Identified Patient
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Identified Patient
Identified patient (IP) is a clinical term often heard in family therapy discussion. It describes one family member in a dysfunctional family who expresses the family's authentic inner conflicts. Usually, the "designated patient" expresses their unconsciously, unaware they are making overt dysfunctional family dynamics that have been covert and which no one can talk about at home. Occasionally, the identified patient is partly conscious of why and how they have become the focus of concern in the family system. As a family system is dynamic, the overt symptoms of identified patient draw attention away from the "elephants in the living room no one can talk about" which need to be discussed, such as a pending separation or divorce. If covert abuse occurs between family members, the overt symptoms can draw attention away from the perpetrator(s). The identified patient is a kind of diversion and a kind of scapegoat. Often a child, this is "the split-off false carrier of a breakd ...
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Dysfunctional Family
A dysfunctional family is a family in which conflict, misbehavior, and often child neglect or abuse and sometimes even all of the above on the part of individual parents occur continuously and regularly, leading other members to accommodate such actions. Children sometimes grow up in such families with the understanding that such a situation is normal. Dysfunctional families are primarily a result of two adults, one typically overtly abusive and the other codependent, and may also be affected by substance abuse or other forms of addiction, or sometimes by an untreated mental illness. Parents having grown up in a dysfunctional family may over-correct or emulate their own parents. In some cases, the dominant parent will abuse or neglect their children and the other parent will not object, misleading a child to assume blame. Perceptions and historical context A common misperception of dysfunctional families is the mistaken belief that the parents are on the verge of separation ...
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Carl Jung
Carl Gustav Jung ( ; ; 26 July 1875 – 6 June 1961) was a Swiss psychiatrist and psychoanalyst who founded analytical psychology. Jung's work has been influential in the fields of psychiatry, anthropology, archaeology, literature, philosophy, psychology, and religious studies. Jung worked as a research scientist at the Burghölzli psychiatric hospital, in Zurich, under Eugen Bleuler. During this time, he came to the attention of Sigmund Freud, the founder of psychoanalysis. The two men conducted a The Freud/Jung Letters, lengthy correspondence and collaborated, for a while, on a joint vision of human psychology. Freud saw the younger Jung as the heir he had been seeking to take forward his "new science" of psychoanalysis and to this end secured his appointment as president of his newly founded International Psychoanalytical Association. Jung's research and personal vision, however, made it difficult for him to follow his older colleague's doctrine and they parted ways. T ...
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Family
Family (from la, familia) is a Social group, group of people related either by consanguinity (by recognized birth) or Affinity (law), affinity (by marriage or other relationship). The purpose of the family is to maintain the well-being of its members and of society. Ideally, families offer predictability, structure, and safety as members mature and learn to participate in the community. Historically, most human societies use family as the primary locus of Attachment theory, attachment, nurturance, and socialization. Anthropologists classify most family organizations as Matrifocal family, matrifocal (a mother and her children), patrifocal (a father and his children), wikt:conjugal, conjugal (a wife, her husband, and children, also called the nuclear family), avuncular (a man, his sister, and her children), or Extended family, extended (in addition to parents and children, may include grandparents, aunts, uncles, or cousins). The field of genealogy aims to trace family lineages ...
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Scapegoating
Scapegoating is the practice of singling out a person or group for unmerited blame and consequent negative treatment. Scapegoating may be conducted by individuals against individuals (e.g. "he did it, not me!"), individuals against groups (e.g., "I couldn't see anything because of all the tall people"), groups against individuals (e.g., "He was the reason our team didn't win"), and groups against groups. A scapegoat may be an adult, child, sibling, employee, peer, ethnic, political or religious group, or country. A whipping boy, identified patient, or "fall guy" are forms of scapegoat. At the individual level A medical definition of scapegoating is: Scapegoated groups throughout history have included almost every imaginable group of people: genders, religions, people of different races, nations, or sexual orientations, people with different political beliefs, or people differing in behaviour from the majority. However, scapegoating may also be applied to organizations, such a ...
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Sacrificial Lamb
A sacrificial lamb is a metaphorical reference to a person or animal sacrificed for the common good. The term is derived from the traditions of Abrahamic religion where a lamb is a highly valued possession. In politics In politics, a sacrificial lamb candidate is a candidate chosen to contest an election with little chance of victory. The political party thus appoints the person as a sort of "sacrifice" to the stronger opponent. In some cases, fielding a sacrificial lamb candidate can serve as an opportunity for the party to be more creative in choosing a candidate than would normally be considered acceptable in a closely contested race. Alan Keyes and Geraldine A. Ferraro are examples in American politics. In 1956, Adlai Stevenson was considered a sacrificial lamb candidate for president against Dwight Eisenhower. In 2004, Howard Mills was considered a sacrificial lamb candidate for the U.S. Senate from New York against Chuck Schumer. In the arts In cinema and literature, ...
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Role Suction
Role suction is a term introduced in the United States by Fritz Redl in the mid-20th century to describe the power of a social group to allocate roles to its members. W. R. Bion's group dynamics further explored the ways whereby the group (unconsciously) allocates particular functions to particular individuals in order to have its covert emotional needs met; and the process has recently been highlighted anew within the systems-centered therapy of Yvonne Agazarian. Among regularly occurring group roles are those of the scapegoat for the group's troubles; the joker; the peacemaker; the critic/spokesperson for group standards; the idol, or upholder of the group ideal; and the identified patient. In mixed gender groups, women may be disproportionately pressured by role suction into playing a nurturing/peacemaker role. Driving forces The ease whereby people pick out those who play complementary games, and the psychological splitting of good and bad help fuel such role differenti ...
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Psychological Projection
Psychological projection is the process of misinterpreting what is "inside" as coming from "outside". It forms the basis of empathy by the projection of personal experiences to understand someone else's subjective world. In its malignant forms, it is a defense mechanism in which the ego defends itself against disowned and highly negative parts of the self by denying their existence in themselves and attributing them to others, breeding misunderstanding and causing untold interpersonal damage. A bully may project their own feelings of vulnerability onto the target, or a person who is confused may project feelings of confusion and inadequacy onto other people. Projection incorporates blame shifting and can manifest as shame dumping. Projection has been described as an early phase of introjection. Historical precursors A prominent precursor in the formulation of the projection principle was Giambattista Vico. In 1841, Ludwig Feuerbach was the first enlightenment thinker to employ ...
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Narcissistic Parents
A narcissistic parent is a parent affected by narcissism or narcissistic personality disorder. Typically, narcissistic parents are exclusively and possessively close to their children and are threatened by their children's growing independence. This results in a pattern of narcissistic attachment, with the parent considering that the child exists solely to fulfill the parent's needs and wishes. A narcissistic parent will often try to control their children with threats and emotional abuse. Narcissistic parenting adversely affects the psychological development of children, affecting their reasoning and their emotional, ethical, and societal behaviors and attitudes. Personal boundaries are often disregarded with the goal of molding and manipulating the child to satisfy the parent's expectations. Narcissistic people have low self-esteem and feel the need to control how others regard them, fearing that otherwise they will be blamed or rejected and their personal inadequacies will ...
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Münchausen Syndrome By Proxy
Factitious disorder imposed on another (FDIA), also known as fabricated or induced illness by carers (FII), and first named as Munchausen syndrome by proxy (MSbP), is a condition in which a caregiver creates the appearance of health problems in another person, typically their child. This may include injuring the child or altering test samples. The caregiver then presents the person as being sick or injured. Permanent injury or death of the victim may occur as a result of the disorder. The behaviour occurs without a specific benefit to the caregiver. The cause of FDIA is unknown. The primary motive may be to gain attention and manipulate physicians. Risk factors for FDIA include pregnancy related complications and a mother who was abused as a child or has factitious disorder imposed on self. Diagnosis is supported when removing the child from the caregiver results in improvement of symptoms or video surveillance without the knowledge of the caregiver finds concerns. Those affecte ...
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Martti Olavi Siirala
Martti Olavi Siirala (24 November 1922 – 18 August 2008) was a Finnish psychiatrist, psychoanalyst and philosopher. He was inspired by psychoanalysis, the anthropological medicine of Viktor von Weizsäcker and the existential philosophy of Martin Heidegger. The outcome was a unique synthesis theory that Siirala called social pathology. Siirala studied psychoanalysis in Zürich under the guidance of Medard Boss and Gustav Bally. There he met also colleague and lifetime friend Gaetano Benedetti. Siirala was also the founding member of Finnish Therapeia-foundation, an alternative psychoanalytic training institute established 1958. Especially in the early years Siirala was actually the principal of the foundation, both at a theoretical and practical level. Anthropological basis In the tradition of philosophical anthropology man is seen as a unity. No sharp distinction is to be seen between body and soul. Also man is seen as member of his society, believing that one needs con ...
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Family Therapy
Family therapy (also referred to as family counseling, family systems therapy, marriage and family therapy, couple and family therapy) is a branch of psychology and clinical social work that works with families and couples in intimate relationships to nurture change and development. It tends to view change in terms of the systems of interaction between family members. The different schools of family therapy have in common a belief that, regardless of the origin of the problem, and regardless of whether the clients consider it an "individual" or "family" issue, involving families in solutions often benefits clients. This involvement of families is commonly accomplished by their direct participation in the therapy session. The skills of the family therapist thus include the ability to influence conversations in a way that catalyses the strengths, wisdom, and support of the wider system. In the field's early years, many clinicians defined the family in a narrow, traditional manner ...
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Fall Guy
Fall guy is a colloquial phrase that refers to a person to whom blame is deliberately and falsely attributed in order to deflect blame from another party. Origin The origin of the term "fall guy" is unknown and contentious. Many sources place it in the early 20th century, while some claim an earlier origin. In April 2007, William Safire promoted a search to unearth its origins. The term "fall guy" for one whom blame was directed upon in order to shield others had appeared in mass public culture in the U.S. at least by the 1920s. In 1925 it was the title of a Broadway play, ''The Fall Guy'', by James Gleason and George Abbott, starring future Hollywood character actors Ernest Truex anDorothy Patterson This was turned into a crime film by Hollywood in 1930''The Fall Guy'' with the "fall guy" again used by a gangster as an unwitting narcotics courier. It saw widespread use in the crime-dominated film noir era of the mid-to-late 1940s into the early 1950s. A related use of "fal ...
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