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현대정신분석의개입기법
작성자  simonshin 작성일  2017.01.09 19:47 조회수 833 추천 0
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 공격적 충동 다루기  
첨부파일 : f1_20170109194733.pdf
 

과목: 현대정신분석의 개입 기법

주제: 공격적 충동 다루기

강사: 신현근 박사

내용: 강의안

교재: Spotnitz, H. (1976). Dealing with aggressive impulses. Psychopathology of preoedipal conditions (pp. 35-42).  Northvale, NJ: Jason Aronson, Inc.

 Dealing with Aggressive Impulses

1.       Preamble

1.1.    In the life equation of every human being, the aggressive drive is an x force (독립변수) whose value is determined by what he does with it.

1.2.    What an individual does with drive depends, in turn, on how his primary needs were met by the mother or other significant objects in his childhood experience.

1.3.    As Glover points out, aggressive impulses radically influence the mind from the beginning of the life and, besides contributing to normal development, “can be responsible for the most severe forms of mental breakdown.

1.4.    One of the reasons why play therapy and activity group therapy are commonly employed with children, and various educational, inspirational and counseling procedures with adults, is to secure the release of suppressed energy. These are among the generally recommended methods of stimulating emotional discharge and facilitating the formation of new release patterns.

1.5.    But the patient who has developed stubborn infantile defenses against the release of aggressive impulses may require something more fundamentally reconstructive than new opportunities and outlets for emotional release.

1.6.    Unless the actual patterns of the pathological behavior are resolved – that is mastered or outgrown – the pressure to revert to them may prove irresistible.

1.7.    That is why the preferred form of treatment for such a patient is intensive analytic psychotherapy with consistent interpretation and working through of the infantile defenses.

 

2.       The Therapeutic Impasse

2.1.    That is the sine qua non of for resolving the pattern: the bring to the consciousness of the original experience and the discharge of aggressive impulses in new feelings, thoughts and language.

2.2.    Can the release of his hate tensions be instigated in some other way or must treatment grind to a standstill?

 

3.       Joining and Reflecting Resistance

3.1.    Echoing Ego

3.1.1.The ego’s pattern of self-attack is highlighted through the echoing procedure.

3.1.2.However black the ego, the object never moves away. It dedicates itself to meeting the ego’s constant need for psychological closeness to an object, the kind of object that will stick with the ego through thick and thin. This is the crucial factor.

3.1.3.A similarly frustrating situation is created in treatment when object echoes the ego’s attacks upon self.

3.1.4.Sooner or later the psychological twin image which faithfully stands by and joins in the ego’s attack itself arouses sufficient resentment to reverse the flow of mobilized aggression from the ego to the object.

3.1.5.As it is repeatedly demonstrated that expressions of hostility do not drive the object away, the patient tends to discharge his aggression more and more freely in feelings and language.

3.1.6.The hateful situations in which the infantile defenses were structured and activated are recalled, and aggressive impulses are released in the form of emotionally crystallized and verbally discharged energy.

3.2.    The Case of Mr. A.

3.2.1.His attacks on his own ego were psychologically reflected to help him resolve the pathological response pattern and develop a healthier pattern of attacking the object without fear of losing it.

3.3.    Devaluating the Object

3.3.1.The therapist suggests that instead of being an omnipotent therapist, he is just like the patient – equally inadequate or equally in need of help. Since they are really brothers under the skin, he deserves to be attacked and will welcome it.

3.3.2.The therapist’s disillusioning attacks expose the ego to the frustrating experience of looking on while its cherished object is painfully devalued. But it is transformed into an object that can be attacked with relief and with impunity, so that it eventually receives the verbal attack it has been inviting.

 

3.4.    The Case of Betty

3.4.1.The process of object devaluation is usually set in train after the patient had acquired some feeling for the therapist as a external object.

 

3.5.    Conclusion

3.5.1.Psychological reflection is, rather a general approach which the therapist has to develop in his own way and assimilate comfortably to his own personality.

3.5.2.To be spontaneous and therapeutic, his responses must be motivated by genuine feeling for, and a sincere desire to help the patient.

 

 
 
 
 
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