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Medium 9781855753884

CHAPTER SIX. The Self-Ego Relationship in the Therapist

Margaret Clark Karnac Books ePub

‘The doctor is as much “in the analysis” as the patient’

(Jung, 1929b, p. 72)

Figure 1 is an adaptation of a diagram Jung devised to illustrate the phenomenon of the transference (Jung, 1946, p. 221).

To consider first the intrapsychic dynamics illustrated here: Fordham added the line (D) to show that the patient blocks, through defence mechanisms, unconscious material from becoming conscious (Fordham, 1978, p. 87). The therapist is shown as having no such block. This is an idealistic portrayal of the totally conscious therapist – obviously an impossibility. Their own therapy, however, is intended to make the therapist less defensive than the patient against messages from their own unconscious psyche.

Figure 1. The phenomenon of the transference. Source: Fordham, 1978, p. 87

The diagram also shows the complex interpsychic communications between therapist and patient: from ego to ego, from ego to unconscious, from unconscious to ego, and from unconscious to unconscious, in both directions.

Countertransference: sorting out whose feeling is whose

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Medium 9781936765034

Chapter Three Avoiding Reality Wars

Laura Lipton Solution Tree Press ePub

CHAPTER THREE

Avoiding Reality Wars

Our ways of viewing the world both empower and trap us. These mental maps have a profound influence on what we see, how we see, and how we make sense of things. While they help us make sense, they also impair our capacity for open-minded exploration. The caution is that we do not let our preferences become our prescriptions. Well-structured data-based investigations reduce certainty, promoting a spirit of inquiry as groups engage in framing problems and seeking solutions. As former U.S. Senator Daniel Moynihan has said, “You’re entitled to your own opinion, but you’re not entitled to your own facts” (Greenspan, 2007, p. 95).

Mental models are tenacious and often remain hidden from view. This tendency to stubbornly hold on to unexplored perspectives and beliefs is compounded by the social, emotional, and cognitive complexity of working in groups. Skillful application of the collaborative learning cycle keeps groups and group members open to surprise, producing purposeful uncertainty and conscious curiosity.

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Medium 9781847774521

Dejeuner sue I'Herhe

Rowan Williams Carcanet Press Ltd. PDF
Medium 9781855759022

CHAPTER TWO: Political milestones

Karnac Books ePub

“Working for Patients”, 1989

There was no NHS agenda in this particular direction until the general election of 1987 when the Conservatives were coming up for their third consecutive term. There was much concern about hospital waiting lists, concern which continued more strongly after the election and led to the white paper “Working for Patients” (DOH, 1989) and the introduction of the internal market. “Working for Patients” saw the start of a major NHS initiative. It stated that all doctors should become involved in audit. A subsequent NHS circular in 1990 extended the coverage to nursing, and other health care professions have followed. Clinical audit has now become orthodox and many of the Royal Colleges stipulate that training posts for junior staff will only be recognized if there is an active audit programme within the unit. Although many health care professionals may regard these as dramatic developments, they are no more than the natural progression of a movement which had been gathering momentum over the previous 20 years.

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Medium 9781622500314

Miranda Rights: You Have the Right to Remain Silent

Joanne Suter Saddleback Educational Publishing PDF

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Miranda Rights: You Have the Right to Remain Silent

The United States Constitution protects individual rights. The rights of people suspected of a crime, however, have sometimes been violated. In the

1960s, the United States Supreme Court decided to clearly define the rights of crime suspects. They studied many cases.

Among the cases that the Court reviewed was that of Ernesto Miranda.

When the police arrested Miranda, they questioned him until he confessed. His conviction was based on that confession of guilt. No attorney had been present during the questioning. No one had advised

Ernesto Miranda of his rights.

In 1966, Chief Justice Earl Warren announced that the Supreme Court was reversing Miranda’s conviction. They also reversed the convictions of four other prisoners. Justice Warren said that a confession could be called voluntary only if suspects were advised of and understood their rights. According to the

Fifth Amendment, a person cannot be forced to speak against himself or herself.

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