[Psychoanalytic process and psychotherapeutic process. Current technics in analytic psychotherapy].
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It is proposed that negative capability, that is, the capacity for tolerating uncertainty, doubt and not-knowing, is a factor that contributes to a problem-solving approach utilizable in some aspects of the psychotherapeutic process. Negative capability can be demonstrated both in therapists and patients. An analysis of the functions of negative capability within the psychotherapeutic process shows five stages in its utilization. These are the activation of therapist's negative capability; which is followed by observations about the patient's response to his perception of the therapist's negative capability; then the therapist's clarification of the patient's problem contained within the patient's response; followed by a working-through by the patient and therapist of the problems which are demonstrated and clarified; and lastly, a transfer to or enhancement of the patient's use of negative capability as a continuing behavioural mode. Some theoretical bases for the concept of negative capability and its application as a factor of problem-solving within the psychotherapeutic process, are proposed. Clinical excerpts from psychotherapeutic work are given to exemplify the stages as defined above.
Until now, there is no sufficient answer to the question how psychotherapy works. It is argued that progress will come from three areas. First, the understanding what the term "therapeutic process" means has to be improved. It will be useful to start from the three central phenomena of psychotherapy: (a) client changes within the therapeutic situation and his/her life context, (b) therapeutic procedures including personal characteristics of therapists, (c) the context of the institution of psychotherapy. Second, there is a need to define more carefully elements of the therapeutic process, e.g. there is an inflational (mis-) use of the term "therapeutic relationship". Referring to a model by LINSENHOFF, BASTINE & KOMMER (1982), two components of psychotherapy process (problem conceptualization and therapeutic relationship) were critically examined. Third, two different ways to analyse psychotherapeutic change were evaluated: In Type A-studies, therapeutic processes were characterized by stable features as interactional factors (e.g. age, gender, education of the participants; therapeutic maxims). In contrast, Type B-studies rely on a transactional view of the therapeutic process as a sequence of heterogeneous segments (therapeutic episodes; therapeutic strategies).
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Aesthetic experience and psychotherapeutic practice are compared. Beginning with the assumption that memories, imaginings and feelings are aesthetic categories, it is shown that aesthetic experience is elementary in the shaping and structuring of the experiences of human beings, both in psychotherapeutic communication and in the process of production and reception in literature. The aesthetic shaping of events into integrated experiences in the course of the therapeutic encounter might have a healing effect in its own right. To this extent, the therapeutic process should be regarded both as a joint process of creation and as a process of interpretation. As in writing and reading a literary work of art, the therapeutic process consists of special functions of productivity/poiesis, receptivity/aesthesis, and communicative interaction/catharsis. The psychic mechanism of projective identification may help us understand this emotional and cognitive interchange psychodynamically. Further graphic associations and visual imaginings that arise in the patient and in the therapist are considered, like literary works of art, to function as "transitional objects." These creations of patient and therapist, artist and recipient serve to consolidate formerly nonintegrated and therefore pathogenic experiences. A fruitful psychodynamic work is always situated in the tense relationship between the aesthetic shaping of emotions and the scientific interpretation of inner and outer facts.
Operant conditioning studies demonstrate that an experimenter can alter the content of verbal communication and other forms of behaviour by the use of minimal cues. Most important is that this can take place without the conscious awareness on the part of the subject. Parallels between studies of operant conditioning and of psychotherapy suggest that operant conditioning may be one of the mechanisms mediating change during psychotherapy without either therapist or patient knowing that this is so. Application of this postulate to the psychotherapeutic process integrates some clinical and experimental findings and should prove a useful addition to the psychotherapist's understanding of factors operative in the psychotherapeutic process.
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This essay contains speculations about the import of some ideas from chaos theory for psychotherapeutic process. Brief consideration is given to areas of psychology in which such ideas have been applied, as well as some ideas on psychic energy. Then, using a psychodynamic perspective as a base, three aspects of psychotherapy are addressed, the container, the process, and the clinician as the agent of change. A central idea is that the emotional experience of chaos is a necessary developmental step. It is important for the therapist to recognize whether a client is avoiding this experience or is overwhelmed by this experience.
Therapist and client social role dimensions of therapy are important considerations in the rehabilitation process. The purpose of the present investigation was to determine therapist perceived client social role dimensions of psychotherapeutic processes. It was also conducted to find out their nature and frequency. Results indicated the most frequently perceived dimensions were: performance, ambiguity, strain, conflict and immersion.
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Mourning and reminiscence are therapeutic processes common in therapeutic work with the elderly. However, a theoretical explanation of why they are effective has been lacking. Personal construct theory accounts for both in terms of the search of elderly persons for validation of their construct systems. In this article, this explanation of the parallel psychotherapeutic processes is explored, together with relevant information from the literature on mourning and reminiscence. Therapeutic case studies illustrate the characteristics of the two processes and the relationship between them.
The goal of the study was to develop a computer-aided system that is able to identify key moments in transcripts from psychoanalytic sessions and to provide an adequate theory of change. The term key moment refers to 1 or more sessions of a treatment or to segments of a session that are seen as clinically important and often considered to be a turning point or breakthrough and that mirror points of insight as they occur in the course of the psychotherapeutic process. It will be shown that patterns built of combinations of the content analysis variable "emotion tone" and "abstraction" allow for describing therapeutic cycles including key moments. The method is shown successfully for a single case and for a sample of improved and not improved patients.
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