Abstract
In these uncertain times, external events have profoundly altered patients’ physical circumstances as well as their emotional states. As therapists, we too are affected by pressuring outside forces—the economy, health care, threats to individuals’ rights, war—and we must be aware that our patients bring the same outside world with them when they cross our threshold into the treatment setting. Therefore, as we help patients examine their pasts and their internal states, we must also include examination of the world outside and its effect on their lives. Further, we need to explore the secondary impact of hearing their concerns upon us. We can no longer ignore the elephant in the treatment room.
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References
Aidells, A., & Stern, R. (2003, June). Considerations for clinicians in this time of world upheaval. California Society for Clinical Social Work Clinical Update, p. 9.
Applegate, J. (2009, February). The erosion of the sociopolitical holding environment and the collapse of the potential space for creative repair. Paper presented at AAPCSW, 11th National Conference, New York, NY.
Bender, C. (2009, February). What happens to confidentiality when the government enters the treatment room via The Patriot Act, HIPPA, and managed care? Paper presented at AAPCSW, 11th National Conference, New York, NY.
Benitez-Bloch, R. (2009, February). Integrating the internal and external worlds of clinical social work: A philosophical and political search. Paper presented at AAPCSW, 11th National Conference, New York, NY.
Berger, B. (2009, February). A perfect storm: The influence of outside forces on social work education. Paper presented at AAPCSW, 11th National Conference, New York. NY.
Greenson, R.R. (1967). The “real” relationship between the patient and the psychoanalyst. In M. Kanzer (Ed.), The unconscious today (pp. 213–232), New York, NY: International Universities Press.
Nelson, J. (2009, February). Grief and loss in an age of global trauma: Protest and despair vs. attachment and reorganization. Paper presented at AAPCSW, 11th National Conference, New York, NY.
Ruderman, E. (1992). The vital contribution of social work and early social work education to contemporary psychoanalytic concepts. Paper presented to California State Society for Clinical Social Work Conference, Monterey, CA.
Ruderman, E. (2002a). Analysts’ life experiences and their effects on treatment: Living, learning, and working through. Psychoanalytic Inquiry, 22(4), 495–509.
Ruderman, E. (2002b). As time goes by: Life experiences and their effects on analytic technique. Psychoanalytic Inquiry, 22(4), 495–509.
Ruderman, E. (2008, June). Psychoanalysis in a chaotic world: Political, cultural and ethical considerations for analytic treatment. Clinical Social Work Journal, Vol. 36, No. 2, pp. 216–223, Springer Publishing.
Ruderman, E. (2009, February). Transformations in the clinical space: The impact of the world outside on treatment. Paper presented at AAPCSW, 11th National Conference, New York, NY.
Ruderman, E. (2010). Chasing the red car: Coming of age in the McCarthy Era. Bloomington, IN: iUniverse.
Sable, P. (2009, February). Real experiences revisited: The significance of attachment, separation and loss in adult psychotherapy. Paper presented at 11th National Conference, New York, NY.
Samuels, S. (1993). The political psyche. London, England: Routledge.
Shay, J. (1994). Achilles in Vietnam: Combat trauma and the undoing of character. New York, NY: Scribner.
Strean, H. (1998). Resolving some therapeutic impasses by disclosing countertransference. Clinical Social Work Journal, 27, 123–140.
Tolleson, J. (2009, February). Saving the world one patient at a time: Psychoanalysis and social critique. Paper presented at AAPCSW, 11th National Conference, New York, NY.
Tosone, C. (2009, February). When the professional is personal: Shared trauma and self-disclosure in the therapeutic relationship. Paper presented at AAPCSW, 11th National Conference, New York, NY.
USA Patriot Act of 2001, P.L. 105–107 (2001); H.Rept. 107–236, pt.1 at 42.
Violette, B. (2009, February). Considerations for psychoanalytic treatment in a time of war. Paper presented at AAPCSW, 11th National Conference, New York, NY.
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Ruderman, E. (2012). The World Outside: Its Impact on the Treatment Setting. In: Ruderman, E., Tosone, C. (eds) Contemporary Clinical Practice. Essential Clinical Social Work Series. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4124-3_1
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DOI: https://doi.org/10.1007/978-1-4614-4124-3_1
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