Thirds
According to Brodie, this is an essential inner third for therapists?
What is a sound theoretical foundation?
According to Brodie, transference is not a defense against memory but rather a defense against this.
A: What is grief?
This vital thing is felt to have been lost in traumatic events.
What is the protection of the good object?
What is NOT a technique Minnick suggests using in the early stages of treatment to introduce the patient to psychoanalytic treatment in his article The Art of Engaging a Patient in Treatment?
a. Introduce analytic type boundaries.
b. Assess for threats to the treatment in the form of potential crises.
c. Show a vigilance to anticipating negative transference reactions before a patient feels compelled to quit therapy.
d. Introduce the possibility that there are similarities between reactions to the outside world and reactions to the therapist.
b. Assess for threats to the treatment in the form of potential crises.
According to Brodie, in order for the therapist to function as a true psychological third, the third perspective must be this.
What is co-created by all parties?
Because it is not just a different perspective, but a new perspective, intersubjectively created.
According to Brodie, the issue of permanent object loss is what keeps us wary of too firm a commitment to this.
What is the depressive position?
“The 'depressive anxiety' stemming from either the potential for, or the reality of, permanent object loss keeps us forever under the seductive pull of the paranoid-schizoid position. In the paranoid-schizoid position we need never grieve because loss is always temporary.”
What painful emotion is avoided if chronic melancholia (an identification with the lost object) is the outcome after trauma?
What is guilt?
According to Searles, the patient’s illness represents an unconscious attempt to do this.
What is cure the therapist? Which is an extension of other relationships in which the patient’s essential psychotherapeutic strivings have been frustrated.
According to Britton, if the parental relationship is encountered before there is a securely based maternal object, a defensive structure is established internally--and problematic for all of these except:
a. capacity for enlarging a view of the maternal object
b. turning to the father as a replacement object
c. the possibility of being a witness of other relationships, not a participant
d. working through the depressive position
b: Without the development of 'triangular space', there is a continual insistence or search for an ideal object, while a very persecuting object hovers in a threatening way (whose presence is felt to destroy the good mother).
According to Symington, patient and therapist share unconscious knowledge of one another. As a result, the analyst must do THIS in order for the patient to be able to grow.
What is change their inner attitude?
Freud abandoned seduction theory as the explanation for the many stories of abuse he was encountering and instead shifted to a reliance on THIS concept to account for the subjective experience associated with interpreting events as traumatic.
What is psychic reality?
Jacques describes the manic pursuit of youthfulness in the midlife crisis as a retreat from psychic reality. What option best describes some of the risks of such a retreat?
a. Intellectual dishonesty, self-destructive behavior, paranoia.
b. Weakening moral fiber, loss of courage, paranoia.
c. Self-destructive behavior, loss of courage, increase in arrogance.
d. Self-effacing humility, increase in arrogance, intellectual dishonesty.
d. Self-effacing humility, increase in arrogance, intellectual dishonesty.
What is the difference between a moral third and the superego?
The moral third is an internalized whole object, like an internal moral philosopher with whom one can have a productive conversation about right and wrong.
According to Brodie, these are the two major things we need to grieve in our lives.
What are the people we have lost and those that we should have had, but didn’t and will never have?
"It was just an accident!"
In many accident-like situations, as psychoanalytic psychotherapists, we would deeply suspect which of these possibilities?
a. Turning a blind eye was unconsciously driven.
b. Evading awareness of those aspects of all of us that have a vested interest in making things go wrong.
c. Ordinary precautions are not taken as well as a tendency to project responsibility into others.
d. all of the above
c: This creates situations in which there is quite literally an accident waiting to happen. Errors and oversights have a sense and give expression to deeply unconscious destructive wishes.
Ackerman, in discussing disturbing counter-transferences, advises us to do THIS in order to be able to tolerate frightening experiences of not-knowing with patients.
What is to have a safe space of our own to return to, comprised of a mind or minds who give us a sense of containment?
A quality of non-consummation in life, learning difficulties, maintaining an idealized calm state could reflect another potential defensive structure which Britton called:
a. An illusional oedipal relationship
b. manic repair
c. splitting and projective identification
d. an avoidant personality disorder
a: Britton well describes the tragedy and profound consequences of not allowing things to come together in one's internal world.
According to Neville Symington, the analyst's inner act of freedom is useful in extracting from a 'corporate entity' that is shared with the patent. What part of Freud's tripartite model is first unconsciously shared or engaged with, and then freed from?
What is the SUPEREGO?
The ego to ego contact which the analyst's INNER act of freedom enables, brings growth due to the analyst's ego grasping slowly the shared illusions (formed by a fusion of superego involvement) which the work of analysis slowly undoes.
Working with a traumatized person involves absorbing the emotional states involved in the trauma, taken in through counter-transference. What issues (name one) that belong to the patient lengthens and complicates their treatment?
Those personality factors that originally led them into their high-risk activities.
OR
The fact that they now have to face their own complicity in the tragedy.
Dr. Gallay’s role play demonstrated what important technique in working with NEGATIVE transference.
a. Identifying a situation in the past that most strongly aligns with this current situation
b. Exploring anxieties that inhibit the patient’s expression of negative transference
c. Exploring the patient’s experiences with further details of the current session
d. Making an interpretation about what is being projected into the analyst
b and c. Recognize that ALL transference (unless someone is completely psychotic) must have some relationship with the actual situation.