By Jeremy Holmes
This ebook builds a key clinical bridge among attachment conception and psychoanalysis, deploying Holmes' special means to weld empirical facts, psychoanalytic concept and consulting room adventure right into a coherent and convincing whole. ranging from the theory–practice hole in psychoanalytic psychotherapy, the e-book demonstrates how attachment concept may also help practitioners larger comprehend what they intuitively do within the consulting room, how this merits consumers, and informs evidence-based perform.
Divided into sections, conception and perform, Exploring in Security discusses the idea that of mentalising and considers 3 parts of potent remedy – the healing dating, which means making and alter advertising – from either attachment and psychoanalytic views. the second one a part of the e-book applies attachment thought to a few scientific occasions including:
- working with borderline clients
- suicide and planned self-harm
- sex and sexuality
- ending therapy.
Throughout the publication theoretical dialogue is vividly illustrated with medical fabric, own event and examples from literature and movie, making this an available but authoritative textual content for psychotherapy practitioners in any respect degrees, together with psychoanalysts, psychiatrists, scientific psychologists, psychological well-being nurses and counsellors.
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Additional info for Exploring in Security: Towards an Attachment-Informed Psychoanalytic Psychotherapy
E. the view that ‘the world’ is ﬁltered through a perspectival mind, which may be more or less accurate in its appreciation of reality. This classic experiment is usually seen as an illustration of the developmental aspect of cognition: how a child begins to understand that the world looks diﬀerent from diﬀerent points of view. But implicit in the study is also the idea of social relations. Armed with a theory of mind a child can begin to understand the part played by deception, possession, competition for 16 Principles resources (the ‘object’ is usually something desirable to eat) in social groups, and to know when these are playful and when ‘for real’.
For the latter there are two interacting subjectivities in interplay with one another, while for Bion the ‘(m)other’ is mainly a receptacle for the infant’s projections, and there is no clear interpersonal mutually mentalising space between. Third, for all its quasi-mathematical formulation, the Bion model is essentially a metaphor, explicitly derived from alimentation. Bion writes almost exclusively in terms of ‘breast/nipple’ and mouth. Much of the research underlying the Fonagy model focuses on observable facial and eye contact between mother and child and, more recently, on the ﬁndings of neuroimaging (Zeki 2008).
Mentalisation encourages therapists as well as patients to subject their ideas and feelings to constant scrutiny, in order to arrive at a greater approximation to the truth. ’. That stricture applies to theoretical predilections as much as it does to responses to our patients. If taken seriously, mentalisation-informed use of countertransference is decentring and postmodernistic. There are no ﬁxed theoretical reference points for the fully mentalising therapist, no certainty other than that the conviction that there can be no certainty – no ﬁxed point in a turning world, no ‘O’ (cf.