International journal of psychoanalytic psychotherapy
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Int J Psychoanal Psychother · Apr 1979
Case ReportsConcerning transference and countertransference.
This paper is presented primarily for its historical interest. The author's first attempted publication in psychiatry or psychoanalysis, it was submitted successively to two publications in 1949, rejected by each, and filed away until now. ⋯ It has been the writer's experience that the analyst actually does feel, and manifest in various ways, a great variety of emotions during the analytic hour. The analytic usefulness of this actual richness of emotional participation, by the analyst, is detailed.
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Int J Psychoanal Psychother · Jan 1976
Case Reports Biography Historical ArticleThe misalliance dimension in Freud's case histories: i. The case of Dora.
This paper presents an effort to identify sectors of therapeutic misalliance between Freud and his patient Dora based on modifications in the framework of the analytic relationship and situation. Use is made of a template based on the current ground rules and boundaries of the patient-analyst relationship, and three deviations from this template are identified in Freud's analytic work with Dora. ⋯ Stress is placed on Dora'a unconscious preceptions of the actual implications of Freud's modifications in the frame. The role of Freud's failure to rectify these deviations and to analyze their implications for Dora are considered, including their influence on the patient's premature termination of her analysis.
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Int J Psychoanal Psychother · Jan 1976
Alan Strange as an adolescent: a discussion of Peter Shaffer's Equus.
Psychoanalytic knowledge of adolescence helps us to understand the protagonists of Peter Shaffer's play Equus. Alan Strang, the seventeen-year-old who maimed six horses, had undergone a retreat from oedipal wishes to narcissism typical of teenagers. His fragile attempts at achieving a sound sense of identity are undermined when his seeking of a noninestuous object produces panic and impotence. ⋯ This is more likely to prevent adaptive creativity than the cure the doctor dreads. Finally, some technical problems in dealing with sublimations in psychoanalysis (which is not Dr. Dysart's form of treatment) are discussed.
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Int J Psychoanal Psychother · Jan 1976
Case ReportsEmpathy and intuition in becoming a psychiatrist: a case study.
This paper, through the use of the case study, presents the idea that the beginning psychiatrist must often depend on his own native intuition and emphathic skills during his early clinical work. A case is presented in detail to show that amide the anxiety, freshness, and inexperience typifying a beginning psychiatrist, a psychotherapeutic treatment that benefits both the patient and the psychiatrist can be carried out. The growth of the patient and the therapist is described over the course of a three-month hospitalization.
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Int J Psychoanal Psychother · Jan 1976
On becomine a psychiatrist: discussion of "Empathy and intuition in becoming a psychiatrist," by Ronald J. Blank.
Using the data from Blank's (1976) description of his clinical efforts with his first patient, selected tissues on becoming a psychiatrist and psychotherapist are explored. Considered among the motives for entering this profession are opportunities for the therapist to projectively identify into his patients, and to introjectively identify with and contain his patients' psychopathology. ⋯ Counter-transference influences on the experience and use of empathy and intuition are also investigated. The development of therapeutic misalliances and framework "cures," the distinction between transference and nontransference, the constructive elements contained in essentially countertransference-based interventions, the mastery of countertransference difficulties, and the choice of insight-oriented versus noninsightful therapeutic modalities are discussed.