DOCSLIB.ORG

Read Book Infant Observation: Creating Transformative

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Read Book Infant Observation: Creating Transformative INFANT OBSERVATION: CREATING TRANSFORMATIVE RELATIONSHIPS PDF, EPUB, EBOOK Frances Thomson-Salo | 320 pages | 27 May 2014 | KARNAC BOOKS | 9781782200758 | English | London, United Kingdom Infant Observation: Creating Transformative Relationships PDF Book An observer follows the mother's lead, being courteous in their responses, recognising that it is a privilege to be invited into the family, without being overly self-disclosing, while at times feeling under pressure to reveal more than they feel comfortable with. Gramzow, R. Boag, S. Sally McLaren. Child Therapist. Child and Adolescent Studies. Northvale, New Jersey: Jason Aranson. I like the stories you and Papa read to me before I go to bed. Pine, F. Holding and the evolving maternal metaphor. Actually, I think you do know that, because you try so hard to let me keep going, and when you have to stop me, you always talk to me about it. Winnicott, D. What is Going on in There? Empathy is creative, generative, affirmative and transactional. It is the locus of dynamic psychic activity — the place where wishes, impulses and drives reside, a place not beholden to the realities of logic or time or the constraints of socially acceptable behaviour. Grief and Bereavement. Kirsner identifies a religious, cult-like fervour in psychoanalytic circles and describes what he calls. Fraley, R. While experiencing first-hand the relationships in the family, observers try to resist being drawn in. The question remains: is there an integrative glue that binds these four psychologies? It was a life enhancing experience both personally and professionally, and one I shall not forget. I was able quietly to watch the minute interactions, understandings and misunderstandings that take place between mother and baby, to witness the song, dance and occasional collision in the relationship. Four Quartets. Symington does not enlighten us. Subsequently, psychoanalytic scholars tried to integrate the topographical and structural models, but a discussion of this is beyond the scope of this paper — see Sandler and Sandler for a detailed exposition. To sit and not know, to wait, for meaning to emerge, or not emerge, patiently, is a great part of this art. The hard-earned satisfaction in becoming a successful negotiator. Also by Frances Thomson-Salo. Spitz, R. Awad, G. The challenge is to recognize their unique components while simultaneously fitting them into relationship with each other. Infant Observation: Creating Transformative Relationships Writer Interpretation and method. Attachment Theory. As we ponder the best ways to promote optimal social-emotional development and well-being during this newly complex growth period, we are compelled to wonder: What helps? She lives with her mother and father in a safe and comfortable environment. Mothers have to be there to be left. Beyond the word in psychoanalysis: The unspoken dialogue. Psychoanalytic Psychology, 23 4 , My experiences with the baby and his family and with the process of writing my paper have had a considerable impact upon me. Northvale, New Jersey: Jason Aranson. The impact of infant observation on parents, particularly mothers, was recognised by Bick. Before and after the depressive position Belief and imagination. Mothers may want to be helpful to a student or have strong narcissistic wishes Watillon- Naveau, About the Editor s Frances Thomson Salo trained with the British Society as a child and adult psychoanalyst, is a Training analyst and past President of the Australian Psychoanalytical Society, Chair of the International Psychoanalytical Association Committee of Women in Psychoanalysis, an editorial board member of the International Journal of Psychoanalysis , a consultant infant mental health clinician at the Royal Women's Hospital and child psychotherapist at the Royal Children's Hospital, an Honorary Fellow of the Murdoch Children's Research Institute, an Associate Professor on the faculty of the University of Melbourne Graduate Diploma for Infant and Parent Mental Health, and has published on child and infant-parent psychotherapy. Psychoanalytic Dialogues, 19 5 , Fonagy, P. Holding and the evolving maternal metaphor. There may be uncanny coincidences in the unconscious fit in an observer's choice of a family. As a relationship-based interventionist, how might you have supported Silvie and her parents in reducing stumbles and encouraging successes during each of these developmental phases? Consequently, Kleinian analysts have learnt to be more circumspect in interpreting envy and destructiveness; Winnicottian analysts are more cautious about encouraging regression; and modern analysts are more focused on understanding mental states than forbidden drives and impulses. Mitrani, J. I want to try, practice, and do everything! You may also like. Varieties of transference interpretations: An object-relations view. Berry Brazelton Frances Thomson Salo trained with the British Society as a child and adult psychoanalyst, is a Training analyst and past President of the Australian Psychoanalytical Society, Chair of the International Psychoanalytical Association Committee of Women in Psychoanalysis, an editorial board member of the International Journal of Psychoanalysis , a consultant infant mental health clinician at the Royal Women's Hospital and child psychotherapist at the Royal Children's Hospital, an Honorary Fellow of the Murdoch Children's Research Institute, an Associate Professor on the faculty of the University of Melbourne Graduate Diploma for Infant and Parent Mental Health, and has published on child and infant-parent psychotherapy. It is applied to increase the frustration of the patient to an optimal level. References Bachelard, G. Muller, R. Jung, C. A mother may initially be anxious about whether her baby is good enough for the observer, and the structure of the observation acts as an indirect reassurance. As I took my first steps and toddled unassisted, you were there to help me up when I fell, and there to prompt me to try again. Frosh, S. Rangell, L. Infant Observation: Creating Transformative Relationships Reviews Institutional probelms of psychoanalytic education. Knoblauch, S. Contemporary Psychoanalysis, 30, Journal of Child Psychotherapy, 39, Symington does not enlighten us. Consequently, Kleinian analysts have learnt to be more circumspect in interpreting envy and destructiveness; Winnicottian analysts are more cautious about encouraging regression; and modern analysts are more focused on understanding mental states than forbidden drives and impulses. Journal of the American Psychoanalytic Association, 38, A not uncommon experience is when an infant who is left to go to sleep loses the dummy and cries, and their parent does not respond. At the beginning I was met with this challenge……. It has many functions, including making connections between seemingly disparate utterances of the patient, confirming, clarifying, confronting patients with their contradictions, correcting misrepresentations, pointing out omissions or distortions, giving insight, synthesising, asking occasional, judicious questions and interpreting dreams. Seminal and representative papers have been chosen to illustrate the vital importance of infant observation in psychoanalytic training, tracing influences on the practice of infant observation and contemporary developments. They have no responsibility for giving advice or intervening. Enactments and amplification. All in all, what I really like is knowing just how things are going to be! The patient and the analyst. Berry Brazelton Key points are connected with psychoanalytic and other writers. The business of the analysis is to secure the best possible psychological conditions for the functions of the ego p. Empathy shares the analytic space with interpretations, whose function is to guide the patient to his or her next step; good interpretations arise out of therapeutic availability and are expressed creatively through metaphor, paradox and even irony Segal, Winnicott, D. The id, the home of unconscious drives and impulses, operates according to a primary process that is very different from conscious thought, or secondary process thinking. Infant Observation: Creating Transformative Relationships Read Online International Journal of Psychoanalysis, 63, Remembering, repeating and working-through S. In this sense, current technique appears to remain more recognizably Freudian than the kaleidoscope of contemporary theories Fonagy, Psychotherapy and Politics. The joy of having newly complex ways to relate to and learn from their uniquely growing child. Free association required the patient to say whatever came into his mind, with no attempt to censure or organize his thoughts, thereby becoming a passive observer of his own stream of consciousness. Repetitions of such call and response interactions with a central caregiving adult teach the infant lifelong foundational understandings of interpersonal trust. As the child develops, so does the ego, the reality tester, the rational part of the personality. This memory was accompanied by a good deal of emotion. Mama is washing dishes at the kitchen sink. When an individual senses one of these danger-situations, motivation for defending against the anxiety is triggered. By recalling sequences and subtle detail, the observer, over time, gathers a complex picture of the early psychic world of the infant and of the mother—infant relationship. The business of the analysis is to secure the best possible psychological conditions for the functions of the ego p.
Load more

Recommended publications
  • Object Relations Theories and the Developmental Tilt Stephen A
    (1984) Contemp. Psychoanal., 20:473-499 Object Relations Theories and the Developmental Tilt Stephen A. Mitchell, Ph.D. It is the predicament of the neurotic that he translates everything into the terms of infantile sexuality; but if the doctor does so too, then where do we get? Joseph Campbell, The Masks of God THE DESIGNATION "OBJECT RELATIONS THEORY" has been used with reference to a wide range of very different kinds of formulations: from Klein's rich and complex depiction of unconscious fantasy, to Fairbairn's highly abstract, schematic structural model, to Bowlby's ethologically-based theory of attachment, to Winnicott's epigramatic paradoxes and pithy observations about children, to Mahler's powerfully evocative portrayal of the longing for symbiotic fusion, to Jacobson's causuistic emendations of Freud's drive theory. To employ a common term for such a wide array of disparate points of view runs a risk—the fashionable popularity accruing to "object relations theories" in recent years has blurred important distinctions beneath a hazy aura connoting theory that is new, humanistic, often esoteric, and presumably pertaining to the deepest recesses of the mind and the earliest developmental phases. Is the employment of a common phrase to designate these different groups of theories useful or misleading? What do these heterogeneous theories have in common? What is essential and what is artifactual and political in their formulation? What has been their central role in the development of psychoanalytic ideas? Since the multiplicity of theories of object relations has been parallelled by a proliferation of different histories and interpretations of what might be regarded as the "object relations movement, " there is no consensus concerning these questions.
    [Show full text]
  • Quality of Object Relations, Security of Attachment
    QUALITY OF OBJECT RELATIONS, SECURITY OF ATTACHMENT, AND INTERPERSONAL STYLE AS PREDICTORS OF THE EARLY THERAPEUTIC ALLIANCE A thesis presented to the faculty of the College of Arts and Sciences of Ohio University In partial fulfillment of the requirements for the degree Master of Science Gregory A. Goldman November 2005 This thesis entitled QUALITY OF OBJECT RELATIONS, SECURITY OF ATTACHMENT, AND INTERPERSONAL STYLE AS PREDICTORS OF THE EARLY THERAPEUTIC ALLIANCE by GREGORY A. GOLDMAN has been approved for the Department of Psychology and the College of Arts and Sciences by Timothy Anderson Associate Professor of Psychology Benjamin M. Ogles Interim Dean, College of Arts and Sciences GOLDMAN, GREGORY A. M.S. November 2005. Psychology Quality of Object Relations, Security of Attachment, and Interpersonal Style as Predictors of the Early Therapeutic Alliance (159 pp.) Director of Thesis: Timothy Anderson The therapeutic alliance is consistently related to treatment outcome, and therefore represents an important aspect of how and why psychotherapy is effective. In the present study, security of attachment, quality of object relations, and interpersonal style were measured as predictors of the alliance early in treatment. Forty-eight individual psychotherapy clients were administered the Revised Adult Attachment Scale (AAS), the Bell Object Relations and Reality Testing Inventory (BORRTI), and the Interpersonal Adjective Scales-Revised (IAS-R) prior to their initial therapy session. Participants completed the Working Alliance Inventory (WAI) following their first, second, and third sessions. Security of attachment and quality of object relations were related to the alliance at session one, while quality of object relations was no longer related to the alliance at session two, and none of the predictors were related to the alliance at session three.
    [Show full text]
  • Intrapsychic Perspectives on Personality
    PSYCHODYNAMIC PERSPECTIVES ON PERSONALITY This educational CAPPE module is part i in section III: Theories of Human Functioning and Spirituality Written by Peter L. VanKatwyk, Ph.D. Introduction Psychodynamic theory goes back more than 100 years and has been a principal influence in the early history of clinical pastoral education (CPE). It is a way of thinking about personality dynamics in interpreting and understanding both the spiritual care-provider and care-receiver. This module will briefly summarize the basic theory and punctuate psychodynamic concepts that have been significant in the study of psychology of religion and theological reflection in the practice of spiritual care and counselling. Psychodynamic theories presently practiced include in historical sequence the following three schools that will be covered in this module: 1. Ego Psychology, following and extending the classic psychoanalytic theory of Freud, with major representatives in Anna Freud, Heinz Hartmann and Erik Erikson. 2. Object Relations Theory, derived from the work of Melanie Klein and members of the “British School,” including those who are prominent in religious studies and the practice of spiritual care: Ronald Fairbairn, Harry Guntrip, and D.W. Winnicott. 3. Self Psychology, modifying psychoanalytic theory with an interpersonal relations focus, originating in Heinz Kohut, systematized and applied for social work and counselling practice by Miriam Elson. In conjunction these psychodynamic theories offer three main perspectives on personality: 1. the human mind harbors conflict – with powerful unconscious forces that are continually thwarted in expressing themselves by a broad range of counteracting psychological processes and defense mechanisms. 2. each person carries an unconscious internalized world of personal relationships – with mental representations that reflect earlier experiences of self and others which often surface as patterns in current relationships and interpersonal problems.
    [Show full text]
  • Psychodynamic Theory
    184 Psychodynamic Theory Kathleen Holtz Deal Abstract: Psychodynamic theory, a theory of personality originated by Sigmund Freud, has a long and complex history within social work and continues to be uti- lized by social workers. This article traces the theory’s development and explains key concepts with an emphasis on its current relational focus within object relations theory and self-psychology. Empirical support for theoretical concepts and the effec- tiveness of psychodynamic therapies is reviewed and critiqued. Future directions are discussed, including addressing cultural considerations, increasing research, and emphasizing a relational paradigm Keywords: Psychodynamic theory; empirical support; social work practice HISTORICAL DEVELOPMENTS Psychodynamic theory, a theory of personality originated by Sigmund Freud, has a long and complex history within social work. The young profession’s desire for a sci- entific base, Mary Richmond’s choice of a medical model to assess and treat client problems, and the wide impact of Freud’s ideas on the popular culture, contributed to the prominent role of psychodynamic thought in the theory base of social work (Germain, 1970; Greene & Ephross, 1991). In addition, the movement of large num- bers of social workers into areas of practice heavily influenced by psychiatrists, including child guidance and work with war veterans and their families, exposed them to psychodynamic ideas (Brandell, 2004; Goldstein, 1995). The diagnostic or psychosocial school developed by such early contributors as Mary Richmond, Charlotte Towle, Gordon Hamilton, and Florence Hollis, used psychodynamic con- cepts to help explain complex human behaviors. These writers attempted to inte- grate concepts, such as the role of drives in human motivation, stages of psycho- sexual development, and ego defense mechanisms into a person-and-environment framework to explain the interaction of interpersonal and societal factors.
    [Show full text]
  • A Brief History of the British Psychoanalytical Society
    A BRIEF HISTORY OF THE BRITISH PSYCHOANALYTICAL SOCIETY Ken Robinson When Ernest Jones set about establishing psychoanalysis in Britain, two intertwining tasks faced him: establishing the reputation of psychoanalysis as a respectable pursuit and defining an identity for it as a discipline that was distinct from but related to cognate disciplines. This latter concern with identity would remain central to the development of the British Society for decades to come, though its inflection would shift as the Society sought first to mark out British psychoanalysis as having its own character within the International Psychoanalytical Association, and then to find a way of holding together warring identities within the Society. Establishing Psychoanalysis: The London Society Ernest Jones’ diary for 1913 contains the simple entry for October 30: “Ψα meeting. Psycho-med. dinner” (Archives of the British Psychoanalytical Society, hereafter Archives). This was the first meeting of the London Psychoanalytical Society. In early August Jones had returned to London from ignominious exile in Canada after damaging accusations of inappropriate sexual conduct in relation to children. Having spent time in London and Europe the previous year, he now returned permanently, via Budapest where from June he had received analysis from Ferenczi. Once in London he wasted no time in beginning practice as a psychoanalyst, seeing his first patient on the 14th August (Diary 1913, Archives), though he would soon take a brief break to participate in what would turn out to be a troublesome Munich Congress in September (for Jones’s biography generally, see Maddox [2006]). Jones came back to a London that showed a growing interest in unconscious phenomena and abnormal psychology.
    [Show full text]
  • Psychoanalytic Views About Development. in D. Messer & S. Millar
    Howard Steele & Miriam Steele (1999) in David Messer & Stuart Millar (Eds). Exploring Developmental Psychology (pp 263-283). London: Francis Arnold. Psychoanalytic views about development Introduction This chapter provides a contemporary psychoanalytic perspective on three domains of development of concern and interest to psychoanalysts and developmental psychologists alike. These three domains make up the main sections of this chapter: (1) self, social relations, and emotion-regulation; (2) psychosexual and gender development; and (3) the long-term influence of early family experiences upon personality development and functioning. Throughout the chapter, reference is made to the ways in which developmental research provides confirmation of some psychoanalytic assumptions concerning development (e.g. the widely shared view that the mind is inherently interpersonal), and refutation of other assumptions (e.g. the suggestion that human newborns are normally overwhelmed with confusion, fear and aggression). The chapter aims to provide a ‘feel’ for the history, continuing evolution, and contemporary value of the psychoanalytic approach to development which places the consideration of emotions, interpersonal and intra-personal relations, and unconscious influences upon behaviour, at the top of the agenda. Discussion point: A discussion point relevant to this chapter’s relation to the wider text concerns similarities and differences between psychoanalytic and psychological views about development. Box 1 below provides a summary of some basic
    [Show full text]
  • Using Object Relations Theory and Institutional Transference to Explore Schizophrenia and Emergency Department Overuse
    Smith ScholarWorks Theses, Dissertations, and Projects 2015 The emergency department as a holding environment : using object relations theory and institutional transference to explore schizophrenia and emergency department overuse Caroline B. Schnell Smith College Follow this and additional works at: https://scholarworks.smith.edu/theses Part of the Social and Behavioral Sciences Commons Recommended Citation Schnell, Caroline B., "The emergency department as a holding environment : using object relations theory and institutional transference to explore schizophrenia and emergency department overuse" (2015). Masters Thesis, Smith College, Northampton, MA. https://scholarworks.smith.edu/theses/724 This Masters Thesis has been accepted for inclusion in Theses, Dissertations, and Projects by an authorized administrator of Smith ScholarWorks. For more information, please contact [email protected]. Caroline Schnell The Emergency Department as a Holding Environment: Using Object Relations Theory and Institutional Transference to Explore Schizophrenia and Emergency Department Overuse ABSTRACT The purpose of this study was to explore if object relations theory and institutional transference can help explain why some people with schizophrenia overuse the emergency department (ED). Since deinstitutionalization, and the implementation of managed care, high utilization of the ED by people with mental illnesses has become an important, and controversial topic within medical and mental health settings. High utilization negatively impacts both ED staff members, and people with schizophrenia. Specifically, this study examined this phenomenon through the lens of object relations theory, and institutional transference. Object relations theory contributed to an understanding of social relationships in schizophrenia, and how poor object relations impacts the therapeutic alliance. The concept of a holding environment was used to examine the ED as a source of containment for those in crisis.
    [Show full text]
  • Perspectives from Psychoanalytic Infant Observation
    YOUNG CHILDREN AND THEIR PARENTS YOUNG CHILDREN AND THEIR PARENTS Perspectives from Psychoanalytic Infant Observation Gertraud Diem-Wille Translated by Benjamin Mcquade Originally published in Germany as Das Kleinkind und Seine Eltern: Perspektiven Psychoanalytischer Babybeobachtung © 2009 W. Kohlhammer GmbH Stuttgart. First published in English in 2014 by Karnac Books Ltd 118 Finchley Road London NW3 5HT Copyright © 2014 by Gertraud Diem-Wille Translated from the German by Benjamin Mcquade. The translation was prepared with financial support from the Austrian Science Fund ( ). The right of Gertraud Diem-Wille to be identified as the author of this work has been asserted in accordance with §§ 77 and 78 of the Copyright Design and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. British Library Cataloguing in Publication Data A C.I.P. for this book is available from the British Library ISBN-13: 978-1-78049-143-1 Typeset by V Publishing Solutions Pvt Ltd., Chennai, India Printed in Great Britain www.karnacbooks.com To my grandchildren Samira, Karim, and Olivia CONTENTS ACKNOWLEDGEMENTS ix ABOUT THE AUTHOR xi PREFACE xiii Margaret Rustin FOREWORD xvii FOREWORD TO THE SECOND EDITION xix INTRODUCTION xxi CHAPTER ONE Understanding psychological development 1 CHAPTER TWO The first year of life 63 vii viii CONTENTS CHAPTER
    [Show full text]
  • Chapter 1 an Overview of Psychodynamic Couple Therapy
    From Psychoanalytic Couple Therapy¸ David and Jill Scharff, Eds. Karnac, 2014. Chapter 1 An Overview of Psychodynamic Couple Therapy David E. Scharff and Jill Savege Scharff Introduction Psychodynamic couple therapy is an application of psychoanalytic theory. It draws on the psychotherapist’s experience of dealing with relationships in individual, group, and family therapy. Psychodynamic couple therapists relate in depth and get firsthand exposure to couples’ defenses and anxieties, which they interpret to foster change. The most complete version of psychodynamic therapy is object relations couple therapy based on the use of transference and countertransference as central guidance mechanisms. Then the couple therapist is interpreting on the basis of emotional connection and not from a purely intellectual stance. Object relations couple therapy enables psychodynamic therapists to join with couples at the level of resonating unconscious processes to provide emotional holding and containment, with which the couple identifies. In this way they enhance the therapeutic potential of the couple. From inside shared experience, the object relations couple therapist interprets anxiety that has previously overwhelmed the couple, and so unblocks partners’ capacity for generative coupling. The Development of Couple Therapy Couple therapy developed predominantly from psychoanalysis in Great Britain and from family systems theory in the United States. At first the limitations of classical psychoanalytic theory and technique inhibited psychoanalysts from thinking about a couple as a treatment unit. In reaction to that inadequacy for dealing with more than one person at a time, family systems research developed. However, many of the early systems theorists were also analytically trained or had been analyzed, and so psychoanalysis had an influence on systems theory contributions to family therapy, and its extension to couple therapy in the United States (J.
    [Show full text]
  • 1 GOALS and OBJECTIVES Object Relations Theory Addresses The
    GOALS AND OBJECTIVES Object relations theory addresses the observation that people live in two worlds simultaneously—the external world and the internal world with a co-mingling between the two. Individuals tend to act and react not only with an actual other but also an internal other, a psychic representation of a person which in itself has the power to influence both the individual's affective states and his or her behavioral reactions. The evolution of object relations theory has been subject to divergent theoretical perspectives which are complex and often difficult to integrate. This theoretical dissension has caused continued confusion and ambiguity with regard to the meaning and formation of objects in both the mental and psychological development of the individual. How does our internal world evolve? What motivates the person to seek an object—the gratification of instinctual wishes or the desire for relationships? How does the child's important early relationships become internalized and impact the person's on going relational patterns? These are just three of the numerous questions discussed by the different authors who have contributed to the development of object relations theory. This course will compare and integrate the nature of the object, its origins and qualities, in the context of the formulations of these different theorists with a focus on their clinical applications. To further help in your understanding of the ideas being developed in this course I am including the following supplemental readings from Greenberg and Mitchell. These readings are not required. SUPPLEMENTAL READINGS: Greenberg, M. & Mitchell S. (1983). Object relations theory in psychoanalytic theory.
    [Show full text]
  • Concordant and Complementary Countertransference: a Clarification
    Canadian Journal of Psychoanalysis/Revue Canadienne de Psychanalyse 20, 1 (Spring 2012) : 70-84. Concordant and Complementary Countertransference: A Clarification Donald L. Carveth, Ph.D. Toronto Abstract Heinrich Racker (1957) contributed greatly to our understanding of countertransference in a number of respects, including his distinction between concordant and complementary countertransference identifications. Like Helene Deutsch (1926), Racker was mostly concerned with the complementary countertransference because he identified the concordant with empathy. But concordant countertransference identification, when it is relatively unconscious, may disturb empathy as much as relatively unconscious complementary countertransference. Both may enhance empathy and understanding when they are relatively conscious and the object of the analyst's self-reflection. Several clinical vignettes are discussed to illustrate this point. If, as I claim, Racker was mistaken in associating the concordant countertransference with empathy, why has this error been perpetuated in our literature for half a century instead of being recognized and corrected? Keywords: countertransference, concordant, complementary, identifications, Racker, empathy, trial identifications, conscious, unconscious, internal object relations 1 The mind of the psychoanalyst, like that of the analysand, experiences tensions and conflicts between id (impulses, affects and wishful phantasies of love, hate and their varying combinations), ego (relatively rational and reality-oriented mental
    [Show full text]
  • Impasse Clarification Within the Transference-Countertransference Matrix
    Impasse Clarification within the Transference-Countertransference Matrix Ray Little Abstract unsatisfied childhood need will be projected This article describes a relational approach onto the therapist who will be experienced by to deconfusion of Child-Parent ego state re- the patient as the source of possible satisfaction lational units, with particular emphasis on of the need (positive pole of transference) as the client’s experience of the impasse be- well as its frustration (negative pole of transfer- tween him or her and the therapist in terms ence)” (p. 204). of the repeated relationship and the needed In this article I develop Novellino‘s initial de- relationship. The repeated relationship rep- scription and draw on the work of Stern to de- resents the repetitive dimension of the trans- scribe the way in which both poles of the rela- ference, while the needed relationship repre- tionship need to be worked with therapeutically. sents the selfobject and developmental ar- rest facet of the transference. The author The Emerging Conflict also makes reference to and differentiates When clients first enter therapy they are not the therapeutically required relationship. necessarily experiencing a conflict, although ______ they may desire something different. The con- flict will slowly emerge in the transference, and In my clinical practice I have often noticed if the therapist works within the transference how an impasse gradually emerges in the thera- rather than with the transference (Little, 2005b), peutic relationship between the client’s view of then the conflict will gradually become mani- me as the person he or she longs for me to be fest in the therapeutic dyad.
    [Show full text]