Contents

Preface

Chapter 1

The Door of the Psychotherapy Room

Abstract

Introduction

Joanne Arrives

Joanne’s Hesitation

I Am Led to a Reflection on Doors

But Now?

“May I Close the Door?”

The Door of the Psychotherapy Room

Conclusion

References

Chapter 2

Without Form and Void: Working with Autistic Defences in a Psychoanalytic Treatment

Abstract

Introduction

Jacob, Part 1: Diffuse, Defused, and Disintegrated

Jacob, Part 2: Moving into Oneness

Without Form, and Void: The Mental Life of the Autistoid Personality

The Feeling of Gestation, or, Becoming Human: Relinquishment of the Autistic Defence within the Psychoanalytic Encounter

References

Chapter 3

On Love and Truth in Psychotherapy

Abstract

Introduction

The Art of Psychotherapy

Symbolism versus Literalism

Love and Perversion of Truth

Narcissism and Love

The Transcendent Function

Reflections

References

Chapter 4

The Art of Psychoanalysis: Object, Method and Case

Abstract

Introduction

The Specificity of the Object of Psychoanalysis: From Hypnotic Suggestion to Free Association

The Psychoanalytic Method: From Expressions of Transference to the Use of Interpretation

The Status of the Clinical Case in Psychoanalysis

Conclusion

References

Chapter 5

Between Parental Demand and Child Symptoms: Considerations Regarding Psychoanalysis with Children

Abstract

Introduction

The Role of the Parents in Child Psychoanalysis

The Constitution of the Infantile Neurosis During Childhood

Clinical Case

Discussion

Conclusion

References

Chapter 6

Those Who Know Do Not Speak: The Psychobiography of a South African Psychotherapist

Abstract

Introduction

About This Psychobiography

Alexander’s Psychobiography

Stage 1: Early Experiences of Counselling

Stage 2: Formal Training (Student Psychologist, Intern Psychologist, Community Service)

Stage 3: Early Independent Practice

Stage 4: Mastery

Conclusion to the Psychobiography

So What Does It All Mean?

Conclusion

References

Chapter 7

Please Acknowledge What You Have Done to Me: Working through Rupture and Repair in the Therapeutic Relationship

Abstract

Introduction

Therapeutic Process Awareness

Transference-Countertransference Dynamics

Therapeutic Alliance

Therapeutic Failure

Causes of Ruptures in the Therapeutic Process

Rigid Adherence to Therapeutic Model

Terms and Conditions Are Not Clear

Psychic Infection Prevention

I-It Relating

The Patient’s Motivation to Attend Therapy

Patient Expectations Are Unmet

The Client Does Not Feel Understood

Attachment Style of the Patient (and Therapist)

Interpersonal Cycles Acted Out in the Therapeutic Context

Presenting Thuli

Our Therapeutic Process

Thuli’s Relevant and Important History

Our Therapeutic Rupture

Repairing a Therapeutic Rupture

Thuli Continued …

Reflection and Conclusion

References

Chapter 8

Daisy: From Dissociation to Resolution Using an Integrative Approach to Working with Children

Abstract

Introduction

The Art of Therapy with Children - Using an Integrated Model

Themes

Boundaries

Dissociation

Flowers

Sessions

Diagnosis

Theoretical Framework for Conceptualisation and Intervention

Conceptualisation: Spiral of Therapeutic Change

Intervention: The Sequentially Planned Integrative Counselling for Children (SPICC) Model

Conclusion

Appendix

References

Chapter 9

Rape and Sexual Violence in South Africa: A Case Study of Trauma

Abstract

Introduction

The WITS Trauma Intervention Model

Telling and Retelling the Story

Normalizing the Symptoms

Addressing Self-Blame or Survivor Guilt (Restoring Self-Respect)

Encouraging Mastery

Facilitating the Creation of Meaning

Case Study

Personal History

Initiation of Therapy

Presenting Complaints

Exposure

Intrusive Symptoms

Symptoms of Avoidance

Negative Cognitions and Mood

Hyperarousal

Theoretical Client Conceptualization

Treatment Overview

The Therapeutic Process

Therapist Containment

Conclusion

Acknowledgment

References

About the Editor

Index

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