ABSTRACT
Proven effective and widely practiced during the COVID-19 pandemic, online psychotherapy is today a fundamental tool in the toolbox of the psychoanalyst and the psychotherapist: to be studied in depth in its possible indications and counter-indications and to be included in the training programs of our training schools. Our thesis is that it does not represent a risk, but rather the stimulus to progress for our discipline. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (French) La psychotherapie en ligne s'est averee efficace et largement pratiquee pendant la pandemie de COVID-19 est aujourd'hui un outil fondamental dans la boite a outils du psychanalyste et du psychotherapeute: a etudier en profondeur dans ses eventuelles indications et contre-indications et a integrer dans les programmes de formation des nos ecoles de formation. Notre these est qu'elle ne represente pas un risque, mais plutot une incitation a progresser pour notre discipline. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (German) Die Online-Psychotherapie, die sich wahrend der COVID-19-Pandemie als wirksam erwiesen hat und weithin praktiziert wurde, ist heute ein grundlegendes Instrument im Werkzeugkasten des Psychoanalytikers und des Psychotherapeuten: eines, das vertieft in seinen moglichen Indikationen und Kontraindikationen untersucht und in die Ausbildungsprogramme unserer Ausbildungsstatten integriert werden muss. Unsere These ist, dass sie kein Risiko, sondern vielmehr Ansporn zum Fortschritt fur unsere Disziplin darstellt. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Italian) Dimostratasi efficace e largamente praticata durante la pandemia da COVID-19 la psicoterapia online e oggi uno strumento fondamentale nella cassetta degli attrezzi dello psicoanalista e dello psicoterapeuta: da studiare in modo approfondito nelle sue possibili indicazioni e contro-indicazioni e da inserire nei programmi di formazione delle nostre scuole di formazione. La nostra tesi e che non rappresenti un rischio, ma anzi lo stimolo al progresso per la nostra disciplina. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Spanish) La psicoterapia online demostro ser efectiva y ampliamente practicada durante la pandemia de COVID-19 y es hoy una herramienta fundamental en la caja de herramientas del psicoanalista y psicoterapeuta que merece ser profundizada en sus posibles indicaciones y contraindicaciones e incluida en los programas de formacion de nuestras escuelas de formacion. Nuestra tesis es que no representa un riesgo, sino un estimulo de progreso para nuestra disciplina. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
In response to the papers in this issue by Schoen, Petrucelli and Sands, the author takes up their themes of theorizing and working clinically with embodiment by way of a string of associations: first to a documentary film by performance artist, K8 Hardy, and then to a quote by French psychoanalyst Didier Anzieu. The author then uses these associations, inspired by the three papers, to pose questions about how we might expand our thinking and practice around embodiment to include the virtual, providing examples from her clinical practice. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
The article offers a reflection on the experience of the Marches Group of the Italian Society of Psychoanalytical Psychotherapy for Children, Adolescents and Couples during lockdown. Group members were able to share their thoughts from a distance during the emergency created by Covid-19 and this experience also continued subsequently. The group proved to be an important resource during this difficult period as it allowed members' minds to continue thinking while the world had come to a halt. The article dwells on a clinical case that was shared during the group's evening meetings. The protagonist was a girl in the latency period, whose symptoms arose during the Covid emergency. The group acted as a container and fostered thoughts and associations that supported the psychotherapist in this clinical experience. The group sharing was equally important for helping members to leave the protective shell of their homes when everything got going again. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Italian) La riflessione che proponiamo si articola sull'esperienza del gruppo Asne-Sipsia Marche nel corso del lockdown. Durante Femergenza da Covid 19 abbiamo potuto condividere pensieri da remoto, esperienza che e continuata anche successivamente. Il gruppo si e rivelato una risorsa importante in questo periodo difficile, permettendo alle nostre menti di continuare a pensare, mentre il mondo si era fermato. In questo lavoro ci soffermiamo su un caso clinico, condiviso nelle nostre serate, che ha come protagonista una bambina in eta di latenza la cui sintomatologia si inserisce nella cornice delFemergenza Covid. Il gruppo ha svolto la funzione di contenitore e ha favorito pensieri e associazioni che hanno sostenuto la psicoterapia in questa esperienza clinica. La condivisione e stata altrettanto importante per Fuscita dal guscio protettivo delle nostre case, al momento della ripartenza. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
This book brings together leading international psychoanalysts to discuss what psychoanalysis can offer to people who have experienced trauma, flight, and migration. The four parts of the book cover several elements of this work, including psychoanalytic projects beyond the couch, and collaboration with the UN. Each chapter presents an example of the applications of psychoanalysis with a specific group or in a particular context, from working with refugees in China to understanding the experiences of women who have witnessed political violence in Peru. Trauma, flight, and migration have become signatures of our time. Towards the end of 2021 there were 82.4 million migrants and refugees seeking asylum from their countries of origin in countries far away from war, civil unrest, and economic turmoil. Migrants and refugees often suffer from mental health problems, having experienced crises caused by dislocation from their homes, with a loss of all that is familiar. The COVID-19 pandemic has changed our world in a previously unimaginable way within a very short time. The COVID-19 pandemic has increased social injustice: the gap between the privileged and the underprivileged, the rich and the poor, has widened. Many of the psychoanalysts who have written chapters for this book will address the profound experience of limitation and loss in the face of pervasive structural violence in the 21st century. The book reveals the thinking and work of a small group of the many psychoanalysts who are currently working in the humanitarian field. The innovative book will be essential reading for psychoanalysts and psychoanalytic psychotherapists looking to learn more about working with people who have experienced the impact of traumatic movement or migration. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
The intervation proposed by the Febrapsi Psychoanalytic Observatory (PO), a clinical-political writing device of psychoanalysts, is analyzed for the secondary elaboration of the events that produce the current malaise during the Coronavirus pandemic. The texts are written in the format of essays, authorial, reflective, and expressing the author's personal experience with the event. In the process, five times are identified: Time Zero, that of sociopolitical, cultural and institutional events that affect us;Time One follows, constituted by the elaboration of psychoanalysts, through essays, advancing then to the collective dialogic elaboration between peers, Time Two;then, there is the elaboration of the team of curators in the writing of editorials, Time Three;Time Four is characterized by the reader's access to these elaborations, through the social media used by the Observatory. It is concluded that the PO is an institutional way of extensive clinical practice. In the intervention vertex, the possibility of producing effects on the different subjects reached by the device. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Abstract (Portuguese) Analisa-se a intervengao proposta pelo Observatorio Psicanalitico Febrapsi (OP), estrategia clinico-politica de escrita de psicanalistas, para a elaboragao secundaria dos eventos que produzem o mal-estar atual ao longo da pandemia do Coronavirus. Os textos sao escritos no formato de ensaios, de carater autoral, reflexive, expressando a experiencia pessoal dos autores com o acontecimento. No processo, identificam-se cinco tempos: o Tempo Zero, aquele dos acontecimentos sociopoliticos, culturais e institucionais que nos afetam;segue-se o Tempo Um, constituido pela elaboragao dos psicanalistas, pormeio dos ensaios, avangando-se, entao, para a elaboragao coletiva dialogica entre os pares, considerado o Tempo Dois;em seguida, ocorre a elaboragao da equipe de curadores na escrita de editoriais, o Tempo Tres;o Tempo Quatro caracteriza-se pelo acesso do leitor a essas elaboragoes, por meio das mi'dias sociais utilizadas pelo Observatorio. Conclui-se que o OP e um modo institucional de exercicio de clinica extensa. No vertice de intervengao, vislumbra-se a possibilidade de produzir efeitos nos diferentes sujeitos alcangados por essa estrategia. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Abstract (Spanish) Se analiza la intervention propuesta por el Observatorio Psicoanalitico Febrapsi (OP), estrategia clinico-politica de escritura de psicoanalistas, para la elaboration secundaria de los eventos que producen el malestar actual durante la pandemia del Coronavirus. Los textos estan escritos en formato de ensayo, autoral, reflexivo y expresando la experiencia personal del autor con el evento. En el proceso se identifican cinco tiempos: el Tiempo Cero, el de los hechos sociopoliticos, culturales e institucionales que nos afectan;sigue el Tiempo Uno, constituido por la elaboration de psicoanalistas, a traves de ensayos, avanzando, entonces, a la elaboration dialogica colectiva entre pares, el Tiempo Dos;luego, esta la elaboration del equipo de curadores en la redaction de editoriales, Tempo Tres;Tempo Quatro se caracteriza por el acceso del lector a estas elaboraciones, a traves de las redes sociales que utiliza el Observatorio. Se concluye que la OP es una forma institutional de ejercer una practica clinica extensa. En el vertice de la intervencion se vislumbra la posibilidad de producir efectos sobre los diferentes sujetos alcanzados por esta estrategia. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
(Portuguese) Analisa-se a intervengao proposta pelo Observatorio Psicanalitico Febrapsi (OP), estrategia clinico-politica de escrita de psicanalistas, para a elaboragao secundaria dos eventos que produzem o mal-estar atual ao longo da pandemia do Coronavirus. Os textos sao escritos no formato de ensaios, de carater autoral, reflexive, expressando a experiencia pessoal dos autores com o acontecimento. No processo, identificam-se cinco tempos: o Tempo Zero, aquele dos acontecimentos sociopoliticos, culturais e institucionais que nos afetam;segue-se o Tempo Um, constituido pela elaboragao dos psicanalistas, pormeio dos ensaios, avangando-se, entao, para a elaboragao coletiva dialogica entre os pares, considerado o Tempo Dois;em seguida, ocorre a elaboragao da equipe de curadores na escrita de editoriais, o Tempo Tres;o Tempo Quatro caracteriza-se pelo acesso do leitor a essas elaboragoes, por meio das mi'dias sociais utilizadas pelo Observatorio. Conclui-se que o OP e um modo institucional de exercicio de clinica extensa. No vertice de intervengao, vislumbra-se a possibilidade de produzir efeitos nos diferentes sujeitos alcangados por essa estrategia. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) Se analiza la intervention propuesta por el Observatorio Psicoanalitico Febrapsi (OP), estrategia clinico-politica de escritura de psicoanalistas, para la elaboration secundaria de los eventos que producen el malestar actual durante la pandemia del Coronavirus. Los textos estan escritos en formato de ensayo, autoral, reflexivo y expresando la experiencia personal del autor con el evento. En el proceso se identifican cinco tiempos: el Tiempo Cero, el de los hechos sociopoliticos, culturales e institucionales que nos afectan;sigue el Tiempo Uno, constituido por la elaboration de psicoanalistas, a traves de ensayos, avanzando, entonces, a la elaboration dialogica colectiva entre pares, el Tiempo Dos;luego, esta la elaboration del equipo de curadores en la redaction de editoriales, Tempo Tres;Tempo Quatro se caracteriza por el acceso del lector a estas elaboraciones, a traves de las redes sociales que utiliza el Observatorio. Se concluye que la OP es una forma institutional de ejercer una practica clinica extensa. En el vertice de la intervencion se vislumbra la posibilidad de producir efectos sobre los diferentes sujetos alcanzados por esta estrategia. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
Background: Uncertainty is consubstantial with psychoanalytic practice, which is based on an openness to the unknown. The fundamental rule institutes the experience on which the treatment is based, and is, at the same time, the most appropriate methodological answer to the logics of infantile sexuality and the motor of its subjective appropriation. Objectives: To this fertile uncertainty, the author opposes an uncertainty based on vital dependancy that, on account of passionate bonding, tends to freeze the analytic process and threatens to destroy the cure. Therefore, it is a question of problematizing the regime of uncertainty proper to limit-experiences. This experience of "death struggle against death" is engaged when an apparently hopeless hold is exerted on a human being and dispossesses him/her "of an impersonal right to life" (N. Zaltzman, 1998). What resources does psychoanalytic practice have in such a context? Method: The author draws on both his clinical practice as a psychoanalyst and his work as a supervisor of teams confronted with situations of extreme precarity. Anthropological and artistic fields are also called upon to explore the logic of the limit-experience. The author examines the concept of the anarchist drive theorized by Nathalie Zaltzman: he proposes a critical re-examination while underlining its great value on the clinical level. In the wake of this questioning, the author questions psychoanalysis with regard to the environmental crisis, conceived of a limit-experience to come. Results: What resources does psychoanalysis possess in its struggles with limit-experiences? Clinical work in the anarchist regime secures the constitution of a singular resistance in the heart of the death zones. Its vocation is to psychically arm subjects with a capacity to enjoy existence in spite of everything, without sinking into psychosis, apathy, or alienation. Marked by a limit-experience (the Covid-19 crisis, for example), a psychoanalysis worked-through by the anarchist drive can, in return, undertake the work of re-examining of its foundations and of displacing its founding paradigms. Conclusion: This text questions the clinical and theoretical paradigm shifts required by a specific regime of uncertainty, that of the limit-experience. The clinical questioning is coupled with an anthropological questioning, against the background of the environmental crisis. This text constitutes a first approach and tries to lay down some milestones in the heart of a considerable construction site. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (French) Contexte: L'incertitude est consubstantielle de la pratique psychanalytique, fondee sur une ouverture a l'inconnu. La regle fondamentale en institue l'experience au fondement de la cure. Elle est tout a fois la reponse methodologique la plus ajustee aux logiques du sexuel infantile et le ressort privilegie de son appropriation subjective. Objectifs: L'auteur souhaite opposer a cette incertitude feconde une incertitude fondee sur une dependance vitale qui, sur fond de lien passionnel, tend a figer le processus analytique et vise la destruction de la cure. Partant, il s'agit de problematiser le regime d'incertitude propre a l'experience-limite. Cette experience de << lutte a mort contre la mort s'engage lorsqu'une emprise apparemment sans issue s'exerce sur un etre humain et le depossede << d'un droit impersonnel a la vie (N. Zaltzman, 1998). De quels ressorts la pratique psychanalytique dispose-t-elle dans un tel contexte ? Methode: L'auteur s'appuie a la fois sur une pratique clinique de psychanalyste et son travail de superviseur aupres d'equipes confrontees a des cliniques de la grande precarite. Les champs anthropologiques ou artistiques sont egalement convoques pour explorer les logiques de l'experience-limite. L'auteur met a l'etude le concept de pulsion anarchiste propose par Nathalie Zaltzman : il en propose un reexamen critique tout en soulignant sa grande valeur sur le plan clinique. A l'horizon de ce questionnement, l'auteur interroge la psychanalyse au regard de la crise environnementale, pensee comme experience-limite a venir. Resultats: Quelles sont les ressources d'une psychanalyse aux prises avec l'experience-limite ? Le travail clinique en regime anarchiste assure la constitution d'une resistance singuliere au coeur des zones de mort. Elle a vocation a armer psychiquement les sujets pour soutenir une capacite a jouir de l'existence malgre tout, sans sombrer dans la psychose, l'apathie, l'alienation. Traversee par l'experience-limite (la crise de la Covid-19, par exemple), une psychanalyse travaillee par la pulsion anarchiste peut, en retour, entreprendre un travail de reexamen de ses fondements et de deplacement de ses paradigmes fondateurs. Conclusion: Ce texte interroge les changements de paradigme cliniques et theoriques requis par un regime specifique d'incertitude, celui de l'experience-limite. Le questionnement clinique se double d'une interrogation anthropologique, sur fond de crise environnementale. Ce texte constitue une premiere approche et s'efforce de poser quelques jalons au coeur d'un chantier considerable. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
This work is a group reflection which resulted from the storm caused by the covid-19 pandemic. The turbulence at first brought the elective seminar. The Thought of Thomas Ogden, composed by the training analyst and participants of the Brazilian Psychoanalysis Society of Sao Paulo, to a relative standstill. The tremendous impact devastated our daily lives in a universal way. New configurations regarding the media, such as online platforms, were gradually created or re-invented amid the storms. In the specific case of this group, coping was gradually stimulated in a particular way by the training analyst's management and continence, by the group's motivation, and mainly by the ideas of the author Thomas Ogden, the central topic of the elective seminar. Countless chapters suggested by the training analyst kept on guiding and interlocking the group's affectional bonds between theory and technique. Each participant, in their singularity, had peculiar experiences and suffered from anxieties facing the new, due to the diversity of behavior reactions within the analytical field and in life, with the arrival of the pandemic. The objective of this paper is to show how the storm was crossed, and also to explain how the training analyst, metaphorically representing a compass, was able to, little by little, guide the group, and thus continue the seminar. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (French) Le present travail est une reflexion de groupe suite a la tempete provoquee par la pandemie de covid-19. La turbulence d'abord a fini par generer une relative paralysie dans le seminaire electif La Pensee de Thomas Ogden, compose par l'analyste didactique et les membres en formation de la Societe bresilienne de psychanalyse de Sao Paulo. L'impact, considere comme important a ravage notre vie quotidienne de maniere universelle. Au milieu des tempetes, de nouvelles configurations liees aux moyens de communication, telles que les plateformes en ligne, ont ete progressivement creees ou reinventees. Dans le cas specifique de ce groupe, la confrontation a graduellement ete suscitee, en particulier par la gestion et la maitrise de la coordinatrice, la motivation du groupe et principalement par les idees de l'auteur Thomas Ogden, theme central du seminaire electif. Une infinite d'articles, proposes par la coordinatrice, ont continue balisant et enchainant entre la theorie et la technique, les liens affectifs du groupe. Chaque composant, dans sa singularite, a vecu des experiences particulieres et des angoisses face a la nouveaute, en raison de la diversite de reactions comportementales, dans le cadre du champ analytique et dans la vie, eu egard a l'arrivee inattendue de la pandemie. L'objectif de ce travail, c'est de presenter la maniere dont s'est deroulee la traversee de la tempete et, egalement, d'elucider comment la coordinatrice, (representant metaphoriquement une boussole), a su, peu a peu, guider le groupe et donner suite au seminaire. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Portuguese) Este trabalho e uma reflexao grupal em decorrencia da tempestade ocasionada pela pandemia de covid-19. A turbulencia produziu inicialmente uma relativa paralisacao no seminario eletivo O Pensamento de Thomas Ogden, integrado pela analista didata e pelos membros em formacao na Sociedade Brasileira de Psicanalise de Sao Paulo. O impacto considerado vultoso assolou nosso cotidiano de forma universal. Novas configuracoes, relacionadas aos meios de comunicacao, foram paulatinamente sendo criadas ou reinventadas em meio a tempestade, como as plataformas online. No caso especifico desse grupo, o enfrentamento foi suscitado aos poucos, de maneira particular pelo manejo e continencia da coordenadora, pela motivacao grupal e principalmente pelas ideias do autor Thomas Ogden, tema central do seminario. Varios artigos propostos pela coordenadora seguiram balizando e entrosando, entre a teoria e a tecnica, os lacos afetivos do grupo. Cada componente, em sua singularidade, experienciou vivencias peculiares e angustias diante do novo, devido a diversidade de reacoes comportamentais, no ambito do campo analitico e na vida, com a chegada tao inesperada da pandemia. Os autores tem como objetivo apresentar a forma como foi realizada a travessia pela tempestade e tambem elucidar como a coordenadora (metaforicamente representando uma bussola) pode, aos poucos, nortear o grupo e dar sequencia ao seminario. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) El presente trabajo es una reflexion grupal debido a la tempestad ocasionada por la pandemia covid-19. En el seminario electivo El Pensamiento de Thomas Ogden, compuesto por la didacta y miembros en formacion por la Sociedad Brasilena de Psicoanalisis de Sao Paulo, la turbulencia genero una relativa paralizacion inicialmente. El impacto considerado vultuoso arraso de manera universal nuestro cotidiano. Nuevas configuraciones, relativas a los medios de comunicacion, fueron gradualmente siendo creadas o reinventadas en medio a las tempestades, como, por ejemplo, las plataformas online. En el caso especifico de este grupo, el enfrentamiento fue suscitado progresivamente de manera particular, por el manejo y control de la coordinadora, por la motivacion grupal y principalmente por las ideas del autor Thomas Ogden, tema central del seminario electivo. Infinidades de articulos propuestos por la coordinadora siguieron senalando el rumbo y articulando entre teoria y tecnica, los lazos afectivos del grupo. Cada integrante, en su singularidad, experimento vivencias peculiares y angustias delante de lo nuevo, debido a las diversidades de reacciones conductuales, en el ambito del campo analitico y en la vida, con la llegada tan inesperada de la pandemia. El trabajo tiene como objetivo presentar la forma como fue realizada la travesia de la tempestad y tambien elucidar en como la coordinadora, metaforicamente, representando una brujula, pudo poco a poco orientar el grupo y asi dar secuencia al seminario. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
The brutal announcement of the closure of all public places and the general lockdown declared by the French government on the evening of Saturday, March 14, 2020, as a response to the Covid-19 pandemic threw the population into anxiety, panic, isolation, disarray and (for some) panic, all overnight. This announcement marked not a transition but a break. Analysts and psychoanalysts found themselves in an unprecedented situation and had to find ways to continue their analytical work, despite this rupture imposed from outside, this collective trauma that has already created Post-Traumatic Stress Disorder (PTSD) in some and will keep on doing so. Shock waves from this trauma are likely to be felt for a shorter or longer period of time. The collective trauma that the explosion of the AZF factory represented for the city of Toulouse in 2001 manifested itself in my clinic for several years. The real happens without warning and devastates the fragments of humanity that its sweeps away along its path. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
If I had to name the task that the coronavirus entrusts us with, I would use the ancient Latin expression vitam instituere. Without retracing its history-it is a passage from Demosthenes, quoted by the Roman jurist Marcianus in the Digest-we may focus on its most current meaning. At a time when human life appears to be threatened and overpowered by death, our common effort can only be that of 'establishing' it again and again. What else, after all, is life if not this continuous 'establishment', the capacity to create ever new meanings. It is in this sense that Hannah Arendt, and before her Augustine, said that we, mankind, constitute a beginning because our first action is to come into the world, starting something that was not before. This first beginning was followed by another, a further founding act, constituted by language-the French psychoanalyst Pierre Legendre called it a second birth. It is from this birth that the city and political life originate, providing biological life with a historical horizon. This horizon is not in contrast with the world of nature, rather it traverses it in all its extension. The space of logos, and then of nomos, however autonomous in its wealth of configurations, has never become separate from that of bios. On the contrary, their relationship has become increasingly closer, to the point it is impossible to talk about politics by removing it from the sphere in which life is generated. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
Applied behavior analysis (ABA) is recognized as a medically necessary treatment for individuals with autism spectrum disorder (Association of Professional Behavior Analysts, 2020). The use of telehealth to deliver ABA-based services has been on the rise over the past decade, yet during the initial COVID-19 stay home orders of March 2020, there was limited research on telehealth implementation guidelines for providers. A convergent mixed-methods research design was used to examine the experiences of ABA-based service providers as they delivered services via telehealth to individuals with developmental disabilities and their families during the initial months of that transition. Most survey respondents had less than 3 months experience delivering ABA-based services via telehealth. Findings from the survey revealed themes related to telehealth service delivery experiences. Notably, ABA-based service providers' decision-making process for transitioning to telehealth, telehealth service delivery practices that were adopted and reported by respondents, and professional development experiences related to telehealth. Implication for research and practice are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
In Global Perspectives, we bring you interviews with psychoanalysts from around the world in an effort to explore the influence of culture on training, theory development, and adherence to clinical technique and psychoanalytic practice in general. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
This elaborate is inspired by the observation of some interactions among the psychoanalyst and the patient in the actual historic frame, in which the interruption of the canonic setting, the passage to remote therapy and especially the appearance of feelings of the psychoanalyst symmetric to the ones of the patient in the relational field (the fear, the difficulty in handling the unknown), have lead to the opportunity for the patient to offer any kind of help to the psychoanalyst himself. These actions, despite carrying the risk of an acting, are instead elaborated and comprehended as indicators of a precious emancipative moment, which leads the patient to experiencing himself as capable of offering empathetically something valid, and the analyst as someone closer and more reachable, establishing the beginning of a phase of elaboration on a possible conclusion of the analysis. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (French) Ce travail sort de l'observation de certaines interactions entre analyste et patient dans un moment historique-l'actuel-ou la situation d'interruption des formes canoniques du setting, et le passage a la teletherapie, et surtout la presence dans le champ relationnel de sentiments de l'analyste symetriques a ceux du patient (la peur, le sentiment de difficulte a gerer l'inconnu), ont cree l'opportunite pour le patient d'offrir une forme d'aide a l'analyste luimeme. Ces passages, tout en se placant a la frontiere d'un risque en direction d'un passage a l'acte, sont au contraire elabores et compris comme les indicateurs d'un moment emancipateur precieux, qui conduira le patient a s'eprouver comme capable d'offrir avec empathie quelque chose de valable, et l'analyste a s'experimenter comme plus accessible et plus proche, marquant le debut d'une phase d'elaboration de la possible conclusion de l'analyse. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (German) Die Arbeit geht von der Beobachtung einiger Interaktionen zwischen Analytiker und Patient in einem historischen Moment-dem aktuellen-aus, in denen die Situation der Unterbrechung der kanonischen Formen des Settings und das Ubergehen zur Therapie auf Distanz sowie insbesondere die Prasenz von zu denen des Patienten symmetrischen Gefuhlen des Analytikers im relationalen Feld (Angst, Gefuhl der Schwierigkeit, mit dem Unbekannten umzugehen) fur den Patienten die Moglichkeit geschaffen haben, dem Analytiker selbst eine Form von Hilfe zu bieten. Diese Ubergange werden, auch wenn sie sich an der Grenze des Risikos in Richtung eines Actings positionieren, stattdessen als Indikatoren fur einen wertvollen emanzipatorischen Moment ausgearbeitet und verstanden, das den Patienten dazu fuhrt, sich selbst als fahig zu erfahren, empathisch etwas Wertvolles anzubieten, sowie den Analytiker erreichbarer und naher zu erleben, und damit den Beginn einer Phase der Ausarbeitung des moglichen Abschlusses der Analyse markiert. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Portuguese) Questo lavoro prende spunto dall'osservazione di alcune interazioni tra analista e paziente in un momento storico-quello attuale-in cui la situazione di interruzione delle canoniche forme del setting ed il passaggio alla terapia in remoto, e soprattutto la presenza nel campo relazionale di sentimenti dell'analista simmetrici a quelli del paziente (la paura, il senso di difficolta a gestire l'ignoto), hanno creato per il paziente l'opportunita di porgere qualche forma di aiuto all'analista stesso. Questi passaggi, pur collocandosi sul confine di un rischio nella direzione di un acting, vengono invece elaborati e compresi come indicatori di un prezioso momento emancipativo, che portera il paziente a fare esperienza di se come capace di offrire empaticamente qualcosa di valido, ed esperienza dell'analista come piu raggiungibile e vicino, segnando l'inizio di una fase di elaborazione della possibile conclusione dell'analisi. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) Este trabajo se inspira en la observacion de algunas interacciones entre analista y paciente en un momento historico-el actual-en el que la situacion de interrupcion de las formas canonicas del encuadre y el paso a la terapia a distancia, y sobre todo la presencia en el campo relacional de sentimientos simetricos a los del paciente (miedo, la sensacion de dificultad para manejar lo desconocido), han creado la oportunidad para que el paciente ofrezca alguna forma de ayuda al analista mismo. Estos pasajes, si bien se situan en la frontera de un riesgo en la direccion de un acting, son mas bien elaborados y entendidos como indicadores de un precioso momento emancipador, que llevara al paciente a experimentarse a si mismo como capaz de ofrecer empaticamente algo valido, y a experimentar al analista como mas accesible y cercano, marcando el inicio de una fase de elaboracion de la posible conclusion del analisis. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
Psychoanalysis is a method of treatment applied through the establishment and maintenance of a structured setting, which enables for the development of the analytical process. In atypical times in face of the Covid-19 Pandemic, reflections on changing the setting and the consequences of online psychoanalysis are necessary. The intention of this study was to identify the experiences and perceptions of analysts about virtual analytical practice. To this end, a study was carried out to survey experiences with eight training analysts who are members of a Psychoanalytic Society affiliated to the International Psychoanalytical Association (IPA), by applying a questionnaire about their clinical experiences with online treatment. The findings suggest that virtual treatment is a workable tool, although it may present some challenges to the analytical practice. The challenges most pointed by the professionals were: instabilities of digital platforms, maintenance of the setting, absence of physical presence, difficulties with neutrality and with fluctuating attention. We warn for the need for more clinical and empirical studies on this subject, in order to understand deeply the potential benefits and/or possible challenges of this type of treatment, as well as possible indications and contraindications of these analyses. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Portuguese) A psicanalise e um metodo de tratamento aplicado mediante o estabelecimento e manutencao de um setting estruturado, que possibilite o desenvolvimento do processo analitico. Em tempos atipicos frente ao surto da Pandemia de Covid-19, reflexoes sobre a mudanca de setting e os desdobramentos do atendimento psicanalitico on-line tornam-se necessarias. O objetivo do presente estudo foi identificar as experiencias e percepcoes de analistas sobre a pratica analitica virtual. Para isso, foi realizado um estudo de levantamento de experiencias com oito analistas didatas membros de uma Sociedade Psicanalitica filiada a International Psychoanalytical Association (IPA), mediante a aplicacao de um questionario sobre suas experiencias clinicas com o atendimento on-line. Os achados sugerem que a modalidade de atendimento a distancia e considerada uma ferramenta de trabalho possivel, embora possa apresentar alguns desafios a pratica analitica. Os desafios mais evidenciados pelos profissionais foram: instabilidades das plataformas digitais, manutencao do setting, ausencia da presenca fisica, dificuldades com a neutralidade e com a atencao flutuante. Alerta-se para a necessidade de mais estudos clinicos e empiricos sobre tal tematica, a fim de que se possa compreender profundamente os potenciais beneficios e/ou eventuais desafios dessa modalidade de atendimento, assim como possiveis indicacoes e contraindicacoes destas analises. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) El psicoanalisis es un metodo de tratamiento que se aplica a traves del establecimiento y mantenimiento de um setting estructurado, que permite el desarrollo del proceso analitico. En epocas atipicas ante la pandemia de Covid-19, son necesarias reflexiones sobre el cambio de setting y las consecuencias del tratamento psicoanalitico online. El objetivo del presente estudio fue identificar las experiencias y percepciones de los analistas sobre la practica analitica virtual. Para ello, se realize un estudio de encuesta de experiencias con ocho analistas didacticos miembros de una Sociedad Psicoanalitica afiliada a la Asociacion Psicoanalitica Internacional (IPA), mediante la aplicacion de un cuestionario sobre sus experiencias clinicas con el tratamiento online. Los resultados sugieren que la modalidad de tratamento a distancia se considera una posible herramienta de trabajo, aunque puede presentar algunos desafios para la practica analitica. Los desafios mas evidenciados por los profesionales fueron: inestabilidad de las plataformas digitales, mantenimiento del setting, ausencia de presencia fisica, dificultades con la neutralidad y con la atencion fluctuante. Advierte de la necesidad de realizar mas estudios clinicos y empiricos sobre este tema, con el fin de comprender profUndamente los potenciales beneficios y/o posibles desafios de este tipo de tratamiento, asi como las posibles indicaciones y contraindicaciones de estos analisis. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
The need for social isolation prompted psychoanalysts to think about ways to receive psychic distressed babies and their families. If online analysis with adults is considered challenging, how can the use of this technology in the parent-infant clinic be sustained? We present reflections from clinical vignettes, in the interface with impacts on technique and ethics. Faced with the need to ensure a preventive approach, we ask: How to preserve the setting, the analyst's interior framework, the field of language, the fine observation of what emanates from the baby and his/her parents? How to get in touch with the inner worlds of analyst, parents, and the baby, and use them online? Would the gaze continue to exercise the primordial function of summoning and appealing in the digital interface? By changing our view, we shift within the analytical setting, admitting the possibility of a new symbolic perspective, a new relationship with the technique, with us, with the other, with the knowing/not knowing. We bet on the digital interface in the parent-infant online clinic, provided the technical and ethical implications that should guide the clinical orientation are considered, above fads and emergency needs, but into psychic urgency. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Portuguese) A necessidade de isolamento social impulsionou psicanalistas a pensarem sobre formas de acolher bebes com sinais de sofrimento psiquico e suas familias. Se a analise on-line com adultos e considerada desafiante, como sustentar o uso dessa tecnologia na clinica pais-bebes? Apresentamos reflexoes sobre o uso da tecnologia a partir de vinhetas clinicas, na interface com impactos sobre a tecnica e a etica. Diante da necessidade de garantir um olhar de prevencao, questionamos: como preservar o setting, o enquadre interior do analista, o campo da linguagem, a observacao fina do que emana do bebe e de seus pais? Como entrar em contato com os mundos internos do analista, dos pais e do bebe, e utiliza-los no campo analitico on-line? Ao alterar o nosso olhar, fazemos um deslocamento dentro do setting analitico, admitindo a possibilidade de nova perspectiva simbolica, nova relacao com a tecnica, conosco, com o outro, com o saber/nao saber. Apostamos na "interface" digital na clinica pais e bebes on-line, desde que consideradas as implicacoes tecnicas e eticas que devem pautar a orientacao clinica, acima de modismos e necessidades emergenciais, mas na urgencia psiquica. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) La necesidad de aislamiento social impulse a los psicoanalistas a pensar formas de acoger a los bebes con signos de angustia psiquica y sus familias. Si el analisis en linea con adultos se considera un desafio, zetacomo se puede sostener el uso de esta tecnologia en la clinica para padres y bebes? Presentamos reflexiones con vinetas clinicas, en la interfaz con impactos en la tecnica y etica. Ante la necesidad de asegurar una mirada preventiva, preguntamos: zetacomo preservar el setting, el marco interno del analista, el campo del lenguaje, la fina observacion de lo que emana del bebe y sus padres? zetaComo entrar en contacto con los mundos internes del analista, de los padres y del bebe, y utilizarlos en el campo analitico en linea? (.Seguiria la mirada ejerciendo la funcion primordial de convocar y apelar en la interfaz digital? Al cambiar nuestra mirada, nos desplazamos dentro del setting analitico, admitiendo la posibilidad de nueva perspectiva simbolica, nueva relacion con la tecnica, con nosotros, con el otro, con saber/no saber. Apostamos por la interfaz digital en la clinica de padres y bebes en linea, siempre que se consideren las implicaciones tecnicas y eticas que deben guiar la orientacion clinica, por encima de modas y necesidades de emergencia, pero en urgencia psiquica. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
The author presents her reactions to the impact caused by the Covid-19 pandemic on her work environment - the psychoanalytic office. In March 2020 she was forced to start working on-line with all her patients. The modifications that Covid-19 has imposed on her way of working are presented. The text is about the anxieties, technical modifications in the on-line setting, the gains, and learnings that this change provided. It is an account of the personal experience of the year from March 2020 to April 2021, of online work started abruptly due to the installation of the pandemic situation. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Portuguese) A autora apresenta suas reacoes ao impacto provocado pela pandemia da Covid-19 em seu ambiente de trabalho-o consultorio psicanalitico. Em marco de 2020, foi obrigada a comecar a trabalhar on-line com todos os seus pacientes. Sao apresentadas as modificacoes que a Covid-19 impos em sua maneira de trabalhar. O texto aborda as angustias, as modificacoes tecnicas no setting on-line, os ganhos e os aprendizados proporcionados por essa mudanca. E um relato da experiencia pessoal vivida entre marco de 2020 e abril de 2021, de trabalho on-line iniciado abruptamente devido a instalacao da situacao pandemica (AU). (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) La autora presenta sus reacciones al impacto que provoco la pandemia Covid-19 en su entorno laboral-la oficina psicoanalitica. En marzo de 2020 se vio obligada a empezar a trabajar en lineacon todos sus pacientes. Se presentan las modificaciones que Covid-19 ha impuesto en su forma de trabajar. El texto trata sobre las ansiedades, modificaciones tecnicas en el setting en linea, los desarrollos y aprendizajes que este cambio proporciono. Es un relato de la experiencia personal del ano de marzo de 2020 a abril de 2021, de trabajos en linea que comenzaron abruptamente debido a la instalacion de la situacion pandemica. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
Considering the gradual return to the onsite sessions at her consulting room, the author ponders about the experience of exclusively holding online sessions for eighteen months, during the recent pandemic caused by Coronavirus. She tries to make sense of the repercussions on the psychoanalytical technique, particularly taking into account the fact that virtual sessions made treatment continuity possible, but in an external arrangement that is strikingly different form the usual, starting with patients becoming responsible for finding a suitable place to hold their sessions, thus inverting the traditional provision, that is, a private space provided by the analyst, one that is specially designed for psychoanalysis. Analyst/analysand roles, characterized by the use of the couch, have become diverse due to this change. Through clinical vignettes, the author starts acknowledging the possibility of making psychoanalysis, the psychoanalytical process happen in this "alternative" model. And she wonders which would be conditions to make this happen. The method's characteristic listening might be the most recognizable invariable. The search for turning latent into audible content, for giving meaning to the experience remained, as well the experience of intense emotions in this field. However, more inquiries remain to be considered, we are left with more questions than answers. What has also become clear is that the analytical method can indeed take place regardless of factual reality. Such confirmation imposes several considerations. The paper proposes that the study of practice vicissitudes in this other dimension, which is virtual, established through technology, in particular the questioning of enshrined principles as definers, may lead to the production of more knowledge and to the development of this discipline. Yet, this can only happen if we encourage ourselves to cast doubt on those enshrined principles. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Portuguese) A partir do retorno gradual ao atendimento presencial, no consultorio, a autora reflete sobre a experiencia de atendimento exclusivamente online acontecido ao longo de dezoito meses, durante a recente pandemia causada pelo coronavirus. Procura pensar as repercussoes na tecnica psicanalitica, especialmente levando em conta o fato de o atendimento virtual ter possibilitado a continuidade dos tratamentos, mas em um arranjo externo muito diferente do habitual. A comecar por ter o proprio paciente que ser responsavel por prover um espaco fisico para o acontecer das sessoes, invertendo a habitual oferta pelo analista de um espaco privado, especialmente planejado para a psicanalise. As posicoes analista/analisando, marcadas pelo uso do diva, ficaram diferentes, em funcao disto. Atraves de vinhetas clinicas, a autora vai reconhecendo a possibilidade de acontecer a psicanalise, o processo psicanalitico, nesse "outro" modelo. E se pergunta quais seriam as condicoes para isto. A escuta caracteristica do metodo talvez seja a invariante mais reconhecivel. A busca por tornar audivel o conteudo latente, por dar significado a experiencia seguiu acontecendo, assim como a vivencia de intensas emocoes no campo. Ficam muitas questoes a serem pensadas, mais questionamentos do que respostas. E uma confirmacao de o metodo analitico poder acontecer independentemente da realidade factual. O que impoe muitas reflexoes. O trabalho propoe que o estudo das vicissitudes da pratica nessa outra dimensao, virtual, estabelecida atraves da tecnologia, especialmente o questionamento de principios consagrados como determinantes, pode levar a producao de mais conhecimento e ao desenvolvimento de nossa disciplina. O que so acontecera se nos encorajarmos a por em duvida principios consagrados. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) Desde el regreso paulatino al atendimiento presencial, en el consultorio, la autora reflexiona sobre la experiencia de atendimiento exclusivamente en linea que tuvo lugar a lo largo de dieciocho meses, durante la reciente pandemia provocada por el Coronavirus. Busca pensar en las repercusiones en la tecnica psicoanalitica, sobre todo teniendo en cuenta que el servicio virtual ha permitido la continuidad de los tratamientos, pero en una disposition externa muy diferente a la habitual. Empezando por el propio paciente tener que responsabilizarse por proporcionar un espacio fisico para el acaecer de las sesiones, invirtiendo la oferta habitual del analista de un espacio privado, especialmente disenado para el psicoanalisis. Las posiciones de analista/analizando, marcadas por el uso del divan, se volvieron diferentes como resultado de esto. A traves de vinetas clinicas, la autora reconoce la posibilidad de que el psicoanalisis, el proceso psicoanalitico, tenga lugar en este "otro" modelo. Y se pregunta cuales serian las condiciones para esto. La escucha caracteristica del metodo es quizas la invariante mas reconocible. La busqueda por hacer audible el contenido latente y por dar sentido a la experiencia siguio ocurriendo, asi como la vivencia de intensas emociones en el campo. Quedaron muchas cuestiones en las que pensar, mas preguntas que respuestas. Y una confirmation de que el metodo analitico puede tener lugar independientemente de la realidad factica. Lo que requiere muchas reflexiones. El trabajo propone que el estudio de las vicisitudes de la practica en esta otra dimension, virtual, establecida a traves de la tecnologia, especialmente el cuestionamiento de los principios consagrados como determinantes, puede conducir a la produccion de mas conocimiento y al desarrollo de nuestra disciplina, lo que solo sucedera si nos animamos a cuestionar los principios consagrados establecidos. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
The outbreak in 2020 of the Covid-19 syndrome was a moment of upheaval in French society and profound transformations in professional spaces, psychoanalytic practice not escaping this trend. To cope with the effects of confinement, psychoanalysts have tried to artificially recreate the conditions of the sessions in attendance. However, the individual and collective analysis of the practical, theoretical and political consequences of such a choice has hardly been carried out. This article returns to these unthinkable principles based on the French and Brazilian cases. In particular, it insists on the place of the bodies present in transferential dynamics, and on the risks that the use of digital tools places on them, unbeknownst to analysts. © Martin Média.