Winnicott
These include falling forever, disintegration, depersonalization, and disorientation
What are “unthinkable anxieties?” Or primitive and archaic anxieties that are the result of environmental failure and that ideally will not be experienced by the infant until they are capable of self-care.
Margot Waddell describes this early childhood experience as the prototype for loss.
What is weaning?
To help patients feel their experience more vividly, Civitarese and Ferro recommend co-creating these figurative descriptions and then checking whether they “resonate.”
What are metaphors?
The 2 other tabs in the Patient Tracker your patients line of info may have been moved to if they are not in the Assignments/Waitlist tab.
What are the In Treatment tab and No longer Interested/Unfit tab?
The period of childhood where a child experiences multiplying skills, amassing information, feeling both worried and stimulated by the challenges of the outside world, and having a tendency to "order," sexual impulses are less engaged with, and "learning about" mode is dominant.
What is latency?
A marker of health in object relations, this capacity allows simultaneous love and hate for the same person and is a key outcome of successful disillusionment.
What is ambivalence?
Bion named this important maternal function to describe how a caregiver takes in the baby’s projected terror, digests it, and returns it in a form the infant can bear and begin to think about.
What is containment?
Instead of a one-person model, Civitarese and Ferro describe this shared emotional and symbolic space, co-created by analyst and patient, in which stories, dreams, and enactments unfold.
What is the “analytic field?”
How much time you have to contact a newly assigned patient.
What is 24-48 hours?
This defense is used in latency to manage unconscious infantile impulses, like the wish to wet and soil or bite and spit.
What is reaction formation? For example, becoming preoccupied with cleanliness as a reaction against the wish to make messes by wetting or soiling.
Winnicott defines this process as a loss of idealization that happens when an object fails to perform its function, leading to upsetting and intense feelings of hate.
What is trauma?
Waddell suggests that analysis can function as a “second chance” at weaning by providing this missing developmental experience.
What is therapeutic containment or reverie?
According to Pauley, therapists’ avoidance of discussing fees with patients can be rooted in this.
What is therapists’ efforts to deny our dependence on our patients for survival.
The minimum amount of times to reach out to a newly assigned patient.
What is 3 times?
These are gathered during latency to defend against real thinking, intimacy, and emotional reality.
What are ideas and information?
In treatment, trauma may reappear not as memory, but as this kind of experience in the analytic relationship.
What is reenactment?
This can happen when separation is too abrupt; the infant will defend against pain by shutting down emotionally rather than symbolizing the loss.
What is emotional anesthesia or psychic withdrawal?
According to Pauley, therapists who undercharge their patients out of fear of appearing greedy may risk this.
What is not helping patients develop healthy self-assertion in their lives.
What do the following events have in common?
- A client wants to take a break for 3 or more weeks.
- You are going on vacation.
- You know what day is your last day with VCCC.
- Your client wants to be transferred to another therapist.
- When a client is terminating.
They all require an email to the Admin Team.
For Bion, one needs this in order to learn.
What is the capacity to have an emotional experience, one that can be meaningful.
This developmental achievement depends on the analyst’s survival of the patient’s attacks without retaliation or collapse.
What is object use or use of an object?
In early development, the baby manages intolerable feelings by expelling them into the object and then integrating a transformed version from the caregiver. These two processes are fundamental to how the internal world develops.
What are projection and introjection?
According to Berger, we can become overidentified with patients equating of money with this.
What is safety? Which causes us to collude with patients who see the fee as a threat to their safety.
The amount of weekly patient hours you should have in your roster?
What is 10 hours?
- Relinquishing denigrated and idealized versions of the self, other people, and relationships in favor of the real.
- Sorting out if dreams, choices and hopes have come from within the self or been imposed upon the self from outside.
- Tolerating choosing (which means letting some opportunities go / deciding not to take some roads).
What are the tasks involved in becoming oneself?