Abstract
The intent of this paper is to demonstrate as a therapeutic use of self the selective communication of the therapist's own feelings as enabling a patient to experiencemissing. I focus here on work with a patient who urgently and primarily presented unmourned (unintegrated) separation and loss in her history, in her self and object relations, and thus in her relationship with me. I propose that the therapist's feelings, in so far as they reflect an interactional aspect of the normal separation/individuation process may serve as a basis for expressive, interactive participation by the therapist.
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References
Bowlby, J. (1980).Attachment and loss, New York: Basic Books.
Grayer, E.D. & Sax, P.R. (1986). A model for the diagnostic and therapeutic use of countertransference.Clinical Social Work Journal, 14, (4), 295–309.
Horowitz, M.J., Wilner, N., Marmar, C., & Krupnick, J. (1980). Pathological grief and the activation of latent self-images.American Journal of Psychiatry, (10), 1157–1162.
Klein, G. (1976).Psychoanalytic theory. New York: International Universities Press.
Klein, M. (1940). Mourning and its relation to manic-depressive states.International Journal of Psycho-Analysis, 21, 125–153.
Little, M. (1957). ‘R’—the analyst's total response to his patient's needs.International Journal of Psycho-Analysis, 38, 240–254.
Mahler, M., Pine, F., & Bergman, A. (1975).The psychological birth of the human infant, New York: Basic Books.
Oxford English Dictionary (1961). London: Oxford University Press—Amen House.
Ruderman, E. (1986) Gender related themes of women psychotherapists in their treatment of women patients: The creative and reparative use of countertransference as a mutual growth experience.Clinical Social Work Journal, 14(2), 103–126.
Saari, C. (1986). The created relationship: Transference. Countertransference and the therapeutic culture.Clinical Social Work Journal, 14 (1), 39–51.
Sanville, J. (1982). Partings and Impartings: Toward a non-medical approach to interruptions and termination.Clinical Social Work Journal, 10 (2), 123–131.
Schamess, G. (1981). Boundary issues in counter-transference: A developmental perspective.Clinical Social Work Journal, 9, 244–257.
Searles, H. (1981). “Separation and Loss” Presentation for Continuing Education Seminars, U.C.L.A., also as “Some Aspects of Separation and Loss in Psychoanalytic Therapy With Borderline Patients” inMy Work With Borderline Patients (1986). Northvale, NJ: Jason Aronson.
Stewart, F. (1985). The treatment relationship: Real or symbolic?Clinical Social Work Journal, 13 (2), 171–181.
Volkan, V. (1981).Linking objects and linking phenomena: A Study of the forms, symptoms, metapsychology and therapy of complicated mourning, New York: International Universities Press.
Winnicott, D.W. (1965).The maturational processes and the facilitating environment. New York: International Universities Press.
Winnicott, D.W. (1971).Playing and reality, New York: Basic Books.
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Kivowitz, A.L. Being missed and missing: An interactional element of separation/individuation. Clin Soc Work J 16, 261–269 (1988). https://doi.org/10.1007/BF00753295
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DOI: https://doi.org/10.1007/BF00753295