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Psychoanalytic aspects of the fitness for duty psychological evaluation 1
Published in Jed A. Yalof, Anthony D. Bram, Psychoanalytic Assessment Applications for Different Settings, 2020
Dr. Ether had declared in the interview his life missions were to care for people, to cure illness and suffering, and to rescue his ex-wife. One might speculate these consciously held life missions belied underlying self-needs hidden under the cloak of a caretaking identity. This is consistent with Modell’s (1975) formulation of the illusion of self-sufficiency that underlies (false) self-disorders, an adaptation sometimes seen in perfectionistic and high-achieving individuals. That Dr. Ether’s brief record contained ample shading, texture, and achromatic color responses (SS = 111) adds credence to the inference that underlying anxiety and dysphoria plagued his adjustment despite his self-report of psychological well-being and selfless dedication to others. Integrating the inferences from FCarb, YTVC’, Cg, and ODL indicators, we see a man whose strong dependency needs are disavowed and enacted in false-self caretaking of others, representing a vertical split6 in his self-functioning (Kohut, 1979; Goldberg, 2013). Given this psychodynamic, we hypothesize Dr. Ether was uncommonly vulnerable to the loss of his marital relationship. We additionally speculate he was inclined to idealize his love objects as evidenced by the emotional distancing conveyed in his several Cg responses: the “angels in blousy-gowns” on Card I, French waiters in high-heeled boot types and waistcoats” on Card II, “women in daguerreotype … old-style bonnets, gowns” on Card VII, and “blue girdle with laces” on Card VIII.
Becoming who we are: personal realization
Published in Anthony Korner, Communicative Exchange, Psychotherapy and the Resonant Self, 2020
Other theorists have come to see the situation differently. In working with patients that displayed negative therapeutic reactions, Brandchaft comments that, I believe that observation is being obscured in psychoanalysis by continuing to regard primary factors as defensive or secondary, while secondary factors are installed as primary. The primary factors in these patients proved to be the particular self disorder emerging from the transference in the forms of archaic, intensified, distorted longings, now out of phase, which originally should have formed the basis of sound psychological structure..... The factors that proved to be secondary in these cases were drives; conflicts… castrations; separation; and superego anxieties.(Brandchaft, 1983, p. 348) The emphasis is on the need to see the legitimacy of the patient’s position and the value of self. The therapist is required to help understand the patient’s position, not to provide correction.
A Perspective on Neurobiological and Intersubjective Connectedness in Coexisting Schizophrenia and Substance Use Disorders
Published in Alcoholism Treatment Quarterly, 2022
Nicole D. Hune, Thomas F. McGovern
To better understand intersubjectivity, it is first helpful to identify “the self” among persons with combined disorders when describing the unique characteristics between connectedness, self, and others. Hamm, Buck, and Lysaker (2015) explained that persons with schizophrenia describe “the self” of a person with profound suffering as it struggles to interact with the world around them. Sass and Parnas (2003) further characterized schizophrenia as a self-disorder that involves the disruption of “the self” in response to altered experiential subjectivity caused by irregularities in the structure of consciousness. Although “the self” of people with schizophrenia is often thought to be incomprehensible, some suggest that it remains coherent despite whether individuals are entirely lost or exhibit external coherency (Lysaker & Lysaker, 2010).
An Exploration of Yoga’s Potential to Incite Feelings of Aliveness and Authenticity in Women Recovering from Anorexia Nervosa
Published in Smith College Studies in Social Work, 2021
Newton’s line of thinking converges with Bruch, Johnson (1991) and more recently Amianto et al. (2016) and Winston who contend that it is this False Self Construction or a “profoundly inhibited sense of self” that leaves the woman struggling with AN deplete of any connection to her bodily sensations (Winston, 2018, p. 73, 2009; Wooldridge, 2018). Bruch, Johnson, Amianto et al. and Winston assert that it is this diminished internal state that results in her feeling devoid of IA as well as emotional awareness, resulting in the development of a False Self (Winnicott, 1965, 1971). They also postulate that it is this False Self that prevents the woman with AN from being in touch with her Authentic body and self (Amianto et al., 2016; Bruch, 1961, 1962, 1974; Johnson, 1991, p. 185; Winnicott, 1965, 1971; Winston, 2009, 2018). It is this development of a False Self Disorder(born out of the development of an overly compliantFalse Self) in women with AN that is particularly concerning because it (the False Self Disorder) is marked by one’s apathy regarding whether she is “alive or dead” (Winnicott, 1965, p. 68).
Speaking the Unspoken: Understanding Internalized Racial Oppression from the Perspective of Black Women Psychotherapists
Published in Smith College Studies in Social Work, 2022
Internalized racism is a phenomenon that has been discussed historically (e.g., Fanon, 1965; Freire, 1970; Memmi, 1965) and over several decades by various theorists, abolitionists and scholars and has taken on many definitions and descriptors. Terms to describe the phenomenon have included: internalized self-hatred and alien-self disorder (Akbar, 1991),