British Journal of Psychotherapy最新文献_第9页

Synthesis of Photography, Art and Neuropsychological Concepts Within Psychoanalytic Psychotherapy: An Illustrated Case Study 精神分析心理疗法中摄影、艺术和神经心理学概念的综合：图解案例研究

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British Journal of Psychotherapy Pub Date : 2024-01-03 DOI: 10.1111/bjp.12884

Robert Irwin Wolf

{"title":"Synthesis of Photography, Art and Neuropsychological Concepts Within Psychoanalytic Psychotherapy: An Illustrated Case Study","authors":"Robert Irwin Wolf","doi":"10.1111/bjp.12884","DOIUrl":"10.1111/bjp.12884","url":null,"abstract":"The integration of non-verbal, creative/implicit processes into ongoing psychoanalytic treatment as a highly effective modality to process trauma, also understood as Mentalization as a core element in the correction of pathological thinking caused by trauma (Allen et al., 2008. Mentalizing in clinical practice. Arlington, VA: American Psychiatric Publication) will be presented. This clinical approach is designed to gain access to deeper unconscious, implicit, pre-verbal memories and material that may have been otherwise inaccessible for clinical processing on a purely verbal level. The author will offer an ongoing case study of a client who was initially resistant to direct verbal processing of traumatic memories. He will then demonstrate how the communication of implicit stimuli, in the form of photographs and drawings, can be structured as the primary initial communication of non-verbal material within this treatment. Images were presented by the patient at the beginning of each virtual session, allowed her to access traumatic material without triggering overwhelming anxiety allowing adequate affect regulation and enabling successful clinical processing of this previously inaccessible material. The author offers, from both a neurological and psychoanalytic perspective, demonstrations of clinical processing and intervention techniques that have, up until now, been utilized within the clinical fields of creative art therapy and psychoanalysis on an intuitive level without having a firmer foundation in demonstrable neuroscience. It is the intended purpose of this article to bridge this gap between previous intuitive interventions and neuroscientific research, within our clinical work.","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 1","pages":"117-142"},"PeriodicalIF":0.6,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139388870","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

Abrupt Terminations In The Treatment of Suicidal and Self-Harming Young People: The Negativel in the Therapeutic Relationship 在治疗有自杀和自残倾向的年轻人时突然终止治疗：治疗关系中的消极因素

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British Journal of Psychotherapy Pub Date : 2023-12-27 DOI: 10.1111/bjp.12881

Mark J. Goldblatt

{"title":"Abrupt Terminations In The Treatment of Suicidal and Self-Harming Young People: The Negativel in the Therapeutic Relationship","authors":"Mark J. Goldblatt","doi":"10.1111/bjp.12881","DOIUrl":"https://doi.org/10.1111/bjp.12881","url":null,"abstract":"Psychotherapy with suicidal and self-harming young people is complex, as this population group is difficult to engage in treatment and their internal reactions may remain concealed, leading to impulsive suicide attempts or abandonment of treatment. The resulting countertransference reactions of confusion, guilt and shame are most distressing and often cause psychotherapists to avoid treating this population group. Safety concerns increase when self-destructive patients abandon therapy, or their condition worsens despite the therapist's best efforts. The vicissitudes of the adolescent developmental process suggest that, in some cases, withholding information, rejection of the therapist's caring interventions, and abrupt termination of treatment arise from the need for separation and independence and are ego syntonic and therefore suicide protecting. In other cases, the risk for suicide may be increased because of the transference experience of hostile abandonment. A negative therapeutic reaction (NTR) is a disturbing development in the course of psychotherapy that has not been adequately explained in the treatment of suicidal young people. This article is a consideration of whether these negative reactions associated with abrupt, unplanned terminations, in the treatment of self-destructive young people, should appropriately be thought of as an NTR or as a developmental stage in separation.","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 1","pages":"76-93"},"PeriodicalIF":0.6,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139468446","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

The Supervisor's Internal Monologue 主管的内心独白

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British Journal of Psychotherapy Pub Date : 2023-12-26 DOI: 10.1111/bjp.12878

Laurence Spurling

引用次数: 0

The Poetics of Psychoanalysis 精神分析的诗学

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British Journal of Psychotherapy Pub Date : 2023-12-19 DOI: 10.1111/bjp.12876

Henrik Enckell

引用次数: 0

Creativity: Challenges and Obstacles to Blossoming 创造力：绽放创意的挑战与障碍

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British Journal of Psychotherapy Pub Date : 2023-12-18 DOI: 10.1111/bjp.12877

Elena Rykova

{"title":"Creativity: Challenges and Obstacles to Blossoming","authors":"Elena Rykova","doi":"10.1111/bjp.12877","DOIUrl":"https://doi.org/10.1111/bjp.12877","url":null,"abstract":"This paper addresses the conditions for the development of creativity and the possible obstacles along the way. It explores conscious and unconscious mechanisms which either impede or support this process. Creativity is seen as a special case of relationships between internal and external objects, with some aspects being more consistent and others being more fluid throughout an individual's life. This paper is based on the clinical experience of psychodynamic work with clients whose psychological predicaments related to creativity impoverished different areas of their lives. The non-exhaustive list of factors to be considered when working with those clients includes a blocked epistemophilic instinct, excessively repressed aggression, and strong negative projections. A harsh superego opposing a weak ‘internal supporter’ combined with an internalised negative parental attitude to their own creativity constitutes a powerful unconscious force which prevents it from blossoming. A high level of basic anxiety, a low degree of omnipotence, and the release of endorphins in response to suffering contribute to these difficulties. Insufficient capacity to sublimate emotions and an inability to free associate prevent clients from finding the links between ideas born in the mind and their expression that could be accessed by others.","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 1","pages":"29-42"},"PeriodicalIF":0.6,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139468444","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

Is the Balint Group an Opportunity to Mentalize? 巴林特小组是一个精神化的机会吗？

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British Journal of Psychotherapy Pub Date : 2023-12-18 DOI: 10.1111/bjp.12880

Kinga Farkas, Gábor Csukly, Peter Fonagy

{"title":"Is the Balint Group an Opportunity to Mentalize?","authors":"Kinga Farkas, Gábor Csukly, Peter Fonagy","doi":"10.1111/bjp.12880","DOIUrl":"10.1111/bjp.12880","url":null,"abstract":"The Balint group, a time-tested and efficacious resource for fortifying resilience among helping professionals, is explored in depth in this article through a case vignette. Despite its demonstrated efficacy in assisting professionals handling challenging cases, the Balint method's adoption remains inexplicably limited. We hypothesize that this restraint is due to a deficient understanding of the method's mechanics, operational processes and outcomes. In response, we offer a contemporary interpretation anchored in the theoretical framework of mentalization, aligning with current psychotherapeutic standards. The article underscores the Balint group's remarkable utility, akin to other mentalization-based therapeutic methods, in navigating intricate cases, emotionally demanding situations and circumstances that exceed the expertise and experience of the professional. By highlighting this, we hope to broaden the acceptance of the method, enable systematic assessment of its effectiveness and augment training for group leaders and participant commitment. This endeavour represents both a nod to the research-centric approach originally espoused by Mihály Bálint and an embrace of the growing emphasis on evidence-based methodology in medicine and psychotherapy. Ultimately, we aim to illuminate the potential of the Balint group and promote its extensive application in support of helping professionals.","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 1","pages":"55-75"},"PeriodicalIF":0.6,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12880","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139175256","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

Denigration or Decline: Reflections on Offering Staff Consultation Focussing on End-of-Life Care In a Homeless Hostel 诋毁还是衰落：对在无家可归者宿舍提供以临终关怀为重点的员工咨询的思考

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British Journal of Psychotherapy Pub Date : 2023-12-14 DOI: 10.1111/bjp.12883

Jonathan Day

{"title":"Denigration or Decline: Reflections on Offering Staff Consultation Focussing on End-of-Life Care In a Homeless Hostel","authors":"Jonathan Day","doi":"10.1111/bjp.12883","DOIUrl":"10.1111/bjp.12883","url":null,"abstract":"People experiencing homelessness are subject to entrenched health inequalities and obstacles to accessing care. Numerous studies have highlighted that structural and organisational obstacles result in people experiencing homelessness living with unmet healthcare needs. Over time, this is associated with a reduced life expectancy compared with the national average in the UK. Although combating health inequalities has become a mandate for many healthcare providers, attempts to improve parity and access for people experiencing homelessness has stalled. This article utilises a case study method to highlight instances of psycho-social exclusion that homeless patients can be subject to and examples where healthcare staff can collude in this exclusion. The article concludes with highlighting the benefits of psychologically informed staff consultation, which creates reflective spaces to gain a better understanding of people experiencing multiple disadvantage and exclusion. In addition, staff consultation allows space to process feelings that are stoked in professionals who struggle to comprehend why it is difficult for some people to accept offers of care.","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 1","pages":"107-116"},"PeriodicalIF":0.6,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139002735","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

Sameness and Solidarity in the Supervisory Environment 监督环境中的同一性和团结性

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British Journal of Psychotherapy Pub Date : 2023-10-17 DOI: 10.1111/bjp.12874

Hanoch Yerushalmi

{"title":"Sameness and Solidarity in the Supervisory Environment","authors":"Hanoch Yerushalmi","doi":"10.1111/bjp.12874","DOIUrl":"10.1111/bjp.12874","url":null,"abstract":"Supervisees who have experienced disturbing therapeutic incidents that undermined their professional self-experiences need a supervisory environment of sameness and solidarity to process and learn from these lived experiences. To create such an environment, supervisors need to minimize the sense of safety asymmetry between themselves and their supervisees by awakening to the ‘dark,’ ominous truths of professional life. This process is facilitated by summoning memories of therapeutic experiences of failure, vulnerability and frustration at having insufficient time to achieve wished-for therapeutic goals. Awakening to these truths inspires a dark experiential mode that helps the supervisor share the supervisee's destiny and existential anxiety. Despite the contradiction between the dark and the playful, experiential modes, both are essential for creatively understanding the supervisee's disturbing therapeutic experiences and learning from them. Moreover, when these modes are interwoven, they enrich and strengthen the supervisory process by diversifying the supervisory dyad's ways of perceiving the unfolding therapeutic interaction and of coping with supervisory challenges.","PeriodicalId":54130,"journal":{"name":"British Journal of Psychotherapy","volume":"40 1","pages":"1-16"},"PeriodicalIF":0.6,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjp.12874","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135994946","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

Publications Recently Noted or Received 最近注意到或收到的出版物

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British Journal of Psychotherapy Pub Date : 2023-10-12 DOI: 10.1111/bjp.12873

引用次数: 0

Issue Information - Cover and Editorial Board 发行信息-封面和编辑委员会

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British Journal of Psychotherapy Pub Date : 2023-10-12 DOI: 10.1111/bjp.12762

引用次数: 0