Making a Difference in Patients' Lives: Emotional Experience in the Therapeutic SettingRoutledge, 24 апр. 2008 г. - Всего страниц: 336 Winner of the 2009 Gradiva Award for Outstanding Psychoanalytic Publication! Within the title of her book, Making a Difference in Patients' Lives, Sandra Buechler echoes the hope of all clinicians. But, she counters, experience soon convinces most of us that insight, on its own, is often not powerful enough to have a significant impact on how a life is actually lived. Many clinicians and therapists have turned toward emotional experience, within and outside the treatment setting, as a resource. How can the immense power of lived emotional experience be harnessed in the service of helping patients live richer, more satisfying lives? Most patients come into treatment because they are too anxious, or depressed, or don’t seem to feel alive enough. Something is wrong with what they feel, or don’t feel. Given that the emotions operate as a system, with the intensity of each affecting the level of all the others, it makes sense that it would be an emotional experience that would have enough power to change what we feel. But, ironically, the wider culture, and even psychoanalysts, seem to favor "solutions" that aim to mute emotionality, rather than relying on one emotion to modify another. We turn to pharmaceutical, cognitive, or behavioral change to make a difference in how life feels. Because we are afraid of emotional intensity, we cut off our most powerful source of regulation. In clear, jargon-free prose that utilizes both clinical vignettes and excerpts from poetry, art, and literature, Buechler explores how the power to feel can become the power to change. Through an active empathic engagement with the patient and an awareness of the healing potential inherent in each of our fundamental emotions, the clinician can make a substantial difference in the patient’s capacity to embrace life. |
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... feel the music before I hear the words. She tries to smile but it comes out lopsided, half of her mouth reaching upward but the rest failing to follow. Her tension has already begun to invade me as she tries to settle. Like a cat about ...
... feel caught red handed, as though I have committed the indiscretion. I feel I should have an answer, but, instead, my mind is absorbed in its calculations. Why are Anna's friend, husband, and analyst all so desperate to escape her? Now I ...
... feel (or pretend to feel) that I enter having no beliefs about human behavior in general, and about my own and Anna's patterns in particular. I want a theory that helps me move toward greater understanding of the clinical moment, not ...
... feeling more joy, and less locked in a continuous snit. But I prefer her snit to her depressive, shut down silence. Anna will, I feel, be better off when her emotions speak in softer and more varied tongues. Right now they know only a ...
... feel, and then enact it to entice them into playing out their role. Whatever might be the initial effect of such a performance, we would condemn ourselves to being fakes, from that point on, pretending to spontaneously react, but really ...
Содержание
Empathic Responses to Shame | |
Facing Painful Regret | |
Joy as a Universal Antidote | |
Grief | |
Empowering and Disorienting Anger | |
Nurturing the Capacity to Make a Difference | |
Thinking Analytically | |
Emotional Preparation for Practicing Psychoanalysis | |
Developing the Personal Strengths of a Psychoanalyst | |
Making a Difference | |
References | |
Index | |
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