RESUMO
The work of a COPE study group on boundary violations is summarized, with particular focus on the impact on institutes and societies of sexual misconduct by training analysts. Difficulties in evaluating such situations are discussed, and the dynamics of institutional avoidance explicated. In addition, psychodynamic themes that are commonly observed in analysts who engage in sexual boundary violations with their patients are elaborated. Finally, suggestions are made for managing, through existing mechanisms, instances of boundary violations by training analysts.
Assuntos
Confidencialidade , Má Conduta Profissional , Psicanálise/normas , Terapia Psicanalítica/normas , Comissão de Ética/organização & administração , Ética Profissional , Feminino , Humanos , Masculino , Psicanálise/legislação & jurisprudência , Terapia Psicanalítica/educação , Estados UnidosRESUMO
As the analyst makes the correct interpretations of resistance in the opening phase of an analysis, the patient begins to feel understood, often for the first time. This feeling allays anxiety and depressive affects, and the patient comes to experience the analyst as a soother. These initial exchanges may lay the foundation for a positive transference which acts as a buffer against turbulent transferences. In some patients this positive transference develops rapidly, often with prompt symptom remission. In others--children as well as adults--the analyst must persistently interpret defensive regressions before a stable, positive transference can emerge. In either case, in order to avoid the analysis of conflict, some patients become resistant to the analysis of the wish to be soothed. Many of these patients have had a childhood filled with traumatic parental stimulation or rejection. Two clinical accounts illustrate these contentions.
Assuntos
Mecanismos de Defesa , Interpretação Psicanalítica , Terapia Psicanalítica/métodos , Transferência Psicológica , Adulto , Criança , Negação em Psicologia , Depressão/psicologia , Humanos , Masculino , Relações Médico-Paciente , Regressão Psicológica , Repressão PsicológicaRESUMO
Hartmann's monograph was one of four works which produced a major revision of psychoanalytic theory. Following a brief summary of the monograph, this essay assesses its impact on contemporary psychoanalytic thinking. It considers some confusions about and revisions of Hartmann's ideas and explores terrain first broached in this work which has become very influential but which has not yet been fully exploited. Lastly, this essay will consider Hartmann's hope that psychoanalysis would become a general psychology.
