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Abstract
ZusammenfassungDas Gespräch hat in jeder Psychotherapie eine zentrale Stellung. „Gesprächstherapie“ ist deshalb irreführend für eine besondere Art der Therapeutik. Im Folgenden wird von Analytiker(in) gesprochen, wenn diese Tradition gemeint ist, ansonsten von Therapeut(en) und Therapeutin. Probleme der Vertraulichkeit bei der Erforschung von Gesprächen können gut und sicher gelöst werden. Die Erforschung der therapeutischen Konversation ist weit vorangetrieben, von psychoanalytischer Seite und anderen weltweit. Da so wichtige Gesprächsmomente wie Schweigen und Erzählen vertieft verstanden werden konnten, wird ein „communicative turn“ vorgeschlagen: nicht länger eine jeweilige Psychotherapietheorie als Ausgangspunkt einer Untersuchung zu wählen, sondern das Gespräch selbst. Dazu werden Forschungsergebnisse mit Bezug zur klinischen Arbeit vorgestellt. Sie sind klinisch gehaltvoll.
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Nos JP. Collusive induction in perverse relating: Perverse enactments and bastions as a camouflage for death anxiety. THE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS 2017; 95:291-311. [DOI: 10.1111/1745-8315.12144] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/12/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Jaime P. Nos
- Rambla de Catalunya 106, Barcelona, 08008, Spain
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Busch F, Joseph B. A missing link in psychoanalytic technique: Psychoanalytic consciousness. THE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS 2017. [DOI: 10.1516/wlq3-qq7n-v8e5-cxy8] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Fred Busch
- 246 Eliot St, Chestnut Hill, MA 02467‐1447, USA –
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Busch F. The workable here and now and the why of there and then. THE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS 2017; 92:1159-81. [DOI: 10.1111/j.1745-8315.2010.00375.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Fred Busch
- 246 Eliot StreetChestnut Hill, MA 02467‐1447USA
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Busch F. Neglected Classics: M. N. Searl’s “Some Queries on Principles of Technique”. THE PSYCHOANALYTIC QUARTERLY 2017. [DOI: 10.1080/21674086.1995.11927455] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Fred Busch
- 410 Orchard Hills Dr., Ann Arbor, MI, 48104
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Brown LJ. Bion’s Ego Psychology: Implications for an Intersubjective View of Psychic Structure. THE PSYCHOANALYTIC QUARTERLY 2017; 78:27-55. [DOI: 10.1002/j.2167-4086.2009.tb00385.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Sugarman A. The Use of Play to Promote Insightfulness in the Analysis of Children Suffering from Cumulative Trauma. THE PSYCHOANALYTIC QUARTERLY 2017; 77:799-833. [DOI: 10.1002/j.2167-4086.2008.tb00360.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Abstract
Emphasizing psychic truths as the major domain of psychoanalysis, the author explores the complexity of defining such psychic truths. It is suggested that thinking of levels of psychic truths is the most useful approach. How to understand trauma and historical truth within this context is examined. The role of the analyst as aiding the search for psychic truths, rather than functioning as psychic "truth teller," is discussed within the context of paradigmatic changes in the psychoanalytic method that form an emerging common ground.
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Affiliation(s)
- Fred Busch
- Training and Supervising Analyst at Boston Psychoanalytic Institute
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Abstract
The applicability and advantages of Paul Gray's concept of close-process in the practice of psychotherapy are discussed. Gray seems to have underestimated the potential and versatility of his technical approach to derivative psychotherapy procedures. Clinical vignettes are provided, describing some nodal points for intervention, and exploration of transferential, extratransferential and genetic aspects of the workable surface. Gray's methodology of intraclinical attention permits a more verifiable examination of sequences, an issue of special relevance in our age of empirical standards for the evaluation of dynamic therapies.
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Abstract
The author focuses on the significance of preconscious thinking, and its relationship to what we think of as unconscious fantasies. He reopens Freud's forgotten struggle with preconscious thinking, while he explores preconscious thinking as the basis for thinking about psychoanalytic treatment. This includes our goals in bringing an idea to the analysand's attention, and the role of transitional space where thoughts and feelings can be played with.
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Busch F. 'I noticed': the emergence of self-observation in relationship to pathological attractor sites. THE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS 2007; 88:423-41. [PMID: 17392058 DOI: 10.1516/l3j4-2934-7w52-1711] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The author highlights self-observation as an important goal of psychoanalysis, separate from other concepts with which it is often confounded. To support this position, he presents clinical and developmental data, as well as observations by psychoanalysts on recent findings by cognitive neuroscientists. He introduces the term 'pathological attractor sites' to capture the challenge in moving from the belief in the reality of one's own thoughts to self-observation. Clinical techniques to deal with this specific challenge are presented.
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Abstract
A cental thesis of Paul Gray's work is that a "developmental lag" pervades modern psychoanalysis in its failure to assimilate and apply knowledge gained about the role of the unconscious ego in intrapsychic life. But Gray himself, it is proposed, has become a victim of a new "developmental lag," of his own construction. As he somewhat single-mindedly pursued the ramifications of his "developmental lag" concept, Gray may have foreclosed on some noteworthy ideas developing around him. The most important example is his claim--herein refuted--that proper interpretive technique can avoid being infused with transference. He also seems to have rejected the theoretical importance of the internalization of the analyst and the clinical usefulness of countertransference. While emphasizing defense analysis, he ignores defenses such as splitting, denial, and disavowal as substantive problems for his technique of close-process attention. Gray's "undoing" of the rapprochement between "ego analysis" and "id analysis" by viewing the matter as an either-or proposition undermines the very real value of his contribution to the field.
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Abstract
Significant components of psychoanalytic technique, and the theory that underlies it, seem to remain buried in our past, but are central to the growth of psychoanalysis as a treatment method based on understanding a patient's mind. By updating technique based on a theory of mind with structure, the author views the increasing freedom of the patient's mind as central to the curative process, and takes the position that in interpretive work, the analyst needs to pay more attention to the patient's capacity to meaningfully receive and integrate the analyst's interventions.
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Abstract
Patients need to tell their stories. One of our primary tasks as analysts is to help patients tell their stories and own them. The freedom of mind to think, to feel, and to know are dependent on the ongoing capacity for storytelling. The analyst's stance plays a major role in the development of the analysand's storytelling capacities.
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Affiliation(s)
- Fred Busch
- Psychoanalytic Institute of New England, East, USA.
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Cullen B. LETTERS TO THE EDITORS. THE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS 2002; 83 Part 2:509-517. [PMID: 12028715 DOI: 10.1516/hqbq-6cr2-kfer-m558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Abstract
Important differences are emerging regarding the place where analysts believe the most meaningful analytic work takes place. One area that highlights these distinct ways of working is the analyst's view of deep interpretations. Models underlying the differing perspectives on this issue are presented, along with an extended clinical example that illustrates the importance of considering, in formulating analytic interventions, the concept of a structured mind. A view of the analytic process that accords the patient's perspective greater privilege is introduced.
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Affiliation(s)
- F Busch
- Michigan Psychoanalytic Institute, USA.
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The rhetorical voice of psychoanalysis: Development of evidence by theory. JOURNAL OF APPLIED DEVELOPMENTAL PSYCHOLOGY 1998. [DOI: 10.1016/s0193-3973(99)80052-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Kern JW. On focused association and the analytic surface: clinical opportunities in resolving analytic stalemate. J Am Psychoanal Assoc 1995; 43:393-422. [PMID: 7594182 DOI: 10.1177/000306519504300211] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Focused association is a technique for exploring repetitive noncommunicative phenomena, especially those which occupy center stage during periods of analytic stalemate. This psychological content is studied by a two-part investigation of the particulars of the presenting "surface," involving (1) focusing and (2) association. The technique was originally devised by Freud to access the latent meanings of dreams. The effort departs from free association, calling upon more active analytic teamwork within a transference-countertransference context that is steadily considered and analyzed. The key "unverbal" material arising from this dyadic flux is descriptively preconscious, multimodal, widely variable in form, and not primarily lexical. A frequent finding is that these repeating ad hoc clinical phenomena, often categorized as resistance (especially transference resistance), are highly condensed and defensively rearranged compositions, like dreams, that have been internally structured by processes akin to dreamwork. Approached by focused association, such content yields unconscious derivatives that previously had been sequestered in repetitious, noncommunicative forms. This work allows the analyst to follow Freud's clinical maxim to "start with the surface" and provides relief for the analyst from the temptation to invoke global resistance interpretations when derivative communication and analytic movement have lapsed.
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Affiliation(s)
- J W Kern
- Faculty, Michigan Psychoanalytic Institute, USA
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Abstract
How do we listen during an analytic hour? Systematic analysis of the speech patterns of one patient (Mrs. C.) strongly suggests that the clustering of shared pronouns (e.g., you/me) represents an important aspect of the analytic surface, preconsciously sensed by the analyst and used by him to determine when to intervene. Sensitivity to these patterns increases over the course of treatment, and in a final block of 10 hours shows a striking degree of contingent responsivity: specific utterances by the patient are consistently echoed by the analyst's interventions.
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Affiliation(s)
- D P Spence
- Department of Psychiatry, Robert Wood Johnson Medical School, Piscataway, NJ 08854
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Abstract
Utilizing a clinical illustration, the concept of the surface of the patient's mind, which arose early in analytic history, is reexamined in relation to the analytic space, the unique affective and communicative dyadic context of the analytic process. The shift from analytic surface to analytic space reflects in clinical theory the metapsychological shift from early structural views to current appreciation of compromise formation. Also, this approach permits broadening of consideration of active unconscious forces in both the patient and the analyst.
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