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Consultations in psychoanalytic psychotherapy by Peter Hobson

By Peter Hobson

During addressing the demanding situations of carrying out evaluation consultations in psychoanalytic psychotherapy, this e-book engages with many technical in addition to theoretical matters. It contains chapters at the heritage of psychoanalytic ways to assessing sufferers, exams inside of a public future health environment, the method of psychotherapeutic engagement, the particular instances of trauma and severe disturbance, and learn which could tell techniques to session – all with a company grounding in scientific practice.

Contributors:
David Bell, Ruth Berkowitz, Antony Garelick, R. Peter Hobson, Raman Kapur, Birgit Kleeberg, Karlen Lyons-Ruth, Jane Milton, Matthew Patrick, Joanne Stubley.

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Sample text

The infant needs to experience his or her caregiver as receptive to what the infant finds unmanageable (including “nameless dread”), in order that the infant can receive back such feelings, now digested by the caregiver, in a manageable, contained form. What is true for infants is also true for many adult psychotherapy patients. In order for a patient to assimilate and come to manage the unmanageable, he or she has to experience the therapist as able to deal with the mental contents in question—that is, experiences such as those of not-knowing, dread, or aggression.

Projective identification is rather different. It concerns an unconscious action of ridding oneself of—and often, communicating—feelings by locating them in someone else. For instance, a narcissistic person can locate the more dependent and vulnerable aspects of him/ herself in others, so that they become the dependent and potentially abandoned ones. The meaning of “locate” is complex here, because the feelings in question still belong to the patient, even if the therapist feels in accordance with what the patient might or should be feeling for him/herself.

We do not have a “theory” of minds, as current fashion in psychological theorizing would have us believe. What is important for psychotherapy is that from this starting-point, one can elaborate in much more detail how it is that at any given moment, one person’s subjective experience is so intimately and complexly linked with that of a communicative partner. The psychotherapeutic encounter is framed in order to give the psychotherapist the best chance to register and understand his or her subjective experience in relation to a patient.

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