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I do this for Your Own Good: A Story of Shrieking, Disaster and Recovery

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This paper describes the psychotherapy of a patient whose treatment had an effect of overtaxing the emotional capability of the therapist to bear the work. The patient experienced efforts to contain her violent reactions as an annihilation and repetition of the most injurious actions of her caregivers in her childhoodPlease check the given section headings are ok.Please provide Organization/University name to add in the corresponding details of the author “Stuart D. Perlman”. The therapist provided special responses, inspired by the work of Sándor Ferenczi, which were found to help the patient discriminate between her parents and the therapist and begin a healing process.

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References

  • Atwood, G. & Stolorow, R. (1980). Psychoanalytic concepts and the representational world. Psychoanalysis and Contemporary Thought, 3, 267–290.

    Google Scholar 

  • Atwood, G., Orange, D. & Stolorow, R. (2002). Shattered worlds/psychotic states: A post-Cartesian view of the experience of personal annihilation. Psychoanalytic Psychology, 19 (2), 281–330.

    Article  Google Scholar 

  • Brandschaft, B. (1994) Structures of pathological accommodation. Unpublished manuscript.

  • Bromberg, P. (1994). Speak! that I may see you: Some reflections on dissociation, reality and psychoanalytic listening. Psychoanalytic Dialogues, 4 (4), 517–547.

    Article  Google Scholar 

  • Davies, J. & Frawley, M. (1992). Dissociative processes and transference-counter transference paradigms in the psychoanalytically oriented treatment of adult survivors of childhood sexual abuse. Psychoanalytic Dialogues, 2 (1), 5–36.

    Article  Google Scholar 

  • Davies, J. & Frawley, M. (1994). Treating the adult survivor of childhood sexual abuse: A psychoanalytic perspective. New York: Basic Books.

    Google Scholar 

  • Ferenczi, S. (1929/1955). The unwelcome child and his death instinct. In M. Balint (Ed.), Final contributions to the problems and methods of psychoanalysis (Vol. 3, pp. 102–108) New York: Basic Books, (Original work published in 1929).

    Google Scholar 

  • Ferenczi, S. (1933/1955). Confusion of tongues between adults and the child: The language of tenderness and passion. In M. Balint (Ed.), Final contributions to the problems and methods of psychoanalysis (Vol. 3, pp. 156–167) New York: Basic Books, (Original work published in 1933).

    Google Scholar 

  • Ferenczi, S. (1988). The clinical diary of Sándor Ferenczi In J. Dupont (Ed.), Cambridge: Harvard University Press.

    Google Scholar 

  • Freud, S. (1914). Remembering, repeating and working-through (further recommendations on the technique of psycho-analysis, II). The Standard Edition of the Complete Psychological Works of Sigmund Freud (Vol. 12, pp. 145–156) London: Hogarth Press.

    Google Scholar 

  • Kohut, H. (1971). The analysis of the self. New York: International Universities Press.

    Google Scholar 

  • Kohut, H. (1977). The restoration of the self. New York: International Universities Press.

    Google Scholar 

  • Kohut, H. (1981). Reflections on empathy. Lecture presented at Self-psychology Meeting in Berkeley, California, October 4, 1981.

  • Kohut, H. (1984). How does analysis cure? Chicago: The University of Chicago Press.

    Book  Google Scholar 

  • Orange, D., Atwood, G. & Stolorow, R. (1997). Working intersubjectively: Contextualism in psychoanalytic practice. Hillsdale, NJ: The Analytic Press.

    Google Scholar 

  • Pearlman, L. & Saakvitne, K. (1995). Trauma and the therapist: Countertransference and vicarious traumatization in psychotherapy with incest survivors. New York: W.W. Norton & Company.

    Google Scholar 

  • Perlman, S. (1993). Unlocking incest memories: Preoedipal transference, countertransference, and the body. Journal of the American Academy of Psychoanalysis, 21 (3), 363–386.

    PubMed  Google Scholar 

  • Perlman, S. (1995). One analyst's journey into darkness: Countertransference resistance to recognizing sexual abuse, ritual abuse, and multiple personality disorders. Journal of the American Academy of Psychoanalysis, 23 (1), 137–151.

    PubMed  Google Scholar 

  • Perlman, S. (1999). The therapist's emotional survival: Dealing with the pain of exploring trauma. Northvale, NJ: Jason Aronson Inc.

    Google Scholar 

  • Perlman, S. (2006). A space alien's take on dissociation. International Journal of Psychoanalytic Self Psychology, 1 (4), 413–434.

    Google Scholar 

  • Perlman, S. (2007). Angels in my consulting room: Kohut and others as self objects for a trauma therapist. International Journal of Psychoanalytic Self Psychology, 2 (4), 441–462.

    Article  Google Scholar 

  • Rachman, A. (1989). Confusion of tongues: The Ferenczian metaphor for childhood seduction and emotional trauma. Journal of the American Academy of Psychoanalysis, 17 (2), 181–205.

    PubMed  Google Scholar 

  • Rachman, A. (2007). Sándor Ferenczi's contributions to the evolution of psychoanalysis. Psychoanalytic Psychology, 24 (1), 74–96.

    Article  Google Scholar 

  • Schwarzenbach, K. (2001). Threshold and impasse: Excavating the maternal defense in Sándor Ferenczi's Clinical Diary. Journal of the American Academy of Psychoanalysis, 29 (3), 387–402.

    Article  PubMed  Google Scholar 

  • Sinason, V. (1992). Mental handicap and the human condition. London: Free Associations Books.

    Google Scholar 

  • Stolorow, R. & Atwood, G. (1992). Contexts of being: The intersubjective foundations of psychological life. Hillsdale, NJ: Analytic Press.

    Google Scholar 

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Acknowledgements

I thank George Atwood, Ph.D., for his indispensable help with this patient's treatment and with this paper. Treatments like this simply cannot occur without such help; and neither can papers be written about them.

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Correspondence to Stuart D Perlman.

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The beginning of this patient's treatment was described in more depth in Perlman (2006, 2007) and a version of the paper presented at the International Federation of Psychoanalytic Education's annual conference in Pasadena, California on November 4, 2006.

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Perlman, S. I do this for Your Own Good: A Story of Shrieking, Disaster and Recovery. Am J Psychoanal 69, 330–347 (2009). https://doi.org/10.1057/ajp.2009.24

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