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Medium 9781855759282

CHAPTER SIX: Adolescence: a transitory world

Karnac Books ePub

Adolescence: a transitory world

Kevin Healy

In this chapter, I explore adolescence as a transitory world, drawing upon psychoanalytic writings on adolescence and transience. The psychoanalytic and psychosocial principles underlying the treatment programme for adolescents at the Cassel Hospital are discussed. Consideration is also given to the impact on those who work and live with young people for whom this transitory period is a troublesome and distressing one. Clinical material is used to highlight the transitions of adolescence relating to identity, attachment, sexuality, and the inner phantasy lives of young people.

Adolescence and transitions

Adolescence is a time of transitions. The Oxford Reference Dictionary defines “transit” (from the Latin, transire, to go across) as a process of going, conveying, or being conveyed across, over, or through. “Transition” itself is defined as the process of changing from one state or subject to another. The adjective, “transitory” is defined as the quality of “not lasting or existing; only for a time”. This terminology is very relevant to the journey of adolescents from childhood to young adult life. Donald Winnicott, psychoanalyst and paediatrician, developed the concept of a transitional object in childhood (Winnicott, 1951). The transitional object helped the child move from a state of being dependent on another person in partial or incomplete ways, which he called “relating”, to a state of “using” others more fully, in line with emotionally known and experienced wishes and needs. In their journey through adolescence, young people may create individually or collectively a range of transitional objects to help them on this journey. I suggest that peer relationships, the first loves of adolescence, the culture of adolescence (whether music, art, or rebellion), and the use of legal or illegal substances are transitional objects that help on this emotional journey.

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Medium 9781855757134

CHAPTER SEVEN: Existential and experiential learning issues

Sunny Stout-Rostron Karnac Books ePub

In a nutshell, what leadership coaches offer their clients is independence. True independence means being free from the domination of one's unconscious needs and desires and being courageous enough to choose one's own destiny (Kets de Vries, 2006:272).

•  Freedom—an existential moment

•  What is existentialism?

-  Being versus doing

-  Existential dilemma: meaning and purpose

-  Four ultimate existential concerns

•  Existential themes at work

-  Management culture

-  The coach/client relationship

•  Coaching for meaning

-  Decision making

-  Past versus present versus future

•  Human systems

-  Relationships and systems

•  Using experience for learning

-  Discovering barriers to learning

•  In conclusion

•  Coach's library

In this chapter, we explore existential and experiential learning issues that confront the coach and client at every stage in their coaching conversation, as well as the impact of psychological research in these areas. The relationship between coach and client is crucial to the successful conclusion of whatever the coaching process is seeking to accomplish. The coach's intent is not always outcomes-based; it can also focus on learning, development, meaning and transformation. The complexity of these issues is often influenced by the three-way intervention between the organization, the client and the coach.

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Medium 9781782201540


Eigen, Michael Karnac Books PDF

EIGEN Book_Eigen5 correx 27/06/2014 15:32 Page 107


Jumping in*

an Niemira (JN):  Should we just jump in?


Michael Eigen (ME):  Yes.

JN:  What do you recall as most valuable about your training experience? Do you remember learning something that struck you as particularly important? Did anything strike you as unimportant?

And is there anything you’ve had to unlearn?

ME:  I had a lot of supervision and control work, yet the most important thing was being left alone to do what came out of me with patients. When I wasn’t interfered with too much, I could learn how to be with people.

I should make special mention of New Hope Guild, a private clinic in Brooklyn, New York, where I worked for many years. Not only did it give me a chance to become myself, but I met my wife there! Every week the head of the clinic, Sherman Schachter, had clinical meetings

* An interview that accompanied Jan Niemira’s book review of Flames From the

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Medium 9781782204619

Chapter 4: The Psychoanalytic Situation

Greenson, Ralph R. Karnac Books ePub

AFTER having discussed the analysis of resistance and transference, it would seem to be in order to take the psychoanalytic situation as our focal point. The analysis of the psychoanalytic situation offers us an opportunity to re-examine many of the procedures and processes we have already described from a different vantage point. By converging on the interrelationship of patient, analyst, and setting, we may gain additional insight into the unique power of the psychoanalytic situation as a therapeutic instrumentality. Furthermore, it may provide us with another occasion to clarify the complicated interactions among the three essential elements: patient, analyst, and setting. Although their relationship is an interconnected and interdependent one, it is advisable to explore separately each of the three components which constitute the psychoanalytic situation. We shall then ask ourselves: what does each contribute and how does each influence the psychoanalytic situation? (Stone's [1961] book on the subject is suggested as the most comprehensive reference source.)

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Medium 9781855752917

6. Women, creativity, and power

Beth J Seelig Karnac Books ePub

Elizabeth Lloyd Mayer

The intersecting import of the two cartoons reproduced on the next pages may, I think, show us, through the unique lens that women’s experience gives us, some interesting things about creativity and power at this particular moment in Western culture.

Certainly, there is still plenty to be learned about the general topic of women in relation to creativity and power as joined issues. But beyond that, I think careful attention to how we understand women as they interface with the dual phenomena of creativity and power may help us get a handle on something beyond gender, something important about our larger world and a cultural transition we are facing right now. That transition strikes me as a very exciting one. But it is one that—and this brings us back to the second of the two cartoons—will require some careful consideration if we are to know what has hit us.

One way of summing up our current transition might be to suggest that two crucial insights that psychoanalysis came up with at its inception are starting radically to penetrate the way our larger world is looking at all kinds of things—things ranging from the ways we are starting to understand the nature of material reality, to the nature of consciousness, to the nature of healing; from the world of physics to the world of philosophy. Ultimately, I think these new understandings are going to amount to what is popularly referred to as “a paradigm shift”. And, ultimately, I think they stand to alter our views of power and creativity in ways that may be illuminated by looking to women and the ways women experience living in our culture.

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Medium 9781782202738


Adams, Marie Karnac Books ePub

Frank and I walked around one another for the next few days. It wasn't that he was ignoring me, or that I was shutting him out, but rather that for the first time in our marriage we did not know how to speak to one another. We were both locked into our own turmoil, unsure how to find a way out. For the first time, too, I wondered if Frank regretted marrying me. It wasn't so much what he said, but rather what he didn't say, and the silence was like a boom call, resonating throughout the house whenever we were both at home, which was as little as possible. There were no more early cups of tea, instead I subsisted on coffee. I took to switching on BBC's Radio 4, to hear another voice in the kitchen, and we ducked into our individual studies for relief, emerging for breaks at alternate times. All weekend I listened for his footfall on the stairs or in the hallway, but it never stopped outside my door.

On the Monday, Frank went to Scotland for a few days to lecture and I was relieved. I did not have to lie beside him in bed, terrified that nightmare furies would give me away. I needn't have been afraid. Though I lay awake for hours, the little sleep I had was blessedly dreamless. Instead, the demon surfaced during the day, a hovering shadow that hurtled towards me at the squeak of a door opening or closing, or the sound of a car horn from the street below my office window. The bubble of translucent horror rose on the tail of a gust of wind as I walked by the pond at Clapham Common. I staggered towards one of the benches on the other side of the park to stop myself from fainting. This was exhaustion; no avoiding it now. By the time Frank came back from Glasgow I had a plan, in part helped by a phone call from my brother, Tom, in Canada. He'd joined the bandwagon, encouraging me to get away.

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Medium 9781855751989

CHAPTER ONE. Beyond the treatment contract: psychoanalytic work in the public mental hospital

Serge Frisch Karnac Books ePub

Theodor Cahn

The object of this chapter is to contribute some ideas and experience on the possible significance of psychoanalysis in the context of a psychiatric hospital having a general, public remit: what specific conditions for psychotherapeutic processes arise from the structures of such institutions? I should like to consider this problem from the point of view of a kind of applied psychoanalysis, as a “psychanalyste sans divan” (“psychoanalyst without a couch”: Racamier, 1970). At issue here are the principles of in-patient psychotherapy in a general psychiatric framework rather than a particular psychoanalytic setting or a technique. The question relates to a more fundamental, less differentiated level.

* * *

When a patient is admitted to a public psychiatric hospital, those involved usually have no choice: there is no contract between the patient and the team at the accepting institution (referred to hereafter as a “non-selective hospital”, or NSH). The aim of psychotherapy in the NSH is precisely to bring about (or to re-establish) this choice and capacity to contract—a primitive version of Freud’s principle: “Where id was, ego shall be/’ In terms of the rule that psychotherapy must begin with an agreement, this statement sounds paradoxical. This paradox constitutes grounds for retreating to the conventional view that, with isolated exceptions, psychotherapy is impossible in the NSH. To overcome the paradox, it is necessary to postulate a broadened concept of psychotherapy. However, the idea that there might be such a thing as a psychoana-lytically based in-patient psychotherapy beyond the treatment contract and that this might be capable of integration into the day-to-day practice of the NSH seems to be more a hope—a concrete Utopia—than a demonstrable fact. My experience as the head of a public mental hospital, with a catchment of some 250,000 inhabitants, providing general psychiatric services in Switzerland indicates that such an approach is feasible. That is the basis of my hope.

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Medium 9781855756526

CHAPTER FIVE: Uncomfortably numb

Sinclair, Michael Karnac Books ePub

Uncomfortably numb

“There are some people who live in a dream world, and there are some who face reality, and then there are those who turn one into the other.”

—Douglas H Everett

Consider what you would think if a friend or family member described the following to you:

‘I feel a bit weird: separate from the world like I am living in a dream or I am an actor watching my life play out on stage; sort of robot-like and my head feels like it is full of cotton-wool.’

Be honest: you would think they were nuts, right? To be fair, you would be forgiven for edging away nervously, and making a run for the nearest exit.

Now, have a look at the next scenario:

You are driving along a country road in your fancy Porsche going a zillion miles per hour and loving it. Suddenly, an unexpected tight corner appears; you slam on the brakes and thecar does a violent skid, spinning you around and then upside down. You find yourself upturned, in a ditch.

During the skid, you might have felt that everything was going around in slow motion, or felt a bit unreal or numb. When you got out of the car, you may feel a bit detached from everything or that your voice is coming from very far away. It is only later when you come back ‘to reality’ that you might notice that you’re bleeding or that your hands are shaking.

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Medium 9781910977088


Brafman, A.H. Editora Karnac ePub

O clínico geral da família nos pediu para ver esta menina de 12 anos, porque sua mãe descobrira que Berenice havia roubado dinheiro de sua bolsa e que também estava matando aulas na escola. A Sra. B estava muito perturbada e chorando quando falou com a secretária da clínica para marcar uma consulta. Ela sentia como se, de repente, houvesse sido aberto um enorme vácuo entre ela e Berenice: ela mencionou fazer perguntas à filha e não ter conseguido mais do que “um olhar vazio”. A Sra. B queria ver o médico o mais cedo possível e ficou aliviada quando a secretária lhe disse que uma hora no dia seguinte havia sido cancelada. A secretária comentou comigo que a Sra. B mostrava um grau de angústia que parecia algo desproporcional à sua descrição do comportamento de Berenice.

A Sra. B veio à entrevista não só com Berenice, mas também com seu marido. Minha impressão de Berenice era de uma menina de doze anos sem qualquer característica que chamasse atenção; bem vestida, de altura média e aparência bem agradável. A Sra. B estava extremamente tensa e o Sr. B parecia pouco à vontade, como se não entendesse bem o que poderia ser o propósito desse encontro comigo. Ambos haviam nascido e crescido na comunidade onde moravam agora e suas famílias se conheciam há décadas. O Sr. B trabalhava em construção de prédios e sua esposa fazia ocasionais limpezas domésticas. Eles tinham dois filhos mais jovens e ambos frisavam o quão comum e normal havia sido a vida da família - até a crise atual com Berenice romper a imagem de segurança do passar dos dias.

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Medium 9781782204053

Thursday, 29 January, 1903

Stein, Itzik Karnac Books ePub

As soon as alighted from the cab, he found Rashab wrapped up and ready to start the walk.

“How odd to meet you out here,” said Freud.

“Well, my daughter…son,” the rabbi corrected himself, “met the grandson of the person who is putting us up, Martin, and together they went to the association's library. Do you know him?”

Freud told himself that a good archaeologist knows that the search for relics from the past is more than a matter of luck. It requires scrupulous, patient, systematic, and methodical work. For example, the Swiss who discovered the ruins of Petra spent years searching for the city. To get there he used all kinds of tricks and cunning. He disguised himself as a tradesman, promised and perjured, tricked the tribal chiefs, who were convinced he was looking for the tomb of the priest Aaron and took him to the site where the capital of the Nabataean kingdom once stood. Just like that archaeologist, Freud told himself, who recently came across the ruins of the Knossos Palace in Crete, where King Minos ruled.

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Medium 9781780491127

Chapter Eight - Interpretation and Self-Transformation

Schermer, Victor L. Karnac Books ePub

Transformation of the self is the promise of psychoanalytic treatment, the ultimate therapeutic objective and justification for the time and financial and emotional investment involved. It strives to produce deep personality changes above and beyond relief from symptoms and psychological suffering.

Yet psychoanalysts are modest about the extent of the changes they produce. They typically do not promise the total realignments that sometimes result from religious conversion or enlightenment, or from life-transforming events and relationships. Rather, psychoanalysts maintain that a successful treatment alters the dynamics of the personality in small quantities that lead to improved functioning in life, love, and work. Whether even these claims are justified has, of course, been disputed by some, but there are sufficient research studies (e.g., Freedman, Hoffenberg, Vorus, & Frosch, 1999) and testimonies from both patients and analysts to support the idea that the rigors of psychoanalytic therapy are well worth it because of the transformational changes that occur, changes that not only relieve symptoms but improve overall functioning and reduce the likelihood of future symptomatology.

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Medium 9781782205197

Chapter Three - The Adult Attachment Interview: Information Processing and the Distinguishing Features of Preoccupied Attachment—Or: what has Attachment Theory Ever Done for Us?

Linda Cundy Karnac Books ePub


What has attachment theory ever done for us?

Steve Farnfield

This chapter looks at information processing in the preoccupied Type C attachment strategies, focusing on the speech patterns identified by work on the Adult Attachment Interview (AAI). In attachment terms, “information processing” refers to ways in which the mind processes information about external threat and sexual opportunity. Most of this processing goes on at an unconscious somatic level. The theory section outlines Bowlby's concept of defensive exclusion (the exclusion of information which, if it were brought to consciousness, would cause us to suffer) and the array of Type C strategies described by Crittenden's Dynamic Maturational Model (DMM) of attachment. This is followed by sections on information processing and memory systems, together with a few examples. The final section looks at therapeutic implications.

Introduction to Type C

Type C strategies are referred to in the literature by a number of terms such as anxious ambivalent, preoccupied, coercive, and obsessive. The distinguishing features are ambivalence about close relationships (Do you really want me? How do I know that you love me? Are you secretly planning to leave me?), together with intense displays of attachment-seeking behaviour that can take the form of excessive anger or demands for rescue. Whereas in the world of Type A, attachment behaviour is terminated too soon, in Type C it is extended longer than necessary. Rather than comfort and security, which allows attachment behaviour to be turned down, the person in Type C feels safest (in strategy) when they are actually engaged in a struggle. (Throughout this chapter, people are referred to as being in Type C. This is to avoid seeing the person in terms of the strategy.) This can reach the point where a solution to a relationship problem is actually perceived as threatening because, without the problem, there is no struggle and the subject feels invisible.

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Medium 9781855753068

CHAPTER FOUR: The psychotherapy relationship

Karnac Books ePub

Susie Orbach

There are so many ways of describing how psychotherapy works and the purpose of this book is, of course, to try to address particular facets of it. I shall restrict myself to a discussion of how entrenched ways of being that cause distress can change through the therapy relationship.

The aims, conventions, and experience of therapy makes for an encounter that creates the conditions for reflection, feeling, analysis, and experimentation to occur. Reflection, feeling, analysis, and experimentation lead to a reinscribing of experience in which the individual’s present feels made by, but not bound by history and in which her or his past is animated by new thoughts and understandings. Transformation of the individual’s subjective sense of self is the outcome of a successful therapy: the individual experiences her or himself as an actor in their own life who has the flexibility to respond in novel ways to the emotional demands upon her or himself.

Psychotherapy is a very personal human endeavour. What I mean by this is that unlike psychological treatments, which are essentially procedural such as CBT or phobia desensitization, psychotherapy involves the therapist and patient in a relationship with one another. The therapy relationship itself is akin to a human laboratory for the exploration of change and risk. Although there for the benefit of the patient, the therapy relationship also affects the therapist in often profound ways. It can make the most enormous demand on the therapist as well as delivering considerable emotional and intellectual satisfaction (Orbach, 1999).

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Medium 9780253355973

3. Tipping the Scales: Striving for Imbalance

Staci Newmahr Indiana University Press ePub

Striving for Imbalance

I stood facing him, trying to keep my abraded back from brushing against the rough concrete wall. I was exhausted. We'd been playing for a long time; it must have been at least two hours. I think he used just about every toy he owned. My legs were stiff. My arms ached from straining against the cuffs. I was depleted from the scene, ready to go home and crawl into bed.

He set his flogger on the table beside him. He moved close to me and stroked my hair.

“How ya doin'?” he asked softly.

“Good…,” I responded, “…sleepy.” I smiled and he laughed at me.

“What?” I asked, half-dazed.

Mimicking me, Adam smiled—a wide, spacey, extremely goofy grin.

“Here, let me get that,” he said, miming wiping drool from my chin.

I laughed. He laughed.

Then he hit me, open-handed, across my left cheek, probably about as hard as I had ever been hit. My face swung toward the wall.

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Medium 9781780490816

Chapter Sixteen - Jung and the Buddha: Dialogue with Jackie Van Roosmalen

Pozzi Monzo, Maria Karnac Books ePub

Dialogue with Jackie Van Roosmalen

Grant me the courage to change

that which can be changed

The strength to endure what cannot

be changed

And the wisdom to know the difference.

—Reinholt Niebuhr


Sinason, V. (2010). Mental Handicap and the Human Condition. London: Free Association Books.

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