By Bernardine Bishop, Josephine Klein, Angela Foster, Victoria O'Connell
The 1st name within the 'Practice of Psychotherapy sequence' that explores the bounds of psychoanalytic psychotherapy. all the 5 chapters during this booklet takes up a side of this problem. In an open and enquiring demeanour, the authors invite readers to proportion of their pondering as they describe how they use their psychoanalytic talents to appreciate the character of specific demanding situations.
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Additional info for Challenges to Practice
It sounds magical, though it should be quite commonplace to us from more familiar situations. It is what happens when a toddler has grazed her knee and you cuddle her and "kiss it better", or when you give a child that has had a burst of rage a spoonful of jam "to sweeten you again". We know it works. Holding and metabolizing are processes that we may think of as "containing". People feel contained in treatment partly by correct analysis, partly by theraping processes. " Seeing how one thing led to another helps us to see that it would not be sensible to behave like that again, and so we gain some ego-control, containing the impulse to repeat behaviour we know is pointless.
Etchegoyen elaborates on the argument in favour of greater frequency, stating: Most analysts think the most convenient rhythm for analysis is five sessions per week. . [This] seems to me the most adequate, because it establishes a substantial period of contact and a clear break at the weekend. . A rhythm as inconsistent and alternating as an analysis every other day does not . . enable conflict of contact and separation to arise with sufficient strength. The treatments of one or two sessions per week do not generally constitute a psychoanalytic process .
Going by the countertransference One member of the group wrote: "I feel that traumatic patients, patients who have had depressed mothering, need to discover an 'alive' other who can stay alive with them. This is not something that is given, this is cautiously received over time, and therefore frequency may be something that has value only when patients have discovered that someone wants to stay with them; they cannot risk being rejected, they need to leave their shell tentatively and slowly. 34 SYMPOSIUM I have in mind a young woman who came to therapy but sat in her seat, clenching her bag, then her hands, cowering in the corner, her eyes like a vixen on my every move.