By Judy Cooper
Psychoanalytic psychotherapists and psychoanalysts unavoidably locate themselves doing evaluate of their paintings, either in inner most perform and in a scientific environment comparable to the NHS. The authors felt a necessity for a booklet that covers this very important point in their paintings, which might be of profit either to scholars in education and to practitioners. among matters coated are the character of tests, the atmosphere, consultation, contraindications, and scientific examples. This identify includes the distilled knowledge of over 20 years adventure within the field. Read more...
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Extra resources for A guide to assessment for psychoanalytic psychotherapists
The greatest pitfall of analysis is an excesssive belief in our power to reconstitute the character and the best results are still generally to be obtained with those who, in Freud’s description, have a fairly reliable character to start with. [pp. 155–156] Some patients who seem to be unsuitable may have varying degrees of a healthy ego and these assets, rather than their pathology, may be the decisive factor (Greenson, 1967, p. 53). Trivial complaints, as well as wishes of family, friends, and lovers, is a contraindication.
Although severe somatic manifestations such as the “Chicago seven” (bronchial asthma, gastric ulcer, hypertension, rheumatoid arthritis, ulcerative colitis, neurodermatitis, and thyrotoxicosis) used to be considered to have no symbolic meaning so psychoanalysis was not indicated, today many can accept that these nonverbal “signiﬁers” can be used to understand early pathology and lead the way to more verbalized symbolic communication, such as dreams and fantasies, in the therapeutic treatment. Serious perversion may need a specialist clinic, such as the Portman.
Has he had any previous therapy, and how does he feel about the experience and the therapist? How is he responding to the assessor, in terms of the more conscious therapeutic alliance and the unconscious transference? What are his expectations of therapy; are they magical in terms of an instant solution, or more reality based? The cross-cultural context also needs consideration in both the assessment and possible referral. The same incident may be differently understood according to a patient’s cultural background; for example, a man and woman being alone together in a room, as may happen in psychotherapy, can be construed quite differently in different cultures.
A guide to assessment for psychoanalytic psychotherapists by Judy Cooper