical hope in the form of Black Rage. Psychoanalysis is adequately positioned to acknowledge Black Rage as a powerful affect and civic tool, and this may be thought about through intrapsychic processes originating in classical psychoanalytic theory as well as Kleinian object relations, principally the concepts of mourning and depressive awareness, which considered together liberate aspects of therapeutic work.</p>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 1","pages":"88-105"},"PeriodicalIF":0.5,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12934","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143113325","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}
{"title":"Literature and Psychoanalytic Process: A Look Through The Lens of Metaphor","authors":"Henrik Enckell","doi":"10.1111/bjp.12937","DOIUrl":"https://doi.org/10.1111/bjp.12937","url":null,"abstract":"<p>In this paper, the author highlights some aspects of the psychoanalytic process through the perspective of poetic metaphors. In reading new metaphors, we often become bewildered. A literal reading, and a first hand meaning, comes to nothing. A concrete reference, as well as truth, is likewise destroyed. On the ruins of these literary dimensions, however, a second hand reading, meaning, world, and truth may be formed. To take a step from literal understanding to a metaphoric one is demanding, as the former provides safety. The same is true of the position of the psychoanalytic patient. He or she needs to leave an idiosyncratic, well known, way of apprehending world and others, to take perspectives never tried before. The challenges and vulnerabilities the patient meets when facing the possibilities of starting a psychoanalytic process are compared to the position of the reader of poetic metaphors. The argument is illustrated with a psychoanalytical case.</p>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 1","pages":"52-64"},"PeriodicalIF":0.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12937","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143112397","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}
{"title":"Antidepressant Medication and Psychotherapy: Why It Matters","authors":"Marco Chiesa","doi":"10.1111/bjp.12938","DOIUrl":"https://doi.org/10.1111/bjp.12938","url":null,"abstract":"<p><i>Many patients enter psychotherapy while being on antidepressant medication. This article outlines and discusses the main effects of antidepressant medication both on the patient and on the psychotherapy process. Although widely prescribed, the effectiveness of antidepressant medication is still open to debate, and several authors have questioned whether it is more effective than placebo. The multi-faceted adverse effects of antidepressants include emotional blunting, sexual dysfunction, a number of physical ailments and chronicity in the course of depression. These adverse effects are often not easy to identify as stemming from the medication and may be mistakenly attributed to the patient's own emotional difficulties. This presents a challenge to the process of psychotherapy with the risk of creating an impasse and unfavourable outcome. In most cases, a gradual process of withdrawal from antidepressant medication is necessary to reduce the impact of these side effects both on the patient's quality of life and on the psychotherapy process. A clinical case of a patient with a 10-year history of psychiatric medication and hospitalisations, who was suffering from medication stressful adverse effects while not improving psychiatrically. A gradual withdrawal of psychiatric medication coupled with a combination of supportive and exploratory psychotherapy led to a more favourable prognosis and clear improvements in the patient's life</i>.</p>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 1","pages":"65-87"},"PeriodicalIF":0.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143112398","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":"New Light on the Squiggle Game: The Unexpected in Sufficient Safety in the Treatment of an Adolescent","authors":"Johanna Velt, Anne Tirilly","doi":"10.1111/bjp.12936","DOIUrl":"https://doi.org/10.1111/bjp.12936","url":null,"abstract":"<div>\u0000 \u0000 <p>In this article, we discuss the technique of the Squiggle Game (SG) and aim to shed new light on it by illustrating it with a clinical vignette. We present the case of a depressed adolescent for whom the use of SG as a wildcard avoids traumatic repetition and allows the creation of a therapeutic space that contains the paradox of guaranteed safety and the use of the unexpected. We begin by recalling the SG technique invented by Winnicott and then our own use of this technique. We then describe the clinical situation of a young depressed adolescent. We then discuss the therapeutic effects observed, linking them to the recognition of the need for security. We describe how the SG joker reduces patient–therapist asymmetry, helps to moderate interpretation and encourages a side-by-side situation. In the case of adolescents, their narcissistic fragility makes psychotherapeutic approaches difficult, so long-term SG offers a technical way of taking account of the need for security that this fragility entails. We depart from Winnicott by offering the SG technique over a long period of therapy, and we make theoretical and clinical suggestions based on our original use of SG.</p>\u0000 </div>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 1","pages":"36-51"},"PeriodicalIF":0.5,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143110717","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":"Exploring the Unconscious Dynamics of the Balint Group Process","authors":"Stephen Morris, Gwion Jones","doi":"10.1111/bjp.12932","DOIUrl":"https://doi.org/10.1111/bjp.12932","url":null,"abstract":"<p><i>This preliminary study should be regarded as a pilot piece of research designed specifically to explore some of the unconscious dynamics that operate within the Balint Group process. A brief history is offered by introduction, which aims to set this research in the wider context of the influences that shaped Michael Balint's thinking, particularly the view that the primary obstacles in therapeutic work derive from the analyst's own resistances. The study itself attempts to highlight the presence or absence of ‘domains of implicit relational knowing’ between Balint Group participants, within which ‘moments of meeting’ may take place, leading to a change in the thinking/feeling of the Presenter about their case. It is suggested that such domains emerge through unconscious interactions and that the Group Matrix contains and fosters such activity. The rationale for the use of a 7-point scale of participants' subjective evaluations of feeling attuned/connected or mis-attuned/unconnected towards the Group, the Presenter and the Conductor is drawn from Attachment/Neuroscience research. The data gathered from two groups, each engaging in two presentations, reveal patterns of identical scores suggesting the presence of ‘domains’, and marked discrepancy scores suggesting their absence. Sufficient ‘domains’ accompanied a change in thinking/feeling for the Presenter, while few ‘domains’ and marked discrepancy scores did not do so. These observations are tentatively discussed with reference to the early origins of unconscious communications</i>.</p>","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"41 1","pages":"18-35"},"PeriodicalIF":0.5,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121407","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":"Issue Information - Cover and Editorial Board","authors":"","doi":"10.1111/bjp.12837","DOIUrl":"https://doi.org/10.1111/bjp.12837","url":null,"abstract":"","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 4","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12837","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142435002","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}