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T J Jacobs

Publications and source records attributed to T J Jacobs.

15 recordsLinked to original sources
PubMed2001

On misreading and misleading patients. Some reflections on communications, miscommunications and countertransference enactments.

This author focuses on an aspect of transference-countertransference interaction that enacted covertly is often overlooked. He argues that conflicts, needs and biases that may go undetected for lengthy periods of time are not infrequently contained within the analyst's accurate and technically correct interventions and that for defensive reasons, patients often suppress, deny or rationalise their accurate perceptions of these countertransference elements and fail to confront their analysts with them. The mistakes, miscommunications and misperceptions that arise as a consequence of the unconscious collusions that develop between patient and analyst can have a profound effect on the analytic work. Several clinical examples are presented to illustrate the operation of such covert communications in analysis and their impact on the treatment process.

Communication Barriers↗
PubMed1998

Epistemology.

Explore the source record for details and available documents.

Humans↗
PubMed1997

In search of the mind of the analyst: a progress report.

Certain difficulties arise in the positions of both those who embrace the intersubjective approach in psychoanalysis and those who oppose it. Various factors that have led to misunderstandings on both sides of the question are identified, and several recent studies highlighting the importance of unconscious communication both in development and in clinical work are cited to buttress the argument that efforts to understand the mind of the analyst as it registers and resonates with this kind of communication open a still insufficiently explored pathway to the unconscious of the patient, one that may lead to major advances in analytic technique.

Communication↗
PubMed1994

Nonverbal communications: some reflections on their role in the psychoanalytic process and psychoanalytic education.

This paper focuses on the phenomenon of nonverbal behavior and its role in analytic practice and in the teaching of technique. The idea is presented that data arising from the nonverbal realm are underutilized both in the clinical situation and in supervision. Some possible reasons for the development of this situation are presented, illustrated by several clinical examples drawn from the author's experiences as a candidate.

Female↗
PubMed1993

The inner experiences of the analyst: their contribution to the analytic process.

As an illustration of the inner experiences of the analyst as they operate in the analytic situation, this paper presents a single analytic hour in some detail. By means of this clinical material, the author seeks to demonstrate how the thoughts, fantasies, memories, bodily movements and autonomic responses that he experienced in this hour affected his interventions, the kinds of transference-countertransference interactions that developed in the session, and the unfolding of the analytic process.

Adult↗
PubMed1986

On countertransference enactments.

This communication focuses on the relation of countertransference to psychoanalytic technique, calling attention not to the more obvious forms of countertransference that have been commented on by previous writers on the subject, but to its subtler ones. Often well camouflaged within the framework of traditional, time-tested techniques, this aspect of countertransference may attach itself to our way of listening and thinking about patients, to our efforts at interpretation, to the process of working through, or to the complex issue of termination. Less recognizable than its more boisterous counterpart and in some respects less tangible, this side of the problem of countertransference is no less important. For it is precisely those subtle, often scarcely visible countertransference reactions, so easily rationalized as parts of our standard operating procedures and so easily overlooked, that may in the end have the greatest impact on our analytic work.

Adult↗
PubMed1983

The analyst and the patient's object world: notes on an aspect of countertransference.

I have discussed an aspect of the problem of countertransference that has received little comment--the relation of the analyst to objects in his patient's world. Emotional reactions stimulated in the analyst by his perception of such objects can have a profound effect on the course and outcome of his analytic work. Such responses are a product of complex interactions between the impulses, affects, fantasies, and defenses evoked in the therapist by the mental representations he has formed of these objects. Such objects, in fact, can have a variety of meanings for the analyst. Not only are they related to self-and object representations past and present, but they may, in his imagination, be part of a network of interactions involving the patient, his family, and other of his objects as the result of the reawakening in the analyst of fantasies, memories, and expectations derived from his sibling and family relations. Emotional responses aroused in the therapist by the patient may also be displaced onto objects in the patient's world and not be recognized as countertransference phenomena. Finally, I have commented on the way that reconstructions can be influenced by the analyst's perceptions of his patients' objects, and I have made some note of the special situation when an object in the patient's life is also known to the analyst. While awareness of his conscious attitudes and feelings toward such objects can serve a useful function for the analyst, too complacent an attitude regarding the protective value of such self-awareness may make difficult his recognition of the link between the image of the object known to both patient and analyst and the reawakened self- and object images of the analyst's childhood--a link that, in fact, constitutes the deepest source of countertransference difficulties.

Adolescent↗
PubMed1980

Life events and the occurrence of cancer in children.

Over a two-year period the families of twenty-five children with cancer and of a comparison group of children brought to a general pediatric clinic were studied by means of the Holmes-Rahe Life Schedule of Recent Events and by personal interviews. Results obtained by use of the Holmes-Rahe questionnaire revealed significant differences between the patient and control groups. Histories obtained from families in both groups also revealed that in the cancer group certain important life events were found to have occurred with greater frequency in the year prior to the onset of the disease. The relevance of these findings to previous work done in the field and to some current theories concerning the relationship of genetic, viral, endocrine, and psychological factors in the development of cancer are discussed.

Adolescent↗
PubMed1980

Secrets, alliances, and family fictions: some psychoanalytic observations.

I have tried in this paper to show the role that personal secrets, family secrets, and secret alliances within a family can play in individual psychology. Analysis of them has shown that such conscious, often closely guarded secrets may conceal and resonate with other, more deeply repressed secrets and with central conflicts in the personality. Secretive phenomena within families may also have a significant impact on various ego functions, on intellectual growth and problems of learning, and on the development and consistency of the superego. I have also attempted to show that secrets and unconscious collusions may develop, not only as an important aspect of the patient's relations to others, but in the analytic situation as well. Representing important dynamic forces that resonate between patient and analyst, such secrets can have a significant impact on the course and outcome of the analysis itself.

Adolescent↗