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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... patient is idiosyncratic to that analyst. In other words, how I adjust to Patient A is partially a product of who I am. It may especially depend on my own history of experience with the patient's predominating emotions. This is a ...
... patient's fear of shame. I think its mutative effect often partially stems from the contrast between a patient silenced by the fear of shame and an analyst willing to be a “fool for love,” (Buechler, 2004) that is, willing to speak and ...
... patient feelings strong enough to have the power to heal. I think many treatment stalemates result from the patients' insistence on getting something that makes them feel substantially better, while the analyst can't or won't comply ...
... patient undergoes during psychoanalytic treatment, and which outweigh the effects of cognitive insight” (1961, p. xviii). He saw the corrective emotional experience in the treatment as the factor that allows the patient to alter the ...
... patient's affective organization” (p. 724). So, by not entering the patient's expected paradigm we are, once again, differing from the patients, as Alexander recommended. By deliberately providing a “safe and secure context,” and ...
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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