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작성자  simonshin 작성일  2017.01.18 17:30 조회수 1173 추천 0
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 신현근 박사 강의안: 객관적 역전이와 주관적 역전이의 구별  
첨부파일 : f1_20170118173021.pdf
 

과목: 정서적 소통

주제: 객관적 역전이와 주관적 역전이의 구별

강사: 신현근 박사

내용: 강의안

교재: Geltner, P. (2013). Differentiating objective and subjective countertransference. Emotional communication: Countertransference analysis and the use of feeling in psychoanalytic technique (pp. 53-78). New York: Routledge.

 Differentiating Objective and Subjective Countertransference

 

1.      Definition

1.1.   The objective countertransference comprises the feelings that repeat a dynamic from the patient’s past.

1.1.1.      It is most usefully understood within the context of the patient’s life.

1.1.2.      It is primarily caused by the patient or, more precisely, by aspects of the patient’s transference.

1.2.   The subjective countertransference comprises the feelings that repeat dynamics from the analyst’s past but not from the patient’s life.

1.2.1.      It is most usefully understood within the context of the analyst’s life.

1.2.2.      It is primarily caused by the analyst’s idiosyncratic reactions to the patient.

1.3.   The feelings that are unique to the relationship with the patient are those feelings that are different from those experienced in the analyst’s other relationships (both personal and professional).

1.3.1.      They are most usefully understood in the context of current mutuality between the analyst and the patient.

1.3.2.      They are viewed as being caused by the patient and the analyst.

 

2.      Countertransference feelings – specific feelings and modes of relatedness

2.1.   A countertransference feeling, like all emotional moment, is characterized by three qualities: the specific feeling, the relational mode, and the intensity.

2.2.   Of the three, the specific feeling and intensity are usually the easiest qualities of the countertransference to identify.

2.3.   The relational mode is always more theoretical than the specific feeling.

2.4.   The specific feeling is the quality of the countertransference that most immediately colors the analyst’s experience.

 

3.      Clinical approach

3.1.   Identifying the countertransference

3.2.   Comparing the countertransference to the content of the sessions

3.2.1.      Searching for congruence between content and countertransference – a preliminary example

3.2.2.      Incongruence

3.2.3.      Understanding incongruent inductions

 

4.      Enactments

4.1.   In enactments, an interpersonal dynamic from the patient’s past is repeated in the current interaction between the patient and the analyst – not just on the level of feeling but in overt behavior.

4.2.   I do not find it helpful to distinguish between objective countertransference and enactments, and I use the term countertransference because it is more consistent with my overall theoretical framework.

4.3.   However, when the analyst expresses her feelings too floridly in behavior, she crosses the qualitative line separating countertransference/enactment from acting-out.

4.3.1.      The analyst is conscious of the meaning of her behavior in the context of the patient’s life, and she made no effort to modify her behavior to meet the patient’s analytic needs.

4.3.2.      She has decided not to make the effort,

4.3.3.      She grossly violates an important ethical standard of practice, such as having sex with the patient.

 

5.      Subjective countertransference feelings

5.1.   Subjective distortions and misinterpretation of objective inductions

5.2.   Intolerance of subjective or objective countertransference leading to errors in technique

5.3.   Subjective intolerance of the countertransference

5.4.   The effects of subjective countertransference on the treatment process

 

6.      Conclusion

6.1.   In order to find consistencies between the analyst’s feelings and the patterns within the story of the patient’s life, the analyst must be willing and able to allow herself to experience the full range of her feelings in relationship to the patient without regard to whether it appear to be important or trivial, professional or unprofessional, emphatic or malevolent.

6.1.1.      Only when she can experience all of her feelings, can she abstract the patterns that will elucidate the repetitions that constrict the patient’s life.

6.2.   The goal has been described by Spotnitz as the “freedom to function.”

6.2.1.      This is the state in which the analyst can acquire the freedom and strength to feel the full range of her feelings toward the patient while maintaining the ability to do the right thing – to see the transference and the countertransference clearly, to intervene with whatever techniques or emotional communications are required, and to not intervene when no intervention is necessary.

6.2.2.      While no analyst can possibly meet this goal all the time, it remains a practical point of reference and an admirable goal to attempt to achieve.

 

 
 
 
 
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