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Record identifier : 567420
Personal Name - Primary Intelectual Responsibility : Powell, Lora
Title and statement of responsibility : A thin line between love and hate: An exploration of countertransference in psychoanalytic psychotherapy with children and adolescents served in a community clinic [Thesis]
Publication, Distribution,Etc. : The Wright Institute, 2005
Language of the Item : eng
Dissertation of thesis details and type of degree : Psy.D
Body granting the degree : , The Wright Institute
Summary or Abstract : The author asks: "Is effective dynamic psychotherapy possible with difficult and disturbed young people in an outpatient community clinic setting? Can the setting be an asset to psychotherapy facilitating the resumption of development, good relationships, enhance creativity and reduce troublesome symptoms?" To answers these questions, the author calls upon her experience working at a community clinic with children, most of whom experienced the trauma of deprivation, severe abuse, neglect, and multiple losses. Many of these children came from generations of poverty and substance abuse. Some could not play spontaneously and had developmental delays; others experienced disorganizing anxiety, regression, and explosive rage. The author finds that psychotherapy can reach a child whose diagnosis falls somewhere on the spectrum from autistic to borderline with psychotic features. Psychotherapists note that children evoke intense countertransference in the therapist. This intensity can increase with child patients who lack sufficient ego strength and who may never have experienced a "good enough holding environment." Some of these children communicate with their therapists primarily through projective identification and cope with anxiety by using primitive defense mechanisms. It is essential for the child therapist to understand the child's transference and to manage and observe her countertransference. While the therapist functions as the "container/contained" for the child patient, what does the therapist need in order to be able to think about, to understand, and to metabolize these frightening and intense deposits? Two fictional composite cases based on the author's six years of clinical experience at a community clinic in an urban area of the United States explore this question. The author expands the concept of the "holding environment" to include the matrix of the clinic itself which provides a containing function for the therapist's difficult countertransference feelings. A relational perspective of child psychotherapy combined with the interactions of the child patient and her therapist with the clinic's containing function, form a model for effective dynamic psychotherapy with difficult children at an outpatient community clinic..
Topical Name Used as Subject : Psychotherapy
Information of biblio record : TL
 
 
 
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