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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... that I will expend whatever effort the work with someone requires. But sheer determination is not enough. What else is needed for a clinician to have a meaningful impact on her patients' lives? Making a Difference in Patients' Lives is ...
... empathy may radically differ. Thus, for example, one patient begins each session with a heavy, accusatory silence. To me it seems to express her insistence that I provide for her, rather than the other way around. If I wait for her to.
... that I am frustrated and not enraged helps me communicate with others and with myself, and to relate this moment with others I have known. Shame and, even more frequently, the fear of shame can present special problems in treatment (and ...
... that I have frequently suffered from a sensation of nausea during our sessions. Nausea is a highly unusual response for me. I felt quite uncomfortable about telling him this, anticipating awkwardness on both our parts. It felt as if I ...
... that I should not ignore them, but I can usefully add to them with a theory of the emotions as the primary motivational system for human beings. Seeing emotions as primary means to me that sexual and aggressive impulses express two of ...
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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