Transference
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Transference
Transference (german: Übertragung) is a phenomenon within psychotherapy in which the "feelings, attitudes, or desires" a person had about one thing are subconsciously projected onto the here-and-now Other. It usually concerns feelings from a primary relationship during childhood. At times, this transference can be considered inappropriate. Transference was first described by Sigmund Freud, the founder of psychoanalysis, who considered it an important part of psychoanalytic treatment. Occurrence It is common for people to transfer feelings about their parents to their partners or children (that is, cross-generational entanglements). Another example of transference would be a person mistrusting somebody who resembles an ex-spouse in manners, voice, or external appearance, or being overly compliant to someone who resembles a childhood friend. In ''The Psychology of the Transference'', Carl Jung states that within the transference dyad both participants typically experience a ...
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Countertransference
Countertransference is defined as redirection of a psychotherapist's feelings toward a client – or, more generally, as a therapist's emotional entanglement with a client. Early formulations The phenomenon of countertransference (german: Gegenübertragung) was first defined publicly by Sigmund Freud in 1910 (''The Future Prospects of Psycho-Analytic Therapy'') as being "a result of the patient's influence on he physician'sunconscious feelings"; although Freud had been aware of it privately for some time, writing to Carl Jung for example in 1909 of the need "to dominate 'counter-transference', which is after all a permanent problem for us". Freud stated that since an analyst is a human himself he can easily let his emotions into the client. Because Freud saw the countertransference as a purely personal problem for the analyst, he rarely referred to it publicly, and did so almost invariably in terms of a "warning against any countertransference lying in wait" for the analyst, ...
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Body-centred Countertransference
Body-centred countertransference involves a psychotherapist's experiencing the physical state of the patient in a clinical context. Also known as somatic countertransference, it can incorporate the therapist's gut feelings, as well as changes to breathing, to heart rate and to tension in muscles. Various approaches Dance therapy has understandably given much weight to the concept of somatic countertransference. Jungian James Hillman also emphasised the importance of the therapist using the body as a sounding-board in the clinical context. Post- Reichian therapies like bioenergetic analysis have also stressed the role of the body-centered countertransference. There is some evidence that narcissistic patients and those suffering from borderline personality disorder create more intense embodied countertransferences in their therapists, their personalities favouring such non-verbal communication by impact over more verbalised, less somatic interactions. Orbach Susie Orbach has ...
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Transference Neurosis
Transference neurosis is a term that Sigmund Freud introduced in 1914 to describe a new form of the analysand's infantile neurosis that develops during the psychoanalytic process. Based on Dora (case study), Dora's case history, Freud suggested that during therapy the creation of new symptoms stops, but new versions of the patient's fantasy (psychology), fantasies and impulses are generated. He called these newer versions "transferences" and characterized them as the substitution of the analyst for a person from the patient's past. According to Freud's description: "a whole series of psychological experiences are revived not as belonging to the past, but as applying to the person of the analyst at the present moment". When transference neurosis develops, the relationship with the therapist becomes the most important one for the patient, who directs strong infantile feelings and conflicts towards the therapist, e.g. the patient may react as if the analyst is his/her father.Chessick, ...
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Negative Transference
Negative transference is the psychoanalytic term for the transference of negative and hostile feelings, rather than positive ones, onto a therapist (or other emotional object). Freud's preference In his pioneering studies of transference phenomena, Freud noted the existence of both positive and negative transferences, while expressing a preference for the former, which he initially saw as a prerequisite for analytic work. Freud considered that "The hostile feelings make their appearance as a rule later than the affectionate ones and behind them"; and more frequently in same-sex than in mixed-sex analytic pairings. Otto Fenichel pointed out that whereas neurotic aggravations can follow the emergence of a negative transference, so too (paradoxically) can improvements: the patient gets better to spite the therapist for emphasising the patient's problems. Later formulations Melanie Klein in her disputes with Anna Freud laid much greater emphasis than her opponent on the constructive ...
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Psychoanalysis
PsychoanalysisFrom Greek: + . is a set of theories and therapeutic techniques"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might be considered an unfortunately abbreviated description, Freud said that anyone who recognizes transference and resistance is a psychoanalyst, even if he comes to conclusions other than his own.… I prefer to think of the analytic situation more broadly, as one in which someone seeking help tries to speak as freely as he can to someone who listens as carefully as he can with the aim of articulating what is going on between them and why. David Rapaport (1967a) once defined the analytic situation as carrying the method of interpersonal relationship to its last consequences." Gill, Merton M. 1999.Psychoanalysis, Part 1: Proposals for the Future" ''The Challenge for Psychoanalysis and Psychotherapy: Solutions for the Future''. New York: Americ ...
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Therapeutic Relationship
The therapeutic relationship refers to the relationship between a healthcare professional and a client or patient. It is the means by which a therapist and a client hope to engage with each other and effect beneficial change in the client. In psychoanalysis the therapeutic relationship has been theorized to consist of three parts: the working alliance, transference/countertransference, and the real relationship. Evidence on each component's unique contribution to the outcome has been gathered, as well as evidence on the interaction between components. In contrast to a social relationship, the focus of the therapeutic relationship is on the client's needs and goals. Therapeutic Alliance / Working Alliance The therapeutic alliance, or the working alliance may be defined as the joining of a client's reasonable side with a therapist's working or analyzing side. Bordin conceptualized the working alliance as consisting of three parts: tasks, goals and bond. Tasks are what the therapist ...
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Harold Searles
Harold Frederic Searles (September 1, 1918 – November 18, 2015) was one of the pioneers of psychiatric medicine specializing in psychoanalytic treatments of schizophrenia. Searles had the reputation of being a therapeutic virtuoso with difficult and borderline patients; and of being, in the words of Horacio Etchegoyen, president of the IPA, "not only a great analyst but also a sagacious observer and a creative and careful theoretician". Life Searles was born in 1918 at Hancock, New York, a small village in the Catskill Mountains along the Delaware River, which was the subject of many of his reminiscences in his first book, ''The Nonhuman Environment''. He attended Cornell University and Harvard Medical School before joining the US armed services in World War II, where he served as a captain After the war he continued his psychiatric training at the Chestnut Lodge, a private sanitarium in Rockville, Maryland, from 1949 to 1951, then at the Veterans Administration Mental Hygiene C ...
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Heinrich Racker
Heinrich Racker (1910, Poland – 28 January 1961, Buenos Aires) was a Polish-Argentine psychoanalyst of Austrian-Jewish origin.R. Horacio Etchegoyen, 'Heinrich Racker (1910-1961)', ''International Dictionary of Psychoanalysis''Reprinted onlineat answers.com. Escaping Nazism, he fled to Buenos Aires in 1939. Already a doctor in musicology and philosophy, he became a psychoanalyst, first under the direction of Jeanne Lampl-de Groot, and later working with Ángel Garma and Marie Langer in Argentina. His most important work is a study of the psychoanalytic technique known as transference and countertransference, which was published for the first time in 1968. His brother, Efraim Racker, was a famous biochemist. Works * "Observaciones sobre la contratransferencia como instrumento técnico," ''Revista de psicoanálisis de la Asociacíon psicoanalítica argentina'', 1951 * 'A contribution to the problem of countertransference', ''International Journal of Psycho-Analysis'' 34:4 ( ...
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Psychodynamic Psychotherapy
Psychodynamic psychotherapy or psychoanalytic psychotherapy is a form of psychological therapy. Its primary focus is to reveal the unconscious content of a client's psyche in an effort to alleviate psychic tension, which is inner conflict within the mind that was created in a situation of extreme stress or emotional hardship, often in the state of distress. The terms "psychoanalytic psychotherapy" and "psychodynamic psychotherapy" are often used interchangeably, but a distinction can be made in practice: though psychodynamic psychotherapy largely relies on psychoanalytical theory, it employs substantially shorter treatment periods than traditional psychoanalytical therapies. Psychodynamic psychotherapy relies on the interpersonal relationship between client and therapist more than other forms of depth psychology. They must have a strong relationship built heavily on trust. In terms of approach, this form of therapy uses psychoanalysis adapted to a less intensive style of worki ...
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Horacio Etchegoyen
Ricardo Horacio Etchegoyen (January 13, 1919 – July 2, 2016) was an Argentine psychoanalyst who was President of the International Psychoanalytical Association (IPA) in 1993-1997. Life and career Etchegoyen was born in the Greater Buenos Aires area in 1919. His father, a physician, died when Etchegoyen was five months old. He studied at the Colegio Nacional de la Universidad Nacional de La Plata, a college preparatory school, and enrolled at the University of La Plata, earning a degree in medicine in 1948. During his university studies in the 1940s, he agitated for the university reform movement, which sought to strengthen secular education in Argentina. He was analyzed by Heinrich Racker, and began his psychoanalytic training in Argentina with Enrique Pichon Rivière, Marie Langer, León Grinberg, and José Bleger. Among his salient influences were the works of psychoanalyst Melanie Klein.
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Acting In
"Acting in" is a psychological term which has been given various meanings over the years, but which is most generally used in opposition to acting out to cover conflicts which are brought to life inside therapy, as opposed to outside. One commentator, noting the variety of usages, points out that it is often "unclear whether 'in' refers to the internalization ''into'' the personality, to the growth in ''in''sight, or to the acting with''in'' the session". Patients With respect to patients, the term 'acting in' has been used to refer to the process of a client/patient bringing an issue from outside the therapy into the analytic situation, and acting upon it there. The therapist is advised to respond to the issue immediately to prevent further and more disruptive acting in. Hanna Segal distinguished positive acting in from destructive acting in - both being aimed however at affecting the analyst's state of mind, whether to communicate or to confuse. Posture The term was used in 1 ...
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Repetition Compulsion
Repetition compulsion is the unconscious tendency of a person to repeat a traumatic event or its circumstances. This may take the form of symbolically or literally re-enacting the event, or putting oneself in situations where the event is likely to occur again. Repetition compulsion can also take the form of dreams in which memories and feelings of what happened are repeated, and in cases of psychosis, may even be hallucinated. As a "key component in Freud's understanding of mental life, 'repetition compulsion' ... describes the pattern whereby people endlessly repeat patterns of behaviour which were difficult or distressing in earlier life". Freud Sigmund Freud's use of the concept of "repetition compulsion" (german: Wiederholungszwang) was first defined in the article of 1914, ''Erinnern, Wiederholen und Durcharbeiten'' ("Remembering, Repeating and Working-Through"). Here he noted how "the patient does not ''remember'' anything of what he has forgotten and repressed, ...
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