By Judy Cooper
Psychoanalytic psychotherapists and psychoanalysts necessarily locate themselves doing overview of their paintings, either in deepest perform and in a scientific environment equivalent to the NHS. The authors felt a necessity for a publication that covers this very important element in their paintings, which might be of profit either to scholars in education and to practitioners. among topics coated are the character of checks, the surroundings, consultation, contraindications, and medical examples. This name includes the distilled knowledge of over two decades adventure within the field. Read more...
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Additional info for A guide to assessment for psychoanalytic psychotherapists
Ego strength is also indicated by the patient’s ability to contain intense anxiety without having to resort to defensive manoeuvres such as eating disorders, alcoholism, drug addiction, or somatizing. We look at the patient’s expectations and whether these are realistic. It may well be that some patients can be educated into understanding the language and process of psychoanalysis. Even if they have been quite unused to thinking in this way, they can gradually become aware of their inner world and the power of the unconscious.
With some patients, it becomes apparent that transference manifestations are part of their story and these, together with our countertransference responses, facilitate the telling of their story. Mrs P arrived at her assessment consultation very early, which the therapist commented on. This led Mrs P to feel rejected and unwelcome, prompting her to recall her anguish at her mother’s early death. A transference interpretation can definitely be useful in an assessment consultation if one views it in part as a kind of mini session, giving a taste of work to come and helping with the assessment for suitability for treatment.
Serious perversion may need a specialist clinic, such as the Portman. These symptoms would not necessarily preclude us from referring such a patient, but, in these instances, more than ever, we cannot have any omnipotent therapeutic illusions. Flexibility is needed, and the assessor may decide to refer the patient to a therapist who works alongside a team (hospital, clinic, GP practice), and to be aware of the dangers of splitting and the need to contain this. 36 A GUIDE TO ASSESSMENT FOR PSYCHOANALYTIC PSYCHOTHERAPISTS Lucas, a psychoanalyst experienced with psychotic patients, in a lecture, emphasizes the importance of communication with a spouse, parents, or nurses of a psychotic patient, as they are the ones dealing with him.