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1.
Soins Pediatr Pueric ; 40(308): 30-32, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31171297

RESUMO

The question of "child witches" is a tropism of the transcultural clinic. Caring for these children is a real clinical challenge. It goes beyond the subjectivity of the teenager to include the adults around him or her and the cultural representations which inhabit them. It also addresses the effects of migration, the psychological frailties of the adults and their traditional theories. This reflection shows the decentering work which clinicians need to do.


Assuntos
Contratransferência (Psicologia) , Características Culturais , Transtornos Mentais/terapia , Bruxaria , Criança , Humanos
2.
Soins ; 64(836): 26-28, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31208578

RESUMO

The nursing interview, a key time point in patient care, is inhabited by mental representation, such as representation of the body, of the nurse and the patient. Whenever migratory dynamics are entangled in care dimensions, cultural counter-transfer has important repercussion in patient welcome. Training in transcultural clinic allows carers to have tools to counterbalance their cultural counter-transfer. A co-building of care process then becomes possible.


Assuntos
Contratransferência (Psicologia) , Características Culturais , Entrevistas como Assunto , Relações Enfermeiro-Paciente , Enfermeiras e Enfermeiros/psicologia , Humanos , Pesquisa em Avaliação de Enfermagem
3.
Soins ; 64(836): 29-32, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31208579

RESUMO

In the transcultural approach, emphasis is placed on cultural countertransference in order to account for caregivers' implicit and explicit reactions with regard to patients and their history. As language is a constitutive element of culture, linguistic countertransference must be granted a place, in care, research and teaching.


Assuntos
Cuidadores/psicologia , Contratransferência (Psicologia) , Linguagem , Relações Profissional-Paciente , Humanos
4.
Soins ; 64(836): 33-36, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31208580

RESUMO

Supporting teenagers in search of ideality sometimes requires accepting and understanding the movements present in the process of Islamist radicalisation. It is therefore necessary to understand the implicit dimension to this notion of radicalisation and what it arouses in each of us. For caregivers with a North African immigrant background, it is a question of implementing their countertransference in order to guarantee unconditional acceptance, and to establish a bond to deliver better care.


Assuntos
Cuidadores/psicologia , Emigrantes e Imigrantes/psicologia , Islamismo/psicologia , Relações Profissional-Paciente , Terrorismo/psicologia , Adolescente , África do Norte/etnologia , Cuidadores/estatística & dados numéricos , Contratransferência (Psicologia) , Emigrantes e Imigrantes/estatística & dados numéricos , Humanos , Identificação Social
5.
Soins ; 64(836): 37-39, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31208581

RESUMO

In transcultural consultations, clinical psychologists meet families who do not share their same language, nor the same cultural reference system. This activates in them countless countertransference materials qualified as archaic. The position of co-therapist, in a group session, helps to bring together this content and present it in a secondary form to feed the patient's therapeutic process.


Assuntos
Contratransferência (Psicologia) , Características Culturais , Psicoterapia de Grupo/organização & administração , Encaminhamento e Consulta/organização & administração , Humanos
6.
Soins ; 64(836): 40-44, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31208582

RESUMO

Taking into account the effects of the observer on research results has always been the subject of debate within scientific teams. However, the objectivity of results is an illusion and all studies are subject to the researcher's subjectivity. This subjectivity must be taken into account as it is often the source of substantial knowledge which can help in the understanding of the human being.


Assuntos
Contratransferência (Psicologia) , Características Culturais , Pesquisadores/psicologia , Humanos
7.
Soins ; 64(836): 49-51, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31208584

RESUMO

The role of the cultural countertransference of researchers with regard to the subject of their study must be taken into consideration. The analysis of one's own emotions and reactions, loaded with cultural representations, thereby enables the research subject's singularity and cultural specificity to be respected. The results are therefore more objective and not so readily influenced by a particular culture.


Assuntos
Contratransferência (Psicologia) , Características Culturais , Relações Mãe-Filho/etnologia , Pesquisadores/psicologia , Emoções , Feminino , Humanos , Lactente
8.
Soins ; 64(836): 52-54, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31208585

RESUMO

In humanitarian contexts, the confrontation with extreme trauma generates in therapists specific countertransference reactions which can unsettle the care. The transmission of the trauma occurs around an emerging scenario which must be supervised in order for it to become a therapeutic tool.


Assuntos
Contratransferência (Psicologia) , Pessoal de Saúde/psicologia , Socorro em Desastres , Ferimentos e Lesões/psicologia , Humanos , Ferimentos e Lesões/terapia
9.
Psychodyn Psychiatry ; 47(1): 27-38, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30840561

RESUMO

The ubiquitous nature of the internet and of online social networking has created new opportunities but also challenges for the psychotherapist. Former notions of anonymity and privacy are now infeasible as a result of massive information sharing through electronic media. The clinical repercussions of these changes are being extensively debated, but issues involving patient privacy and anonymity have not been sufficiently explored. Although several aspects of the impact of the internet on therapeutic setting-such as the need for psychotherapists to exercise caution when making personal information available online-have been addressed in the literature, there has been comparatively little discussion on psychotherapists seeking information about their patients on the internet, a phenomenon known as "patient-targeted googling" (PTG).


Assuntos
Contratransferência (Psicologia) , Internet , Privacidade , Relações Profissional-Paciente , Terapia Psicanalítica , Adulto , Humanos , Internet/ética , Relações Profissional-Paciente/ética , Terapia Psicanalítica/ética
10.
Am J Psychoanal ; 79(1): 94-102, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30760817

RESUMO

This case report sketches the psychoanalytically-informed supportive psychotherapeutic treatment of a single man through his life challenges over a twenty-year period. The decades-long challenges arise from obsessive compulsive disorder, pathologic self-effacement with insatiable and unusual erotic components, and severe visual impairment leading to blindness. Sadistically-tinged impulses arising in the countertransference are described.


Assuntos
Contratransferência (Psicologia) , Transtorno Obsessivo-Compulsivo/terapia , Terapia Psicanalítica/métodos , Sadismo/psicologia , Humanos , Masculino , Pessoa de Meia-Idade
11.
Am J Psychoanal ; 79(1): 103-113, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30760818

RESUMO

The author contends that psychoanalytic theory has generally presented religious beliefs as developmentally immature or pathological. This viewpoint has resulted in a neglect of religion on the part of psychoanalysts and an avoidance of their religious life by patients. Even though there has been an evolution from the traditional Freudian foundational approach to religion as an "illusion" to the inclusion of psychoanalytical training within some Christian institutes and attributions that psychoanalysis, itself, is a religion, religious beliefs should be included in psychotherapy because they can become involved in transference and countertransference issues in ways that are ignored if religious issues are not discussed in therapy. The author presents clinical material to illustrate this problem.


Assuntos
Terapia Psicanalítica/métodos , Religião e Psicologia , Transferência (Psicologia) , Adulto , Contratransferência (Psicologia) , Feminino , Humanos
13.
Psychodyn Psychiatry ; 46(3): 357-392, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30199340

RESUMO

This study explores the relationship between clinicians' emotional reactions and patients' level of personality organization and personality style assessed according to the Psychodynamic Diagnostic Manual-2 (Lingiardi & McWilliams, 2017). Level of personality pathology was positively associated with helpless and overwhelmed responses and negatively with positive responses. Parental and disengaged responses were associated with schizoid, anxious and dependent personalities. Parental and criticized responses were associated with narcissistic personalities; their depressed versions were positively associated with parental reactions, but negatively with positive reactions. Parental and overwhelmed responses were associated with counter-dependent and passive-aggressive dependent personalities; the latter also with criticized reactions. Disengaged responses were associated with depressive personalities, particularly with their introjective subtypes, obsessive-compulsive and somatizing personalities. Overwhelmed reactions were associated with relational self-defeating and hysterical/histrionic personalities, the latter also with sexualized reactions. Sexualized and helpless reactions were connected to hypomanic personalities. Findings show that emotional reactions can be useful for understanding personality features.


Assuntos
Atitude do Pessoal de Saúde , Emoções , Personalidade , Relações Profissional-Paciente , Adulto , Contratransferência (Psicologia) , Manual Diagnóstico e Estatístico de Transtornos Mentais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos da Personalidade , Inquéritos e Questionários
14.
Soins ; 63(827): 34-36, 2018 Jul - Aug.
Artigo em Francês | MEDLINE | ID: mdl-30008363

RESUMO

In Central Africa, a team of psychosocial workers provides psychological support to traumatised mothers and their babies. They experience significant countertransferences, particularly when patients' accounts remind them of traumatic events they themselves have lived through. The emotions and the intensity felt by the team demonstrate the need for specific supervision in this context.


Assuntos
Contratransferência (Psicologia) , Mães , Assistentes Sociais/psicologia , África Central , Humanos , Lactente
15.
Soins ; 63(827): 37-39, 2018 Jul - Aug.
Artigo em Francês | MEDLINE | ID: mdl-30008364

RESUMO

Research has been carried out to explore the countertransference reactions of a group of therapists faced with a mother having experienced traumatic events and her baby. The study highlights the potential advantages of a group setting for supporting these dyads.


Assuntos
Contratransferência (Psicologia) , Mães , Assistentes Sociais/psicologia , África Central , Grupos Focais , Humanos , Lactente , Apoio Social
16.
Soins ; 63(827): 40-42, 2018 Jul - Aug.
Artigo em Francês | MEDLINE | ID: mdl-30008365

RESUMO

As part of a research project aiming to measure the psychological impact of humanitarian intervention in the wars affecting the Middle East, 28 humanitarian players working with refugees and displaced people took part in semi-structured qualitative interviews. The material was analysed using the interpretative phenomenological approach. The results show indications of transmission of the trauma when issues of identity and a sense of belonging are involved, psychosomatic manifestations as well as complex transference-countertransference relationships.


Assuntos
Contratransferência (Psicologia) , Pessoal de Saúde/psicologia , Refugiados , Conflitos Armados , Humanos , Lactente , Oriente Médio
17.
Am J Psychoanal ; 78(3): 247-266, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29980737

RESUMO

In this paper the author asks, "How long is the life of an intersubjective field?" She proposes that it is possible for the field to remain active and instructive even after formal sessions have ended: This occurs in her case of Carla, a young woman who terminates prematurely. Carla enters treatment in a downward spiral of severe trauma symptoms that began subsequent to her rape, a decade earlier. Although Carla's symptoms diminish and the analysis continues to be productive, it suddenly ends in an impasse, leaving the analyst perplexed and feeling professionally insufficient. Months later, she has three dreams pertaining to Carla and her rape. Largely employing Jessica Benjamin's recognition theory and her representation of the intersubjective third, as well as contemporary Bionian thinking, the paper depicts how countertransference dreaming is one example of how the intersubjective field can carry on the psychoanalytic function-even outside of formal treatment.


Assuntos
Contratransferência (Psicologia) , Teoria Psicanalítica , Terapia Psicanalítica , Inconsciente (Psicologia) , Sonhos , Humanos
18.
Am J Psychoanal ; 78(1): 63-73, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29422684

RESUMO

This paper discusses the use of somatic countertransference as a means of learning about the patient, about projective and adhesive identification and about the object relating nature of the most traumatized and withdrawn part of the personality. It assumes an elemental knowledge of British Object Relations and uses clinical material to illustrate the hypotheses that somatic countertransference is an indicator of a very elemental communication occurring from the aspect of the psyche that is united in a body mind or mind body. The paper assumes that this body mind was object seeking at birth and perhaps before. Because these early aspects of the personality are non verbal and non conceptual, the analyst must rely not only on the verbal material in a session but on the emotional and sensual experiences within the transference and the countertransference. Such reliance requires a faith in one's own intuition without a certainty that one is "right." Because speaking of such early experience is difficult, often writers and analysts appear more certain than they are. This is a hazard of this type of analytic work. What I am writing about is conjecture or imagination or dream, but I am suggesting that such dream work is a valuable tool for analysis.


Assuntos
Contratransferência (Psicologia) , Interpretação Psicanalítica , Trauma Psicológico/psicologia , Trauma Psicológico/terapia , Adulto , Feminino , Humanos
19.
Clin Psychol Psychother ; 25(3): 427-439, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29399956

RESUMO

As a construct, the elaboration of countertransference experience (ECE) is intended to depict the implicit and explicit psychological work to which therapists submit their experiences with clients. Through ECE, defined as a mentalizing process of a particular kind, therapists' experiences are presumed to acquire and increase in mental quality and become available for meaning-making and judicious clinical use. In this paper, we claim that such an ongoing process facilitates engagement with common therapeutic factors, such as the therapeutic alliance and countertransference management, enhancing therapist responsiveness in psychotherapy. We synthesize relevant literature on countertransference, mentalization, and, in particular, therapists' mentalization, informed by a systematic literature review. As a result, we propose a model for assessing ECE in psychotherapy, comprising 6 diversely mentalized countertransference positions (factual-concrete, abstract-rational, projective-impulsive, argumentative, contemplative-mindful, and mentalizing), 2 underlying primary dimensions (experiencing, reflective elaboration), and 5 complementary dimensions of elaboration. Strengths and limitations of the model are discussed.


Assuntos
Contratransferência (Psicologia) , Relações Profissional-Paciente , Teoria da Mente , Humanos
20.
Am J Clin Hypn ; 60(3): 239-261, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29297786

RESUMO

Over 50 years of empirical data demonstrate unequivocally that psychotherapy can cause harm as well as good. Two therapist factors increasing harm risk are inadequate assessment of patients' vulnerabilities and certain attitudes/affects. Adding hypnosis as a technique within psychotherapy heightens risk for harm because: (a) trance can unexpectedly expose patient vulnerabilities (through loosening reality orientation, lessening structure, generating unfamiliar sensations and perceptions, and intensifying access to interior information such as emotions and imagery); and (b) trance can unexpectedly increase porousness to therapist's attitudes/affects (through heightening mental receptivity to the internal states of others). A century of clinical data from psychoanalysis offers guidance for protecting against such risks. Concepts of structure, interiority, and countertransference are explicated and translated into practical clinical suggestions for harm prevention.


Assuntos
Contratransferência (Psicologia) , Hipnose/métodos , Doença Iatrogênica/prevenção & controle , Terapia Psicanalítica/métodos , Humanos
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